Ciiu LInsulin aspart a. Co 2 dinh thc dung . Chon lim inswlin née ¢. Chi kite soat duomg rayét hic abi Co dinh the dung som Cay 2. Insulin glargin. CHON CAU DUNG g¢ Chon lim insulin nén ‘4. Thi gian tic dung ngin ‘Cau 3. Phoi hgp thudc nao sau day khing ding # Metformin + Giybunid . Pioglitszol + Gliclazig , Glimepinid + Sitagliptin ‘¥e Smualiptin + Alogliptin Cau 4, Insulin titm dirgi da ngiy 4 10, 26m: 2 togi insulin: CHON CAU DUNG ‘¥e2 mii Insulin NPH + 2 mii Insulin Lispro 'b. 1 midi Insulin Laspro +3 mii Insulin glarsin ¢. 1 mii Insulin regolar ~ 3 mii insulin Lispro 4.1 mii Insulin Aspart + 3.1mii insulin regular Phin dé sau day dye sir dung cho tir edu 5 din cau 6: 7 Bénh nhiin nit, ning 50Kg, nhdp vipn do nhiém tring Grf-) nang, dhege chi dink gentarnicin, titm truyén dah mgch trong 1 gir vai mong dp trong mau mong muon dat Sug/nt. Cau 5. Cho biet cin liéu chi dink li bao abiéu, biét Vd coa thude 1a 0,201/Kg. a. (200 x 0,8) = 160 meKe te (200.8) = 1600 nye ¢, (200 x 8) = 1600 mg/Kg. 4.(200 x 0,8) = 160 up/Ke- Chu 6, Voi lit ban diu duge chi dink fa 2mg/Ke, Nguyén tic sir dung khiing sinh HIEU QUA, HOP EY yaAN TOAN due he hign 6, NGOAT TRU a. Cac uminoside ob pho te déng chi yéu tren vi Kthuan Grt-) = “Wy, Chin luu § thube 06 doc tinh khong hdi phuc tren tai vit thin cho bénh nh. jrayestc corey Clin gidm djnh tr) ligu do day 1a khing sinh cO Khodng tr ligu hep. d. Lidu chi dinh trén da dat duge néng d6 dink hur ‘mong muon. TRAM 1 Tat gan: 7 phit ram Civ 7. Béuh nbn sir dung Metformin + linagliptin véi lite 161 da 3 thang vin chira dat myc tiéu HbAte theo hung ca thé ha, néu cho ee auaiy a. Pioglitazn © i binning erie ‘Clu & Methyl predaisolon phoi hyp voi ‘Salbutamel trong dién trj hen suyen c6 tie dung. 2 Long dim ; ‘fe Ting tic dung din phé quin ciia Salbutamol c. Giam nguy cobs Kali miu Cau 9. Cic phat bigu ding vé cinh gic durye, NGOAI TRU: airs 2 La mgt min khos hoe 1b. Linh vuc lin quan dén vide phat hign, dinh’gid, sé pe eee aes ¢. Linh wire Hén quan dén vige piaat hi sit, tala pig ida AE att nao khic Tien trinh ...(X)... khi diéu tr] nhirng khong ldo. Dianne eee G6 dién yao vi tri (Xk ‘a phin phoi thudc i béok tit cia bésh ohn b. phin img co hai ews thude 6 sii 90t lide quae dn thud dé. thude kém chit igng oe Ciu 12. Phin loai phan ing due If loai Gia ting, phat bie nao sau dy 2 re... bea Khéng du dodn due eirtic ding dies 1); Soe te Phy . Wat d None mda dmg o une dip dg lea dichTRAM 2 — Thea gian: 7 phititrain r Cau 13. Quy trink hogt dng cha cdc thinh phan trong hé thong Canh gitc durge: | 4. Phat hign tin higu, dinh git nguy co> Bao { céo> Ra quyét dinh can thi¢p> Truyén thong> Bio cio by; Triyén thong > Phat hin tin higu, dink pid nguy co Bio cdo Ra quyét dinh can thigp > Bio cio @ Bio'cdo Phat hign tin higu, danh gid nguy co->Ra quyét dinh can thi¢p> Truyén thong> Bio cdo 4. Truyén thing > Bao cio Phat hin tin bigu, inh gid nguy co > Ra quyét dinh can thigp > Bio cdo Cin 14. Thanh phin eé thé BAO CAO (phat hign, theo déi, bio edo eae vin dé itn quan dén tinh