1.Easy
Nitrofurantoin is used mainly to treat:
- AUncomplicated cystitis (lower urinary infection)
- BBacterial meningitis in adults and children
- CPneumonia
- DBone infections
2.Easy
Levodopa is mainly used to treat which disease?
- AParkinson's disease
- BEpilepsy
- CMultiple sclerosis
- DAlzheimer's disease
3.Easy
What is the normal fasting blood glucose range in a healthy adult?
- A7.0–10.0 mmol/L (about 126–180 mg/dL)
- B3.9–5.5 mmol/L (about 70–100 mg/dL)
- C1.5–3.0 mmol/L (about 27–54 mg/dL)
- D11.1–15.0 mmol/L (about 200–270 mg/dL)
4.Medium
Which antihypertensive class can raise blood glucose and uric acid levels, sometimes triggering gout?
- AAngiotensin II receptor blockers
- BAlpha-1 blockers
- CACE inhibitors
- DThiazide diuretics
5.Medium
Which patient should usually not use the combined oral contraceptive pill?
- AA 22-year-old non-smoker with acne
- BA 25-year-old woman with heavy periods
- CA 30-year-old non-smoker with no medical problems
- DA 38-year-old woman who smokes 20 cigarettes a day
6.Medium
What makes an overdose of tricyclic antidepressants such as amitriptyline especially dangerous?
- ASevere liver failure within hours
- BKidney stones
- CSudden high blood glucose
- DCardiac arrhythmias and seizures
7.Hard
In adult cardiac arrest with shock-refractory ventricular fibrillation, which antiarrhythmic is commonly given?
- AAdenosine
- BAmiodarone
- CDigoxin
- DVerapamil
8.Hard
A baby born to a mother on methadone becomes irritable on day 2, with a high-pitched cry, tremors, sneezing and poor feeding. What is the most likely cause?
- AVitamin K deficiency bleeding
- BNeonatal hypoglycaemia from maternal diabetes
- CNeonatal opioid withdrawal syndrome
- DNormal newborn behaviour
Answer key
- 1. A · Uncomplicated cystitis (lower urinary infection)
- 2. A · Parkinson's disease
- 3. B · 3.9–5.5 mmol/L (about 70–100 mg/dL)
- 4. D · Thiazide diuretics
- 5. D · A 38-year-old woman who smokes 20 cigarettes a day
- 6. D · Cardiac arrhythmias and seizures
- 7. B · Amiodarone
- 8. C · Neonatal opioid withdrawal syndrome
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