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I/ TRC NGHIM
1.Chn cu ng khi ni v Receptor cu trc
A. Khng gn vi ligand nhng cho tc ng ti a
B. T l gn thp
C. c hot ha khi khng c mt ca ligand
D. Cu trc ban u cha c hot ha
2.i vi ch tc ng l Cht vn chuyn, thuc c th l
A. C cht sai
B. Cht iu bin
C.Tin dc
D. Tt c cc cu trn u sai
3. ch tc ng ca mt thuc khng th l
A. Receptor
B.Ezym
C.Knh ion
D.Cht c ch
4.Cu no sai khi ni v c ch truyn tin ca cht ch vn
A. Hot ha/c ch enzym
B. iu bin knh ion
C. ng/m knh ion
D. Sao chp AND
5. Trong cc c ch tc ng sau y, c ch no c thi gian cho p ng nhanh nht
A. Receptor gn vi knh ion
B. Receptor gn vi G protein
C. Receptor gn vi enzym
D. Receptor ni bo
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1/ Receptor B1 c trn:
a. C vng
b. Gan
c. Tu tng
d. C tim
2/ Tc ng ca Acetycholin trn receptor NM gy:
a. Tng c-AMP
b. Gim c-AMP
c. Kh cc mng
d. Tt c u ng
3/ Thuc cng i GC l:
a. Succinylcholin
b. Adrenalin
c. Isoprenalin
d. Acetylcholin
4/ Thuc lit i GC gm :
a. Arecholin
b. Pilocarpin
c. Carbachol
d. Homatropin
5/ Thuc lit i GC no dng trong COPD:
a. Methanthedin
b. Flavoxat
c. Tropicamid
d. Ipratropium
6/ Thuc cng i GC no dng iu tr Alzheimer:
a. Neostigmin
b. Physostigmin
c. Pralidoxim
d. Obidoxim
7/ Cht CGC no dng cha tr kh ming do x tr ung th u c:
a. Pilocarpin
b. Arecholin
c. Bethanechol
d. Methachol
8/ Triu chng ng c thuc tr su:
a. Nn ma, kh th, kh ming, m rng con ngi
b. Nn ma, d th, chy nc bt, thu nh con ngi
c. Nn ma, kh th, vt v, co git, chy nc bt, thu nh con ngi
d. Tt c u sai.
9/ Thuc no sau y c dng chng nn do say tu xe:
Dc chnh quy 2012
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a.
b.
c.
d.
Atropin
Dihexyphenydin
Scopolamin
Dobutamin
10/ Thuc c dng hi phc tim nhanh sau m do c thi gian tc dng xut hin
nhanh:
a. Atropin
b. Pindolol
c. Dobutamin
d. Flavoxat
11/ Cc pht biu ng v atropin, ngoi tr:
a. i khng tng tranh vi receptor cholinergic ti hu hch i giao cm
b. nhy cm theo th t: kh qun, tuyn nc bt, mt, tim, ng tiu ho
c. Tc ng trn receptor nicotinic
d. Dng trong tin m phu thut
12/ Biu hin no sau y ng vi trng hp nhim c liu cao atropine:
a. Nhp tim chm
b. Mt iu tit nhn gn
c. Tng tit nc bt
d. Thn nhit cao
13/ Ghp thuc v tnh cht ca n (1 ni 1)
1. Cyclopentolat.HCl
a. c ch chuyn bit M1 receptor, dng tr lot d
dy
2. Pirenzepin
b. Tc ng i khng tt nht vi BaCl2, lm gim
Ca gy gin c
3. Papaverin
c. Liu c gy bng
4. d-tubocurarin
d. Ch c dng tim tnh mch, nu trn ni tim dn n hoi
t
5. Aminopromazin
e. Dn cht amin bc 3 dng trong nhn khoa
6. Atropin
f. Gii c bng thuc khng cholinesterase phc hi
+ atropine+ anti H1
7. Noradrenaline
g. Cng GC trc tip t nh hng n huyt p trung bnh
8. Isoprenaline
h. Thuc co tht c trn c tc ng trn c c v thn kinh
1-e 2-a 3-b 4-f 5-h 6-c 7-d 8-g
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a. iu tr ct cn au na u
b. iu tr u tu thng thn
c. Gy h huyt p th ng/ liu u v ph i tuyn tin lit lnh tnh
d. Dng trong Parkinson v hi chng chy sa
e. C tnh cht cng GC ni ti
f. Dng trong nhn khoa
g. iu tr h tr cai nghin morphin
h. H huyt p th ng v phi phi hp thuc li tiu, khng tc ng
TKTW
9. Methyldopa
i. C tc ng gy bing n, co tht c trn bng quang cha i dm
10. Clonidin
