1.简单
How does rasagiline help in Parkinson's disease?
- AIt blocks acetylcholine receptors in the gut
- BIt inhibits MAO-B, so brain dopamine is broken down more slowly
- CIt is converted directly into dopamine inside brain neurones
- DIt blocks dopamine receptors in the brain
2.简单
Ciclosporin and tacrolimus are used mainly to:
- ALower high blood cholesterol
- BTreat bacterial infections after surgery
- CRelieve acute pain after surgery
- DPrevent rejection of transplanted organs
3.简单
Giving a patient immunoglobulin after exposure to an infection provides which type of immunity?
- APassive immunity
- BInnate immunity
- CActive immunity
- DHerd immunity
4.中等
Why is hypovolaemia corrected with IV fluids before or while starting a vasopressor?
- AVasopressors only work when they are diluted in large fluid volumes
- BVasopressors cannot keep perfusion up if the circulation is under-filled
- CFluids stop the vasopressor causing a fever
- DVasopressors cause the patient to retain too much fluid
5.中等
Why are many drugs started at lower doses in older adults?
- AKidney and liver clearance often decline, and sensitivity to drugs increases
- BOlder adults always weigh more than younger adults, so drugs last longer
- CLower doses are cheaper for older patients
- DOlder adults absorb no drugs from the stomach
6.中等
为什么长期口服的糖皮质激素不应突然停药?
- A肾上腺受到抑制,可能无法产生足够的皮质醇
- B免疫系统会立即攻击肝脏和肾上腺
- C停药时药物会形成有毒代谢物
- D停药会使血糖突然升高
7.困难
由于肾衰竭,某药的清除率降为原来的一半,而分布容积不变。其半衰期会怎样?
- A减半
- B加倍
- C保持不变
- D增加到四倍
8.困难
哪种性质使药物更容易通过血脑屏障?
- A生理 pH 下带正电荷
- B高水溶性和强电离
- C大分子量和强蛋白结合
- D高脂溶性和小分子
答案
- 1. B · It inhibits MAO-B, so brain dopamine is broken down more slowly
- 2. D · Prevent rejection of transplanted organs
- 3. A · Passive immunity
- 4. B · Vasopressors cannot keep perfusion up if the circulation is under-filled
- 5. A · Kidney and liver clearance often decline, and sensitivity to drugs increases
- 6. A · 肾上腺受到抑制,可能无法产生足够的皮质醇
- 7. B · 加倍
- 8. D · 高脂溶性和小分子
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