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1.Легка
Why is methadone used to treat opioid use disorder?
AIt is a pure opioid antagonist that blocks all opioid effects
BIt causes vomiting if other opioids are used
CIt cures the liver damage caused by opioids
DIt is a long-acting opioid that prevents withdrawal and craving
2.Легка
What is a "broad-spectrum" antibiotic?
AOne that is taken for a long time at low dose to prevent any infection
BOne that is given only intravenously in hospital
COne that acts against many Gram-positive and Gram-negative bacteria
DOne that also treats viral and fungal infections
3.Легка
Що таке агоніст?
AЛіки, що прискорюють власне виведення
BЛіки, що зв'язуються з рецептором і блокують його
CЛіки, що зв'язуються з рецептором і активують його
DЛіки, що руйнують рецептор
4.Середня
Which side effects are most common when starting gabapentin?
AInsomnia and agitation
BHair loss and weight loss
CDrowsiness and dizziness
DCough and runny nose
5.Середня
Why is testing for HLA-B*15:02 recommended before carbamazepine in people of some Asian ancestries?
AThis gene variant causes carbamazepine to raise blood glucose
BIt greatly raises the risk of Stevens–Johnson syndrome
CThis gene variant makes carbamazepine ineffective
DThis gene variant speeds up the kidney excretion of carbamazepine
6.Середня
A patient receives lactulose for hepatic encephalopathy. Which finding shows that it is working?
AHigher blood ammonia with improved appetite
BNo bowel movement for three days, with less confusion than before
CTen watery stools a day and a low serum potassium
DBetter alertness and orientation, with two to three soft stools a day
7.Складна
A malnourished patient with low serum albumin shows nystagmus and unsteady gait. Her total phenytoin level is within range. What is the most likely explanation?
AThe total level is high, but the laboratory is wrong
BLow albumin speeds up phenytoin metabolism
CLow albumin makes phenytoin bind more tightly, so the drug is less active
DMore phenytoin is unbound when albumin is low, so free levels rise
8.Складна
A teenager took a large overdose of diphenhydramine. He is agitated, hot, flushed and confused, with dry skin, dilated pupils and a full bladder. What is this pattern?
ASerotonin syndrome
BOpioid toxidrome
CAnticholinergic toxidrome
DCholinergic toxidrome
Ключ відповідей
1. D · It is a long-acting opioid that prevents withdrawal and craving
2. C · One that acts against many Gram-positive and Gram-negative bacteria
3. C · Ліки, що зв'язуються з рецептором і активують його
4. C · Drowsiness and dizziness
5. B · It greatly raises the risk of Stevens–Johnson syndrome
6. D · Better alertness and orientation, with two to three soft stools a day
7. D · More phenytoin is unbound when albumin is low, so free levels rise
8. C · Anticholinergic toxidrome
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