j. Thuc lit GC h huyt p u tin ch nh cho ph n c thai
1-c 2-i 3-b 4-a 5-d 6-f 7-e 8-h 9-j 10-g
16/ Ghp
1. Malathion
2. Trimedoxim
3. Tubocurarin
4. Atropin liu thp
5. Pentholinium
6. Papaverin
7. Pempidin
8. Atropin liu cao
1-d 2-h 3-g 4-a 5-e 6-b 7-c 8-f
a. Tc ng trn receptor M1
b. Tc dng ph gy xon nh
c. Thuc lit hch amin bc 3
d.Thuc khng cholinesterase khng phc hi
e. Thuc lit hch amin bc 4
f. Tc ng trn receptor M2
g. Dng chn on bnh nhc c
h. Thuc ti sinh cholinesterase
THUC T - THUC M
1. Thuc m no sau y dng bng ng tim chch:
A. Halothan
B. Enfluran
C. Cloroform
D. Ketamin
2. c tnh c th xy ra khi gy m vi enfluran:
A. Kch ng ng h hp
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B. Hoi t t bo gan
C. Gy o gic, c mng
D. Co tht c vn
3. Thuc m no chng ch nh cho ngi suy tim nng:
A. Propofol
B. Enfluran
C. Ketamin
D. Thiopental
4. Cu no ng i vi halothan:
A. gy kch ng ng h hp
B. c th dng gy m trong sn khoa
C. c th phi hp vi thiopental
D. gin c khng tt
5. u im chnh ca isofluran v enfluran so vi ether ethylic:
A. Gy gin c tt
B. Khng gy chy n
C. t nh hng n tim mch
D. Khng kch ng ng h hp
6. Thuc t no khng c s dng chung vi khng sinh sulfamid:
A. Procain
B. Cocain
C. Lidocain
D. Tetracain
7. Thuc t no c th dng tr lon nhp:
A. Lidocain
B. Procain
C. Mepivacain
D. pramoxin
8. iu no khng ng vi cocain:
A. Gy h huyt p
B. Gy t b mt tt
C. B hy bi esterase trong mu
D. C tc ng cng giao cm nh
9. Thuc t no khng c dng chung vi adrenaline:
A. Procain
B. Lidocain
C. Cocain
D. Mepivacain
10. Thuc t no cn c tc dng chng lo ha:
A. Procain
B. Cocain
C. Lidocain
D. Tetracain
CU HI NGN
1. giai on 3, thuc m c ch ton b h TKTW, ngoi tr
2. Hai tai bin thng gp nht trong khi gy m l tai bin v v
3. Vai tr ca thuc tin m trong gy m.
4. Gy m bng N20 lun phi phi hp vi cht g?
5. Nu 3 bc tin hnh gy m.
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2
B
3
C
4
C
5
B
6
A
7
A
8
A
9
C
10
A
Cu hi ngn
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Hnh ty
Tim mch, h hp
B tc gy m, gim tc dng ph
Oxi
Sa son gy m, gy m c bn, gy m b tc
Phn thn du
Tr nga
Gy t b mt, gy t xuyn thm, gy t dn truyn, gy t ty sng
iu tr vim trc, nu khng pH acid s lm gim tc dng ca thuc t
Gin tip, c ch ti hp thu catecholamin
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B. Haloperidol.
C. Risperidol.
D. Sulpirid.
9. Flubentixol do khng gn vi th th 1-adrenergic nn s t gy:
A. H huyt p t th.
B. Tc dng ph kiu atropin.
C. Hi chng ngoi thp.
D. Tng tit prolactin.
10. Chn cu sai. Thuc tr lon thn khng gy hi chng ngoi thp:
A. Aripiprazol.
B. Clorpromazin.
C. Clozapin.
D. Quetiapin.
11. Thuc s dng iu tr lon thn giai on 1:
A. Thuc tr lon thn in hnh (th h 1).
B. Da vo kinh nghim.
C. Thuc tr lon thn khng in hnh (th h 2).
D. Clozapin kt hp co git in v 1 thuc tr lon thn th h 1 hoc 2.
12. Chn cu sai. Clorpromazin:
A. L thuc tr lon thn thuc nhm dn xut ca phenothiazin.
B. Lm o nghch tc ng tng huyt p ca adrenalin.
C. i khng vi amphetamin, cocain (cht kch thch TKTW).
D. i khng vi chng co git do ng c strychnin.
13. Thuc thng c dng phi hp vi fentanyl trong gy m do c hiu lc an thn
mnh v ngn hn:
A. Droperidol.
B. Clozapin.
C. Sulpirid.
Dc chnh quy 2012
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D. Olanzapin.
