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1.Лёгкая
How is pernicious anaemia usually treated?
AWith vitamin B12 injections, usually for life
BWith blood transfusions every month
CWith oral iron tablets for three months, then stopping
DWith folic acid alone
2.Лёгкая
What is enzyme induction?
AA drug causes an allergic reaction to enzymes
BA drug blocks liver enzymes, so other drugs build up in the blood
CA drug is converted into an enzyme in the body
DA drug speeds up liver enzymes, so other drugs are broken down faster
3.Лёгкая
With patient-controlled analgesia (PCA), who should press the button to give a dose?
AOnly the patient
BAny visitor who thinks the patient is in pain
CThe nursing assistant at set times
DA family member when the patient is asleep
4.Средняя
Какой фактор повышает риск интоксикации литием?
AУпотребление дополнительной воды
BОбезвоживание
CДиета с высоким содержанием соли
DПриём дозы во время еды
5.Средняя
Why is hypovolaemia corrected with IV fluids before or while starting a vasopressor?
AVasopressors cannot keep perfusion up if the circulation is under-filled
BVasopressors only work when they are diluted in large fluid volumes
CVasopressors cause the patient to retain too much fluid
DFluids stop the vasopressor causing a fever
6.Средняя
Which group of signs suggests opioid withdrawal?
ADry mouth, urinary retention, blurred vision and confusion
BConstipation, itching and a slow heart rate
CPinpoint pupils, slow breathing and drowsiness
DYawning, runny nose, sweating, dilated pupils and diarrhoea
7.Сложная
In myxoedema coma, why is hydrocortisone often given before or with thyroid hormone?
AThyroid hormone can trigger adrenal crisis if cortisol is also low
BThyroid hormone is inactive unless hydrocortisone is given
CHydrocortisone makes thyroid hormone work faster
DHydrocortisone prevents the hypoglycaemia caused by levothyroxine
8.Сложная
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
Ответы
1. A · With vitamin B12 injections, usually for life
2. D · A drug speeds up liver enzymes, so other drugs are broken down faster
3. A · Only the patient
4. B · Обезвоживание
5. A · Vasopressors cannot keep perfusion up if the circulation is under-filled
6. D · Yawning, runny nose, sweating, dilated pupils and diarrhoea
7. A · Thyroid hormone can trigger adrenal crisis if cortisol is also low
8. B · Its lipid emulsion lets bacteria grow if it is contaminated
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