Professional Documents
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Rx
71
CU
Rx71
MCQ11 : 1/2558
Case:
A 15.00 . .
.
8.00-18.00 . . .
. .
5
Oxandrolone
lot no., mfg date
exp date
X
Rosiglitazone
6 (, , ,
, , )
Midazolam
1. Oxandrolone
1.
2.
3.
4.
5.
2. Oxandrolone
1. .
2. .
3. .
4. . .
5.
3.
6
1.
2. .
3. .
4. .
5. .
4. X
1.
2.
3.
4.
5.
5. Midazolam
1.
2.
3. 3
4. 2
5. 4
Rx
71
CU
6. Midazolam
1. .
2. .
3. .
4. . .
5.
7. Rosiglitazone
1.
2.
3.
4.
5.
8. 5
1.
2.
3.
4.
5.
9.
1.
2.
3.
4.
5.
Rx71
10.
1.
2.
3.
4.
5.
11. . .
.
1.
2. .
3. .
4. .
5. . .
12. .
1.
2.
3.
4.
5.
Rx
71
CU
Case 1:
6
1.
1.
2.
3.
4.
5.
2. 6
1. HBV, DTP, OPV
2. MMR, DTP, OPV
3. BCG, HBV, DTP
4. JE, HBV, OPV
5. MMR, JE, DTP
3.
1.
2.
3. /
4.
5.
4.
1.
2.
3.
4.
5.
Rx71
Immunoglobulin M, Immunoglobulin G
Immunoglobulin G, Immunoglobulin M
Immunoglobulin M, Immunoglobulin A
Immunoglobulin G, Immunoglobulin E
Immunoglobulin A, Immunoglobulin G
5.
1.
2. antibody
3.
4.
antibody
5.
6.
1.
(Aseptic technique)
2. gamma (Radiation)
3. ethylene oxide
(Gas sterilization)
4.
5.
(Autoclave)
7.
1. Purified water
2. Distilled water
3.
4. Water for injection
5. Sterile water for injection
Rx
71
CU
8.
1. (Lyophilization)
2. (Non-thermal
extraction)
3. (Spray drying)
4. (Sterile recrystallization)
5. Cold congealing ()
9. innate immunity
1.
2.
3.
4. memory B-cell
5. WBC antigen
Case 2:
60
30
1.
1. 30
2.
3.
4.
5.
2.
1. Paracetamol
2. Colchicine
3. Orphenadrine
4. Prednisolone
5. Glucosamine
Rx71
3. NSAIDs
1. Indomethacin
2. Diclofanac
3. Ibuprofen
4. Celecoxib
5. Naproxen
4.
NSAIDs?
1.
2.
3.
4.
5.
5. Glucosamine sulfate 1 ?
Glucosamine g MV
? ??
1. 10xx
2. 1xxx
3. 1500
4. 1844
5. 2100
Case 3:
asthma 3
2
Salbutamol 2 puffs PRN
Losartan ( enalapril )
1.
1.
2. Budesonide inhaler
3. Formoterol/salmeterol inhaler
4. Prednisolone
5. Tiotopium dry powder for inhalation
4
Rx
71
CU
4. NSAID asthma
1. ASA
2. Diclofenac
3. Piroxicam
4. Ibuprofen
5. Naproxen
5. enalapril
1. Hyperkalemia
2.
Case 4:
HTN
65
enalapril 20 mg 1x2
etc...
1 JNC 8
1. 150/90
2. 140/90
3. 130/80
4. 135/80
5. 140/85
Rx71
2.
1. HCTZ
2. Amiodarone
3. Carvedilol
4. Enalapril
5. Amlodipine
3. sulfonylurea duration (
)
1.
2.
3.
4.
5.
Case 5:
parkinson levodopa/benzerazide 1x3
trihexyphenidyl
1. benzerazide
1. levodopa
2.
3. motor fluctuation
4. levodopa
5. levodopa
5
Rx
71
CU
2. levodopa
1.
