1.やさしい
Venlafaxine belongs to which class of antidepressants?
- ASelective serotonin reuptake inhibitors (SSRIs)
- BMonoamine oxidase inhibitors
- CSerotonin–noradrenaline reuptake inhibitors (SNRIs)
- DTricyclic antidepressants
2.やさしい
Which intramuscular site is generally preferred for adults because it is far from major nerves and vessels?
- AVentrogluteal
- BDeltoid for large volumes
- CDorsogluteal
- DForearm
3.やさしい
Chlordiazepoxide is commonly used to manage:
- AMigraine prevention
- BOpioid overdose
- CBipolar mania
- DAlcohol withdrawal
4.ふつう
After instilling eye drops, why should the patient press gently on the inner corner of the eye for a minute or two?
- ATo reduce drainage into the nose and absorption into blood
- BTo stop the eye from producing tears for about an hour
- CTo spread the drop evenly over the eyelid
- DTo make the pupil dilate faster
5.ふつう
薬のクリアランスは何を表しますか?
- A単位時間あたりに薬が除去される血漿の容積
- B1 回の透析で除去される薬の量
- C投与量のうち吸収される割合
- D薬が血漿から完全に消えるまでに必要な時間
6.ふつう
A patient with Addison's disease on hydrocortisone develops a fever with flu. What is the usual advice?
- AIncrease the dose as instructed (sick-day rules) and seek help if vomiting
- BMake no change, as illness does not affect cortisol needs
- CStop the hydrocortisone until the fever settles, to let the body recover
- DHalve the hydrocortisone to reduce side effects
7.むずかしい
一次消失の薬で、投与間隔を変えずに投与量を 2 倍にすると:
- A定常状態の濃度は 2 倍になるが、到達までの時間は変わらない
- B定常状態に達する時間が半分になる
- C定常状態の濃度は変わらないが、到達までの時間が半分になる
- D半減期が 2 倍になる
8.むずかしい
How does levonorgestrel emergency contraception mainly work?
- AIt kills sperm in the vagina
- BIt causes an immediate period
- CIt delays or prevents ovulation
- DIt ends an established pregnancy
解答
- 1. C · Serotonin–noradrenaline reuptake inhibitors (SNRIs)
- 2. A · Ventrogluteal
- 3. D · Alcohol withdrawal
- 4. A · To reduce drainage into the nose and absorption into blood
- 5. A · 単位時間あたりに薬が除去される血漿の容積
- 6. A · Increase the dose as instructed (sick-day rules) and seek help if vomiting
- 7. A · 定常状態の濃度は 2 倍になるが、到達までの時間は変わらない
- 8. C · It delays or prevents ovulation
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