an toln cila thudc) trong hoat dng cinh gic durge: 9 Cosi khim bénh, chia bénh b. BOY te, cée Vu, Cuc chic nang eda BS ¥ té, Soy té c. Héidéng cép sé dang ky-lum hinh thude Trung tim DI & ADR khu vue Cin 15. Thude giy Anh hwéng ding huyét khi ding Hieu exo: & Amlodipin _, Hydrochlorothiazid b, Diltinzem . Felodipin CGu 16. Atorvastatin: i a, C6 thei gin ban thai ngan b. Chuyén hoa qua CYP2C9 c. Giim li¢u khi suy thin ning ie Gidm >50% LDL-c khi ding ligu >40mg/ngay Ciu 17. Két hgp nao sao day KHONG nan sir dyng: 4. Amlodipin va Perindopril b, Felodipin vi. hydrochlorothiazide ¢, Perindopril va metoprolol ‘tle Lisinopril va Valsartan MABE: (1 CA 18, Statin 6 the dyngs a. Kich hoa men Lipoprotein lipase b. Gidm téng hgp thy thé L.DL-e ¢. Ting phong thich VLDL tirgan te Ue ché tong hop cholesterol tai gan ae Cfu 19. Fenofibrate ed tie dung: ne a, Uc ché giti phéng acid béo cho m6. . Tao phitc chelat v6i acid mat ‘@ Kich hoat men Lipoprotein lipase d, Woché ting hgp cholesterol tai gan Cau 20. Statin khing chuyén héa qua CYP 3A4; dy Fluvastatin b. Atorvastatin . Lovastatin 4. Simvastatin ‘Ciu 21. Ezetimibe: a. Phoi hop voi statin gay tang tie dung phu daw co cis statin Py Ue ché tai hip thu cholesterol tai rudt s, Tang hogt tinh enzyme hydroxylase & gan d, Ngiin cin qué trink nhit tong hoa tai rapt Cau 22, Thudc nado pay tic dung phy do bimg: a. Atorvastatin . Fenofibate , Gemiibrosil te A. Nicotinic Cu 23. Thudc tao phite vii acid mat: a, Statin (Ciu 24. Ting huyét ap di kim bénh mgch vanh, c6 nhip tim nhanh trén 70 Vin/phit, nth phoi hop tre ché men chuyén yéi: a, Chen kénh canxi (DAP) We Uc ché beta c. Logi tidu quai . Chen thy thé angiotensin 11Thhbi gian: 9 phitliren Chiu 1. Ngodl thc dyng tre cbé ti bp the matri tei dng thin, Hydrochlorothiarid cin the dung: BH ¥ DUOC CAN THO THI ROC KY b NAM HOC 2019-2020, Lin thi: 7 BO MON DUOC LY¥- DUOC LAM SANG | ntoa thi: DUOC LY LAM SANG Bi twang dy thi: ¥K31, YHCT KL a TRAM © VAG, YRCT Ki d. Mannital Gin >$0% L-DL-c leh dng tidus dying chch ke hyp nto sno diy trong didu tr} tng huytt dp: = Captopril vi Losartan js 4 Perindopril. vi metoprolol -c, Tiing phéng thich VLDL tit gan d, Us ché ting hop cholesterol tgi gan d. Simvastatin 4. A. Nicotinic nén ph6i hgp thém:oral , Soeatot © Metoprofot 4. Nadolot Chu 2. Che yu 06 00d nai 61 v4 mit Khdog sinh 8 phbt ba GON TRU: atc has a ey ail NCATE b, Cé duve diag hoe phi hop wi vi tl biden Kiedy ., Phi hap wei d@ nhay e&m 608 ‘ehudin ity beh: (Ciw 3. De tink chon lgc coa khing sinh 1a qua trinh: , © Pimds td ang wen co tne, a. Cy thé tie déng trén thube Tic hin gay bénh tae ding trén thude. @. Thabe tae ajuy tren the nha way bah, 4. AUCs MIC, (Clu 4 Cae chind PRUPD trong si dyng khang sin, NGOAL TREE a, T>MIC. b. Cpeak/ MIC, 1 MBCIMIC. Chu, Ca re ché hip thu cha ito sau diy 7 ‘& Ampicitlin b. Lincomyetn ‘©. Azithromycin. Se Doxyeyetin: Ci 6. Theo “Haring dln si dyng khiing sink” eta BY ¥ 4é bifm nay, ve cu trie nba hnge, Khing sink duye ella t bao mbigw abou chink : 4. Taba. 1.8 abou <9 ehée, 410 hb, Caw 7, Hign nay vé xép logi ure dj dé khsing, vi khuin Whang mé rhng, khdng abay chm wii <1 khdng slab cita cdc ohOm, nbung edo nbay cam vii <2 nhom dune thik, dye gyi lik: a. Da khang - MDR. b. King mir ning = XR. ©. Toa khsing ~ PDR. od. Tes (Céu8. Khang sinh chong ebi djnh @ phy ni mang thai: a. Cac Aminosid, '. Lincomyein. 