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1.Лёгкая
Which herbal product is commonly taken for sleep and can add to the effect of sedatives?
AValerian
BGinger
CCranberry
DPeppermint
2.Лёгкая
Which drug reverses the sedation of a benzodiazepine overdose?
AAtropine
BNaloxone
CProtamine sulfate
DFlumazenil
3.Лёгкая
Why is methadone used to treat opioid use disorder?
AIt is a long-acting opioid that prevents withdrawal and craving
BIt causes vomiting if other opioids are used
CIt cures the liver damage caused by opioids
DIt is a pure opioid antagonist that blocks all opioid effects
4.Средняя
A patient receiving chemotherapy has a very low neutrophil count and is going home. Which teaching is most important?
AEat plenty of raw shellfish to boost protein
BReport a temperature of 38 °C (100,4 °F) or higher straight away
CTake paracetamol regularly so that fevers do not show
DExercise in crowded gyms to build strength
5.Средняя
Bethanechol may be used for non-obstructive urinary retention. How does it work?
AIt increases urine production in the kidney
BIt stimulates muscarinic receptors and contracts the bladder muscle
CIt blocks muscarinic receptors and relaxes the bladder wall muscle
DIt shrinks the prostate gland
6.Средняя
When should a patient take a once-daily proton pump inhibitor such as omeprazole?
AOnly when heartburn is severe
BAbout 30–60 minutes before the first meal of the day
CWith a glass of milk at bedtime, when acid output is highest
DStraight after a large evening meal
7.Сложная
In myxoedema coma, why is hydrocortisone often given before or with thyroid hormone?
AHydrocortisone makes thyroid hormone work faster
BThyroid hormone can trigger adrenal crisis if cortisol is also low
CThyroid hormone is inactive unless hydrocortisone is given
DHydrocortisone prevents the hypoglycaemia caused by levothyroxine
8.Сложная
A patient on weekly methotrexate is prescribed trimethoprim for a urinary infection. What is the main risk?
ABone marrow suppression, because both drugs inhibit folate metabolism
BSevere hypertension from the combination
CLoss of antibiotic effect because methotrexate binds trimethoprim
DHypoglycaemia from reduced liver glucose output
Ответы
1. A · Valerian
2. D · Flumazenil
3. A · It is a long-acting opioid that prevents withdrawal and craving
4. B · Report a temperature of 38 °C (100,4 °F) or higher straight away
5. B · It stimulates muscarinic receptors and contracts the bladder muscle
6. B · About 30–60 minutes before the first meal of the day
7. B · Thyroid hormone can trigger adrenal crisis if cortisol is also low
8. A · Bone marrow suppression, because both drugs inhibit folate metabolism
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