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CHNG I: I CNG

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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6.Receptor ca vitamin A l loi receptor no?


A. Receptor gn vi knh ion
B. Receptor gn vi G protein
C. Receptor gn vi enzym
D. Receptor ni bo
7.V d no sau y ng khi ni v hip lc b sung?
A. Ru + thuc ng
B. Sulfamethoxazol+ Trimethoprim
C.Tetracyclin + Ca2+
D. Penicillin + Probenecid
8.Chn cu sai khi ni v dung np thuc
A. C hai loi: dung np bm sinh, dung np thu nhn
B. Kh nng c th thch nghi vi thuc p ng yu hn th bnh thng
C. c tnh xy ra liu cao hn bnh thng
D. C ngha xu i vi vic s dng thuc ca bnh nhn
9.C my loi d ng thuc
A.1
B.2
C.3
D.4
10.Theo FDA M (1979) Cu no sau y ni ng khi ni v phn loi thuc trn thai
k
A. Loi A: th trn xc vt hoc trn ngi hoc trn kinh nghim s dng thuc lu di
cho thy c nguy c i vi thai v nguy ny cao hn li ch iu tr ph na mang thai.
B. Loi B: Th lm sng c i chng => thuc khng c nguy c i vi bo thai trong sut
thai k
C. Loi C: Th trn xc vt thy c nguy c v cha c bng chng trn ph n c thai hoc
cha th c trn sc vt v cha c bng chng trn ngi.

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D. Loi D: Th trn sc vt khng thy c nguy c v cha th trn ph n c thai, hoc th


trn sc vt thy c nguy c nhng cha c bng chng tin cy chng t c nguy c i vi
thai ph
II/ TR LI CU HI NGN
1.Nu cc c ch l thuc thuc do dung np qua chuyn ha
2.Min dch nhanh l g?
3. Cht i khng ha hc l g?
4. Receptor ca ANP l g? Receptor ny thuc nhm no?
5.K tn cc c ch iu ha ca receptor lm mt tnh nhy cm ca thuc
6. Hin tng phn ng hi ng xy ra khi no
7. K tn nhng th nghim c tnh c tnh ca thuc m bn hc.
8. iu kin th nghim c tnh mn l g?
9. Yu t khng thuc c im ca ngi bnh nh hng n p ng thuc
10. Vim da tip xc, thi m ghp l loi d ng tup no?
P N
I/ 1C 2A 3D 4C 5A 6D 7A 8D 9D 10C
II/
1.

+ Tng hot tnh ezym chuyn ha


+ Gim c ch hp thu
+ Tng c ch o thi
2. Dung np thuc ch trong thi gian ngn
3. Cht i khng gn trc tip vi cht b i khng
4. Guanylate cyclase receptor Receptor gn vi enzym
5. + C lp
+ Gim biu hin
+ Bt hot receptor
+ c ch effector
+ To protein c ch
6. Khi ngng thuc t ngt
7. + Th nghim c tnh cp tnh
+ Th nghim c tnh mn
+ Th nghim c tnh gy qui thai
8. + Th cha trng thnh
+ Th trng thnh
+ Nui trong iu kin hon ton ging nhau
9. Nhit mi trng, nh sng tia cc tm, s ng, tc ng thay i theo ma v chu k ngy m
10. Tup IV

THUC TC NG TRN H TKTV


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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:
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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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14/ Ghp thuc v tnh cht ca n (1 ni 1)


