1.やさしい
Which intramuscular site is generally preferred for adults because it is far from major nerves and vessels?
- ADeltoid for large volumes
- BDorsogluteal
- CForearm
- DVentrogluteal
2.やさしい
What is the most common side effect of first-generation antihistamines such as diphenhydramine?
- ADiarrhoea
- BDrowsiness
- CInsomnia
- DRaised blood pressure
3.やさしい
Which of these is a live attenuated vaccine?
- ATetanus toxoid
- BHepatitis B vaccine
- CMMR (measles, mumps and rubella)
- DInactivated influenza injection
4.ふつう
A patient with a peanut allergy is taught to use an adrenaline auto-injector. Which statement is correct?
- ACall emergency services after using it, even if symptoms improve
- BUse it only if the antihistamine has not worked after an hour
- CKeep it at home so it is not lost
- DThere is no need to see a doctor if the swelling goes down
5.ふつう
アミトリプチリンなどの三環系抗うつ薬の過量服用が特に危険なのはなぜですか?
- A数時間以内に重い肝不全を起こすから
- B突然の高血糖を起こすから
- C腎結石を起こすから
- D不整脈とけいれんを起こすから
6.ふつう
イプラトロピウムは COPD に使う気管支拡張薬です。どのように働きますか?
- A気道平滑筋のムスカリン受容体を遮断する
- B気道のβ2 アドレナリン受容体を刺激する
- Cステロイドのように炎症を抑える
- Dロイコトリエン受容体を遮断する
7.むずかしい
A patient on rifampicin, isoniazid, pyrazinamide and ethambutol develops a painful swollen big toe. Which drug is most likely responsible?
- ARifampicin
- BIsoniazid
- CEthambutol
- DPyrazinamide
8.むずかしい
Why must several weeks pass before starting an MAO inhibitor after stopping fluoxetine?
- AFluoxetine permanently and irreversibly blocks MAO enzymes
- BMAO inhibitors are absorbed only after fluoxetine is gone
- CFluoxetine and its active metabolite have very long half-lives
- DFluoxetine must first be converted into an MAO inhibitor
解答
- 1. D · Ventrogluteal
- 2. B · Drowsiness
- 3. C · MMR (measles, mumps and rubella)
- 4. A · Call emergency services after using it, even if symptoms improve
- 5. D · 不整脈とけいれんを起こすから
- 6. A · 気道平滑筋のムスカリン受容体を遮断する
- 7. D · Pyrazinamide
- 8. C · Fluoxetine and its active metabolite have very long half-lives
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