1.Easy
In Addison's disease, fludrocortisone is given to replace which hormone?
- AThyroxine
- BAdrenaline
- CAldosterone
- DCortisol
2.Easy
Which organ is mainly responsible for metabolising most drugs?
- ASpleen
- BLiver
- CKidney
- DLung
3.Easy
Dobutamine is mainly used to:
- ASlow the heart rate in fast atrial fibrillation with low blood pressure
- BTreat high blood pressure at home
- CDissolve clots in the coronary arteries
- DIncrease heart contractility in cardiogenic shock or acute heart failure
4.Medium
Why do NSAIDs such as ibuprofen increase the risk of stomach ulcers?
- AThey raise the pH of gastric acid
- BThey increase the number of Helicobacter pylori bacteria in the stomach
- CThey directly dissolve the mucus layer
- DThey reduce protective prostaglandins in the stomach lining
5.Medium
A parent will give a liquid medicine to a child at home. Which advice is safest?
- AUse any kitchen teaspoon
- BUse the oral syringe or measuring cup supplied with it
- CEstimate the dose by pouring the liquid into a small cup
- DMix the dose into a full bottle of milk
6.Medium
During an amphotericin B infusion, the patient has fever, chills and shaking. What is the most likely explanation?
- ASevere hypoglycaemia caused by the drug
- BA sign that the drug has been given into an artery
- CA sign that the fungal infection is cured
- DA common infusion reaction to amphotericin B
7.Hard
A woman using the combined oral contraceptive pill starts carbamazepine for epilepsy. What is the main concern?
- ANo concern, because the drugs do not interact
- BCarbamazepine toxicity because the pill strongly blocks its metabolism
- CContraceptive failure because the hormones are metabolised faster
- DSevere hypoglycaemia from the combination
8.Hard
A patient on valproate becomes lethargic, starts vomiting and develops jaundice. Which adverse effect should be suspected first?
- ALiver toxicity
- BKidney stones
- CHypothyroidism
- DNormal start-up side effects
Answer key
- 1. C · Aldosterone
- 2. B · Liver
- 3. D · Increase heart contractility in cardiogenic shock or acute heart failure
- 4. D · They reduce protective prostaglandins in the stomach lining
- 5. B · Use the oral syringe or measuring cup supplied with it
- 6. D · A common infusion reaction to amphotericin B
- 7. C · Contraceptive failure because the hormones are metabolised faster
- 8. A · Liver toxicity
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