1.ง่าย
Timolol eye drops are used mainly to treat:
- AGlaucoma
- BDry eyes
- CBacterial conjunctivitis
- DCataracts
2.ง่าย
Venlafaxine belongs to which class of antidepressants?
- ASelective serotonin reuptake inhibitors (SSRIs)
- BMonoamine oxidase inhibitors
- CTricyclic antidepressants
- DSerotonin–noradrenaline reuptake inhibitors (SNRIs)
3.ง่าย
What does "PRN" mean on a medication order?
- AImmediately, once only
- BBefore meals
- CAs needed
- DEvery morning
4.ปานกลาง
After naloxone reverses an opioid overdose, why must the patient be watched closely?
- ANaloxone often causes severe low blood glucose a few hours after the dose
- BNaloxone may wear off before the opioid does, so breathing can slow again
- CNaloxone makes the opioid stay longer in the body
- DNaloxone itself causes respiratory depression at high doses
5.ปานกลาง
Which statement about allopurinol is correct?
- AIt works within an hour to relieve joint pain
- BIt increases uric acid production to flush out crystals
- CIt lowers uric acid over time and does not relieve the pain of an acute attack
- DIt is taken only during an acute attack and stopped as soon as the pain settles
6.ปานกลาง
Which group of signs suggests opioid withdrawal?
- APinpoint pupils, slow breathing and drowsiness
- BDry mouth, urinary retention, blurred vision and confusion
- CYawning, runny nose, sweating, dilated pupils and diarrhoea
- DConstipation, itching and a slow heart rate
7.ยาก
A patient on methadone is also prescribed diazepam for anxiety. What is the main safety concern?
- AAdditive sedation and respiratory depression
- BMethadone causes diazepam to be excreted very quickly
- CSevere hypertension from the combination
- DDiazepam blocks the effect of methadone completely
8.ยาก
A patient with HIV has a CD4 count below 200 cells/mm3. Which prophylaxis is usually started?
- AIsoniazid to prevent hepatitis B
- BFluconazole to prevent urinary and skin infections
- CCo-trimoxazole to prevent Pneumocystis pneumonia
- DOseltamivir to prevent influenza
เฉลย
- 1. A · Glaucoma
- 2. D · Serotonin–noradrenaline reuptake inhibitors (SNRIs)
- 3. C · As needed
- 4. B · Naloxone may wear off before the opioid does, so breathing can slow again
- 5. C · It lowers uric acid over time and does not relieve the pain of an acute attack
- 6. C · Yawning, runny nose, sweating, dilated pupils and diarrhoea
- 7. A · Additive sedation and respiratory depression
- 8. C · Co-trimoxazole to prevent Pneumocystis pneumonia
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