1.Easy
Why is magnesium sulfate given to a woman with severe pre-eclampsia?
- ATo raise her blood pressure
- BTo start labour contractions
- CTo prevent eclamptic seizures
- DTo treat a urinary infection
2.Easy
What is a "broad-spectrum" antibiotic?
- AOne that is given only intravenously in hospital
- BOne that acts against many Gram-positive and Gram-negative bacteria
- COne that also treats viral and fungal infections
- DOne that is taken for a long time at low dose to prevent any infection
3.Easy
Which drug reverses the effect of heparin?
- AFlumazenil
- BVitamin K
- CProtamine sulfate
- DNaloxone
4.Medium
Why is aspirin avoided in children and teenagers with viral illnesses such as flu or chickenpox?
- AIt causes severe, permanent hearing loss in young children
- BIt causes grey baby syndrome
- CIt is linked to Reye's syndrome, which harms the liver and brain
- DIt stops the vaccine from working
5.Medium
Which patient should usually not use the combined oral contraceptive pill?
- AA 25-year-old woman with heavy periods
- BA 38-year-old woman who smokes 20 cigarettes a day
- CA 22-year-old non-smoker with acne
- DA 30-year-old non-smoker with no medical problems
6.Medium
After several years of levodopa treatment, which problem is common?
- AComplete and permanent loss of all Parkinson's symptoms
- BPermanent hearing loss
- CSevere hypoglycaemia after each dose
- DDyskinesias and "on–off" fluctuations in response
7.Hard
In adult cardiac arrest with shock-refractory ventricular fibrillation, which antiarrhythmic is commonly given?
- AAmiodarone
- BVerapamil
- CAdenosine
- DDigoxin
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. C · To prevent eclamptic seizures
- 2. B · One that acts against many Gram-positive and Gram-negative bacteria
- 3. C · Protamine sulfate
- 4. C · It is linked to Reye's syndrome, which harms the liver and brain
- 5. B · A 38-year-old woman who smokes 20 cigarettes a day
- 6. D · Dyskinesias and "on–off" fluctuations in response
- 7. A · Amiodarone
- 8. C · Alpha-1 vasoconstriction raises blood pressure and causes reflex bradycardia
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