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Vardas: ____________________ Data: ____________
1.Lengvas
Kas yra placebas?
AVaistas, skiriamas puse įprastos dozės šalutiniam poveikiui tyrimuose sumažinti
BNeaktyvus gydymas, kuris vis tiek gali sukelti poveikį dėl lūkesčių
CVaistas, veikiantis tik placebo grupėje
DNaujas, dar nepatvirtintas vaistas
2.Lengvas
Amphotericin B is used mainly for:
AMild athlete's foot
BSerious systemic fungal infections
CBacterial urinary tract infections
DInfluenza in older people
3.Lengvas
How does activated charcoal work in poisoning?
AIt speeds up liver metabolism of the poison
BIt binds (adsorbs) the poison in the gut so less is absorbed
CIt makes the patient vomit the poison before it is absorbed
DIt neutralises acids in the blood
4.Vidutinis
A patient uses a salbutamol (albuterol) inhaler and a corticosteroid inhaler at the same time of day. Which order is usually taught?
AUse the steroid first, then the salbutamol right after without any gap
BUse both in the same breath to save time
CUse the salbutamol first, wait a few minutes, then use the steroid
DThe order does not matter and no waiting is needed
5.Vidutinis
Which signs suggest early lithium toxicity?
APinpoint pupils and slow breathing
BVery high blood pressure and a severe headache
CDiarrhoea, vomiting, coarse tremor and drowsiness
DHair loss and dark urine only
6.Vidutinis
A patient taking levodopa finds that the drug works poorly after large meals. Which advice is most appropriate?
ADouble the dose after each meal
BTake every dose with a large glass of milk and a protein snack
CAvoid taking doses at the same time as high-protein meals
DTake the drug only at bedtime
7.Sunkus
A patient develops a dry cough on an ACE inhibitor and is switched to losartan. Why is losartan less likely to cause cough?
AIt blocks histamine receptors in the airways
BIt does not block the breakdown of bradykinin
CIt is excreted faster by the kidney
DIt also acts as a bronchodilator
8.Sunkus
Why is the TPMT enzyme often tested before azathioprine is started?
ATPMT testing shows whether the patient has tuberculosis
BTPMT is needed to absorb azathioprine from the gut
CLow TPMT activity causes toxic levels and marrow suppression
DHigh TPMT activity causes an allergic reaction to azathioprine
Atsakymai
1. B · Neaktyvus gydymas, kuris vis tiek gali sukelti poveikį dėl lūkesčių
2. B · Serious systemic fungal infections
3. B · It binds (adsorbs) the poison in the gut so less is absorbed
4. C · Use the salbutamol first, wait a few minutes, then use the steroid
5. C · Diarrhoea, vomiting, coarse tremor and drowsiness
6. C · Avoid taking doses at the same time as high-protein meals
7. B · It does not block the breakdown of bradykinin
8. C · Low TPMT activity causes toxic levels and marrow suppression
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