1.Easy
Which signs are typical of hypoglycaemia?
- AA slow pulse, constipation and weight gain
- BSweating, shakiness, a fast heart rate and confusion
- CFruity breath with deep, rapid breathing
- DThirst, frequent urination and warm, dry, flushed skin
2.Easy
Which drug is the first-line treatment for anaphylaxis?
- AInhaled salbutamol
- BOral prednisolone
- CIntramuscular adrenaline
- DOral antihistamine
3.Easy
Penicillins kill bacteria by interfering with:
- AFolic acid synthesis
- BDNA replication
- CCell wall synthesis
- DProtein synthesis at the ribosome
4.Medium
In which patient is bupropion contraindicated?
- AA patient with high blood cholesterol and a family history of it
- BA patient with seasonal allergies
- CA patient who wants to stop smoking
- DA patient with a seizure disorder or an eating disorder
5.Medium
Apixaban and rivaroxaban are anticoagulants that directly inhibit:
- AVitamin K epoxide reductase
- BFactor Xa
- CThe platelet P2Y12 receptor
- DThrombin
6.Medium
How does neostigmine improve muscle strength in myasthenia gravis?
- AIt blocks the autoantibodies against the receptor
- BIt directly stimulates muscarinic receptors in muscle
- CIt increases the number of acetylcholine receptors at the neuromuscular junction
- DIt inhibits acetylcholinesterase so more acetylcholine reaches the receptors
7.Hard
Why may omeprazole be avoided in a patient taking clopidogrel?
- AIt inhibits CYP2C19, so less clopidogrel is converted to its active form
- BIt increases clopidogrel absorption from the gut and causes bleeding
- CIt speeds up kidney excretion of clopidogrel
- DIt binds clopidogrel in the stomach and makes it insoluble
8.Hard
Which statement correctly contrasts donepezil and memantine in Alzheimer's disease?
- ADonepezil blocks NMDA receptors; memantine inhibits acetylcholinesterase
- BBoth drugs are dopamine agonists that differ only in their half-lives
- CDonepezil inhibits cholinesterase; memantine blocks NMDA receptors
- DBoth drugs remove amyloid plaques from the brain
Answer key
- 1. B · Sweating, shakiness, a fast heart rate and confusion
- 2. C · Intramuscular adrenaline
- 3. C · Cell wall synthesis
- 4. D · A patient with a seizure disorder or an eating disorder
- 5. B · Factor Xa
- 6. D · It inhibits acetylcholinesterase so more acetylcholine reaches the receptors
- 7. A · It inhibits CYP2C19, so less clopidogrel is converted to its active form
- 8. C · Donepezil inhibits cholinesterase; memantine blocks NMDA receptors
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