1.Dễ
Which harmless effect of rifampicin should patients be warned about?
- AGreen colouring of the stools
- BWhite spots on the teeth
- CBlue colouring of the fingernails and lips
- DOrange-red colouring of urine, sweat and tears
2.Dễ
In Addison's disease, fludrocortisone is given to replace which hormone?
- ACortisol
- BAldosterone
- CAdrenaline
- DThyroxine
3.Dễ
After chemotherapy, what is the "nadir"?
- AThe time when nausea is worst
- BThe point when the tumour is at its smallest after treatment
- CThe point when blood cell counts are at their lowest
- DThe day the drug is given
4.Trung bình
Thuốc chẹn beta như metoprolol chủ yếu chẹn thụ thể nào?
- AThụ thể muscarinic ở tim
- BThụ thể beta-3 ở mô mỡ
- CThụ thể alpha-1 ở mạch máu
- DThụ thể adrenergic beta-1 ở tim
5.Trung bình
A patient takes low-dose weekly methotrexate for rheumatoid arthritis. Which monitoring is needed?
- AWeekly INR checks and a monthly ECG to check the heart rhythm
- BMonthly hearing tests
- CDaily blood glucose checks
- DRegular blood count, liver and kidney function tests
6.Trung bình
A patient has oral mucositis after chemotherapy. Which advice is appropriate?
- AUse an alcohol-based mouthwash several times a day to kill germs
- BBrush hard with a firm toothbrush to remove debris
- CEat spicy and acidic foods to stimulate healing
- DUse a soft toothbrush and rinse with saline or a bland mouthwash
7.Khó
A patient with myasthenia gravis took extra pyridostigmine doses. She now has increasing weakness, heavy salivation, sweating, small pupils and diarrhoea. What is the most likely cause?
- AMyasthenic crisis from too little anticholinesterase drug
- BCholinergic crisis from too much anticholinesterase drug
- CAn allergic reaction to pyridostigmine
- DA stroke unrelated to the medication
8.Khó
A patient on long-term lithium passes large amounts of dilute urine and is always thirsty. What is the most likely explanation?
- AThe patient is drinking too much and lithium is unrelated
- BLithium blocks the kidney's response to ADH (nephrogenic diabetes insipidus)
- CLithium increases ADH release from the pituitary
- DLithium causes type 1 diabetes by destroying the pancreatic beta cells
Đáp án
- 1. D · Orange-red colouring of urine, sweat and tears
- 2. B · Aldosterone
- 3. C · The point when blood cell counts are at their lowest
- 4. D · Thụ thể adrenergic beta-1 ở tim
- 5. D · Regular blood count, liver and kidney function tests
- 6. D · Use a soft toothbrush and rinse with saline or a bland mouthwash
- 7. B · Cholinergic crisis from too much anticholinesterase drug
- 8. B · Lithium blocks the kidney's response to ADH (nephrogenic diabetes insipidus)
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