1.やさしい
インスリンを錠剤ではなく注射で投与するのはなぜですか?
- A胃の粘膜には毒性が強すぎるから
- B腸で消化されてしまうタンパク質だから
- C錠剤では放出が遅すぎるから
- D骨格筋に直接届いたときだけ効くから
2.やさしい
In hepatic encephalopathy, lactulose is given mainly to:
- ARaise the blood glucose level
- BReduce fluid in the abdomen
- CLower the blood ammonia level
- DStop bleeding from varices
3.やさしい
Why do nurses wear chemotherapy-tested gloves and gowns when handling cytotoxic drugs?
- ATo avoid exposure to drugs that may cause cancer or birth defects
- BTo keep the drugs warm during the infusion
- CTo protect the drug from light
- DBecause cytotoxic drugs are radioactive and give off radiation
4.ふつう
A patient wants to stop paroxetine suddenly. What should the nurse explain?
- AStopping suddenly causes dangerous low blood sugar
- BStopping suddenly causes the drug to work better for a while
- CIt can cause dizziness, "electric shock" feelings and irritability
- DIt can be stopped at any time, as antidepressants cause no withdrawal effects
5.ふつう
A parent will give a liquid medicine to a child at home. Which advice is safest?
- AUse any kitchen teaspoon
- BEstimate the dose by pouring the liquid into a small cup
- CMix the dose into a full bottle of milk
- DUse the oral syringe or measuring cup supplied with it
6.ふつう
A patient must mix regular (soluble) insulin and NPH (isophane) insulin in one syringe. What is the correct order?
- ADraw them up in separate syringes, then mix them in a cup
- BDraw up the cloudy NPH insulin first, then the clear regular insulin
- CDraw up the clear regular insulin first, then the cloudy NPH insulin
- DShake both vials hard, then draw them up in any order
7.むずかしい
A patient who takes propranolol has anaphylaxis and does not respond to repeated adrenaline doses. Which drug may help?
- AMore propranolol
- BNaloxone
- COral cetirizine alone
- DGlucagon
8.むずかしい
A patient with severe chronic hyponatraemia receives hypertonic saline. Why is the rate of correction strictly limited?
- ARaising sodium too fast causes severe hypokalaemia and cardiac arrest
- BFast correction causes immediate kidney failure
- CHypertonic saline is toxic to the liver at high rates
- DRaising sodium too fast can cause osmotic demyelination in the brain
解答
- 1. B · 腸で消化されてしまうタンパク質だから
- 2. C · Lower the blood ammonia level
- 3. A · To avoid exposure to drugs that may cause cancer or birth defects
- 4. C · It can cause dizziness, "electric shock" feelings and irritability
- 5. D · Use the oral syringe or measuring cup supplied with it
- 6. C · Draw up the clear regular insulin first, then the cloudy NPH insulin
- 7. D · Glucagon
- 8. D · Raising sodium too fast can cause osmotic demyelination in the brain
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