1.쉬움
Mesalazine (mesalamine) is used mainly to treat:
- AIrritable bowel syndrome with constipation
- BUlcerative colitis
- CPeptic ulcer
- DGallstones
2.쉬움
How does tamsulosin improve urine flow in benign prostatic hyperplasia?
- AIt contracts the bladder muscle
- BIt blocks alpha-1 receptors and relaxes prostate smooth muscle
- CIt increases urine production in the kidney
- DIt shrinks the prostate gland over months by blocking testosterone
3.쉬움
How does allopurinol prevent gout?
- AIt inhibits xanthine oxidase, so less uric acid is made
- BIt dissolves crystals already in the joint within hours
- CIt blocks prostaglandins in the inflamed joint
- DIt increases the kidney excretion of calcium
4.보통
Why should a patient rinse the mouth after using an inhaled corticosteroid?
- ATo make the drug work faster in the lungs
- BTo prevent a fall in blood glucose
- CTo stop the drug being absorbed too quickly into the blood
- DTo reduce the risk of oral thrush (candidiasis) and hoarseness
5.보통
혈장 속 약물 중 어느 분획이 수용체에 도달하여 효과를 낼 수 있나요?
- A적혈구에 저장된 분획
- B글로불린에 결합한 분획
- C알부민에 결합한 분획
- D결합하지 않은(유리) 분획
6.보통
Which approach is usually recommended to prevent constipation in a patient on regular opioids?
- ABulk-forming fibre alone, with fluid intake restricted
- BNo laxative until the patient has not opened the bowels for a week
- CA stimulant laxative such as senna, often with a stool softener
- DAn antidiarrhoeal drug at night to slow the gut
7.어려움
Two days after starting chemotherapy for a leukaemia with a high white cell count, a patient has reduced urine output. Which lab pattern suggests tumour lysis syndrome?
- ALow potassium, low phosphate, low uric acid and high calcium
- BNormal electrolytes with a high haemoglobin
- CHigh potassium, high phosphate, high uric acid and low calcium
- DHigh sodium, high glucose and low potassium
8.어려움
Lithium taken in the first trimester of pregnancy has been linked to which type of birth defect?
- ANeural tube defects such as spina bifida
- BCleft lip and palate only
- CLimb defects similar to thalidomide
- DHeart malformations, such as Ebstein's anomaly
정답표
- 1. B · Ulcerative colitis
- 2. B · It blocks alpha-1 receptors and relaxes prostate smooth muscle
- 3. A · It inhibits xanthine oxidase, so less uric acid is made
- 4. D · To reduce the risk of oral thrush (candidiasis) and hoarseness
- 5. D · 결합하지 않은(유리) 분획
- 6. C · A stimulant laxative such as senna, often with a stool softener
- 7. C · High potassium, high phosphate, high uric acid and low calcium
- 8. D · Heart malformations, such as Ebstein's anomaly
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