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الاسم: ____________________ التاريخ: ____________
1.سهلة
Finasteride is used in benign prostatic hyperplasia because it:
AInhibits 5-alpha reductase and slowly shrinks the prostate
BRelaxes smooth muscle in the prostate within hours of the first dose
CIncreases testosterone production
DKills bacteria in the prostate
2.سهلة
After chemotherapy, what is the "nadir"?
AThe day the drug is given
BThe point when the tumour is at its smallest after treatment
CThe time when nausea is worst
DThe point when blood cell counts are at their lowest
3.سهلة
Which drug is first-line for symptomatic bradycardia in adults?
ADigoxin
BAtropine
CMetoprolol
DAdenosine
4.متوسطة
أي عامل يزيد خطر التسمم بالليثيوم؟
Aأخذ الجرعة مع الطعام
Bنظام غذائي غني بالملح
Cالجفاف
Dشرب ماء إضافي
5.متوسطة
Why is a spacer recommended with a metered-dose inhaler?
AIt turns the inhaler into a nebuliser
BIt doubles the dose of drug released by each puff of the inhaler
CMore drug reaches the lungs and less stays in the mouth
DIt removes the need to shake the inhaler
6.متوسطة
Why is a progestogen added to oestrogen in hormone replacement therapy for a woman who still has her uterus?
ATo lower the risk of blood clots to zero
BTo reduce hot flushes much more than oestrogen alone can
CTo protect against endometrial hyperplasia and cancer
DTo prevent breast cancer completely
7.صعبة
A patient taking dabigatran has a life-threatening bleed. Which specific reversal agent is used?
AProtamine sulfate
BIdarucizumab
CVitamin K
DAndexanet alfa
8.صعبة
A patient taking co-trimoxazole develops fever, a spreading blistering rash and painful mouth sores. What is the most likely diagnosis?
AStevens–Johnson syndrome; stop the drug and get urgent medical care
BA mild rash that will settle; continue the drug and give moisturiser
COral thrush; start an antifungal and continue the antibiotic
DSunburn caused by the drug; advise sunscreen only
مفتاح الإجابات
1. A · Inhibits 5-alpha reductase and slowly shrinks the prostate
2. D · The point when blood cell counts are at their lowest
3. B · Atropine
4. C · الجفاف
5. C · More drug reaches the lungs and less stays in the mouth
6. C · To protect against endometrial hyperplasia and cancer
7. B · Idarucizumab
8. A · Stevens–Johnson syndrome; stop the drug and get urgent medical care
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