1.やさしい
Which signs are typical of hypoglycaemia?
- AThirst, frequent urination and warm, dry, flushed skin
- BSweating, shakiness, a fast heart rate and confusion
- CA slow pulse, constipation and weight gain
- DFruity breath with deep, rapid breathing
2.やさしい
Filgrastim, a granulocyte colony-stimulating factor (G-CSF), is given to:
- AIncrease the production of neutrophils
- BIncrease the production of platelets
- CStop bleeding from wounds
- DLower the white cell count in leukaemia
3.やさしい
In hepatic encephalopathy, lactulose is given mainly to:
- AStop bleeding from varices
- BRaise the blood glucose level
- CLower the blood ammonia level
- DReduce fluid in the abdomen
4.ふつう
A patient wants to stop paroxetine suddenly. What should the nurse explain?
- AIt can cause dizziness, "electric shock" feelings and irritability
- BIt can be stopped at any time, as antidepressants cause no withdrawal effects
- CStopping suddenly causes dangerous low blood sugar
- DStopping suddenly causes the drug to work better for a while
5.ふつう
A man taking tamsulosin is planning cataract surgery. What should the nurse advise?
- ATake a double dose on the day of surgery
- BTell the eye surgeon, as it can cause floppy iris syndrome
- CThe drug has no link with eye surgery
- DStop the drug for one day and no further action is needed
6.ふつう
A patient starting niacin (nicotinic acid) complains of flushing and warmth after doses. Which advice may reduce this?
- ATake the niacin with a hot drink so that it dissolves and acts faster
- BTake it on an empty stomach in a hot bath
- CTake aspirin 30 minutes before the niacin, if the prescriber agrees
- DDouble the dose to build tolerance faster
7.むずかしい
A baby born to a mother on methadone becomes irritable on day 2, with a high-pitched cry, tremors, sneezing and poor feeding. What is the most likely cause?
- ANeonatal opioid withdrawal syndrome
- BNormal newborn behaviour
- CVitamin K deficiency bleeding
- DNeonatal hypoglycaemia from maternal diabetes
8.むずかしい
Which finding most favours serotonin syndrome over neuroleptic malignant syndrome?
- ASlow onset over days with lead-pipe rigidity
- BA very high creatine kinase
- CRecent start of an antipsychotic drug
- DRapid onset with hyperreflexia and clonus
解答
- 1. B · Sweating, shakiness, a fast heart rate and confusion
- 2. A · Increase the production of neutrophils
- 3. C · Lower the blood ammonia level
- 4. A · It can cause dizziness, "electric shock" feelings and irritability
- 5. B · Tell the eye surgeon, as it can cause floppy iris syndrome
- 6. C · Take aspirin 30 minutes before the niacin, if the prescriber agrees
- 7. A · Neonatal opioid withdrawal syndrome
- 8. D · Rapid onset with hyperreflexia and clonus
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