1.简单
对乙酰氨基酚(扑热息痛)过量主要损伤哪个器官?
- A胃黏膜
- B肺
- C肝脏
- D先损伤肾脏,再损伤心脏
2.简单
吸入性糖皮质激素在哮喘中的主要作用是什么?
- A在几分钟内缓解突发的支气管痉挛
- B稀释痰液以便咳出
- C减轻气道炎症,预防发作
- D杀死气道中的细菌
3.简单
Desmopressin is a synthetic analogue of which hormone?
- AAntidiuretic hormone (vasopressin)
- BAldosterone
- COxytocin, the hormone of labour
- DInsulin
4.中等
Why are patients taking simvastatin often advised to avoid large amounts of grapefruit juice?
- AGrapefruit speeds up simvastatin breakdown in the liver, so the drug stops working
- BGrapefruit blocks cholesterol absorption and causes low cholesterol
- CGrapefruit inhibits CYP3A4 in the gut, raising simvastatin levels and myopathy risk
- DGrapefruit makes the tablet dissolve in the mouth
5.中等
A patient has oral mucositis after chemotherapy. Which advice is appropriate?
- AUse an alcohol-based mouthwash several times a day to kill germs
- BEat spicy and acidic foods to stimulate healing
- CBrush hard with a firm toothbrush to remove debris
- DUse a soft toothbrush and rinse with saline or a bland mouthwash
6.中等
下列哪一项是长期口服糖皮质激素的著名不良反应?
- A骨质疏松
- B低血压
- C低血糖
- D体重减轻
7.困难
A patient who has taken lorazepam daily for many months stops it suddenly. Which serious complication may follow?
- APinpoint pupils and coma
- BProfound respiratory depression
- CSevere bradycardia
- DWithdrawal seizures
8.困难
A patient on heparin for 7 days has a platelet count that has fallen by more than half, and a new leg vein thrombosis. What is the most likely cause and the key action?
- AWarfarin skin necrosis; switch from heparin to warfarin at once
- BHeparin-induced thrombocytopenia; stop all heparin
- CNormal dilution of platelets; continue and recheck in a week
- DVitamin K deficiency; give vitamin K and continue heparin
答案
- 1. C · 肝脏
- 2. C · 减轻气道炎症,预防发作
- 3. A · Antidiuretic hormone (vasopressin)
- 4. C · Grapefruit inhibits CYP3A4 in the gut, raising simvastatin levels and myopathy risk
- 5. D · Use a soft toothbrush and rinse with saline or a bland mouthwash
- 6. A · 骨质疏松
- 7. D · Withdrawal seizures
- 8. B · Heparin-induced thrombocytopenia; stop all heparin
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