6: Cle Quinolom. The ca Cli 9, Vi kuin cé thé dé khang sink theo eae eo eli sau, NGOALTRU: seal % "a Geb cay hes acid cleo aa a Thay di kha nang thim qua, bao cua thie. . oe ee <4. Phit trién qud trinh chuyen ha qua me nga keile. Cau 10. Phi hyp khang sink dgt dine vy bigp lye A dunge chirng minh trdn Lins sing, NGOAL TRU: @. PNC ¥A Tetracyelin ni. ull dd, bs. Trimethoprim vi Sulfa ©. Carbenicitlin vi Gentamicin trong akigm thing do Prewlomonat 4 Amavicillin vi acid clavolanic trong nhidm khudn do cic ching sin sinh beta-lactamase, Caw 11. Thude ¢@ tae dgng Lam ting tranvng tye co ving thye quim dud: ‘a. Trimebutine b. Itopride ©. Sulpirid Ciu 12. Sa dung Alginic acid trong diéu tr] bn trio nguye dg day ~ thye a. Udng thude 6 tu thé dig, khing nén niin trong vong 23 gid sau khi 5. Phai nbai trac khi udug va udng abide aide 4, Cua ya ding ¢. Nhai inde khi udng vai udng lie | gidysau khi din (Clu 13. Mit bit cy 71 tudi khong hit thude, it khi udng cugu, vi tip thé dye 30 plat mdi tudin 3m, Ba 500 mg’ vitamin D 400 IU ngiy 3 Lan. Ba cy.cao 1.75 m ngng 72 Kg. Chi sd T BMD cua ba cy li~ 1.9.6 x dept song. Phat bidu ndo sau diy ding? ; 2 BMD binh thing 6 oft song b. Mong xuong 6 edt séng Ciu 14. Diéu trj nao sau diy thich hgp abit cho ba ey may? a. Khéng clin digu trj thém. Tigp tye calelum va vitamin D. b, Alendronate 70-mg méi tuin Cau 15, Néu ba cy trén o6 chis6T BMD = 1.9.6 xurong di va =? 4s. BMD bink thuing o xuong dui “= b. Mong xwong 6 among dab Cau 16. Ba cy trong ctw 15 nén diéu tr Tidp tue ding calcium b Risedronateb.Ldng Ie bung di (1-2 gid trade beta Any 2 Ub ugk Bittern EE Cau 18. Thube digu trj bak trbo mgayc dy day ~thye quim mio san dy i asp trae Wl dg cho fa MA AY swing buyer vit suy tha? a a a, Sucralfate Alita te .Dempeioa Tepe ; iu 19, Rifampicin Lim gham the dyng céia thubc mgéra thal di ado: - 5 H sced eeu Chapt ja al roe wb O° omg wanh waa kit ee pote pt MB d. Oty can tro hip the 1 20, Thm edu SAL; Tae dyng hija khding sinb-PAE 5 CO thé duige xtc dinh trong mi) hinh fr vitro bode tir vibe. fb Latdc dung ire ohé su tng sinh vi Khulin hi tiép xde voi king sinh o nding a thich bis «Co ché lado vi khuln dn thi gian 4¢ tong hop enzyme mdi tude khi eng tracing Io ‘d. Phan lim che trudeg hop PAE (a ws ko di hon cic PAE in vier, Céw 21, Khi ding Cafeln chung vii Phenylpropranolamin s€ gy: fa Tang nguy co loet da dy ¢. Ting t4e dung tr} chity mai coa Phen: b- Gly cam ths 4.Tang hip thu cia Pheny’ Cau 22. Chon phat bidu dang vé tuong ky va twwng tie thude : a Tuomg ky say ra bén ngoai co thé va tuong tic ay’ ra bin trong co the bs. Chicd tong ky moi dun dén dieu bit lgi khi phdi hop thude L. a ¢. Tuong ky 1a nhomg giao thoa thude ve mgt vét ly