1.Dễ
How long does it usually take for an SSRI to improve mood noticeably?
- ASeveral weeks
- BOne or two days
- CA few hours
- DAbout six months
2.Dễ
What is a "broad-spectrum" antibiotic?
- AOne that is given only intravenously in hospital
- BOne that is taken for a long time at low dose to prevent any infection
- COne that also treats viral and fungal infections
- DOne that acts against many Gram-positive and Gram-negative bacteria
3.Dễ
In hepatic encephalopathy, lactulose is given mainly to:
- AStop bleeding from varices
- BReduce fluid in the abdomen
- CLower the blood ammonia level
- DRaise the blood glucose level
4.Trung bình
When does oseltamivir give the most benefit in influenza?
- AOnly after a bacterial pneumonia has developed
- BOnly after symptoms have lasted at least one week
- CAt any time, as the timing makes no difference
- DWhen started within 48 hours of the first symptoms
5.Trung bình
How should a patient take oral alendronate?
- AWith plain water on an empty stomach, staying upright for 30 minutes
- BWith milk at bedtime, then lying down straight away to aid absorption
- CCrushed into yoghurt with calcium supplements
- DWith breakfast and coffee to protect the stomach
6.Trung bình
An Rh-negative mother gives birth to an Rh-positive baby. When is anti-D immunoglobulin usually given?
- AOnly at the start of the next pregnancy
- BWithin 72 hours after the birth
- CAt least two weeks after the birth
- DIt is not needed if the baby is Rh-positive
7.Khó
A patient with heart failure starts taking naproxen regularly for back pain. Why is this a concern?
- ANSAIDs block the absorption of furosemide completely
- BNSAIDs increase heart contractility too much
- CNSAIDs cause salt and water retention and can worsen heart failure
- DNSAIDs lower potassium, which makes digoxin and diuretics fail
8.Khó
A woman with epilepsy who takes an antiepileptic drug plans to become pregnant. Which advice is standard?
- AStop all antiepileptic drugs straight away as soon as she stops contraception
- BTake folic acid before conception and seek specialist review of her medication
- CAvoid folic acid because it lowers drug levels
- DNo change is needed, as antiepileptics carry no risk in pregnancy
Đáp án
- 1. A · Several weeks
- 2. D · One that acts against many Gram-positive and Gram-negative bacteria
- 3. C · Lower the blood ammonia level
- 4. D · When started within 48 hours of the first symptoms
- 5. A · With plain water on an empty stomach, staying upright for 30 minutes
- 6. B · Within 72 hours after the birth
- 7. C · NSAIDs cause salt and water retention and can worsen heart failure
- 8. B · Take folic acid before conception and seek specialist review of her medication
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