1. Succinylcholin
a. Gy h huyt p
2. Benztropin
b. Chng ch nh ph n mang thai
3. Adrenalin liu thp
c. Nng huyt p BN sc phn v
4. Adrenalin liu cao
d. Gy phn x chm nhp tim
5. Adrenalin
e. Dng trong t ni kh qun
6. Noradrenalin
f. Ch nh bnh nhn sc do tiu t, RL chc nng thn
7. Dopamin
g. Dng trong iu tr RL ngoi thp
8. Clonidin
h.Ch nh trong h huyt p do gy t tu sng
9. Phenylephrin
i. Ch nh trong chng co tht c trn, nga sinh non
10. Ritodrin
j. in hnh cho thuc lit GC trung ng
1-e 2-g 3-a 4-d 5-c 6-b 7-f 8-j 9-h 10-i
15/ Ghp v ni :3
1. Prazosin
2. Amphetamin
3. Phentolamin
4. Ergotamin
5. Bromocriptin
6. Timolol
7. Pindolol
8. Guanethidin

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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6. Cu trc no quyt nh ch yu cng v thi gian tc dng ca thuc t?


7. Pramoxin, quinisocain thng c s dng nht trong trng hp no?
8. K tn 4 phng php gy t chnh
9. Gy t vng m b vim cn ch iu g? V sao?
10. Cocain c tc dng cng i giao cm theo c ch g?
P N
Trc nghim
1
D

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

THUC TR LON THN


1. C ch bnh sinh ca cc cn lon thn:
A. Do t bo thn kinh tit dopamin qu mc.
B. Do tng hot tnh h dopaminergic qua receptor D2.
C. A v B u ng.
D. A v B u sai.

2. Cc thuc tr lon thn theo c ch i khng dopamin receptor D2 h - phu


gy nn tc dng ph l:
A. Lm trm trng thm triu chng c ch.
B. Gy chy sa n, v to nam do tng tit prolactin.
C. Gy h huyt p t th.
D. Gy kh ming, kh tiu (tc dng ph kiu atropin).
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3. Cc thuc tr lon thn i khng histamin receptor H1:


A. Gy tc dng ph kiu atropin.
B. Gy h huyt p t th.
C. C tc dng an thn.
D. Lm tng tit dopamin th vn.
4. Thuc tr lon thn i khng chn lc trn D2 receptor:
A. Haloperidol.
B. Fluphenazin.
C. Clorpromazin.
D. Sulpirid.
5. Thuc tr lon thn dng trong iu tr cc cn lo s cp, m sng, thao cung:
A. Haloperidol.
B. Fluphenazin.
C. Clorpromazin.
D. Sulpirid.
6. Haloperidol do khng gn vi th th muscarinic nn t gy:
A. H huyt p t th.
B. Kh ming, to bn.
C. Hi chng ngoi thp.
D. Tng cn.
7. Thuc tr lon thn no sau y gy tc dng ph l mt bch cu ht:
A. Aripiprazol.
B. Risperidon.
C. Clozapin.
D. Clorpromazin.
8. Thuc tr lon thn no sau y ch gn trn th th D2:
A. Clorpromazin.
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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.
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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.

16. Nu tn 2 thuc tr lon thn th h 1 thuc nhm butyrophenon.


17. Nu tn 2 thuc tr lon thn khng in hnh (th h 2).
18. Nu tn thuc tr lon thn dng trong iu tr cc cn m sng, thao cung.
19. Nu tn thuc tr lon thn dng trong iu tr lon thn giai on 3. Tc dng ph ng
ch ca thuc ny l g?
20. Cc thuc tr lon thn th h 1 khng dng trong trng hp no?

p n.
1C 2B 3C 4D 5A 6B 7C 8D 9A 10B 11C 12D 13A 14B 15C.

16. Haloperidol, Droperidol,


17. Clozapin, Olanzapin, Risperidol, Aripiprazol,
18. Haloperidol.
19. Clozapin. Gy mt bch cu ht.
20. Khng dng khi bnh nhn b trm ut hay c xu hng t t. Do thuc lm trm trng thm cc triu chng
c ch ca bnh nhn.