14. Thuc tr lon thn c tc dng lng cc (gii c ch liu thp v iu tr cc cn
thao cung cp tnh liu cao):
A. Haloperidol.
B. Sulpirid.
C. Clozapin.
D. Clorpromazin.
15. Hi chng ngoi thp xy ra khi s dng cc thuc tr lon thn th h 1 l do:
A. i khng H1 receptor.
B. i khng muscarinic receptor.
C. i khng dopaminergic receptor.
D. i khng 5-HT2 receptor.
p n.
1C 2B 3C 4D 5A 6B 7C 8D 9A 10B 11C 12D 13A 14B 15C.
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A. Amitriptylin.
B. Fluoxetin.
B. Paroxetin.
D. Sertralin.
12. Thuc thuc nhm thuc IMAOs l:
A. Clomipramin.
B. Selegilin.
C. Venlafaxin.
D. Mirtazapin.
13. Thuc khng thuc nhm thuc TCA l:
A. Amitriptylin.
B. Imipramin.
C. Bupropion.
D. Doxepin.
14. Thuc khng thuc nhm thuc SSRI l:
A. Paroxetin.
B. Fluoxetin.
C. Sertralin.
D. Atomoxetin.
15. Phn loi cc thuc sau theo cc nhm SSRI, IMAOs, TCA, NaSSA, khc:
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Mirtazapin
Amitriptylin
Bupropion
Paroxetin
Atomoxetin
Clomipramin
Sertralin
Trazodon
Selegilin
Fluoxetin
Phenelzin
Moclobemid
Desipramin
16. Nu tc dng ph cn ch khi s dng SSRI, TCA, IMAOs.
p n:
1C 2D 3A 4B 5C 6D 7A 8B 9C 10D 11A 12B 13C 14D.
15. Mnh tng hp li cho d nhn, nhng m ch l 1 phn thi. Hy vng gip cc bn d nh hn c 1 t :D. C
g cc bn chu kh tra thm trong slide nha :D.
TCA: cc thuc c ui tryplin, ui pramin,
IMAOs: thuc c ui gilin + moclobemid, phenelzin, tranylcypromin.
NRI: thuc c ui faxin + atomoxetin, bupropion,
NaSSA: Mirtazapin, trazodon.
SSRI: Fluoxetin, paroxetin, sertralin,
16. TCA: kh ming, b tiu, h huyt p t th. Liu cao gy c tim mch.
SSRI: hi chng serotonin.
IMAOs: gy cn tng huyt p.
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THUC TR NG KINH
1. Thuc no khng tr ng kinh cc b:
a. Gabapentin
b. Carbamazepin
c. Ethosuximid
d. Phenytoin
e. Primidon
2. Thuc no c hiu qu trong ng kinh cn vng nhng c nhc im l gy an thn
(ph thuc liu) v gy dung np thuc:
a. Acid vanproic
b. Phenobarbital
c. Carbamazepin
d. Clonazepam
e. Diazepam
3. Thuc chng ng kinh no thng lm tng nng huyt tng ca thuc dng
chung nht
a. Acid vanproic
b. Phenobarbital
c. Diazepam
d. Phenytoin
e. Carbamazepin
4. Thuc tr ng kinh no t gy an thn nht liu iu tr
a. Clonazepam
b. Phenobarbital
c. Primidon
d. Phenytoin
e. Gabapentin
5. Tt c cc thuc chng ng kinh sau y to mt hay nhiu cht chuyn ha c hot
tnh, ngoi tr:
a. Phenytoin
b. Carbamazepin
c. Mephobarbital
d. Trimethadon
e. Primidon
6. Nn la chn thuc no cho bnh nhn 23 tui b ng kinh cc b n gin
a. Carbamazepin
b. Phenytoin
c. Primidon
d. Clonazepam
e. Ethosuximid
7. tr ng kinh lin tc tt nht nn dng
a. Chlorpromazine
b. Diazepam
c. Succinylcholin
d. Tranylcypromin
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C. PPI
D. NSAIDS
A: A
Cu 18: Nu bnh nhn bi lot d dy do NSAIDS m vn phi dng NSAIDS th nn dng:
A. antacid
B. anti H2
C. PPI
D. PPI/ anti H2
A: C
Cu 19: thuc no sau y c tc dng ph gy ung th chut cng th nghim:
