1.Easy
Permethrin is used to treat:
- AFungal nail infections
- BPsoriasis
- CScabies and head lice
- DAcne
2.Easy
What is the normal serum sodium range in adults?
- A3.5–5.0 mmol/L
- B150–165 mmol/L
- C95–105 mmol/L
- D135–145 mmol/L
3.Easy
What does "bioavailability" describe?
- AThe fraction of a dose that is bound to plasma proteins in the circulation
- BHow strongly a drug binds to its receptor
- CHow quickly a drug is excreted
- DThe fraction of a dose that reaches the systemic circulation unchanged
4.Medium
Which serious but rare adverse effect of statins should patients report straight away?
- AUnexplained muscle pain or weakness
- BAnkle swelling
- CA dry cough
- DA metallic taste
5.Medium
Digoxin 0.25 mg is ordered. The tablets available are 0.125 mg. How many tablets should be given?
- A4 tablets
- B0.5 tablet
- C1 tablet
- D2 tablets
6.Medium
A nurse has a needlestick injury from a patient with HIV. When should post-exposure prophylaxis start?
- AAs soon as possible, and within 72 hours at the latest
- BOnly after the nurse's HIV test turns positive
- COnly if the patient's viral load is above a set level
- DAfter one week, when the risk of infection is clearer
7.Hard
Ten days after chemotherapy, a patient has a temperature of 38.5 °C (101.3 °F) but says she feels fine. What should happen?
- AWait 48 hours to see whether the fever settles
- BUrgent cultures and IV broad-spectrum antibiotics without delay
- CParacetamol at home and review at the next routine clinic visit
- DStart oral antibiotics only if a rash develops
8.Hard
A patient who has taken lorazepam daily for many months stops it suddenly. Which serious complication may follow?
- AWithdrawal seizures
- BPinpoint pupils and coma
- CSevere bradycardia
- DProfound respiratory depression
Answer key
- 1. C · Scabies and head lice
- 2. D · 135–145 mmol/L
- 3. D · The fraction of a dose that reaches the systemic circulation unchanged
- 4. A · Unexplained muscle pain or weakness
- 5. D · 2 tablets
- 6. A · As soon as possible, and within 72 hours at the latest
- 7. B · Urgent cultures and IV broad-spectrum antibiotics without delay
- 8. A · Withdrawal seizures
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