1.Easy
Levothyroxine is used to treat which condition?
- AAddison's disease
- BHypothyroidism
- CType 1 diabetes
- DHyperthyroidism
2.Easy
Zolpidem is mainly prescribed for:
- AShort-term treatment of insomnia
- BLong-term treatment of depression
- CPrevention of migraine
- DTreatment of Parkinson's disease
3.Easy
What is drug tolerance?
- AA reduced response after repeated use, so a higher dose is needed
- BThe ability to take a drug without developing any side effects at all
- CAn allergic reaction to a drug
- DA stronger response each time the drug is taken
4.Medium
How should a patient store sublingual glyceryl trinitrate (nitroglycerin) tablets?
- AIn the fridge in a damp, open container to keep them fresh and cool
- BIn the original dark glass bottle, away from heat, light and moisture
- CLoose in a shirt pocket close to the body for quick access
- DIn a plastic weekly pill box with other tablets
5.Medium
A woman taking the combined pill should seek care urgently for which symptom?
- AA painful, swollen calf or sudden chest pain
- BLight spotting between periods early on
- CSlight nausea in the first few weeks
- DMild breast tenderness in the first month
6.Medium
Which rule applies when giving phenytoin intravenously?
- AMix or flush it only with normal saline and give it slowly
- BGive it as a rapid push to stop seizures faster
- CMix it with glucose 5% to prevent low blood sugar
- DGive it in the same line as other drugs without flushing
7.Hard
Why can an ACE inhibitor cause acute kidney injury in a patient with bilateral renal artery stenosis?
- AACE inhibitors constrict the afferent arteriole
- BThe drug crystallises in the renal tubules
- CGFR depends on angiotensin II constricting the efferent arteriole
- DACE inhibitors are directly toxic to the proximal tubule cells in the kidney
8.Hard
An older patient who has taken omeprazole for many years has muscle cramps, tremor and an irregular heartbeat. Which lab finding is most likely linked to the drug?
- ALow serum magnesium
- BHigh serum sodium
- CHigh serum calcium
- DLow serum glucose
Answer key
- 1. B · Hypothyroidism
- 2. A · Short-term treatment of insomnia
- 3. A · A reduced response after repeated use, so a higher dose is needed
- 4. B · In the original dark glass bottle, away from heat, light and moisture
- 5. A · A painful, swollen calf or sudden chest pain
- 6. A · Mix or flush it only with normal saline and give it slowly
- 7. C · GFR depends on angiotensin II constricting the efferent arteriole
- 8. A · Low serum magnesium
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