wa tuong the vé mit ha hoe : d. Tuong tic thude ludn luda din dén nhing bat loi trong dieu tr . Ciu 23. Ubng Isoniazid liu ngity trong digu tr] lao phii gly thiéu vitamin mao saw day? é a a. Vitamin BL b. Vitamin BO ¢. Vitamin B12 Vitamin © oa Chu 24. MGt bénb adn nit dang sirdyog thude mgira (hal (dang ubng), duye bic ai ké com rifampicine d¢ dy . ‘tring ming no chu kuain (meningococews), Sy phbi byp sé dua dén abirmg hu qua: c. Higu lve cua thabe mies thai bj ko dai ‘a. Thude ngia thal bi gfim hiéw lye 4. Tang phan dng phy cua rifimpicine b. Hoot Ive cua rifampicine bj gam Cin 28. Sy tung tic thude de lim thay déi sg phan bd cin thude, e6 mbirmg dge diém al ac Mat thude 66 ai Ive manh hon s@ day thude kta rm khoi noi gin protein, d. Ca (ah. (b) va (e) deu ding. b. Mét thude 66 ai fue yéu hon sé bj gilinh noi gin provein cia thube kia. ¢. Lam ting ning 46 trong huyet tuong (durdi dang ty do) eta thude 66 ai Iwe thi hen. 1D} hip thu eGa tetracyclin ding duimg udng bj giim nhidu abAt trong treimg hep mos a thude trong bira dn &,, Ubrg thube voi sta 1, Uday thode sau khi ain d. By) hip thu cia teteneyclin Clu 27. Cie thude mio sau diy giy tromg tic do cain tre be mit bap thu cba thade khi dung chung: ii b, Smecta «. Tetracyclin 4 Ciprofloxacin Ciiu 28. Mt thude duye phiin logi “X" di yéi phy nit mang thai, dita 6 ob mais Was a. Khdng cé bing chimg vé nguy ca d6i vii bao thai nguti ¢. CO nguy ¢o cho bao that b, Chic chiin 06 nguy eo: eho bao thal Chong chi dinh cho phy nit 66 thai Cu 29. Mot thade duge phin logi “A” déi vii phy nit mang thai, diéu dé 66 ghia Ta: a. Che nghitn cir ed kiém soat cho thy khong 66 aguy eo d6i vii bho thal. b. Khing cd bing ching vé nguy co dbi voi bio thal nguti ¢. Chile chin 66 niguy co cho bao thai Chong chi dink cho put Citu 30, Dang thudc dig thich hyp cho tréem. . ne a, Hindieh bs, Sui bot ©. Vida nén . Ci 31. Bgnh nhin sir dyng gluco-corticoid 6 thé bj hii ching Cushing khi a, Ngung thude dt ngot gian b, Chia nhieu Uéu nho uéng trong ngiy Cau 32, Thude ehon digu tr] bl cheeng thin bur a. Flurocortison 'b, Hydrpcortison,ype: "Caw 33. CHON CAU DE . a inolon ¢6 tée dung eit MA BI 405 \ manh hon Hydrocentison him Hyddrocortison 4 ¢. Cortison khong e6 tie dung (a 4. Hydmeortison khéng ¢6 tie dung ehéng dj img C4u 34. Thude chi dink tree sinh giip trveng thank phot a, Fluroco n b. Hydrocortison ¢. Prednisolon d. Bethamethason 35. Hydrocortisone tidy sir dyng lidu sink ly. digu tr] bg ©. Suy yo thurgng than man da khop dang thap. ad. Thap khép cap 6 viém tim 2 thude nay diéu tr] bgnb Addison a, Hydrocortison + Amoxicillin c. Methyl prednisolon + Loratadin by, Prednison + Salbutamol d. Prednisolon + Flurocortison 37. Chong chi Metformin khi eG aveGFR < 60ml/phut! ¢.eGFR <45ml/phut/1.73 m- b. eGFR < 90mi phat deGFR < 30ml/phivl.73 mr rl i 0 during type 1 dé Lam gitm nbu cau insulin e ¢. Lixisenatid . Pramlintid HbA te chung cho dai thay duimg type | va 2 b.