1.やさしい
Which drug is the antidote for paracetamol (acetaminophen) overdose?
- AAcetylcysteine
- BNaloxone
- CVitamin K
- DFlumazenil
2.やさしい
Desmopressin is a synthetic analogue of which hormone?
- AOxytocin, the hormone of labour
- BAntidiuretic hormone (vasopressin)
- CInsulin
- DAldosterone
3.やさしい
薬物代謝の典型的な第 II 相(抱合)反応はどれですか?
- Aグルクロン酸抱合
- B還元
- C加水分解
- D酸化
4.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薬が血漿から完全に消えるまでに必要な時間
- D投与量のうち吸収される割合
5.ふつう
Why should loperamide usually be avoided in bloody diarrhoea with fever?
- ALoperamide causes severe hypertension when there is an infection
- BLoperamide is an antibiotic that causes resistance
- CLoperamide makes the bleeding worse by blocking platelets
- DSlowing the gut may keep bacteria and toxins in the bowel longer
6.ふつう
100 mL of an antibiotic is to be given over 30 minutes using a giving set of 20 drops/mL. What is the drip rate?
- AAbout 67 drops per minute
- BAbout 20 drops per minute
- CAbout 100 drops per minute
- DAbout 33 drops per minute
7.むずかしい
腎不全のためにある薬のクリアランスが半分に下がり、分布容積は変わりません。半減期はどうなりますか?
- A変わらない
- B半分になる
- C4 倍になる
- D2 倍になる
8.むずかしい
A postoperative patient using morphine PCA is very drowsy, hard to rouse and has a respiratory rate of 7 per minute. What should the nurse do first?
- AReduce the PCA dose and leave the pump running
- BStop the PCA, try to rouse the patient and give naloxone as per protocol
- CLet the patient sleep and recheck in one hour
- DEncourage the patient to press the button only when awake and in pain
解答
- 1. A · Acetylcysteine
- 2. B · Antidiuretic hormone (vasopressin)
- 3. A · グルクロン酸抱合
- 4. A · 単位時間あたりに薬が除去される血漿の容積
- 5. D · Slowing the gut may keep bacteria and toxins in the bowel longer
- 6. A · About 67 drops per minute
- 7. D · 2 倍になる
- 8. B · Stop the PCA, try to rouse the patient and give naloxone as per protocol
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