2.
3.
4.
5.
Decarboxylation
Deamination
O-methylation(?)
Hydroxylation(?)
Hydrolysis
3.
1.
2.
5.
1. Levodopa
2. Levodopa
3. Trihexyphenedryl Levodopa
Case 6:
HIV
India ink test: positive
CD4:
5%,
80
HBsAg: positive, AntiHBs: positive
Dx:Cryptococcal meningitis
Rx71
cell/mm3
1. crytococcal meningitis
(Maintenance)
1. Amphotericin B
2. Itraconazole
3. Fluconazole
4. Ketoconazole
5. Terbinafine
2. Amphotericin B
1.
2. paracetamol
chlorpheniramine
3.
4.
5.
3. Amphotericin B NSS
1. Hydrolysis
2. Oxidation
3. Salting out
4. Complexation
5. ...
6.
1. Control release
Rx
71
CU
4.
1. macrolide ring
2. conjugated double bond cisform
3. polyene rigid
4. mycosamine lipophilicity
5. amphoteric
5. amphotericin B liposome
1.
2.
3.
4.
5. toxicity
6. HIV
1. Zidovudine + Lamivudine + Nevirapine
2. Zidovudine + Lamivudine + Efavirenz
3. Starvudine + Lamivudine + Nevirapine
4. Starvudine + Lamivudine + Efavirenz
5. Tenofovir + Lamivudine + Efavirenz
7.
Rx71
1. Thymidine analog
2. Retrovirus
3. triphosphate tyrosine
kinase
4. active form glucoronide
5. azido
8.
1. Co-trimoxazole
2. Azithromycin
3. Itraconazole
4. Gancyclovir
Case 7:
68 50 kg 2
serum creatinine 5 mg/dl
1. creatinine clearance
1. 5 ml/min
2. 8.5 ml/min
3. 10 ml/min
4. 17 ml/min
5. 30 ml/min
2.
1. Stage 1
2. Stage 2
3. Stage 3
4. Stage 4
5. Stage 5
3. hyperphosphatemia
1. Calcium carbonate
2. Aluminium hydroxide
3. Sodium bicarbonate
4. Calcium polystylene sulfonate
5. Sodium polystylene sulfonate
7
Rx
71
CU
Rx71
4. hyperkalemia
1. Sevelamer
2. Lanthanum
3. Sodium bicarbonate
4. Aluminium hydroxide
5. Sodium polystylene sulfonate
1.
1. Glymeperide
2. Metformin
3. Acarbose
4. Insulin R
5.
5. hyperparathyrioid
1. Vit.D
2. Vit.K
3. Vit.A
4. Vit.E
5. Calcium carbonate
2 HbA1C 9. FBS 170 mg/dl Scr
2.2 mg/dL
1.
2.
3. binder
4.
5. Mg stearate
7. uniformity of dosage USP36
calcium carbonate
1. 20 .
2. 20
3. 30
4. 30
5. 30 10
assay
Case 8:
. 85 160
FBS 160 mg/dl HbA1C 8 Scr 1.1 mg/dL
2.
1. Metformin
2. RI
3. Repaglinide
4. Glibenclamide
5.
3. 2hr-glucose high
postprandial glucose
1. Glibenclamide
2. Ezetimibe
3. Vildagliptin
4. Repaglinide
5. Pioglitazone
4. Pioglitazone
1. Increse insulin secretion
2. Increase insulin sensitivity
3. Increase incretin
4. Increase HDL
5. piloglitazone
1. LVEF < 35
2. LDL < 160
3. AGT
Rx
71
CU
6. sulfonyul urea
7. DKA
1. long acting insulin
2.
3.
4. normal saline regular insulin
5. sodium bicarbonate
Case 9:
1
1.
1. Malassezia furfur
2. Trichophyton
3. Microsporum
4. Candida albican
5. Epidermophyton
2.
1.