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THUC CHNG TRM CM


1. C ch bnh sinh ca trm cm gii thch theo gi thuyt mono-amine:
A. T bo thn kinh gim tit cc cht dn truyn thn kinh c cha 1 nhm amin (serotonin,
NE).
B. Cc cht dn truyn thn kinh cha 1 nhm amin khng gn c trn receptor tng ng.
C. A v B u ng.
D. A v B u sai.
2. C ch tc ng ca cc thuc nhm IMAOs:
A. i khng vi serotonin trn receptor 5-HT2.
B. i khng vi nor-adrenalin trn receptor NE.
C. c ch ti thu hi serotonin.
D. c ch men monoaminoxidase.
3. Paroxetin, Fluoxetin l cc thuc hot ng theo c ch:
A. c ch ti thu hi serotonin.
B. i khng vi nor-adrenalin trn receptor NE.
C. i khng vi serotonin trn receptor 5-HT2.
D. c ch men monoaminoxidase.
4. C ch tc ng ca cc thuc chng trm cm ba vng l:
A. c ch ti thu hi serotonin.
B. c ch ti thu hi nor-adrenalin v serotonin.
C. i khng vi serotonin trn receptor 5-HT2.
D. c ch men monoaminoxidase.
5. Thuc c ch nh dng trong iu tr cc cn au thn kinh (au thn kinh ta,
au do gii leo, au do tiu ng):
A. SSRI (c ch chn lc serotonin).
B. IMAOs (c ch men monoaminoxidase).
C. TCA (thuc chng trm cm ba vng).
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D. SNRI (c ch chn lc noradrenalin).


6. Chn cu ng:
A. S dng chung SSRI v IMAOs s gy hi chng ngoi thp.
B. Cc SSNI s dng bng ng tim bp.
C. Amitriptylin l cht chuyn ha ca nortriptylin.
D. Desipramin khng gn c vi th th H1 nn khng c tc dng an thn.
7. Thuc no sau y c tc dng ph nhiu nht:
A. Amitriptylin.
B. Desipramin.
C. Imipramin.
D. Nortriptylin.
8. Thuc chng trm cm c dng trong iu tr nghin thuc l:
A. Amitriptylin.
B. Bupropion.
C. Paroxetin.
D. Mianserin.
9. Thuc chng trm cm c dng trong iu tr ADHD:
A. Amitriptylin.
B. Bupropion.
C. Atomoxetin.
D. Paroxetin.
10. Chn cu ng:
A. Tranylcypromin l thuc c ch chn lc v thun nghch MAO-A.
B. IMAOs c th gy nguy him khi s dng do gy nhng cn tt huyt p t ngt.
C. Cc thuc TCA ch c th gn trn muscarinic receptor, 1-adrenergic receptor.
D. Cc thuc TCA gn trn muscarinic receptor, gy td ph l kh ming, gn trn 1adrenergic receptor, gy td ph l h huyt p t th, H1 receptor, gy td an thn.
11. Thuc khng thuc nhm thuc SSIR l:
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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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8. Tr em khi b st cao thng km theo co git v tng nguy c ng kinh vy nn


chn thuc chng ng kinh no
a. Phenobarbital
b. Diazepam
c. Secobarbital
d. Phenytoin
e. Clonazepam
9. Khi dng phenytoin tr co cng, git run nn da vo tc dng ph no sau y
iu chnh liu dng
a. Mt iu ha
b. Tng sn li
c. Chng rm long
d. An thn
e. Hi chng Stevens- Johnson
10. Hu ht thuc tr ng kinh tc ng theo cch
a. Lm gin mch mu ti ng kinh
b. Co tht mch mu no
c. Ngn chn s phng in qu ng kinh
d. Ngn chn s co git lan trn n neuron bnh thng
e. Tng xung lc c ch
11. Thuc tr ng kinh no b chng ch nh cho bnh nhn c tin s qu mn cm vi
thuc khng trm cm 3 vng
a. Phenytoin
b. Ethosuximid
c. Acetazolamid
d. Carbamazepin
e. Phenobarbital
12. C th d on iu g khi nng huyt tng ca phenytoin t n mc 25
microgam/ ml
a. Thi gian bn thi ca phenytoin b ko di
b. Chuyn ha ca phenytoin b c ch
c. Chuyn ha ca phenytoin c th chuyn sang dng ng hc bc o
d. Hiu lc tr liu ca phenytoin tng
e. Phenytoin tr thnh cht cm ng men gan

