1.ง่าย
In Addison's disease, fludrocortisone is given to replace which hormone?
- AAldosterone
- BAdrenaline
- CCortisol
- DThyroxine
2.ง่าย
How long does it usually take for an SSRI to improve mood noticeably?
- AAbout six months
- BSeveral weeks
- COne or two days
- DA few hours
3.ง่าย
How does allopurinol prevent gout?
- AIt blocks prostaglandins in the inflamed joint
- BIt increases the kidney excretion of calcium
- CIt dissolves crystals already in the joint within hours
- DIt inhibits xanthine oxidase, so less uric acid is made
4.ปานกลาง
A patient taking levodopa finds that the drug works poorly after large meals. Which advice is most appropriate?
- ADouble the dose after each meal
- BTake every dose with a large glass of milk and a protein snack
- CTake the drug only at bedtime
- DAvoid taking doses at the same time as high-protein meals
5.ปานกลาง
After instilling eye drops, why should the patient press gently on the inner corner of the eye for a minute or two?
- ATo make the pupil dilate faster
- BTo reduce drainage into the nose and absorption into blood
- CTo spread the drop evenly over the eyelid
- DTo stop the eye from producing tears for about an hour
6.ปานกลาง
A patient with difficulty swallowing is prescribed several tablets. Which one should not be crushed?
- AA plain paracetamol tablet
- BA modified-release (extended-release) tablet
- CA plain aspirin dispersible tablet
- DA tablet that the pharmacist says may be crushed
7.ยาก
ผู้ป่วยที่ใช้ดิจอกซินและฟูโรซีไมด์เกิดคลื่นไส้ การมองเห็นผิดปกติ และชีพจรไม่สม่ำเสมอ ความผิดปกติของอิเล็กโทรไลต์ใดน่าจะทำให้เกิดภาวะเป็นพิษจากดิจอกซินได้ง่ายขึ้น?
- Aโพแทสเซียมต่ำ
- Bโพแทสเซียมสูง
- Cโซเดียมสูง
- Dแคลเซียมต่ำ
8.ยาก
Which regimen is standard for eradicating Helicobacter pylori?
- AAcid suppression plus at least two antibiotics, often with bismuth, for 14 days
- BAn antacid alone, taken after meals and at bedtime for six months
- CAn H2 blocker taken only when pain occurs
- DA single dose of an antibiotic given intravenously
เฉลย
- 1. A · Aldosterone
- 2. B · Several weeks
- 3. D · It inhibits xanthine oxidase, so less uric acid is made
- 4. D · Avoid taking doses at the same time as high-protein meals
- 5. B · To reduce drainage into the nose and absorption into blood
- 6. B · A modified-release (extended-release) tablet
- 7. A · โพแทสเซียมต่ำ
- 8. A · Acid suppression plus at least two antibiotics, often with bismuth, for 14 days
เฉลยทีละขั้นตอนฉบับเต็ม: ฝึกหัวข้อนี้ได้ที่ examproblems.com