1.Dễ
Filgrastim, a granulocyte colony-stimulating factor (G-CSF), is given to:
- AIncrease the production of neutrophils
- BLower the white cell count in leukaemia
- CStop bleeding from wounds
- DIncrease the production of platelets
2.Dễ
Which vasopressor is usually first-line for septic shock that persists after fluids?
- ANoradrenaline (norepinephrine)
- BGlyceryl trinitrate
- CIsoprenaline (isoproterenol)
- DAdenosine
3.Dễ
What is the most common side effect of first-generation antihistamines such as diphenhydramine?
- ADiarrhoea
- BDrowsiness
- CRaised blood pressure
- DInsomnia
4.Trung bình
Why is a progestogen added to oestrogen in hormone replacement therapy for a woman who still has her uterus?
- ATo protect against endometrial hyperplasia and cancer
- BTo prevent breast cancer completely
- CTo lower the risk of blood clots to zero
- DTo reduce hot flushes much more than oestrogen alone can
5.Trung bình
Liều nạp được dùng để làm gì?
- AĐể nhanh chóng đạt nồng độ huyết tương mục tiêu
- BĐể giảm tác dụng phụ lúc bắt đầu điều trị
- CĐể thử phản ứng dị ứng
- DĐể làm chậm hấp thu thuốc
6.Trung bình
A patient receives lactulose for hepatic encephalopathy. Which finding shows that it is working?
- ATen watery stools a day and a low serum potassium
- BNo bowel movement for three days, with less confusion than before
- CHigher blood ammonia with improved appetite
- DBetter alertness and orientation, with two to three soft stools a day
7.Khó
A patient with an epidural infusion of local anaesthetic becomes hypotensive. What is the most likely mechanism?
- AThe local anaesthetic causes a severe allergic reaction
- BBlockade of sympathetic nerves causes vasodilation
- CThe epidural catheter has caused heavy bleeding
- DThe drug increases urine output and causes dehydration
8.Khó
A patient on heparin for 7 days has a platelet count that has fallen by more than half, and a new leg vein thrombosis. What is the most likely cause and the key action?
- AWarfarin skin necrosis; switch from heparin to warfarin at once
- BNormal dilution of platelets; continue and recheck in a week
- CVitamin K deficiency; give vitamin K and continue heparin
- DHeparin-induced thrombocytopenia; stop all heparin
Đáp án
- 1. A · Increase the production of neutrophils
- 2. A · Noradrenaline (norepinephrine)
- 3. B · Drowsiness
- 4. A · To protect against endometrial hyperplasia and cancer
- 5. A · Để nhanh chóng đạt nồng độ huyết tương mục tiêu
- 6. D · Better alertness and orientation, with two to three soft stools a day
- 7. B · Blockade of sympathetic nerves causes vasodilation
- 8. D · Heparin-induced thrombocytopenia; stop all heparin
Lời giải đầy đủ từng bước: hãy luyện chủ đề này trên examproblems.com.