1.Easy
After chemotherapy, what is the "nadir"?
- AThe point when the tumour is at its smallest after treatment
- BThe time when nausea is worst
- CThe day the drug is given
- DThe point when blood cell counts are at their lowest
2.Easy
Which oral drug is commonly the first-line medicine for type 2 diabetes?
- APrednisolone
- BLevothyroxine
- CMetformin
- DInsulin glargine
3.Easy
Sertraline, an antidepressant, increases the level of which neurotransmitter in the synapse?
- ADopamine
- BAcetylcholine
- CSerotonin
- DGABA
4.Medium
How should oral potassium chloride tablets be taken?
- AWith food and plenty of water, swallowed whole if slow-release
- BOn an empty stomach with only a small sip of water, then lie down
- CCrushed and dissolved under the tongue
- DLying down straight after the dose
5.Medium
Why do NSAIDs such as ibuprofen increase the risk of stomach ulcers?
- AThey directly dissolve the mucus layer
- BThey increase the number of Helicobacter pylori bacteria in the stomach
- CThey reduce protective prostaglandins in the stomach lining
- DThey raise the pH of gastric acid
6.Medium
When does oseltamivir give the most benefit in influenza?
- AWhen started within 48 hours of the first symptoms
- BAt any time, as the timing makes no difference
- COnly after a bacterial pneumonia has developed
- DOnly after symptoms have lasted at least one week
7.Hard
A man taking spironolactone for heart failure develops painful breast enlargement. Which change may be considered?
- ASwitching to potassium chloride tablets
- BAdding testosterone injections
- CDoubling the spironolactone dose to overcome the side effect
- DSwitching to eplerenone, which has fewer anti-androgen effects
8.Hard
A patient who used cocaine has chest pain, agitation, a high temperature, sweating, tachycardia and dilated pupils. Which drug class is commonly first-line for the agitation and sympathetic overactivity?
- AAnticholinergic drugs
- BBenzodiazepines
- CAntihistamines
- DOpioid antagonists
Answer key
- 1. D · The point when blood cell counts are at their lowest
- 2. C · Metformin
- 3. C · Serotonin
- 4. A · With food and plenty of water, swallowed whole if slow-release
- 5. C · They reduce protective prostaglandins in the stomach lining
- 6. A · When started within 48 hours of the first symptoms
- 7. D · Switching to eplerenone, which has fewer anti-androgen effects
- 8. B · Benzodiazepines
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