<8% 1% 4, <6.5% Cfu 40. Phoi hop thuée nao sau diy khong ding a, Metformin + Glyburid ¢, Glimepirid + Sitagliptin b. Pioglitazol + Gli 4, Saxaliptin + Alogliptn Cau 41. Bénh nban dai th khong nén Iya chon thude no sau diy ¢. Glielazid d, Saxagliptin ‘hon lya thude b g huyét clin ru y van dé nio sau diy: a. Higu qua HbAle va huy: b, Anh hue n can nang va hu cua thudc ¢. Chi phi die @. Tat ca ede edu én déu dung Céiu 43. Bénh nhan di: p, tiéu dam nhém thude dirge wu tién ha chon. @. Chen kénh Canxi ¢. Loi tiéu b. Ue ché men chuyén (A ché béta (BB) 1 durdi da ngiy 4 Lin, gin 2 ogi insulin: CHON CAU DUNG, tiém Insulin Lispro iém Insulin glargin m Insulin Glargin + 3 mii tiém Insulin Lispro d, 1 mai tiém Insulin Aspart i tiém Insulin regular Ciu 43, CHON CAU DUNG. Ty Ig insulin nén va insulin bia An (Insuli tie dyng mhanky) cho bénk nls G5 thio during type L. a, 1/3 insulin nén + 2/3 insulin bta an b, 1/3 insulin bia an + 2/3 insulin nén 2 tr dng loi tiéu quai cin tranh phoi hyp: ic che men chuyén c. Khang sinh Aminoglycoside . aldosteron d. Digoxin Cau 47. Tuong tie nao sau day lim giim tic dung hy ap khi phoihyp: a, Ue ché men chuyén + thiazid c. Ue ché men chuyén + b, Ue ché beta + DHP. ¢.1/2 insulin nén + 1/2 insulin bita an ¢.3/4 insulin nén + 1/4 insulin bira an d, Ucché men Cau 48. Str dyng khang sinh bira bai sé din dén nhimg nguy eo-sau, NGOAL TRU: ‘a, Lam vi Khudn khang thude phit trién manh. A . b, Khang sinh tro thanh tac nhan chon loc tiéu digt vi khuan nhay c. Giy tinh binh nbiém tring am thim phat trién ma khOng d. Han ché su nhay cam vai thude trong eng dong.TR) 7 a tern Civ 49. Tée dey ian mach ey tha 1 a Nyay khi bird sirdung te I Ader astatin co ahi i 3 san thi gia nao: bse een al 4.68 tain sm chal (i: aa b . . \ 5.8 ‘ ; Theo che kiuyén cio Ket hoped 0 Abie thir iden, Wiis igi, ket hyp mae sae daly Khdiag, a Weché Rea canst va ite ché men ehuvt © ihe dena tee b. Ue che kénh bu a i “ 2. Vou Hew Lome nay, statin, mito e6 thé Lins ginm dén 50% LDL-g; @ Flavastarin b, Rosuvastatin ©. Lovastatin, Ca S%. Statin thal trie qua didn it what: a, Rosuvas ©. Lovastatin @. Simvastatin, b. Atorvastatin +¢, Lovastatin 4. Simvastatin, yen hoa qua CY PICO: a. Atorvastatie b Lawastatin ©. Simvastatin : Rosuvastatin: O. Thine niu eo a roi loan dung nap glucose: & Simvastatin by Fenofibate ©, Cholestyramin Niacin Cau $7. Thirbe 06 tae dung ting 1 € myn mbit: a 8 Statin b. Resin Cau 38. Trong tang huy és ap cp cru, 8. Purosemid (tim tink mach) b. Furosemid (uéng) 4. Amlodipin (wing) (Cau 39. Tang huyét ip 06 kim beak ‘mach vinl nom thuis ha dp ura tién elon las ché men chiayén © Chea kénh cansi (DMP) fu Thiaeide & Werché alpha Cau 60, Khi sir dung statin, a Bo bimg & Ezetimibe dA. Ni co thé ste dung: ©, Weohd men chu edn theo doi tie dung, phy mito: © Ting men transaminase b. Tang acid uric mau 4. R6i Joan dung ngp Chu 61. Chon cin SAI khi dé cp dén hin loxi phi tmg e6 hal cia thude theo: a. Dj inythude la ADR type B sl. Nhip tim him do thus chen {To bn khi git dou bag morphin 1d ADR type A © Ha dieong huyét khi dimny thude digu tid diting la ADR type. thio Cit 62 Phi ig 6 hal sy ung