1.Easy
How is pernicious anaemia usually treated?
- AWith oral iron tablets for three months, then stopping
- BWith blood transfusions every month
- CWith vitamin B12 injections, usually for life
- DWith folic acid alone
2.Easy
Which of these is an extrapyramidal side effect of antipsychotics?
- AAgranulocytosis (a very low neutrophil count)
- BWeight gain
- CAkathisia (a feeling of inner restlessness)
- DDry mouth
3.Easy
Which side effect is common with magnesium-containing antacids?
- ADry cough
- BConstipation
- CDrowsiness
- DDiarrhoea
4.Medium
Which group of signs suggests opioid withdrawal?
- AYawning, runny nose, sweating, dilated pupils and diarrhoea
- BPinpoint pupils, slow breathing and drowsiness
- CDry mouth, urinary retention, blurred vision and confusion
- DConstipation, itching and a slow heart rate
5.Medium
A patient with difficulty swallowing is prescribed several tablets. Which one should not be crushed?
- AA plain paracetamol tablet
- BA modified-release (extended-release) tablet
- CA plain aspirin dispersible tablet
- DA tablet that the pharmacist says may be crushed
6.Medium
Which is a well-known adverse effect of long-term oral corticosteroids?
- AHypoglycaemia
- BWeight loss
- COsteoporosis
- DLow blood pressure
7.Hard
A patient taking digoxin has nausea, yellow-green vision and a dangerous arrhythmia. Which specific treatment can bind the drug?
- AFlumazenil
- BProtamine sulfate
- CIntravenous vitamin K (phytomenadione) given slowly
- DDigoxin immune Fab (antibody fragments)
8.Hard
In adult cardiac arrest with shock-refractory ventricular fibrillation, which antiarrhythmic is commonly given?
- AVerapamil
- BDigoxin
- CAmiodarone
- DAdenosine
Answer key
- 1. C · With vitamin B12 injections, usually for life
- 2. C · Akathisia (a feeling of inner restlessness)
- 3. D · Diarrhoea
- 4. A · Yawning, runny nose, sweating, dilated pupils and diarrhoea
- 5. B · A modified-release (extended-release) tablet
- 6. C · Osteoporosis
- 7. D · Digoxin immune Fab (antibody fragments)
- 8. C · Amiodarone
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