1.ง่าย
Which herbal product is commonly taken for sleep and can add to the effect of sedatives?
- ACranberry
- BPeppermint
- CGinger
- DValerian
2.ง่าย
Which vasopressor is usually first-line for septic shock that persists after fluids?
- ANoradrenaline (norepinephrine)
- BIsoprenaline (isoproterenol)
- CAdenosine
- DGlyceryl trinitrate
3.ง่าย
Which of these insulins is rapid-acting?
- AInsulin glargine
- BInsulin detemir
- CNPH (isophane) insulin
- DInsulin lispro
4.ปานกลาง
Why is hypovolaemia corrected with IV fluids before or while starting a vasopressor?
- AVasopressors cause the patient to retain too much fluid
- BVasopressors cannot keep perfusion up if the circulation is under-filled
- CFluids stop the vasopressor causing a fever
- DVasopressors only work when they are diluted in large fluid volumes
5.ปานกลาง
Which adverse effect of ciprofloxacin should a patient report at once?
- AA slightly bitter or metallic taste for a while after each dose
- BMild tiredness in the first few days
- CPain or swelling in a tendon, such as the Achilles tendon
- DDarker stools than usual
6.ปานกลาง
A patient is starting lamotrigine. Which adverse effect should the patient report at once?
- AAny new skin rash
- BA brief change in taste
- CMild headache on the first day
- DSlight tiredness in the afternoon
7.ยาก
Why is vancomycin given by mouth, not intravenously, for Clostridioides difficile infection?
- AOral vancomycin is not absorbed, so it reaches high levels in the colon
- BIntravenous vancomycin causes C. difficile infection
- CThe oral form is cheaper but has the same effect as IV
- DOral vancomycin is absorbed into the blood better than IV vancomycin
8.ยาก
A patient develops a dry cough on an ACE inhibitor and is switched to losartan. Why is losartan less likely to cause cough?
- AIt is excreted faster by the kidney
- BIt blocks histamine receptors in the airways
- CIt does not block the breakdown of bradykinin
- DIt also acts as a bronchodilator
เฉลย
- 1. D · Valerian
- 2. A · Noradrenaline (norepinephrine)
- 3. D · Insulin lispro
- 4. B · Vasopressors cannot keep perfusion up if the circulation is under-filled
- 5. C · Pain or swelling in a tendon, such as the Achilles tendon
- 6. A · Any new skin rash
- 7. A · Oral vancomycin is not absorbed, so it reaches high levels in the colon
- 8. C · It does not block the breakdown of bradykinin
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