1.Easy
Naltrexone helps in alcohol use disorder because it:
- ASpeeds up the liver breakdown of alcohol
- BCauses vomiting and flushing whenever alcohol is drunk
- CBlocks opioid receptors, reducing reward and craving
- DReplaces alcohol as a sedative
2.Easy
How long does it usually take for an SSRI to improve mood noticeably?
- ASeveral weeks
- BOne or two days
- CAbout six months
- DA few hours
3.Easy
What is an "adjuvant analgesic"?
- AA placebo given to test whether pain is real
- BA drug that reverses the effects of opioids
- CA strong opioid used only for severe pain at the end of life
- DA drug for another condition that also relieves some pain
4.Medium
Aciclovir is mainly used to treat infections caused by:
- AHIV
- BInfluenza A virus
- CHerpes viruses such as herpes simplex and varicella-zoster
- DBacteria that produce beta-lactamase
5.Medium
Which technique is correct when giving subcutaneous enoxaparin from a prefilled syringe?
- AMassage the site well for one minute after the injection
- BExpel the air bubble from the syringe first, then inject into the deltoid muscle
- CInject into a vein on the back of the hand
- DInject into the abdomen away from the navel and do not rub the site afterwards
6.Medium
Which drug is the antidote for an opioid overdose?
- AAtropine
- BNaloxone
- CAcetylcysteine
- DFlumazenil
7.Hard
A 19-year-old woman is starting isotretinoin for severe acne. Which requirement is most important?
- AA high-vitamin A diet to boost the effect
- BTaking the drug only at weekends
- CReliable contraception and pregnancy tests, as it is highly teratogenic
- DWeekly hearing tests and monthly eye examinations during treatment
8.Hard
Which finding most favours serotonin syndrome over neuroleptic malignant syndrome?
- ASlow onset over days with lead-pipe rigidity
- BRapid onset with hyperreflexia and clonus
- CA very high creatine kinase
- DRecent start of an antipsychotic drug
Answer key
- 1. C · Blocks opioid receptors, reducing reward and craving
- 2. A · Several weeks
- 3. D · A drug for another condition that also relieves some pain
- 4. C · Herpes viruses such as herpes simplex and varicella-zoster
- 5. D · Inject into the abdomen away from the navel and do not rub the site afterwards
- 6. B · Naloxone
- 7. C · Reliable contraception and pregnancy tests, as it is highly teratogenic
- 8. B · Rapid onset with hyperreflexia and clonus
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