1.やさしい
With patient-controlled analgesia (PCA), who should press the button to give a dose?
- AThe nursing assistant at set times
- BAny visitor who thinks the patient is in pain
- COnly the patient
- DA family member when the patient is asleep
2.やさしい
Disulfiram is used in alcohol use disorder because it:
- AReplaces alcohol at its receptors in the brain
- BCures liver damage caused by alcohol
- CCauses an unpleasant reaction if alcohol is drunk
- DRemoves alcohol from the blood faster
3.やさしい
In the United States, what is a "boxed warning" (black box warning) on a drug label?
- AA sign that the drug must be stored in a dark box
- BA note that the drug is available without prescription
- CThe strongest FDA warning about a serious or life-threatening risk
- DA label showing that the drug is a controlled substance with abuse potential
4.ふつう
Why is propranolol usually avoided in patients with asthma?
- AIt increases mucus production by blocking histamine
- BIt stimulates alpha-1 receptors in the airways and raises blood pressure
- CIt blocks beta-2 receptors in the airways and can cause bronchospasm
- DIt causes tolerance to inhaled corticosteroids
5.ふつう
メトホルミンは主にどのように血糖を下げますか?
- A肝臓でのブドウ糖産生を減らす
- B不足したインスリンを補う
- C腎臓でのブドウ糖の吸収を遮断する
- D膵臓からのインスリン分泌を刺激する
6.ふつう
How are most medication doses for children calculated?
- ABy the child's height alone
- BBy the child's age in years only
- CBy body weight in kilograms, or sometimes body surface area
- DBy giving half of the adult dose to all children under 12
7.むずかしい
A nurse calculates a child's dose and finds it is ten times higher than the usual range in the drug reference. What should the nurse do?
- AWithhold it, recheck the calculation and clarify with the prescriber
- BGive the dose, because the prescriber is responsible for the order
- CGive one tenth of the dose without telling anyone
- DGive half the dose as a compromise
8.むずかしい
薬が血液脳関門を通過しやすくなる性質は?
- A高い脂溶性と小さい分子サイズ
- B生理的 pH で正の電荷を持つこと
- C大きい分子量と強いタンパク結合
- D高い水溶性と強いイオン化
解答
- 1. C · Only the patient
- 2. C · Causes an unpleasant reaction if alcohol is drunk
- 3. C · The strongest FDA warning about a serious or life-threatening risk
- 4. C · It blocks beta-2 receptors in the airways and can cause bronchospasm
- 5. A · 肝臓でのブドウ糖産生を減らす
- 6. C · By body weight in kilograms, or sometimes body surface area
- 7. A · Withhold it, recheck the calculation and clarify with the prescriber
- 8. A · 高い脂溶性と小さい分子サイズ
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