1.쉬움
After chemotherapy, what is the "nadir"?
- AThe time when nausea is worst
- BThe point when the tumour is at its smallest after treatment
- CThe point when blood cell counts are at their lowest
- DThe day the drug is given
2.쉬움
Why is methadone used to treat opioid use disorder?
- AIt causes vomiting if other opioids are used
- BIt is a pure opioid antagonist that blocks all opioid effects
- CIt cures the liver damage caused by opioids
- DIt is a long-acting opioid that prevents withdrawal and craving
3.쉬움
How does tamsulosin improve urine flow in benign prostatic hyperplasia?
- AIt shrinks the prostate gland over months by blocking testosterone
- BIt contracts the bladder muscle
- CIt increases urine production in the kidney
- DIt blocks alpha-1 receptors and relaxes prostate smooth muscle
4.보통
A patient with a peanut allergy is taught to use an adrenaline auto-injector. Which statement is correct?
- AThere is no need to see a doctor if the swelling goes down
- BCall emergency services after using it, even if symptoms improve
- CUse it only if the antihistamine has not worked after an hour
- DKeep it at home so it is not lost
5.보통
Benzathine benzylpenicillin (penicillin G benzathine) is ordered. Which route is correct?
- AIntravenous infusion over 30 minutes
- BDeep intramuscular only
- CSubcutaneous in the abdomen
- DIntravenous push
6.보통
Why are patients taking simvastatin often advised to avoid large amounts of grapefruit juice?
- AGrapefruit blocks cholesterol absorption and causes low cholesterol
- BGrapefruit makes the tablet dissolve in the mouth
- CGrapefruit inhibits CYP3A4 in the gut, raising simvastatin levels and myopathy risk
- DGrapefruit speeds up simvastatin breakdown in the liver, so the drug stops working
7.어려움
Why is strict aseptic technique and a limited hang time needed for propofol infusions?
- APropofol breaks down into a toxic gas after a few hours
- BIts lipid emulsion lets bacteria grow if it is contaminated
- CPropofol becomes more potent the longer it hangs
- DLight exposure changes propofol into an opioid
8.어려움
클로람페니콜을 투여받은 신생아는 "회색아기 증후군"이 생길 수 있습니다. 주된 이유는 무엇인가요?
- A신생아가 약에 대한 항체를 만들기 때문에
- B간의 글루쿠론산 포합이 미숙하여 약이 축적되기 때문에
- C신생아의 콩팥이 약을 너무 빨리 배설하여 더 높은 용량을 쓰기 때문에
- D신생아에서 클로람페니콜이 비타민 K로 전환되기 때문에
정답표
- 1. C · The point when blood cell counts are at their lowest
- 2. D · It is a long-acting opioid that prevents withdrawal and craving
- 3. D · It blocks alpha-1 receptors and relaxes prostate smooth muscle
- 4. B · Call emergency services after using it, even if symptoms improve
- 5. B · Deep intramuscular only
- 6. C · Grapefruit inhibits CYP3A4 in the gut, raising simvastatin levels and myopathy risk
- 7. B · Its lipid emulsion lets bacteria grow if it is contaminated
- 8. B · 간의 글루쿠론산 포합이 미숙하여 약이 축적되기 때문에
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