1.やさしい
薬の「半減期」とは何を意味しますか?
- A薬が体内にとどまる時間の半分
- B血漿中濃度が半分に下がるまでの時間
- C投与量の半分が腸から吸収されるまでの時間
- D薬が効き始めるまでの時間
2.やさしい
Why are corticosteroids such as betamethasone given to a woman at risk of preterm birth?
- ATo stop contractions completely
- BTo lower the mother's blood glucose
- CTo speed up fetal lung maturity
- DTo prevent infection in the mother
3.やさしい
薬の「有効性(エフィカシー)」は何を表しますか?
- A投与量のうち血漿タンパク質に結合する割合
- B半分の効果を得るのに必要な用量
- Cその薬が生み出せる最大の効果
- D薬が吸収される速さ
4.ふつう
Why are benzodiazepines used with great caution in older people?
- AThey are not absorbed from the gut after age 65
- BThey cause severe high blood pressure in older people
- CThey cause permanent hearing loss in older people
- DThey raise the risk of confusion, falls and fractures
5.ふつう
リチウム中毒のリスクを高める要因はどれですか?
- A塩分の多い食事
- B脱水
- C水を多めに飲むこと
- D食事と一緒に服用すること
6.ふつう
A patient is starting lamotrigine. Which adverse effect should the patient report at once?
- AMild headache on the first day
- BA brief change in taste
- CSlight tiredness in the afternoon
- DAny new skin rash
7.むずかしい
Why is gentamicin often given once daily instead of in several small doses?
- AIt is absorbed slowly from the muscle over 24 hours
- BIts killing depends only on the time the level stays above the MIC
- CIt has a very long half-life of several days
- DIts killing depends on high peak levels, with a post-antibiotic effect
8.むずかしい
A patient on simvastatin is prescribed gemfibrozil. What is the main concern?
- AA much higher risk of myopathy and rhabdomyolysis
- BSevere hypoglycaemia
- CLoss of all lipid-lowering effect
- DA sharp rise in LDL cholesterol and triglycerides
解答
- 1. B · 血漿中濃度が半分に下がるまでの時間
- 2. C · To speed up fetal lung maturity
- 3. C · その薬が生み出せる最大の効果
- 4. D · They raise the risk of confusion, falls and fractures
- 5. B · 脱水
- 6. D · Any new skin rash
- 7. D · Its killing depends on high peak levels, with a post-antibiotic effect
- 8. A · A much higher risk of myopathy and rhabdomyolysis
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