1.Easy
Why is methadone used to treat opioid use disorder?
- AIt is a pure opioid antagonist that blocks all opioid effects
- BIt causes vomiting if other opioids are used
- CIt cures the liver damage caused by opioids
- DIt is a long-acting opioid that prevents withdrawal and craving
2.Easy
Epoetin alfa, often used in chronic kidney disease, stimulates the production of:
- AWhite blood cells
- BClotting factors
- CPlatelets
- DRed blood cells
3.Easy
What does the combined oral contraceptive pill contain?
- ATestosterone and an oestrogen
- BA progestogen only
- CAn oestrogen and a progestogen
- DOxytocin and a progestogen
4.Medium
Why is propranolol usually avoided in patients with asthma?
- AIt increases mucus production by blocking histamine
- BIt blocks beta-2 receptors in the airways and can cause bronchospasm
- CIt causes tolerance to inhaled corticosteroids
- DIt stimulates alpha-1 receptors in the airways and raises blood pressure
5.Medium
A patient with insulin-treated diabetes is found unconscious with very low blood glucose. There is no IV access. Which drug can a trained helper give?
- ARapid-acting insulin under the skin
- BGlucagon by injection or nasal spray
- COral glucose gel poured into the mouth
- DIntramuscular adrenaline
6.Medium
Which teaching about zolpidem is correct?
- ATake it in the morning so that it is out of the system by night
- BDrive soon after waking, as the drug has no next-day effect
- CTake it with alcohol to make it act faster
- DTake it right before bed, only if you can sleep a full night
7.Hard
A breastfeeding mother needs a mild analgesic. Which drug is generally considered compatible with breastfeeding?
- ACodeine (as co-codamol)
- BPethidine (meperidine)
- CAspirin
- DParacetamol (acetaminophen)
8.Hard
Which statement correctly contrasts donepezil and memantine in Alzheimer's disease?
- ABoth drugs are dopamine agonists that differ only in their half-lives
- BDonepezil inhibits cholinesterase; memantine blocks NMDA receptors
- CBoth drugs remove amyloid plaques from the brain
- DDonepezil blocks NMDA receptors; memantine inhibits acetylcholinesterase
Answer key
- 1. D · It is a long-acting opioid that prevents withdrawal and craving
- 2. D · Red blood cells
- 3. C · An oestrogen and a progestogen
- 4. B · It blocks beta-2 receptors in the airways and can cause bronchospasm
- 5. B · Glucagon by injection or nasal spray
- 6. D · Take it right before bed, only if you can sleep a full night
- 7. D · Paracetamol (acetaminophen)
- 8. B · Donepezil inhibits cholinesterase; memantine blocks NMDA receptors
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