2.
3.
4.
5.
3.
1. Griseofluvin
2. Itraconazole
3. Ketoclonazole
4. Teribinafine
5. Benzyl benzoate
Rx71
4. Griseofluvin
1.
2.
5. Cotrimazole
1. ergosterol lanosterol
14-alpha-demethylase
6.
1. Griseofluvin
2. Itraconazole
3. Ketoclonazole
4. Terbenafine
5.
7. ?
1.
2.
3.
4.
5.
Case 10:
loratadine
1 2
1
1
1. External hordeolum
2. Blephalitis
3. Viral conjunctivitis
4. Bacteral conjuncttivitis
5. Herpe zoster
9
Rx
71
CU
2.
1. Staphlococcus aureaus
2. Herpes zoster
3.
4.
5. Streptococcus pyogenes
3.
1. Artificial tears
2. Polymixin B + Neomycin ointment
3. Antihistamine eye drops
4. Corticosteroid eye drops
5. Acyclovir tablet
4. penicillin
1.
2.
3. DNA
5. dicloxacillin amoxicillin
1. bata lactamase amoxicillin
2. board spectrum amoxicillin
6. extraraneous
1. Autoclave
2. Membrane 0.22 micron
3. Hot air oven
4. Ethylene oxide gas
5. Radiation
Case 11:
28
.. levonorgestrel
Rx71
1.
1. Drospirenone
2. Cyproterone
3. Desogestrel
2.
1. levonorgestrel 0.75 mg 72 1
12 1
2. levonorgestrel 0.75 mg 72 2
12 1
3. levonorgestrel 0.75 mg 72 2
12 2
4.
5.
3.
1. Estrogen progesterone
2.
3. carbamazepine
4. rifampin
5. ketoconazole
3.
1. Transdermal patch
2. Minipill
3.
4.
5.
4.
1. first pass metabolism
2. GI s/e
3. hepatotoxicity
4.
5.
10
Rx
71
CU
5.
1. Sustained release system
2. Vaginal system
3. Osmotic system
4. Immediated release
5.
6. transdermal patch 3
1
1.
2.
3.
4.
Rx71
5.
7.
1. estrogen progesterone
2.
3. carbamazepine
4. rifampin
5. ketoconazole
8. (E+P)
progestin
1. Levonorgestrel
2. Cyproterone
3. Drospirinone
4. Desogestrel
5. Lynestranol
9.
1. DM
2.
3. MI
4. stroke
5. ...
11
Rx
71
CU
1. ascites
1. Portal hypertension
2. Spontaneous Bacterial Peritonitis
3. Hepatitis
4. nephrotic syndrome
5. Jaundice
2. Ascitis
1. spironolactone furosemide
2. HCTZ spironolactone
3. goal cirrhosis
1.
2.
3. - electrolyte
5.
WBC ( )
SBP
1.
2. IV gentamicin
3. IV cefotaxime
4. oral norfloxacin
5. oral bactrim
Rx71
Case
1.
1. Case report
2. Case control
3. Cross sectional surway
4. Case series
5. Prospective Cohort study
2. Good Pharmacy Practice (GPP) 2556
1.
2. .1
3.
4.
5.
3. XXX
Tablet
1. UV
2. Uniformity of Dosage Unit
3. Optical rotation
4.
5.
4. monograph
1. %Purity
2. %Assay
3. Disintegration
4. Dissolution
5. Content of uniformity
12
Rx
71
CU
Rx71
5. GMP
1.
2.
3.
4.
7.
Liquid parafin 30%
Wool fat
2%
Stearyl alcohol 1.5%
Emulsifier
10%
required HLB HLB
silicon light , mineral oil 12, wool fat 10,
steary alcohol 14
1. 8
1. 2.10
2. 3.12
3. 4.14
4. 5.16
8. surfactant
2. Tween 80 (HLB 15) Span 80 (HLB 4.3)
7.2:2.8
13