1.ง่าย
Which vasopressor is usually first-line for septic shock that persists after fluids?
- AAdenosine
- BNoradrenaline (norepinephrine)
- CIsoprenaline (isoproterenol)
- DGlyceryl trinitrate
2.ง่าย
What is a prodrug?
- AA drug that is inactive until the body converts it into its active form
- BA drug that is given before surgery
- CA drug that prevents or reverses the effect of another drug in the body
- DA drug that has passed all clinical trials
3.ง่าย
ยาใดแก้ฤทธิ์ของเฮปาริน?
- Aฟลูมาเซนิล
- Bโปรตามีนซัลเฟต
- Cวิตามินเค
- Dนาลอกโซน
4.ปานกลาง
ผลข้างเคียงทั่วไปข้อใดเป็นลักษณะของยายับยั้ง ACE?
- Aไอแห้ง
- Bข้อเท้าบวมจากหลอดเลือดขยาย
- Cหัวใจเต้นช้า
- Dน้ำตาลในเลือดต่ำ
5.ปานกลาง
Which advice helps reduce the most common side effect of varenicline?
- ATake it after food with a full glass of water
- BTake it with alcohol to reduce nausea
- CTake double doses in the first week
- DTake it on an empty stomach at bedtime with a little milk
6.ปานกลาง
A patient with insulin-treated diabetes is found unconscious with very low blood glucose. There is no IV access. Which drug can a trained helper give?
- AIntramuscular adrenaline
- BRapid-acting insulin under the skin
- CGlucagon by injection or nasal spray
- DOral glucose gel poured into the mouth
7.ยาก
A man taking spironolactone for heart failure develops painful breast enlargement. Which change may be considered?
- AAdding testosterone injections
- BSwitching to eplerenone, which has fewer anti-androgen effects
- CSwitching to potassium chloride tablets
- DDoubling the spironolactone dose to overcome the side effect
8.ยาก
Lithium taken in the first trimester of pregnancy has been linked to which type of birth defect?
- AHeart malformations, such as Ebstein's anomaly
- BNeural tube defects such as spina bifida
- CCleft lip and palate only
- DLimb defects similar to thalidomide
เฉลย
- 1. B · Noradrenaline (norepinephrine)
- 2. A · A drug that is inactive until the body converts it into its active form
- 3. B · โปรตามีนซัลเฟต
- 4. A · ไอแห้ง
- 5. A · Take it after food with a full glass of water
- 6. C · Glucagon by injection or nasal spray
- 7. B · Switching to eplerenone, which has fewer anti-androgen effects
- 8. A · Heart malformations, such as Ebstein's anomaly
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