THUC TR LOT NG TIU HA

Dc chnh quy 2012

Page 17

Cu 1: cc nguyn nhn gy lot ng tiu ha:


A. Do Helicobacter Pylori
B. Do 1 s thuc lm tn thng lp mng nhy : aspirin, NSAIDS,
C. Do u ty
D. Nguyn nhn khc: stress, ht thuc, ung ru,
E. Tt c
A: E
Cu 2: Hi chng Zollinger Ellison l:
A. Hi chng vim rut
B. Hi chng tng tit gastrin
C. Hi chng tng tit acid dch v do c khi u trong ty
D. Hi chng tro ngc d dy thc qun
A: C
Cu 3: Cc nhm thuc chnh tr lot d dy t trng l:
A. Khng sinh, antacid, PPI, bo v mng nhy
B. Khng sinh, gim tit acid, bo v mng nhy
C. Khng sinh, trung ha acid, gim tit acid, bo v mng nhy
D. Khng sinh, bo v mng nhy
A: C
Cu 4: Thuc l tng nht gim tit acid l:
A. antacid
B. anti H2
C. PPI
D. antiacetylcholin v antigastrin
A: C ( v c ch giai on cui cng ca vic tit HCl)
Cu 5: Phc iu tr Helicobacter Pylori gm:
A. 3 thuc: 2 khng sinh + PPI
B. 3 thuc: 2 khng sinh + anti H2
C. 4 thuc: 2 khng sinh + PPI + Bismuth
D. Tt c u ng
A: D
Cu 6: Cu no di y NG:
A. Histamin do t bo ECL rut tit ra
B. Gastrin do t bo G ca hang v tit ra
Dc chnh quy 2012

Page 18

C. Acetylcholin do neuron t bo thnh d dy tit ra


D. c 3 u sai
E. c 3 u ng
A: E
Cu 7: Thuc khng acid no sau y gy tit acid hi ng:
A. Mg(OH)2
B. Al(OH)3
C. CaCO3
D. NaHCO3
A: C
Cu 8: Thuc no sau y gy tc dng ph l nhim kim ton thn, gi nc:
A. Mg(OH)2
B. Al(OH)3
C. CaCO3
D. NaHCO3
A: D
Cu 9: Thuc khng acid no sau y gy tc dng ph tiu chy:
A. Mg(OH)2
B. Al(OH)3
C. CaCO3
D. NaHCO3
A: A
Cu 10: Thuc no sau y gy tc dng ph to bn:
A. Mg(OH)2
B. Al(OH)3
C. CaCO3
D. NaHCO3
A: B
Cu 11: Thuc no di y gy tc dng ph nhuyn xng:
A. Al(OH)3
B. Al(PO4)
C. CaCO3
D. Phospalogen
A: A
Dc chnh quy 2012

Page 19

Cu 12: Thuc no sau y thuc nhm khng th th H2:


A. Magaldrat
B. Cimetidin
C. Rabeprazol
D. Pirenzepin
A: B ( ui tidin )
Cu 13: Thuc no sau y thuc nhm PPI:
A. Nizatidin
B. Misoprostol
C. Omeprazol
D. Proglumid
A: C ( ui prazol)
Cu 14: Thuc anti H2 no c ch CYP 450 mnh nht:
A. Cimetidin
B. Ranitidin
C. Famotidin
D. Nizatidin
A: A
Cu 15: i vi bnh nhn b lot d dy khng c bin chng, thuc no l hiu qu nht:
A. antacid
B. anti H2
C. PPI
D. khng sinh
A: B ( v anti H2 c ch tit acid ban m tt hn ban ngy -> ung lin tc 6-8 tun trc khi
i ng hiu qu cha 80- 90 %)
Cu 16:Bnh nhn b tro ngc d dy thc qun nng ( khong 3-4 ln/ tun) nn dng:
A. antacid
B. anti H2
C. PPI
D. antacid + anti H2
A: B
Cu 17: Bnh nhn b GERD ( tro ngc d dy thc qun) nh ( 1-2 ln/ tun) nn dng:
A. antacid
B. anti H2
Dc chnh quy 2012

