1.Easy
Giving a patient immunoglobulin after exposure to an infection provides which type of immunity?
- AHerd immunity
- BActive immunity
- CInnate immunity
- DPassive immunity
2.Easy
What is drug synergism?
- ATwo drugs together produce exactly the sum of their separate effects
- BA drug loses its effect after repeated doses
- COne drug cancels out the effect of another drug
- DTwo drugs together have a greater effect than the sum of each alone
3.Easy
Alendronate, used for osteoporosis, belongs to which class?
- ABisphosphonates
- BCorticosteroids
- CThyroid hormones
- DCalcium channel blockers
4.Medium
After a vaccination, why is a person asked to wait for a short time before leaving?
- ATo measure the person's temperature for fever
- BTo check that the vaccine has already created protective antibodies
- CTo make sure the injection site does not bruise
- DTo watch for anaphylaxis, which usually starts within minutes
5.Medium
How should a topical corticosteroid cream usually be applied?
- AOn broken, infected skin to speed healing
- BAs a thin layer to the affected area only, as directed
- CAs a thick layer over the whole body
- DUnder a tight plastic dressing every night without advice
6.Medium
Which assessment is most important during IV mannitol therapy?
- AUrine output, electrolytes and signs of fluid overload
- BLiver enzymes and signs of jaundice
- CBlood glucose before meals and signs of hypoglycaemia
- DPlatelet count and signs of bleeding
7.Hard
Why are tetracyclines usually avoided in pregnancy and in young children (under 8 years in US guidance, under 12 years in the UK)?
- AThey cause severe hearing loss in children
- BThey cause grey baby syndrome in infants
- CThey bind to growing teeth and bone and stain the teeth permanently
- DThey block the action of growth hormone and stunt the child's growth
8.Hard
A patient receiving a phenylephrine infusion has a rise in blood pressure and a fall in heart rate. What is the best explanation?
- APhenylephrine stimulates muscarinic receptors
- BPhenylephrine directly blocks beta-1 receptors in the heart's conduction system
- CAlpha-1 vasoconstriction raises blood pressure and causes reflex bradycardia
- DThe fall in heart rate shows phenylephrine toxicity of the AV node
Answer key
- 1. D · Passive immunity
- 2. D · Two drugs together have a greater effect than the sum of each alone
- 3. A · Bisphosphonates
- 4. D · To watch for anaphylaxis, which usually starts within minutes
- 5. B · As a thin layer to the affected area only, as directed
- 6. A · Urine output, electrolytes and signs of fluid overload
- 7. C · They bind to growing teeth and bone and stain the teeth permanently
- 8. C · Alpha-1 vasoconstriction raises blood pressure and causes reflex bradycardia
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