1.简单
Oxytocin is used in obstetrics mainly to:
- AInduce or strengthen contractions and prevent postpartum bleeding
- BMature the fetal lungs before birth
- CLower blood pressure in pre-eclampsia
- DStop preterm labour by relaxing the uterine muscle
2.简单
Which opioid receptor is mainly responsible for the pain relief and respiratory depression of morphine?
- AKappa receptor
- BNicotinic receptor
- CMu receptor
- DDelta receptor
3.简单
Nicotine replacement therapy is used to:
- AReduce withdrawal and cravings when stopping smoking
- BRepair the lung damage caused by years of smoking
- CMake cigarettes taste unpleasant
- DBlock nicotine receptors completely
4.中等
服用老一代 MAO 抑制剂的患者被警告避免富含酪胺的食物。可能会发生什么?
- A高血压危象
- B严重低血糖
- C突发肾衰竭
- D过敏性皮疹
5.中等
A patient with Addison's disease on hydrocortisone develops a fever with flu. What is the usual advice?
- AStop the hydrocortisone until the fever settles, to let the body recover
- BMake no change, as illness does not affect cortisol needs
- CIncrease the dose as instructed (sick-day rules) and seek help if vomiting
- DHalve the hydrocortisone to reduce side effects
6.中等
Which early signs suggest systemic toxicity from a local anaesthetic?
- ANumbness around the mouth, metallic taste and tinnitus
- BItchy rash and swelling only at the injection site
- CHeavy sweating, salivation and diarrhoea
- DPinpoint pupils and slow, shallow breathing
7.困难
Beta-lactam antibiotics show time-dependent killing. What does this mean for administration?
- AA single very large daily dose works best
- BDoses can be given at any time as long as the daily total is right
- CDoses should be given on time at evenly spaced intervals
- DDoses should be given only when the patient has a fever
8.困难
How does aripiprazole differ from most other antipsychotics?
- AIt is a full dopamine agonist that increases dopamine activity
- BIt has no effect on dopamine and acts only on histamine
- CIt works by blocking the reuptake of serotonin only
- DIt is a partial agonist at dopamine D2 receptors
答案
- 1. A · Induce or strengthen contractions and prevent postpartum bleeding
- 2. C · Mu receptor
- 3. A · Reduce withdrawal and cravings when stopping smoking
- 4. A · 高血压危象
- 5. C · Increase the dose as instructed (sick-day rules) and seek help if vomiting
- 6. A · Numbness around the mouth, metallic taste and tinnitus
- 7. C · Doses should be given on time at evenly spaced intervals
- 8. D · It is a partial agonist at dopamine D2 receptors
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