1.Easy
Giving a patient immunoglobulin after exposure to an infection provides which type of immunity?
- APassive immunity
- BInnate immunity
- CActive immunity
- DHerd immunity
2.Easy
Which class of drug is used to relieve an acute asthma attack?
- AACE inhibitors
- BBeta blockers
- CShort-acting beta-2 agonists
- DAntihistamines
3.Easy
How does tramadol relieve pain?
- AWeak opioid agonism plus inhibiting the reuptake of serotonin and noradrenaline
- BBlocking COX enzymes in the periphery
- CAntagonising NMDA receptors in the spinal cord and blocking sodium channels
- DBlocking sodium channels in peripheral nerves
4.Medium
How should a patient store sublingual glyceryl trinitrate (nitroglycerin) tablets?
- ALoose in a shirt pocket close to the body for quick access
- BIn the original dark glass bottle, away from heat, light and moisture
- CIn the fridge in a damp, open container to keep them fresh and cool
- DIn a plastic weekly pill box with other tablets
5.Medium
A patient has oral mucositis after chemotherapy. Which advice is appropriate?
- AUse a soft toothbrush and rinse with saline or a bland mouthwash
- BEat spicy and acidic foods to stimulate healing
- CUse an alcohol-based mouthwash several times a day to kill germs
- DBrush hard with a firm toothbrush to remove debris
6.Medium
A child is starting methylphenidate for ADHD. Which advice is appropriate?
- AGive the last dose at bedtime to help the child sleep
- BExpect weight gain as the main side effect
- CGive doses early in the day and monitor appetite and growth
- DGive the drug only at weekends
7.Hard
A patient has received a sodium nitroprusside infusion for several days. He becomes confused and develops a metabolic acidosis. What should be suspected?
- ACyanide toxicity from nitroprusside breakdown
- BAn allergic reaction to the plastic of the infusion bag
- CHyperkalaemia from the infusion
- DHypoglycaemia from nitroprusside
8.Hard
Combining several drugs that prolong the QT interval raises the risk of which life-threatening arrhythmia?
- ATorsades de pointes
- BSinus tachycardia
- CAtrial fibrillation
- DFirst-degree heart block
Answer key
- 1. A · Passive immunity
- 2. C · Short-acting beta-2 agonists
- 3. A · Weak opioid agonism plus inhibiting the reuptake of serotonin and noradrenaline
- 4. B · In the original dark glass bottle, away from heat, light and moisture
- 5. A · Use a soft toothbrush and rinse with saline or a bland mouthwash
- 6. C · Give doses early in the day and monitor appetite and growth
- 7. A · Cyanide toxicity from nitroprusside breakdown
- 8. A · Torsades de pointes
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