1.Dễ
What is the normal fasting blood glucose range in a healthy adult?
- A7,0–10,0 mmol/L (about 126–180 mg/dL)
- B3,9–5,5 mmol/L (about 70–100 mg/dL)
- C11,1–15,0 mmol/L (about 200–270 mg/dL)
- D1,5–3,0 mmol/L (about 27–54 mg/dL)
2.Dễ
Tamoxifen is used mainly to treat:
- AType 2 diabetes
- BOestrogen receptor-positive breast cancer
- COsteoarthritis
- DProstate enlargement and prostate cancer in older men
3.Dễ
Fluconazole is used to treat infections caused by:
- AFungi such as Candida
- BGram-negative bacteria
- CViruses such as influenza
- DParasites such as malaria
4.Trung bình
Why are many drugs started at lower doses in older adults?
- AOlder adults always weigh more than younger adults, so drugs last longer
- BKidney and liver clearance often decline, and sensitivity to drugs increases
- COlder adults absorb no drugs from the stomach
- DLower doses are cheaper for older patients
5.Trung bình
A patient is due the first dose of IV cefuroxime. Which question is most important before giving it?
- A"Have you eaten anything in the last two hours?"
- B"Have you ever had a reaction to penicillin or another antibiotic?"
- C"Do you prefer the drip in your left arm or in your right arm?"
- D"Have you taken paracetamol today?"
6.Trung bình
A patient with difficulty swallowing is prescribed several tablets. Which one should not be crushed?
- AA plain paracetamol tablet
- BA tablet that the pharmacist says may be crushed
- CA plain aspirin dispersible tablet
- DA modified-release (extended-release) tablet
7.Khó
Why is clavulanic acid combined with amoxicillin (co-amoxiclav)?
- AIt inhibits beta-lactamase enzymes that would destroy amoxicillin
- BIt makes amoxicillin cross the blood–brain barrier more easily
- CIt slows the kidney excretion of amoxicillin
- DIt reduces the risk of penicillin allergy
8.Khó
A patient with heart failure on furosemide is also given metolazone, a thiazide-like diuretic. Which risk increases most?
- ASevere hypertension, tachycardia and fluid retention
- BHypoglycaemia and weight gain
- CSevere hypokalaemia, hyponatraemia and dehydration
- DHyperkalaemia and fluid overload
Đáp án
- 1. B · 3,9–5,5 mmol/L (about 70–100 mg/dL)
- 2. B · Oestrogen receptor-positive breast cancer
- 3. A · Fungi such as Candida
- 4. B · Kidney and liver clearance often decline, and sensitivity to drugs increases
- 5. B · "Have you ever had a reaction to penicillin or another antibiotic?"
- 6. D · A modified-release (extended-release) tablet
- 7. A · It inhibits beta-lactamase enzymes that would destroy amoxicillin
- 8. C · Severe hypokalaemia, hyponatraemia and dehydration
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