A. Thuc khng acid
B. Thuc khng th th H2
C. Thuc c ch bm proton
D. Thuc khng acetylcholine v gastrin
A: C
Cu 20: Thuc no ngoi tc dng cha lot d dy cn dng lm thuc ph thai:
A. Sucralfat
B. Misoprostol
C. Enprostil
D. Bismuth subsalicylate
A: B ( tng co bp c trn t cung sy thai)
Cu 21: Prostaglandin v dn xut c tc dng bo v nim mc v
:
A. tng lng mu n d dy
B. iu ha acid dch v
C. Tng tit cht nhy, HCO3D. C 3 u ng
A: D
Cu 22: Thuc no c tc dng ph l to bn, kh ming, bun nn, v gic kim loi:
A. Misoprostol
B. Enprostil
C. Sucralfat
D. Bismuth subsalicylate
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A: C
Cu 23: thuc no khi dng 1 mnh c tc dng bo v t bo d dy cn khi dng chung vi
khng sinh c tc dng dit khun:
A. Prostaglandin v dn xut
B. Sucralfat
C. Bismuth v dn xut
D. Tt c
A: C
Cu 24: Tc dng ph phn+ li en l ca:
A. Al(OH)3
B. Mg(OH)2
C. Prostaglandin
D. Bismuth
A: D
Cu 25: Hi chng Reye chng ch nh vi:
A. Prostaglandin
B. Bismuth subsalicylate
C. Aspirin
D. C B v C
A: D
Hi chng Reye l hi chng xy ra tr em khi b nhim virus siu vi hoc do s dng aspirin/
cc dn xut ca salicylat -> dn n: nn i, vim gan, vim no,.. c th t vong
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A) Difenoxin
B) Difenoxilat
C) Loperamid
D) C A, B, C u ng
4) Tc dng ca nhm thuc khng nhu ng rut n h tiu ha:
A) Chm nhu ng rut
B) Ko thi gia ti hp thu nc v in gii.
C) Lm c khi phn
D) C A, B, C u ng.
5) Thuc no trong nhm opioid khng nhu ng rut khng qua ng hng ro mu no:
A) Difenoxin
B) Difenoxulat
C) Loperamid
D) C 3 thuc u khng qua c hng ro mu no
6) Chng ch nh ch thuc khng nhu ng rut
A) Tiu chy do nhim khun
B) Vin kt trng
C) Tr em di 2 tui
D) C A, B, C u ng
7) Cc thuc trong nhm hp ph tr tiu chy l:
A) Calci poly carbophyl
B) Kaolin v pectin
C) Attapulgit
D) Dioctahedral smectit
E) C 4 thuc trn u ng
II) Cu hi ngn
1) Vai tr ca Atropin trong phi hp vi thuc khng nhu ng rut Opioid? Ti sao
Loperamid trng cn dng phi hp vi atropin?
2) Ti sao thuc khng nhu ng rut li chng ch nh cho trng hp tiu chy do nhim
khun?
3) Thuc no dng trong iu tr hi chng rut kch thch (IBS)
p n
1
2
3
4
5
6
7
E
C
D
D
C
D
E
1.
2.
3.
Vai tr ca atropin l : trnh lm dng thuc do thuc khng nhu ng nhm opiod
a phn tc ng ln thn kinh TW liu cao. Loperamid khng cn phi hp
atropin do loperamid khng qua c hng ro mu no
Do thuc khng nhu ng rut lm chm li nhu ng rut lm vi khun c gi li
trong rut lu hn
Dioctahedral smectit
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1)
2)
3)
4)
5)
6)
7)
A
D
C
B
B
A
B
Cu hi ngn:
1) S gy l thuc thuc (rut li bing)
2) Du khong, lm mm, du castor
3) Bisacodyl, du castor, L keo
4) Do lactulose ko NH3 t mu vo rut
THUC GIM AU
Cu 1: iu tr ng c mn tnh Morphine,nn dng
a.
b.
c.
d.
Nalorphin
Methadone
Pentazocin
Naloxone
Pethidine
Dtropropoxyphen
Pentazocin
Methadone
Cu 4:cc cht sau y c xem l c ch chuyn bit trn COX2, ngoi tr:
a.
b.
c.
d.
