1.简单
Finasteride is used in benign prostatic hyperplasia because it:
- ARelaxes smooth muscle in the prostate within hours of the first dose
- BKills bacteria in the prostate
- CIncreases testosterone production
- DInhibits 5-alpha reductase and slowly shrinks the prostate
2.简单
How does tramadol relieve pain?
- AWeak opioid agonism plus inhibiting the reuptake of serotonin and noradrenaline
- BBlocking COX enzymes in the periphery
- CAntagonising NMDA receptors in the spinal cord and blocking sodium channels
- DBlocking sodium channels in peripheral nerves
3.简单
Oxytocin is used in obstetrics mainly to:
- AInduce or strengthen contractions and prevent postpartum bleeding
- BMature the fetal lungs before birth
- CStop preterm labour by relaxing the uterine muscle
- DLower blood pressure in pre-eclampsia
4.中等
After instilling eye drops, why should the patient press gently on the inner corner of the eye for a minute or two?
- ATo stop the eye from producing tears for about an hour
- BTo make the pupil dilate faster
- CTo spread the drop evenly over the eyelid
- DTo reduce drainage into the nose and absorption into blood
5.中等
A patient taking levodopa finds that the drug works poorly after large meals. Which advice is most appropriate?
- AAvoid taking doses at the same time as high-protein meals
- BTake the drug only at bedtime
- CTake every dose with a large glass of milk and a protein snack
- DDouble the dose after each meal
6.中等
Which blood test is used to monitor warfarin therapy?
- ASerum albumin
- BActivated partial thromboplastin time (aPTT)
- CINR (prothrombin time)
- DPlatelet count
7.困难
A patient with angina is taught to use sublingual glyceryl trinitrate (nitroglycerin). Which statement shows a need for further teaching?
- A"I will replace my tablets before the expiry date."
- B"I may get a headache after taking it."
- C"If the pain is no better after one tablet, I will wait an hour before calling for help."
- D"I will sit down before I take the tablet, because it can make me feel faint or dizzy."
8.困难
一种半衰期短的药物以远长于其半衰期的给药间隔给药。达到稳态时结果如何?
- A逐渐蓄积到中毒浓度
- B永远达不到稳态
- C浓度非常稳定,几乎没有波动
- D峰浓度和谷浓度之间波动很大
答案
- 1. D · Inhibits 5-alpha reductase and slowly shrinks the prostate
- 2. A · Weak opioid agonism plus inhibiting the reuptake of serotonin and noradrenaline
- 3. A · Induce or strengthen contractions and prevent postpartum bleeding
- 4. D · To reduce drainage into the nose and absorption into blood
- 5. A · Avoid taking doses at the same time as high-protein meals
- 6. C · INR (prothrombin time)
- 7. C · "If the pain is no better after one tablet, I will wait an hour before calling for help."
- 8. D · 峰浓度和谷浓度之间波动很大
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