Page 20

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
Dc chnh quy 2012

Page 21

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

THUC TIU CHY


I) Trc nghim
1) Nguyn nhn gy tiu chy:
A) Vi khun
B) S dng thuc thm thu (sorbotol, glycerin...)
C) Tng hot ng ca gastrin, prostaglandin
D) S dng thuc antacid c Magne gy ri lon nhu ng rut
E) Tt c u ng
2) Cc nhm thuc tr tiu chy ch yu l:
A) Khng nhu ng rut (nhm opioid)
B) Hp ph
C) C A, B u ng.
D) C A, B u sai
3) Cc thuc tr tiu chy thuc nhm opiod l:
Dc chnh quy 2012

Page 22

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.

Dc chnh quy 2012

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

Page 23

THUC NHUN TRNG


I) Trc nghim:
1) Thuc nhun trng sau y thuc nhm nhun trng thm thu:
A) Lactulose
B) Sterculia
C) Bisacody
D) Docusat
2) Polycarbophyl l thuc nhun trng theo c ch:
A) Nhun trng thm thu
B) Lm mm phn
C) Kch thch nhu ng rut
D) X, to khi
3) Thuc no sau y c th h tr iu tr bnh no gan:
A) Bisacody
B) Methyl cellulose
C) Lactulose
D) Du khong
4) Pht biu no sau y ng cho thuc nhun trng theo c ch x, to khi:
A) Khi pht tc ng nhanh
B) Gy kh y phn ra khi trc trng
C) Khng cn ung thm nc
D) Khng c tc dng ph
5) Pht biu no sau y sai v thuc nhun trng lm mm l:
A) L cht din hot
B) Tng kh ngng hp thu vitamin
C) C th gy vim phi khi ht vo
D) L mui Calci hoc Kali ca docusat
6) C ch ca nhm thuc kch thch nhu ng rut l:
A) Kch thch u mt thn kinh nim mc kt trng
B) Kch thch u mt thn kinh nim mc trc trng
C) C A, B u ng
D) C ch khc
7) Mt bnh nhn khi dng thuc nhun trng th c phn mu en, c th l thuc
A) Docusat
B) Bisacodyl
C) Senna
D) Du khong
II) Cu hi ngn:
1) Ti sao khng nn s dng ko di thuc kch thch nhu ng rut nhun trng?
2) Khng nn dng thuc nhun trng no cho ph n c thai?
3) K tn 2 thuc trong nhm kch thch nhu ng rut
4) Ti sao Lactulose c s ng h tr iu tr bnh no-gan?
p n:
Trc nghim

Dc chnh quy 2012

Page 24

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

Cu 2:hi chng thiu thuc ngi nghin Morphine c th gy ra do s dng:


a.
b.
c.
d.

Pethidine
Dtropropoxyphen
Pentazocin
Methadone

Cu 3: liu t 1cg-3cg morphine khng gy tc ng no sau y:


a.
b.
c.
d.

To s yn tnh, lng du ngi bnh


Suy tim mch, h huyt p
To bn
Gim au mnh

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

Cu 5: Hai con ng iu ha s dn truyn au ca Opioids:


Gim cm gic au theo ng dn truyn i xung (5-HT, NA)
c ch phng thch cht P, CGRP- cht dn truyn cm gic au.

