1.やさしい
Fibrates such as fenofibrate mainly lower which blood lipid?
- ALipoprotein(a) only
- BHDL cholesterol
- CBile acids
- DTriglycerides
2.やさしい
What is the normal serum potassium range in adults?
- A6.0–7.5 mmol/L
- B1.5–2.5 mmol/L
- C3.5–5.0 mmol/L
- D135–145 mmol/L
3.やさしい
Why is folinic acid (leucovorin) given after high-dose methotrexate?
- ATo protect normal cells from methotrexate toxicity
- BTo treat an allergic reaction to methotrexate
- CTo prevent nausea and vomiting after the methotrexate
- DTo make methotrexate act faster on the tumour
4.ふつう
Which rule applies to intravenous potassium chloride?
- AIt may be given intramuscularly if there is no IV access
- BIt is given as a rapid IV push to correct low levels quickly
- CIt must be diluted and given as an infusion, never as an IV push
- DIt is mixed into blood products to save time
5.ふつう
An Rh-negative mother gives birth to an Rh-positive baby. When is anti-D immunoglobulin usually given?
- AWithin 72 hours after the birth
- BIt is not needed if the baby is Rh-positive
- COnly at the start of the next pregnancy
- DAt least two weeks after the birth
6.ふつう
Which approach is usually recommended to prevent constipation in a patient on regular opioids?
- ANo laxative until the patient has not opened the bowels for a week
- BA stimulant laxative such as senna, often with a stool softener
- CAn antidiarrhoeal drug at night to slow the gut
- DBulk-forming fibre alone, with fluid intake restricted
7.むずかしい
A 19-year-old woman is starting isotretinoin for severe acne. Which requirement is most important?
- AWeekly hearing tests and monthly eye examinations during treatment
- BA high-vitamin A diet to boost the effect
- CTaking the drug only at weekends
- DReliable contraception and pregnancy tests, as it is highly teratogenic
8.むずかしい
A patient who has had several courses of bleomycin develops a dry cough and worsening breathlessness. What should the nurse suspect?
- AAsthma caused by anxiety
- BA normal effect that will pass in a day
- CHeart failure from bleomycin
- DPulmonary fibrosis from bleomycin
解答
- 1. D · Triglycerides
- 2. C · 3.5–5.0 mmol/L
- 3. A · To protect normal cells from methotrexate toxicity
- 4. C · It must be diluted and given as an infusion, never as an IV push
- 5. A · Within 72 hours after the birth
- 6. B · A stimulant laxative such as senna, often with a stool softener
- 7. D · Reliable contraception and pregnancy tests, as it is highly teratogenic
- 8. D · Pulmonary fibrosis from bleomycin
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