1.简单
Mannitol is an osmotic diuretic used mainly to:
- ARaise serum potassium
- BPrevent blood clots
- CTreat high blood pressure long term
- DReduce raised intracranial pressure
2.简单
How does rasagiline help in Parkinson's disease?
- AIt is converted directly into dopamine inside brain neurones
- BIt blocks dopamine receptors in the brain
- CIt blocks acetylcholine receptors in the gut
- DIt inhibits MAO-B, so brain dopamine is broken down more slowly
3.简单
Naltrexone helps in alcohol use disorder because it:
- ACauses vomiting and flushing whenever alcohol is drunk
- BBlocks opioid receptors, reducing reward and craving
- CReplaces alcohol as a sedative
- DSpeeds up the liver breakdown of alcohol
4.中等
A patient takes theophylline for COPD. Which advice is most important?
- ADrink plenty of grapefruit juice each morning to improve absorption
- BLimit coffee, tea and cola, because caffeine adds to the side effects
- CTake extra doses when short of breath
- DAvoid potassium-rich foods such as bananas
5.中等
A woman taking tamoxifen should report which symptom promptly?
- ASlightly dry skin
- BMild tiredness in the afternoon
- CUnusual vaginal bleeding or a painful swollen leg
- DMild hot flushes, especially at night, in the first months
6.中等
阿片类药物过量的解毒剂是哪种药?
- A乙酰半胱氨酸
- B氟马西尼
- C阿托品
- D纳洛酮
7.困难
A patient with heart failure starts taking naproxen regularly for back pain. Why is this a concern?
- ANSAIDs cause salt and water retention and can worsen heart failure
- BNSAIDs lower potassium, which makes digoxin and diuretics fail
- CNSAIDs increase heart contractility too much
- DNSAIDs block the absorption of furosemide completely
8.困难
A patient who takes propranolol has anaphylaxis and does not respond to repeated adrenaline doses. Which drug may help?
- AGlucagon
- BMore propranolol
- CNaloxone
- DOral cetirizine alone
答案
- 1. D · Reduce raised intracranial pressure
- 2. D · It inhibits MAO-B, so brain dopamine is broken down more slowly
- 3. B · Blocks opioid receptors, reducing reward and craving
- 4. B · Limit coffee, tea and cola, because caffeine adds to the side effects
- 5. C · Unusual vaginal bleeding or a painful swollen leg
- 6. D · 纳洛酮
- 7. A · NSAIDs cause salt and water retention and can worsen heart failure
- 8. A · Glucagon
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