Dc chnh quy 2012

Page 25

Cu 6: nhng v tr tc ng gim au ca Opioids:

v no thy o (IC)
Hch hnh nhn(A)
Di i (H)
Cht xm quanh cng no
Hnh no
Sng lng

Cu 7: cc agonist quan trng ca morphine:


Diamorphine
Oxycodone
Codein

Cu 8: cc ng dng ca Opioids:
Ung
Tim chch
a vo v mng cng

Cu 9: c im cu trc ca cc Opioids ligands


Phn gi nguyn(VT to tc ng): 3-OH gn vo vng benzene+ 2 Carbon gn vi nhm nitrogen
Phn thay i to dn cht: OH VT3,6
To antagonist : thay i trn nhm Nitrogen( Naloxone >< Morphine)

Cu 10: Hai dn cht thuc nhm Piperidine, phenylpiperidine c tc dng tr tiu chy :
Loperamid: ko gy nghin
Diphenoxylate : gy nghin

Cu 11: Codein chuyn ha to dng c hot tnh qua CYP2D6.


Cu 12: gii c cho bnh nhn qu liu Opioids dng : Naloxone, Methadone
Cu 13: cc phi hp gim au

Codein- Acetaminophen
Meperidine HCl- promethazine
Oxycodone- Aspirin/ibuprofen/naloxone/acetaminophen
Tramadol- acetaminophen

Cu 14: 5 cht c th phi hp vi Opioids cho tc dng gim au:


Caffein, Acetaminophen, Ibuprofen, Promethazine, Aspirin
Cu 15: cc opioids ni sinh: endorphin, dynorphin, enkephalins, nociceptin,endomorphine.
Cu 16: Cc Receptor Opioids: Muy, Kappa, Delta, ORL1-NOP
Dc chnh quy 2012

Page 26

Muy, Delta, Kappa : gim au ty sng+trn gai


Muy: c ch h hp
Muy, Kappa: gim nhu ng rut
ORL1-NOP: o nghch tc ng ca Opioids.

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

Cu 23: nhng tng tc thuc vi NSAIDS


Phi hp
Thuc chng ng
H ng huyt, TCA, NSAIDs
khc
Tng thi tr
urat(probenecid,sulfapyrazole)
Thuc cng giao cm

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

Page 27

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
Dc chnh quy 2012

Page 28

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
Dc chnh quy 2012

Page 29

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

27. methyl ha vng v oxh-kh amin


28. lk Hydro v vanderwaal

Dc chnh quy 2012

Page 30

7
B
17
B

8
A
18
C

9
D
19
A

10
B
20
A

29. lon nhp tim, ng kinh


30. nhm thuc n nh dng bo

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:

(to methionine t homocystein, to THF t 5 methyl THF)


10. B12 mu thp hn .c coi l thiu (100pg/l)
11. Hu qu ca vic thiu B12 trn thn kinh
A. Tch ly cht bo l trn mng t bo thn kinh
B. o gic, ri lon tm thn
C. hy myelin si thn kinh
D. tt c u ng
12. chn cu sai
A. c th iu tr bnh thiu mu gy ra bi B12 bng B9
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B. khi iu tr cn theo di nng K


C. thiu B12 gy thiu mu hng cu to
D. Vic thiu mu do thiu B12 xy ra do nguyn nhn l thiu acid folic
13. Thiu B12 s lm hai enzyme b hy l:

(methylmalonyl CoA mutase, methionine synthetase)