Celecoxid
Nimesulid
Meloxicam
Pirocicam
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v no thy o (IC)
Hch hnh nhn(A)
Di i (H)
Cht xm quanh cng no
Hnh no
Sng lng
Cu 8: cc ng dng ca Opioids:
Ung
Tim chch
a vo v mng cng
Cu 10: Hai dn cht thuc nhm Piperidine, phenylpiperidine c tc dng tr tiu chy :
Loperamid: ko gy nghin
Diphenoxylate : gy nghin
Codein- Acetaminophen
Meperidine HCl- promethazine
Oxycodone- Aspirin/ibuprofen/naloxone/acetaminophen
Tramadol- acetaminophen
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Cu 17: Opioid to cm gic tha mn, khoan khoi do kch thch vng chm no VTA
Cu 18: C ch tc dng tr tiu chy ca Loperamid:
Loperamid gn ln th th opiate thnh rut, lm gim tnh kch ng nim mc, gim nhu ng rut,tng thi gian
trong rut.
Cu 19:
Terpin- codein :100mg-10mg
Paracetamol- Codein: 500mg-30mg
Cu 20: Aspirin 75-81mg/ngy : c ch COX1 chng huyt khi
650mg-4g/ ngy : c ch COX-1,2 gim au, h st.
Cu 21: c tnh Aspirin: d ng, gy lot d dy, hi chng Reye
Cu 22: Liu dng Paracetamol (Acetaminophen)
Gim au: khng qu 10 ngy/ ngi ln. khng qu 5 ngy/ tr em
H st: khng dng khi st >39,5
Khng dng qu 4g/ ngy
Tc ng
Xut huyt
Gim tc ng
Gim tc ng tr Gout
Tng huyt p
HO-HEN-KHNG H1
1. Nguyn nhn gy ho khan, chn p n sai:
A. D ng
B.
Bnh phi mn tnh: COPD
C.
Thuc ACEi
D. Hen suyn
2. Thuc tr ho theo c ch c ch trung tm ho, chn p n sai:
A. Pholcodine
Dc chnh quy 2012
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B.
Dextromethorphan
C.
Codein
D. Carbocystein
3. Thuc tr ho theo c ch khng Histamin, chn p n sai:
A. Clorpheniramin
B.
Promethazine
C.
Diphenhydramine
D. Eucalyptus
4. iu no sau y sai v thuc tr ho eucalyptus( cineol):
A. Gy t
B.
Dng cho ho khan
C.
Dng cho ho ko di
D. Khng nn dng cng lc vi cc thuc ho khc
5. Codein gy:
A. Tng tit dch ph qun lm m c
B.
c ch nhu ng d dy-rut liu iu tr
C.
ch nh ho c m
D. dng c cho ngi b hen suyn
6. pht biu ng vi thuc tiu m dn cht cysein:
A. gim nng khng sinh
B.
an ton cho ph n c thai, cho con b
C.
sinh kh dng cao
D. gii c paracetamol
7. c ch: khng th gn ln khng nguyn trn b mt t bo, m gy ly gii t bo qua i
thc bo, dit bo l ca trung gian:
A. IgE
B.
IgM
C.
T bo T
D. C 3
8. Tc ng chnh ca H2 l:
A. Kch thch tit acid d dy
B.
Gin mch
C.
Tng tnh thm mch
D. Co tht c trn
9. iu no sau y ng v Histamin
A. Gy ng da
B.
Phng thch bt u bi s tng Ca2+ t bo
C.
To ra t Histidine
D. Tt c u ng
10. c im ca thuc khng H1 th h 2 l
A. c ch TKTW mnh
B.
khng qua hng ro mu no
C.
thi gian tc ng ngn
D. c A v C
11. Thuc khng Histamin H1 no thuc th h 1
A. Loratadin
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B.
Fexofenadin
C.
Cetirizin
D. Chlorpheniramin
12. Ch nh lm sng ca khng H1
A. Chng d ng
B.
Chng nn, say tu xe
C.
m du gic ng
D. C 3
13. Thuc khng H1 no di y gy bun ng:
A. Hydroxyzin
B.
Cetirizin
C.
Loratadin
D. acrivastin
14. iu no sau y ng v tng tc thuc:
A. Loratadin nn dng chung vi thc n
B.
Fexofenadin nn dng chung vi nc tri cy
C.
Desloratadine dng chung vi thc n Tmax t 2.5h4h
D. C 3
15. Thuc no sau y c tc dng long m:
A. Ambroxol
B.
Eucalyptol
C.