thir dm do ik duye Divo cio vio nbirng nam 1970 do ‘chat nto sau diy @ Thalidomid; : a ‘ Aas Sih lis 164 th 8 DOI NG tude M6i, chon thing tin KHONG DUNG : ate dink 286 co quan bi Snh hung hi dang thude iy qq SHV Henk cua gui nen Ae vA ¢ Daye din hoe va phan img of hai giong nha gid neudi va ve iu 60. LY do cin bao cilo phan ting cia thude trong ua trink diy i ‘a. Ce ther ny trén ding vit Khong di dé nae dint) 6 an toan eva thude tren edi qua lvachon, hve 8 sit ny trés tim sis thane thaing. 2ap, ngogi trie: it nib vig y 08 y tu ATL Bfoh, diy phong cho bgah nbin, NGOAP ¢. Niwing nh nhaa tha d. 30 hi Caw 67. M a Cudy ng han ché gm va dye d: higu qua 2 ah dy nh anh sani ic nhain vien y 12 (bao g zm ca chi vigt tay Kho ioe vay Nn ing Ki cu tO moi trudr eu. nhiéu tiéng dn, bj gidm doan cing vige thuime xuyén- Cau 68. Nguyén nha gay ra phan img o6 hgi cua thude cho bénk whan c6 thé do ede nguyén hin saw, NGOAT & Dj img thude 6 che bénh nhin co eu dia nhay cam ©. O aims bial nhdn suy gan nfs, ede thude is ché thin hinh trung womg (SNC) nhurdixzepam 66 the ga baht inh, ©. Cac twemg tde 6 tot thug duce aghién cin thong oie chin lage did tj pbb op mir trom dit eh cm ‘sc bénh ve tim mach. & Cac twang tic Khong <9 Iyt co the Lim xuat hign eXe the dung phu hobe lim che dor iby wy elt ha ‘Cau 69. Choa clu KHONG DUNG khi nhc dén phan logi ADR theo tinh chat duye ty a. Dj ngthude la ADR type B ¢ Ha-duig buyét kh ding thu dw a sho da 'b. Tao bin Khi sir dung momhin {A ADR type A «d.Hdi ching Cushing do set dung corticod fa . Cau 7O.Thdng tin thube cho hgh nhain : a c. Néivé ADRS ; b. d. Noidén tuong tiethode Clu 71. Phat biew khong dung vai tro cia agudi camg cip thing tin thabe a. Cép abit thdng tin lign quan dén thude <.Cung edp thing tin cho bab niin b, Cung clip thémg tin cho can bp y te 4.Céc ctu tren Cau 72. Vai tro thing tin thadc béah vign 8 Cung cip thing tin by Thu thip thing tin phan bo sBaosioADR (Cia 73. Cac burie giai quyét yeu ciu théng tin thude 2 bi e4 as: iu 74. Thong tin thude trong bénh vign - CAUSAL f 2. Dam bao sit dung thudc hgp ly. an toan ©. Khong fidn quan dén sirdung thude b. Gilip hoi dong thude xdy dung danh myc thube 4. Ngudn thong tin phil thea y hoe C4u 75, Noi dung hogt dong thong tin thude tai bgnb vign- thong tin fin quan dén quan ly a.Qui dinh ve qui che 'b Xirly nad doe 6 Thude min Ciu 76. Tap chi Y hoe y : 8 Newén théng tin cip |b, Ngudn thing tingdp? —_¢, Ngudin thing tin cap 3. (Ci 77, Noi dung: diye ding va duge lye cia thude va mdi lién quan ea che nguyén | . Manindsie bs. Harrison «©, Duwge thar Ciu 78. Tim hiéu vé nhéog win dé a6i chm, cf p what abit tim tim a. Nguén thong tin cap 1 ‘b. Nguin thong ti Cau 79.Tim nguin thong tin, mie d tin cGy tt mgubn 4. Ngvdn théng tn cip | bb, Newb thong ‘Cau 80, Insulin dye chon tim insulin nén trons a. Tasulin regular beDUGC LY- DUOC LAM SANG Mon thi: DUQU LY LAM SANG éi tuong dy thi: YHCT Kai \ Cau 1. Tran twong tae voi thude chuyén hoa qua CYP 3A4, nén chon statin no sau day: a. Rosuvastatin c. Atorvastatin