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الاسم: ____________________ التاريخ: ____________
1.سهلة
تعمل البنزوديازيبينات مثل الديازيبام بتعزيز تأثير أي ناقل عصبي؟
Aالسيروتونين
Bالنورأدرينالين
Cالغلوتامات
DGABA
2.سهلة
What is a "broad-spectrum" antibiotic?
AOne that acts against many Gram-positive and Gram-negative bacteria
BOne that also treats viral and fungal infections
COne that is given only intravenously in hospital
DOne that is taken for a long time at low dose to prevent any infection
3.سهلة
لماذا يُعطى الإنسولين بالحقن بدلًا من الأقراص؟
Aلأن الأقراص ستطلقه ببطء شديد
Bلأنه لا يعمل إلا إذا وصل إلى العضلات الهيكلية مباشرة
Cلأنه شديد السمية لبطانة المعدة
Dلأنه بروتين سيُهضم في الأمعاء
4.متوسطة
A patient is starting olanzapine. Which monitoring is most important over the following months?
APeak expiratory flow
BINR and platelet count
CHearing tests and vision tests every month
DWeight, blood glucose and blood lipids
5.متوسطة
Which advice helps reduce the most common side effect of varenicline?
ATake double doses in the first week
BTake it on an empty stomach at bedtime with a little milk
CTake it with alcohol to reduce nausea
DTake it after food with a full glass of water
6.متوسطة
When does oseltamivir give the most benefit in influenza?
AOnly after a bacterial pneumonia has developed
BWhen started within 48 hours of the first symptoms
CAt any time, as the timing makes no difference
DOnly after symptoms have lasted at least one week
7.صعبة
A patient with severe liver cirrhosis takes oral propranolol, a drug with a high first-pass metabolism. What effect is expected?
AMore drug reaches the circulation, so a lower dose may be needed
BThe drug is excreted faster by the kidney, so it works for a shorter time
CThe first-pass effect increases, so the drug becomes inactive
DLess drug is absorbed from the gut, so a higher dose is needed
8.صعبة
A baby born to a mother on methadone becomes irritable on day 2, with a high-pitched cry, tremors, sneezing and poor feeding. What is the most likely cause?
ANeonatal hypoglycaemia from maternal diabetes
BNeonatal opioid withdrawal syndrome
CVitamin K deficiency bleeding
DNormal newborn behaviour
مفتاح الإجابات
1. D · GABA
2. A · One that acts against many Gram-positive and Gram-negative bacteria
3. D · لأنه بروتين سيُهضم في الأمعاء
4. D · Weight, blood glucose and blood lipids
5. D · Take it after food with a full glass of water
6. B · When started within 48 hours of the first symptoms
7. A · More drug reaches the circulation, so a lower dose may be needed
8. B · Neonatal opioid withdrawal syndrome
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