Carbocystein
D. guaifenesin
16. Nguyn nhn gy khi pht cn hen:
A. D ng nguyn
B.
Ha cht
C.
Virus
D. C 3
17. Cht trung gian ha hc no gy co tht ph qun gp 1000 ln histamine
A. Protein kim
B.
Leucotriene
C.
Prostaglandin
D. thromboxan
18. Mc tiu iu tr hen quan trng nht:
A. Gim ti a cc triu chng
B.
Phc hi chc nng phi
C.
Gim t vong
D. Hot ng khng b gii hn
19. Terbutalin l thuc iu tr hen thuc nhm:
A. Ch vn trn 2 adrenergic
B.
Dn cht xanthine
C.
Khng cholinnergic
D. n nh dng bo
20. Thuc 2 adrenergic agonist no thuc nhm tc ng nhanh, ngn:
A. Albuterol
B.
Bambuterol
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C.
Formoterol
D. Salmeterol
21. C ch tc ng chnh ca nhm xanthinnes:
A. c ch cAMP phphodiesterase
B.
c ch cnh tranh vi adenosine
C.
khng vim
D. c 3
22. Nng Tr liu ca theophylline (g/ml):
A. 20-30
B.
10-20
C.
5-15
D. 8-12
23. Corticosteroid tc ng trn bao nhiu loi t bo vim:
A. 5
B.
4
C.
3
D. 2
24. thuc khng vim Corticosteroid tc dng ton thn:
A. prednison
B.
prednisolon
C.
c 2 u ng
D. c 2 u sai
25. iu u tin phi lm khi cu cu hen suyn
A. s dng 2 agonist tc ng nhanh liu cao
B.
s dng corticoid tc ng nhanh liu cao
C.
th oxy tc cao
D. c 3 u sai
26. chng ch nh vi bnh nhn dng dextromethorphan iu tr ho?
27. Con ng chuyn ha Hiastamin chnh ngi?
28. C ch tc ng ca thuc khng Histamin: i khng cnh tranh thun nghch trn th
th H1 bng lin kt g?
29. Tc dng ph nghim trng no khin theophylline phi bt buc theo di nng thuc
trong tr liu?
30. Nhm thuc no dng d phng hen an ton?
p n:
1
2
3
4
5
B
D
D
C
B
11
12
13
14
15
D
D
A
C
D
21
22
23
24
25
D
B
A
C
C
26. s dng ng thi hoc trong 14 ngy dng MAOi
6
D
16
D
Page 30
7
B
17
B
8
A
18
C
9
D
19
A
10
B
20
A
I CNG VITAMIN
1. nh ngha vitamin?
A. L cc cht hu c, cung cp s lng nh t mi trng
B. C th ngi khng t tng hp c hoc tng hp c lng nh khng
C. Khi thiu s gy bnh
D. Tt c u ng
2. Chn cu ng
A. Vitamin ch c cung cp qua ch n
B. Ch c vitamin D l cn c cung cp t s tng hp ni sinh
C. Khi thiu ht vitamin s gy ra cc bnh l thng thng nh au u chng mt..
D. Vitamin D v K c ngun tng hp ni sinh
3. Vitamin c khm ph u tin vo nm no?
A. 1600
B. 1700
C. 1670
D. 1906
4. Chn cu ng
A. Vitamin tan trong nc chuyn ha chm
B. Vitamin tan trong du c s dng thng xuyn duy tr s bo ha m
C. Biotin cn c gi l vit G
D. Vitamin tan trong du chuyn ha chm. b lu tr gan vi lng ln
5. Cc tc nhn gy h hng vitamin
A. Nhit
B. m
C. PH
D. Tt c u ng
6. Chn cu ng
A. Vitamin khi ung vo l dng c hot tnh
B. Vit tan trong nc tc ng nh mt hocmon
C. Riboflavin kh bn
D. Vitamin D khi vo c th b hydroxyl ha thnh dng c hot tnh
7. Thiu Vitamin c my giai on? (6 giai on)
8. Nguyn nhn gy thiu Vitamin
A. Tc dng ph ca thuc
B. Tng tc thuc lm gim chuyn ha hp thu vit
C. Ang B sai
D. C A,B u ng
P N TRC NGHIM C PHN l D
VITAMIN B6,B9,B12
Dc chnh quy 2012
Page 31
1. Cc dng c bit ca B6
l
(pyridoxine, piridoxal,piridoxamine)
2. B6 c pht hin vo nm?
1934
3. B6 c chc nng ngoi tr
A. Chuyn ha tryptophan
B. Sinh tng hp porphyrin
C. Sinh tng hp amin sinh hc
D. Tng hp glycogen
4. Folate c tnh cht sau y ngoi tr:
A. Cn 3 phn trong cu trc c hot tnh
B. C 2 ngun folat cung cp ngi
C. Folat polyglutamate l dng lu tr v sinh ha trong ni bo
D. Vn chuyn qua mng nh hai protein vn chuyn vi chc nng khc nhau
5. D tt ng thn kinh gy thiu mt phn no v ch t sng chm pht trin tm thn
l bnh co th xy ra bo thai khi thiu vitamin no?