b. Lovastatin d. Simvastatin Cfu 2. Statin it gay dau co: a. Atorvastatin _c. Lovastatin b. Simvastatin _d, Rosuvastatin C4u 3. PhOi hop 2 thudc nay sé ting tac dung dan phé quan a. Dexamethason + Alimemazin b. Prednisolon + formoterol c. Methyl prednisolone + Diclofenac 4. Triameinolon + Amoxicillin Cau 4, Phéi hop 2 thud may sé tang tac dung ching di ing a. Bethamethason + Rovamycin . Prednisolon + Salbutamol c. Hydrocortisol + Fexofenadin 4. Triameinolon + Diclofenac Cau 5. Statin khong can gidm lieu khi cé suy than: a. Rosuvastatin. —_c. Atorvastatin b. Lovastatin 4, Simvastatin Céu 6. Phéi hyp 2 thudc nay digu tri bénh Addison a. Hydrocortison + Amoxicillin b, Prednison + Salbutamol c. Methyl prednisolon + Loratadin 4, Prednisolon + Flurocortison Cau 7. Chon cAu sai a. Prednisolon phai udng liic bung no b. Khéng tiém vaccin song khi ding corticoid liéu cao (prednisolon > Img/kg/ngay) kéo dai > 1 tuan c, Hydrocortison diéu tri suy v6 thong than cp ‘d, Dexamethason lun phai uéng vao budi sang Cau 8. Phéi hgp thudc nao sau day khéng hop y a. Metformin + Glyburid b. Liraglutid + Linagliptin c. Glimepirid + Acabose TRAM 1/YHCTK41 Thoi gian: 8 phavtram DE: 176 d. Saxaliptin + Metformin Ciu 9. Bénh nhan dai thao duing type 2 c6 thé trang béo phi, khong nén Iya chon thudc nao sau day a. Linagliptin c. Glimepirid b. Acarbose d. Exenatid C4u 10. Insulin ding lam insulin nén trong dieu trj 06 dic di a. Cé dinh téc dung som va tac dung ngén b. Khong co dinh va tac dung kéo dai c. Hap thu véo mau nhanb, ¢6 dinh sém d. Tac dung ngan va khéng cé dinh C4u 11. Insulin tiém duéi da ngay 4 Min, gdm 2 loai insulin: CHON CAU DUNG a. 1 mai Insulin Regular + 3 mii Insulin Lispro b. 1 mai Insulin Lispro + 3 mii Insulin glargin c. 1 mai Insulin Glargin + 3 mii Insulin Lispro 4. 1 mii Insulin Aspart + 3 mdi Insulin regular Cau 12. CHON CAU DUNG. TY I¢ insulin nén va insulin bifa dn (Insulin tac dung nhanh) cho do dong type 1 +2/3 insulin bira an b. 1/3 insulin bia én + 2/3 insulin nén c. 1/2 insulin nén + 1/2 insulin bir an 4. 3/4 insulin nén + 1/4 insulin bita an 13. Bénh nhan sir dung Metformin voi liéu ja 3 thang van chwa dat myc titu HbAIc theo huéng cé thé héa, néu chon phdi hgp thuéc thir 2 14 insulin hay chon loai insulin thich hop a. Insulin lispro . Insulin regular b. Insulin glargin d. Insulin aspart Cau 14. Viée chon lua thuéc diéu tri d4i thio duéng can lwu y van dé nao sau day: NGOAI TRU a. Higu qua giém HbA Ic va nguy co ha duéng huyét b. Anh huong trén can nang va tac dung phu cia thude c. Chi phi digu tri va higu qua giam HbAlc 4. Néu béo phi nén chon nhém kich thich tiét insulinpb: TRAM 2//YHCTK41 ‘Thoi gian: 8 phivtram cau 15. MOt phy ni 71 tudi than dau nhite ese giu xwong va cot song kém theo co eirng co doc cot song, duge chi djnh do m§t dQ xwong, két qua chi s6 T-score li — 0,94. Két ludin 1a: 4. Bénh loding xuong b. Gi mat d6 xvong, ¢. Binh throng , Bénh loang xuong nang Cu 16, Bénh nhan sit dung Metformin + Rosiglitazon véi liéu t6i da 3 thang vin chwa dat myc tidu HbAle theo hwéng