1.ง่าย
What is enzyme induction?
- AA drug blocks liver enzymes, so other drugs build up in the blood
- BA drug speeds up liver enzymes, so other drugs are broken down faster
- CA drug causes an allergic reaction to enzymes
- DA drug is converted into an enzyme in the body
2.ง่าย
อวัยวะใดขับยาที่ละลายน้ำได้และเมแทบอไลต์ส่วนใหญ่ออก?
- Aตับ
- Bปอด
- Cไต
- Dผิวหนัง
3.ง่าย
Where is a sublingual tablet placed?
- AUnder the tongue
- BBetween the cheek and the gum
- COn top of the tongue, then chewed
- DIn the stomach, swallowed with water
4.ปานกลาง
อะพิซาแบนและริวารอกซาแบนเป็นยาต้านการแข็งตัวของเลือดที่ยับยั้งโดยตรงต่อ:
- Aทรอมบิน
- Bตัวรับ P2Y12 ของเกล็ดเลือด
- Cแฟคเตอร์ Xa
- Dวิตามินเคอีพอกไซด์รีดักเทส
5.ปานกลาง
Which group of signs suggests opioid withdrawal?
- AConstipation, itching and a slow heart rate
- BYawning, runny nose, sweating, dilated pupils and diarrhoea
- CPinpoint pupils, slow breathing and drowsiness
- DDry mouth, urinary retention, blurred vision and confusion
6.ปานกลาง
Which approach is usually recommended to prevent constipation in a patient on regular opioids?
- ANo laxative until the patient has not opened the bowels for a week
- BA stimulant laxative such as senna, often with a stool softener
- CBulk-forming fibre alone, with fluid intake restricted
- DAn antidiarrhoeal drug at night to slow the gut
7.ยาก
A patient on simvastatin is prescribed gemfibrozil. What is the main concern?
- AA sharp rise in LDL cholesterol and triglycerides
- BLoss of all lipid-lowering effect
- CA much higher risk of myopathy and rhabdomyolysis
- DSevere hypoglycaemia
8.ยาก
A child has a tonic–clonic seizure lasting more than 5 minutes at home and has no IV access. Which drug can be given first by a trained carer or paramedic?
- AOral paracetamol syrup
- BOral phenytoin tablets crushed in water
- CBuccal or intranasal midazolam
- DIntramuscular morphine
เฉลย
- 1. B · A drug speeds up liver enzymes, so other drugs are broken down faster
- 2. C · ไต
- 3. A · Under the tongue
- 4. C · แฟคเตอร์ Xa
- 5. B · Yawning, runny nose, sweating, dilated pupils and diarrhoea
- 6. B · A stimulant laxative such as senna, often with a stool softener
- 7. C · A much higher risk of myopathy and rhabdomyolysis
- 8. C · Buccal or intranasal midazolam
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