1.Easy
Fluconazole is used to treat infections caused by:
- AGram-negative bacteria
- BViruses such as influenza
- CFungi such as Candida
- DParasites such as malaria
2.Easy
Which drug reverses the sedation of a benzodiazepine overdose?
- AAtropine
- BProtamine sulfate
- CNaloxone
- DFlumazenil
3.Easy
Which intramuscular site is recommended for infants?
- AVastus lateralis (outer thigh)
- BDeltoid
- CDorsogluteal (upper outer buttock)
- DVentral forearm
4.Medium
When does oseltamivir give the most benefit in influenza?
- AWhen started within 48 hours of the first symptoms
- BOnly after symptoms have lasted at least one week
- CAt any time, as the timing makes no difference
- DOnly after a bacterial pneumonia has developed
5.Medium
A patient with heart failure starts furosemide. Which self-monitoring instruction is most useful?
- AMeasure the temperature twice a day and record it in a diary
- BCount the respiratory rate each evening
- CCheck the blood glucose before every meal
- DWeigh daily at the same time on the same scales
6.Medium
A malnourished patient with alcohol dependence needs IV glucose. Which vitamin should be given before or with it?
- AThiamine (vitamin B1)
- BVitamin C
- CVitamin K (phytomenadione)
- DVitamin D
7.Hard
A patient who used heroin a few hours ago is given a first dose of buprenorphine and quickly develops severe withdrawal. Why?
- ABuprenorphine is a pure antagonist like naloxone with no agonist effect
- BBuprenorphine has no effect at opioid receptors
- CBuprenorphine is a high-affinity partial agonist that displaces heroin
- DBuprenorphine causes an allergic reaction in heroin users
8.Hard
A patient develops a dry cough on an ACE inhibitor and is switched to losartan. Why is losartan less likely to cause cough?
- AIt is excreted faster by the kidney
- BIt does not block the breakdown of bradykinin
- CIt also acts as a bronchodilator
- DIt blocks histamine receptors in the airways
Answer key
- 1. C · Fungi such as Candida
- 2. D · Flumazenil
- 3. A · Vastus lateralis (outer thigh)
- 4. A · When started within 48 hours of the first symptoms
- 5. D · Weigh daily at the same time on the same scales
- 6. A · Thiamine (vitamin B1)
- 7. C · Buprenorphine is a high-affinity partial agonist that displaces heroin
- 8. B · It does not block the breakdown of bradykinin
Full step-by-step solutions: practise this topic on examproblems.com.