A. B1
B. B2
C. B5
D. Folate
6. Bnh c th xy ra do thiu B9
A. D tt ng thn kinh
B. Thiu mu
C. Ung th, mt tr nh
D. Tt c
7. Dng cofactor chnh ca B12
l
(adenosylcobalamin hoc 5 deoxyadnosylcobalamin )
8. Chn cu ng : B12
A. c th c tng hp ngi v ng vt
B. Cu trc phc tp nhng n gin hn vit K
C. Bn vi nh sng, kim acid
D. Kt ni vi R protein v yu t ni IF
9. Chc nng ca B12 trong phn ng methyl ha:
Page 32
VITAMIN C, B1, B3
1) Vitamin C cn c gi l
a) Acid ascorbic
Dc chnh quy 2012
Page 33
b) Antiscorbutic vitamin
c) Acid dihydro antiscorbutic
d) Ch A, B ng
2) Qu liu ascorbic khng gy ra tc dng no sau y
a) Si thn
b) Ri lon tiu ho
c) Ng c st
d) Gim th lc
3) Pht biu no sau y l ng v nh gi tnh trng Vitamin C
a) o nng trong bch cu l chnh xc nht
b) o nng trong huyt tng l chnh xc nht
c) o nng trong thnh phn mu ton phn l chnh xc nht
d) Khi vitamin huyt tng gim th vitamin trong m cng gim theo.
4) Tng tc thung khng gy ra bi vitamin C
a) Ph hu B12
b) Tng hp thu st ung gy ng c st
c) Tng gi tc dng chng ng ca warfarin
d) Gia tng gi nng carbamazepine
5) Thiamine cn c tn gi khc l
a) Vitamin B1
b) Vitanmin B2
c) Vitamin B3
d) Vitamin B5
6) Dng c hot tnh sinh hc trong t nhin ca vitamin B1 l
a) Mui phosphate
b) Mui diphosphate
c) Mui sulfat
d) Mui clorid
7) Pht biu no sau y l ng;
a) TPP nhiu nht trong m, coenzyme trong mt s ng chuyn ho
b) TMP c xc nh hot tnh sinh hc
c) Mono v triphosphate chim lng ng k trong m ng vt
d) TTp c chc nng nh mt coenzyme.
8) Ngun Thiamin c t u
a) T thc n
b) T vi sinh vt rut gi
c) Khng c t ngun ngoi sinh
d) A, B, C ng
9) Triu chng nc tiu c mi caramel lin quan n vitamin
a) B5
b) B9
c) B12
d) B1
10) Bnh l no sau y khng lin quan n vitamin B1
a) Beriberi t
b) Beriberi kh
Dc chnh quy 2012
Page 34
Page 35
2
D
12
C
3
A
13
A
4
C
14
A
5
A
15
C
6
B
16
B
7
A
17
A
8
B
18
A
9
D
19
D
10
D
20
C
Trc nghim
1) Bnh thiu mu tiu huyt gy ra do thiu vitamin no sau y:
A. Vitamin K.
B. Vitamin E.
C. Vitamin B6.
D. Vitamin B9.
2) Cu no sau y v vitamin D l sai:
A. V bnh lin quan n vitamin thng c tnh i xng nn cha ci xng phi
chiu sng c 2 bn.
