1.Dễ
What is the normal serum potassium range in adults?
- A6,0–7,5 mmol/L
- B135–145 mmol/L
- C1,5–2,5 mmol/L
- D3,5–5,0 mmol/L
2.Dễ
Which of these is a live attenuated vaccine?
- AInactivated influenza injection
- BHepatitis B vaccine
- CTetanus toxoid
- DMMR (measles, mumps and rubella)
3.Dễ
Which long-term side effect of phenytoin makes good oral hygiene especially important?
- AExcess saliva production
- BLoss of taste
- COvergrowth of the gums (gingival hyperplasia)
- DBlue-grey discoloration of the teeth and gums
4.Trung bình
Why is aspirin avoided in children and teenagers with viral illnesses such as flu or chickenpox?
- AIt is linked to Reye's syndrome, which harms the liver and brain
- BIt causes grey baby syndrome
- CIt causes severe, permanent hearing loss in young children
- DIt stops the vaccine from working
5.Trung bình
Why is a progestogen added to oestrogen in hormone replacement therapy for a woman who still has her uterus?
- ATo lower the risk of blood clots to zero
- BTo prevent breast cancer completely
- CTo protect against endometrial hyperplasia and cancer
- DTo reduce hot flushes much more than oestrogen alone can
6.Trung bình
Which adverse effect is a well-known risk of zidovudine?
- ABone marrow suppression, especially anaemia
- BGum overgrowth
- COrange-red colouring of the urine and tears
- DRed–green colour blindness
7.Khó
A patient took a large paracetamol (acetaminophen) overdose 6 hours ago and feels well. Why is treatment still urgent?
- AParacetamol overdose only causes harm if symptoms start in the first hour
- BThe drug will cause kidney stones within a few hours
- CLiver damage appears 1–3 days later, and early treatment works best
- DThe patient is at risk of immediate respiratory arrest
8.Khó
A patient with heart failure on furosemide is also given metolazone, a thiazide-like diuretic. Which risk increases most?
- ASevere hypokalaemia, hyponatraemia and dehydration
- BSevere hypertension, tachycardia and fluid retention
- CHypoglycaemia and weight gain
- DHyperkalaemia and fluid overload
Đáp án
- 1. D · 3,5–5,0 mmol/L
- 2. D · MMR (measles, mumps and rubella)
- 3. C · Overgrowth of the gums (gingival hyperplasia)
- 4. A · It is linked to Reye's syndrome, which harms the liver and brain
- 5. C · To protect against endometrial hyperplasia and cancer
- 6. A · Bone marrow suppression, especially anaemia
- 7. C · Liver damage appears 1–3 days later, and early treatment works best
- 8. A · Severe hypokalaemia, hyponatraemia and dehydration
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