1.やさしい
Varenicline helps people stop smoking because it:
- AMakes cigarettes taste bitter
- BIs a nicotinic partial agonist that reduces craving and reward
- CIs a form of nicotine absorbed slowly through the skin
- DBlocks dopamine receptors in the brain completely
2.やさしい
皮膚に貼るフェンタニルのパッチは、どの投与経路の例ですか?
- A皮内
- B舌下
- C皮下
- D経皮
3.やさしい
肝臓での初回通過代謝を避けられる投与経路はどれですか?
- A直腸の高い位置に入れる坐剤
- B経口錠剤
- C静脈内投与
- D経口液剤
4.ふつう
Which approach is usually recommended to prevent constipation in a patient on regular opioids?
- AAn antidiarrhoeal drug at night to slow the gut
- BNo laxative until the patient has not opened the bowels for a week
- CA stimulant laxative such as senna, often with a stool softener
- DBulk-forming fibre alone, with fluid intake restricted
5.ふつう
Why are benzodiazepines used with great caution in older people?
- AThey raise the risk of confusion, falls and fractures
- BThey are not absorbed from the gut after age 65
- CThey cause severe high blood pressure in older people
- DThey cause permanent hearing loss in older people
6.ふつう
Which adverse effects are typical of donepezil?
- ADry mouth, constipation and a fast heart rate
- BHair loss and skin pigmentation
- CWeight gain and high blood glucose
- DNausea, diarrhoea and a slow heart rate
7.むずかしい
Which regimen is standard for eradicating Helicobacter pylori?
- AA single dose of an antibiotic given intravenously
- BAn H2 blocker taken only when pain occurs
- CAcid suppression plus at least two antibiotics, often with bismuth, for 14 days
- DAn antacid alone, taken after meals and at bedtime for six months
8.むずかしい
A toddler swallowed many of his mother's iron tablets. He has vomiting and bloody diarrhoea. Which drug may be used to bind iron?
- AAcetylcysteine
- BActivated charcoal given by mouth
- CDeferoxamine (desferrioxamine)
- DNaloxone
解答
- 1. B · Is a nicotinic partial agonist that reduces craving and reward
- 2. D · 経皮
- 3. C · 静脈内投与
- 4. C · A stimulant laxative such as senna, often with a stool softener
- 5. A · They raise the risk of confusion, falls and fractures
- 6. D · Nausea, diarrhoea and a slow heart rate
- 7. C · Acid suppression plus at least two antibiotics, often with bismuth, for 14 days
- 8. C · Deferoxamine (desferrioxamine)
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