Для викладачів: можна безкоштовно друкувати, копіювати й використовувати на заняттях. Кожен новий аркуш має нові значення і власні відповіді. Будемо вдячні за посилання на ExamProblems на сторінці вашого курсу.
Ім’я: ____________________ Дата: ____________
1.Легка
What is drug synergism?
ATwo drugs together have a greater effect than the sum of each alone
BOne drug cancels out the effect of another drug
CTwo drugs together produce exactly the sum of their separate effects
DA drug loses its effect after repeated doses
2.Легка
After chemotherapy, what is the "nadir"?
AThe point when blood cell counts are at their lowest
BThe point when the tumour is at its smallest after treatment
CThe day the drug is given
DThe time when nausea is worst
3.Легка
Which drug is the antidote for magnesium sulfate toxicity?
APotassium chloride
BProtamine sulfate
CNaloxone
DCalcium gluconate
4.Середня
Яка ознака типова для опіоїдної токсичності?
AШироко розширені зіниці
BЧасте, глибоке дихання
CВисока температура тіла
DТочкові зіниці
5.Середня
An Rh-negative mother gives birth to an Rh-positive baby. When is anti-D immunoglobulin usually given?
AIt is not needed if the baby is Rh-positive
BWithin 72 hours after the birth
CAt least two weeks after the birth
DOnly at the start of the next pregnancy
6.Середня
Before starting a TNF-alpha inhibitor such as adalimumab, which test is required?
AAn echocardiogram in every patient
BScreening for latent tuberculosis
CA bone density scan
DA glucose tolerance test
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
Ten days after chemotherapy, a patient has a temperature of 38,5 °C (101,3 °F) but says she feels fine. What should happen?
AParacetamol at home and review at the next routine clinic visit
BUrgent cultures and IV broad-spectrum antibiotics without delay
CStart oral antibiotics only if a rash develops
DWait 48 hours to see whether the fever settles
Ключ відповідей
1. A · Two drugs together have a greater effect than the sum of each alone
2. A · The point when blood cell counts are at their lowest
3. D · Calcium gluconate
4. D · Точкові зіниці
5. B · Within 72 hours after the birth
6. B · Screening for latent tuberculosis
7. D · More phenytoin is unbound when albumin is low, so free levels rise
8. B · Urgent cultures and IV broad-spectrum antibiotics without delay
Повні покрокові розв’язки: тренуйте цю тему на examproblems.com.