1.やさしい
Varenicline helps people stop smoking because it:
- AIs a nicotinic partial agonist that reduces craving and reward
- BMakes cigarettes taste bitter
- CBlocks dopamine receptors in the brain completely
- DIs a form of nicotine absorbed slowly through the skin
2.やさしい
ワルファリンなど、ほとんどの酸性薬物と結合する血漿タンパク質はどれですか?
- Aインスリン
- Bヘモグロビン
- Cフィブリノゲン
- Dアルブミン
3.やさしい
Giving a patient immunoglobulin after exposure to an infection provides which type of immunity?
- APassive immunity
- BInnate immunity
- CHerd immunity
- DActive immunity
4.ふつう
Why should NSAIDs be used with caution in some people with asthma?
- AThey block the anti-inflammatory effect of inhaled corticosteroids
- BThey can trigger bronchospasm in aspirin-sensitive asthma
- CThey cause mucus plugs by drying the airways
- DThey increase the clearance of salbutamol
5.ふつう
イブプロフェンなどの NSAIDs が胃潰瘍のリスクを高めるのはなぜですか?
- A胃粘膜を守るプロスタグランジンを減らすから
- B胃の中のヘリコバクター・ピロリの数を増やすから
- C胃酸の pH を上げるから
- D粘液層を直接溶かすから
6.ふつう
負荷量(ローディングドーズ)は何のために使いますか?
- A薬の吸収を遅らせるため
- B目標の血中濃度にすばやく到達するため
- Cアレルギー反応を調べるため
- D治療開始時の副作用を減らすため
7.むずかしい
Before starting rituximab, patients are tested for hepatitis B. Why?
- ARituximab is a vaccine against hepatitis B
- BHepatitis B infection makes rituximab completely ineffective
- CRituximab is made from the hepatitis B virus
- DRituximab can reactivate hepatitis B and cause liver failure
8.むずかしい
A patient with heart failure starts taking naproxen regularly for back pain. Why is this a concern?
- ANSAIDs lower potassium, which makes digoxin and diuretics fail
- BNSAIDs increase heart contractility too much
- CNSAIDs block the absorption of furosemide completely
- DNSAIDs cause salt and water retention and can worsen heart failure
解答
- 1. A · Is a nicotinic partial agonist that reduces craving and reward
- 2. D · アルブミン
- 3. A · Passive immunity
- 4. B · They can trigger bronchospasm in aspirin-sensitive asthma
- 5. A · 胃粘膜を守るプロスタグランジンを減らすから
- 6. B · 目標の血中濃度にすばやく到達するため
- 7. D · Rituximab can reactivate hepatitis B and cause liver failure
- 8. D · NSAIDs cause salt and water retention and can worsen heart failure
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