1.やさしい
Before giving any medication, how should the nurse identify the patient?
- ACheck the room and bed number against the medication chart
- BAsk "Are you Mr Jones?" and wait for a nod
- CRead the name on the sign next to the door
- DUse two identifiers, such as full name and date of birth
2.やさしい
Fibrates such as fenofibrate mainly lower which blood lipid?
- AHDL cholesterol
- BBile acids
- CTriglycerides
- DLipoprotein(a) only
3.やさしい
How does activated charcoal work in poisoning?
- AIt binds (adsorbs) the poison in the gut so less is absorbed
- BIt neutralises acids in the blood
- CIt speeds up liver metabolism of the poison
- DIt makes the patient vomit the poison before it is absorbed
4.ふつう
クロピドグレルはどのように血小板凝集を抑えますか?
- A血小板の ADP 受容体 P2Y12 を遮断する
- Bアンチトロンビンを活性化する
- C糖タンパク質 IIb/IIIa 受容体を直接遮断する
- D血小板の COX-1 を阻害する
5.ふつう
ヘンレ係蹄の太い上行脚に作用する利尿薬は?
- Aカリウム保持性利尿薬
- Bフロセミドなどのループ利尿薬
- C浸透圧利尿薬
- Dチアジド系利尿薬
6.ふつう
After several years of levodopa treatment, which problem is common?
- AComplete and permanent loss of all Parkinson's symptoms
- BSevere hypoglycaemia after each dose
- CPermanent hearing loss
- DDyskinesias and "on–off" fluctuations in response
7.むずかしい
Beta-lactam antibiotics show time-dependent killing. What does this mean for administration?
- ADoses should be given on time at evenly spaced intervals
- BDoses can be given at any time as long as the daily total is right
- CA single very large daily dose works best
- DDoses should be given only when the patient has a fever
8.むずかしい
A patient taking sertraline starts St John's wort for low mood. What is the main concern?
- ASevere low blood pressure from blocked alpha receptors
- BA hypertensive crisis from tyramine
- CBleeding from vitamin K deficiency
- DSerotonin syndrome from combined serotonergic effects
解答
- 1. D · Use two identifiers, such as full name and date of birth
- 2. C · Triglycerides
- 3. A · It binds (adsorbs) the poison in the gut so less is absorbed
- 4. A · 血小板の ADP 受容体 P2Y12 を遮断する
- 5. B · フロセミドなどのループ利尿薬
- 6. D · Dyskinesias and "on–off" fluctuations in response
- 7. A · Doses should be given on time at evenly spaced intervals
- 8. D · Serotonin syndrome from combined serotonergic effects
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