14. nhng vng thc phm ch yu l ng, ngi dn thng b mc bnh vim da c
trng, nguyn nhn chnh l trong khu phn thiu:
A. Calciferol
B. Tocoferol
C. Retinol
D. Niacin
15. C my dng vitaminer ca vitamin B6
A. 1
B. 3
C. 9
D. 6
16. Chn cu ng
A. Thiu B6 thng gy ra thiu niacin
B. Tryptophan load test da vo cht chuyn ha ca tryptophan l xanthurenic acid
C. PMP l cofactor ca mt s aminotransferase
D. Tt c u ng
17. PLP l coenzyme cho
A. Glycogen synthetase
B. Serine hydroxytransferase
C. Alpha aminolevulinic acid synthase
D. Tt c u sai
18. Vitamin B6 c tch ra dng tinh khit vo nm:
A. 1934
B. 1940
C. 1941
D. 1938
19. Vitamin B12 tham gia vo qu trnh tng hp AND tc ng ti :
A. S hnh thnh cc t bo mu
B. Hot ng ca cc noron thn kinh
C. C a v b u sai
D. C a v b u ng
P N TRC NGHIM C PHN l D

VITAMIN C, B1, B3
1) Vitamin C cn c gi l
a) Acid ascorbic
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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
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c) Hi chng bnh no Wernickle


d) Bnh pellagra
11) Nicacin l tn gi ca
a) Vitamin B1
b) Vitamin B2
c) Vitamin B3
d) Vitamin B5
12) Tc dng ph ca Niacin s dng liu cao khng phi l:
a) Hu hoi mng nhy ng tiu ho
b) Tng nguy c bnh Gout
c) Triu chng thn kinh
d) Vim gan, vng da
13) Ti sao n nhiu hi sn sng cn b sung vitamin B1
a) Hi sn sng c thiaminase
b) Hi sn sng lm tng nguy c Gout
c) Hi sn sng lm gim hp thu vitamin B1
d) Khng cu no ng
14) Bnh thn kinh ngoi bin, bt u chn, bn chn, khi tin trin c chn b hu
hoi ng k biu hin
a) Bnh beriberi kh
b) Bnh beriberi t
c) Bnh beriberi cp tnh
d) Tt c u ng
15) Xy ra Nht, cht ngt so suy tim, kh th, tim p nhanh dn dp, au vng
thng v biu hin bnh
a) Bnh beriberi kh
b) Bnh beriberi t
c) Bnh beriberi cp tnh
d) Tt c u ng
16) nh hng trn h tim mch do gin n ng mch, suy tim lu lng cao, tim to,
sung gan, b c tim b thoi ho v tng mnh biu hin
a) Bnh beriberi kh
b) Bnh beriberi t
c) Bnh beriberi cp tnh
d) Tt c u ng
17) Vitamin no l cofactor ca enzyme hydrolase
a. Vitamin C
b. Vitamin B1
c. Vitamin B3
d. Vitamin D5
18) Nhu cu vitamin C nam v ph n khng mang thai l
a) 90 v 75 mg
b) 100 v 80 mg
c) 120 v 90 mg
d) 140 v 100 mg
19) Tc dng chng oxy ho ca vitamin C biu hin
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a) DNA ca tinh trng


b) M phi
c) M mt
d) Tt c u ng
20) Yu t no khng phi chc nng sinh ho ca vitamin C
a) Sinh tng hp collagen
b) Sinh tng hp noradrenaline
c) Sinh tng hp adrenaline
d) Sinh tng hp carnitine.
1
D
11
C

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

Vitamin tan trong du (ADEK)


I.

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:

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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.
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II.

B. C s khc bit v hot tnh ca vitamin D2 v D3.


C. Kiu tc ng paracrime l tc ng ln ngay ti t bo tit.
D. Khi phi nng b xung vitamin D c th s dng kem chng nng.
16) Chc nng no sau y khng phi ca vitamin K:
A. Chuyn ho xng.
B. Vai tr trn thn kinh.
C. Chng x va ng mch.
D. Chng oxh.
17) c tnh khi s dng vitamin A khng bao gm:
A. Gy c tnh trn gan.
B. Tng p sut ni s.
C. Tng nguy c sut huyt.
D. H calci huyt.
in khuyt:

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.

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9
A

10
D

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