1.简单
What is the normal serum sodium range in adults?
- A95–105 mmol/L
- B3.5–5.0 mmol/L
- C135–145 mmol/L
- D150–165 mmol/L
2.简单
Celecoxib selectively inhibits which enzyme?
- APhospholipase A2
- BCyclo-oxygenase-1 (COX-1)
- CLipoxygenase
- DCyclo-oxygenase-2 (COX-2)
3.简单
Why is methadone used to treat opioid use disorder?
- AIt causes vomiting if other opioids are used
- BIt is a long-acting opioid that prevents withdrawal and craving
- CIt is a pure opioid antagonist that blocks all opioid effects
- DIt cures the liver damage caused by opioids
4.中等
When should a patient take a once-daily proton pump inhibitor such as omeprazole?
- AWith a glass of milk at bedtime, when acid output is highest
- BOnly when heartburn is severe
- CAbout 30–60 minutes before the first meal of the day
- DStraight after a large evening meal
5.中等
In which patient is bupropion contraindicated?
- AA patient with a seizure disorder or an eating disorder
- BA patient with high blood cholesterol and a family history of it
- CA patient with seasonal allergies
- DA patient who wants to stop smoking
6.中等
负荷剂量的作用是什么?
- A减慢药物吸收
- B减少治疗开始时的副作用
- C快速达到目标血药浓度
- D检测过敏反应
7.困难
A patient on lisinopril for hypertension starts taking ibuprofen every day for knee pain. What is the main concern?
- AA large fall in blood pressure, with fainting and falls on standing up
- BA higher risk of a dry cough than with lisinopril alone
- CWeaker blood pressure control, kidney injury and high potassium
- DFaster liver metabolism of lisinopril, so it stops working
8.困难
A woman has received a high-dose oxytocin infusion with large volumes of hypotonic fluid for many hours. She now has a headache, confusion and a low serum sodium. What is the most likely cause?
- AExcessive salt in the infusion fluid
- BWater intoxication from the antidiuretic effect of oxytocin
- CNormal tiredness after a long labour
- DAn allergic reaction to oxytocin causing brain swelling
答案
- 1. C · 135–145 mmol/L
- 2. D · Cyclo-oxygenase-2 (COX-2)
- 3. B · It is a long-acting opioid that prevents withdrawal and craving
- 4. C · About 30–60 minutes before the first meal of the day
- 5. A · A patient with a seizure disorder or an eating disorder
- 6. C · 快速达到目标血药浓度
- 7. C · Weaker blood pressure control, kidney injury and high potassium
- 8. B · Water intoxication from the antidiuretic effect of oxytocin
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