1.简单
Disulfiram is used in alcohol use disorder because it:
- ACauses an unpleasant reaction if alcohol is drunk
- BCures liver damage caused by alcohol
- CRemoves alcohol from the blood faster
- DReplaces alcohol at its receptors in the brain
2.简单
Celecoxib selectively inhibits which enzyme?
- ACyclo-oxygenase-1 (COX-1)
- BPhospholipase A2
- CLipoxygenase
- DCyclo-oxygenase-2 (COX-2)
3.简单
Which signs are typical of hypoglycaemia?
- AFruity breath with deep, rapid breathing
- BThirst, frequent urination and warm, dry, flushed skin
- CSweating, shakiness, a fast heart rate and confusion
- DA slow pulse, constipation and weight gain
4.中等
为什么多西环素不应与牛奶或抗酸药同时服用?
- A钙和其他金属离子会与之结合,减少吸收
- B牛奶通过诱导酶加快其在肝脏中的分解
- C抗酸药会把它变成有毒化合物
- D合用会引起严重便秘
5.中等
Benzathine benzylpenicillin (penicillin G benzathine) is ordered. Which route is correct?
- ADeep intramuscular only
- BSubcutaneous in the abdomen
- CIntravenous infusion over 30 minutes
- DIntravenous push
6.中等
A transplant patient takes tacrolimus. Which monitoring is most important?
- ASerum amylase
- BBlood drug levels and kidney function
- CPeak expiratory flow
- DThyroid function and bone density
7.困难
A patient taking azathioprine is prescribed allopurinol for gout. What is the main danger?
- AGout becomes worse because allopurinol is inactivated by azathioprine
- BSevere bone marrow suppression, because azathioprine breakdown is reduced
- CSevere hypertension from the combination
- DLiver enzyme induction, making azathioprine ineffective
8.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
- BWeaker blood pressure control, kidney injury and high potassium
- CA higher risk of a dry cough than with lisinopril alone
- DFaster liver metabolism of lisinopril, so it stops working
答案
- 1. A · Causes an unpleasant reaction if alcohol is drunk
- 2. D · Cyclo-oxygenase-2 (COX-2)
- 3. C · Sweating, shakiness, a fast heart rate and confusion
- 4. A · 钙和其他金属离子会与之结合,减少吸收
- 5. A · Deep intramuscular only
- 6. B · Blood drug levels and kidney function
- 7. B · Severe bone marrow suppression, because azathioprine breakdown is reduced
- 8. B · Weaker blood pressure control, kidney injury and high potassium
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