B. Ngi da en cn phi nng nhiu hn ngi da trng.
C. Khi suy thn phi dng dng Calcitriol.
D. Chn vng king l dng bin dng do thiu vitamin D.
3) Thuc no sau y l dn cht ca vitamin A c phn loi C:
A. Isotretinoin.
B. Tazarotene.
C. Adapalene.
D. Acitretin.
4) Vitamin no c tc dng chng oxh mnh nht:
A. Vitamin E.
B. Vitamin C.
C. Vitamin A.
D. Vitamin D.
5) c tnh no sau y xy ra khi dng qu liu vitamin E:
A. Lot d dy, tng huyt p.
B. Si niu, chn n.
C. V to n ng, vim tnh mch huyt khi.
D. Tng calci huyt, v to n ng.
6) Vitamin no sau y thng c s dng chung vi vitamin A:
Page 36
A. Vitamin K.
B. Vitamin B12.
C. Vitamin E.
D. Vitamin B1.
7) Vitamin no sau y lu tr trong gan:
A. Vitamin A v C.
B. Vitamin D v B3.
C. Vitamin B6 v B12.
D. Vitamin A v D.
8) Thuc c s dng u tin cho tr em sau khi ra i l:
A. Vitamin E.
B. Vac xin vim gan B.
C. Vitamin K.
D. Vitamin B3.
9) C ch tc ng ca Warfarin ln qu trnh ng mu l:
A. c ch qu trnh chuyn vitamin K dng oxh sang dng kh.
B. c ch qu trnh chuyn vitamin K dng kh sang dng oxh.
C. Gip tng hp cc yu t II, VII, IX, X.
D. Chuyn Vitamin dng khng hot tnh sang dng hot tnh.
10) Cu no sau y sai khi ni v vitamin A:
A. Dng retinal c tc dng trn th gic.
B. Mun duy tr tc dng bt buc phi c h ni i lin hp.
C. Dng retinoic acid c tc dng trn s bit ho t bo.
D. B xung dng retinoic acid trong trng hp qung g.
11) Triu chng ca vic tha vitamin D l:
A. Calci huyt tng, chm bit i.
B. Calci huyt gim, suy thn.
C. Calci huyt gim, chn vng king.
D. Calci huyt tng, si thn.
12) Vitamin A lin quan n hormon tuyn no sau y:
A. V thng thn.
B. Cn gip.
C. Gip.
D. Tu thng thn.
13) Vitamin no l vitamin cn thit cho s sinh sn:
A. Vitamin A.
B. Vitamin D.
C. Vitamin K.
D. Vitamin E.
14) Cu no sau y ni ng:
A. K1 v K3 l dng t nhin ca vitamin K.
B. Retinol l dng vn chuyn t do ca vitamin A
C. Chng ch nh ca vitamin K l dng chung vi warfarin
D. Tha vitamin A s dn n d nhim trng.
15) Cu no sau y ng:
A. Khi suy thn khng cn b xung vitamin A.
Dc chnh quy 2012
Page 37
II.
1) 2 ch nh mi c tm ra gn y ca vitamin K l .. v
2) Tc dng trn th gic ca vitamin A l do to ra . (sc t ta), cht ny chuyn ho
v tc ng trn .. to ra xung thn kinh th gic.
3) Trong cc vitamin trong du, vitamin . t gy c nht khi tha.
4) 2 ch nh ca Vitamin E l dng .v .
5) Sp xp cc dng ng phn ca Vitamin E theo th t hot tnh tng dn: D-anphatocopherol (RRR) (1),RRR-anpha-tocopheryl succinate (2), RRR-anpha-tocopheryl
acetate (3), RRS-anpha-tocopherol (4), All-rac-anpha-tocopherol (5).
6) Khi s dng cc vitamin tan trong du, t hiu qu cn b xung thm ..v ..
7) Vitamin D lin quan n hormon tuyn..
8) Vitamin D c chc nng hormon theo kiu .. v .
9) to dng hot tnh th vitamin D3 cn phi chuyn ho qua . v .
10) 3 c ch iu ho calci huyt ca 1,25 dihydrovitamin D3 l ., .. v .
11) 3 Gla protein quan trng trong xng ln lt l .., .. v ..
III.
p n:
1
B
11
D
2
A
12
C
3
C
13
D
4
B
14
B
5
C
15
A
6
C
16
D
7
D
17
D
8
C
1) Celiac spure (tn thng rut non do gluten) v Stearorrhoea (i tiu ra m).
2) Rhodosin; PDE.
3) E.
4) Kt hp tr thiu mu tn huyt tr em; dng cho ph n do sy thai.
5) (5)<(2)<(4)<(3)<(1).
6) Protein; cht bo. Kim loi Zn v vitamin E trong trng hp dng vitamin A.
7) Cn gip.
8) Autocrine; paracrine.
9) Gan; thn.
10)Tng hp thu calci v photphat rut; tng ti hp thu calci; tng huy ng calci t xng.
11) Osteocalcin; matrix Gla protein; protein S.
Page 38
9
A
10
D