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  • Question 1 - A 15-year-old boy complains of fever, headache, and neck stiffness. On examination, Kernig's...

    Incorrect

    • A 15-year-old boy complains of fever, headache, and neck stiffness. On examination, Kernig's and Brudzinski's signs were positive. In the meantime, while awaiting the results from blood culture, how will you manage this patient?

      Your Answer: Benzylpenicillin

      Correct Answer: Cefotaxime

      Explanation:

      Positive Kernig’s and Brudzinski’s signs may indicate meningitis. While awaiting blood culture results, a broad-spectrum antibiotic such as Cefotaxime (a third generation cephalosporin) is preferred over the other medications listed.

    • This question is part of the following fields:

      • Pharmacology
      23.5
      Seconds

  • Question 2 - What serious side effect would you expect, after giving IV lorazepam to a...

    Incorrect

    • What serious side effect would you expect, after giving IV lorazepam to a 4-year-old boy suffering from febrile convulsions?

      Your Answer: Bronchospasm

      Correct Answer: Apnoea

      Explanation:

      Lorazepam is known to cause respiratory depression and finally apnoea as a side effect.

    • This question is part of the following fields:

      • Pharmacology
      28.4
      Seconds

  • Question 3 - All of the following drugs tend to worsen the symptoms of myasthenia gravis...

    Incorrect

    • All of the following drugs tend to worsen the symptoms of myasthenia gravis except?

      Your Answer:

      Correct Answer: Prednisolone

      Explanation:

      Prednisone is used for the treatment of myasthenia gravis if there is no initial response to the anticholinesterase medications. Pyridostigmine can make the symptoms of myasthenia gravis worse if used  in the initial stages of treatment. 

    • This question is part of the following fields:

      • Pharmacology
      0
      Seconds

  • Question 4 - Which of the following vaccinations is contraindicated in patients with malignancy undergoing chemotherapy?...

    Incorrect

    • Which of the following vaccinations is contraindicated in patients with malignancy undergoing chemotherapy?

      Your Answer:

      Correct Answer: Rubella

      Explanation:

      MMR vaccine is a live vaccine. It contains measles, mumps and rubella. These vaccines should be avoided during chemotherapy and for 6 months after.

    • This question is part of the following fields:

      • Pharmacology
      0
      Seconds

  • Question 5 - A 3-year-old girl with febrile convulsions was given IV Lorazepam. What is the...

    Incorrect

    • A 3-year-old girl with febrile convulsions was given IV Lorazepam. What is the single most serious side effect associated with IV Lorazepam?

      Your Answer:

      Correct Answer: Amnesia

      Explanation:

      The most serious side effects of IV Lorazepam include hallucinations, agitation, confusion, amnesia and muscle weakness.

    • This question is part of the following fields:

      • Pharmacology
      0
      Seconds

  • Question 6 - A young man has ingested 25 tablets of paracetamol 500 mg. What is...

    Incorrect

    • A young man has ingested 25 tablets of paracetamol 500 mg. What is the suggested minimum time interval between ingestion and measuring the blood plasma paracetamol levels?

      Your Answer:

      Correct Answer: 4 hours

      Explanation:

      The post-ingestion plasma level, which is required in order to guide the treatment, reaches a peak at 4 hours. Levels requiring antidote (N-acetyl cysteine) include: 100 mcg per ml at 4 hours, 35 mcg per ml at 10 hours and 25 mcg per ml at 12 hours. These levels are in conjunction with the levels recorded and they should all be put down on a treatment nomogram.

    • This question is part of the following fields:

      • Pharmacology
      0
      Seconds

  • Question 7 - A 3-year-old boy presents with a patchy rash after treatment for an enlarged...

    Incorrect

    • A 3-year-old boy presents with a patchy rash after treatment for an enlarged cervical lymph node and sore throat. What is the antibiotic that caused this rash?

      Your Answer:

      Correct Answer: Ampicillin

      Explanation:

      An enlarged lymph node does not necessarily need treatment especially if it is caused by a virus. If it is bacterial, antibiotics should be prescribed. Amoxicillin is first line treatment in non-penicillin allergic patients and side effects include allergic reactions like skin rash and itching

    • This question is part of the following fields:

      • Pharmacology
      0
      Seconds

  • Question 8 - A child suffering from a chest infection is prescribed flucloxacillin. A few days...

    Incorrect

    • A child suffering from a chest infection is prescribed flucloxacillin. A few days later, he develops jaundice, dark urine, and pale stools. What is he suffering from now?

      Your Answer:

      Correct Answer: Cholestatic jaundice

      Explanation:

      Due to its cholestatic properties, Flucloxacillin can block bile flow through the liver, leading to the accumulation of bilirubin in the blood, giving rise to jaundice. Dark urine is the result of excessive bilirubin in the blood being filtered by the kidney. As the bile doesn’t move into the small intestine, stools are pale.

    • This question is part of the following fields:

      • Pharmacology
      0
      Seconds

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