ca the héa, néu chon phéi hyp thudc thir 3 khong nén chon thude nao sau diy a, Pioglitazon c. Insulin glargin ‘iu 17. CHQN CAU SAT a. Lin dau sir dung insulin phai do ligu b. Tranh kiém soat dudmg huyet chae 6 bénh nhan dai thao duémg gia, co nhieu bién chimg c. © bénh nhan dai thao dudng duéng huyét chua dat muc tigu digu tri, méi nim xét nghiém HbAle J lan d. Khong nén tiém insulin nhanh cho lan tiém truée khi ngu. Au 18. Bénh nhan sir dung Metformin voi thi da 3 thing vin chwa dat mye titu HbAle theo hudng ea thé héa, néu chon phoi hgp thudc thir 2 1A insulin Jogi insulin nao sau day khong thich hop a. Insulin gla c. Insulin NPH », Insulin aspart d. Insulin detemir Cau 19. Thude chon dieu trj hoi ching than hu. a, Flurocortison ¢. , Hydrocortison b, Prednisolon 4, Bethamethason Cfu 20, M@t bénh nbn nit 70 tudi, bi gay xuong chu va cé chi sé T BMD ~2,6 6 c6 g di va—2.1 6 xwong song, nh ng? b. Glimepirid d, Lixisenatid b. Gidm mat d6 xurong 6 xuong c. Loang xuong @xuong di d, Loang xuong nang 6 xuong dui Cfu 22, Phat biéu nao sau day 14 khong au d6i voi qua trinh tai tgo xwong: a, Xily ra 6 vi tri xuong bj hay b, Lam thay di kich thude la ting truéng xwong c. Chit yéu xay ra 6 ngudi lim ol d. Tat ca déu dang: CAu 23. Xét nghi¢m Marker chu chuyén xwong, nhim: a, Dinh gid som dap img diéu tr) sau 3- 6 thing situs b. Gitip chan doan loging xwong ¢, Danh gid tinh trang bénh loang xuong d, Phat hign nguyén nhan gay loing xuong thir phat Céu 24. Thuéc diéu tri bénh trio nguge da day —thye quin nao sau day cin thin trong khi ding cho bénh nhin suy tim sung huyét va suy than: a, Sueralfate c. Alginate b, Domperidon d. Itopride Cau 25. Phuong phap cn lam sang nao sau day durge xem la tigu chuan vang dé chan dodn bénh trao nguge da day — thye quan: a, NOi soi thue quan >. X-quang thye quan ¢. Do dp luc co vong thye quin duéi d, Do pH thye quan 24 gies Cfiu 26, Thude c6 tac dung lam tang trong lure co vong thye quan dwéi: a, Metoclopramid ¢. Itoprid b. Domperidon d, Tat ca déu ding Ciu 27. Co ché tac dung cia Itoprid trong diéu tri trao nguge da day — thye quai a, Tang truong lye co vong thyc quan dudi b. Ting t6c dé lim réng da day ¢. Bang vét loét thu quan do trio nguge da diy — thye quin d, Cua va b dang CAu 28. Cé mot don thude bao gém: Ciprofloxacin va Diosmetite (smecta). Khi bénh nhén uéng dong théi hai thuoc trén, gifim hép thuéc ciprofloxacin do: a, Tao phite lam giam hap thu thude . Can tro co hoe kim giém hép thu thude : c. Giém théi gian lim rong da day lim giam hap thu thuoe ‘d, Lam thay déi pH tai da daya wie _ TRAM /VHCTKAL —. Thdi gian: § phavtram BE: 47 Cau 29. Vien kém gay tte ché hip thu coa thude nado sau diy: a. Lincomycin: b. Amoxicillin ¢. Ciprofloxacin d. Metronidazole Cafu 30. TIM CAU SAI: Theo “Huéng din sir dung khang sinh” cia BG Y té hign nay, str dung khang sinh diéu trj theo kinh nghigm a. Khi chwra cé bing chimg vé vi khuin hoc do Khdng cé dieu kign nudi cay vi khuan. b. Khi dd nudi cdy ma khéng phat ign duge nhung 6 bing chimg lm sing r6 vé nhiém khuan c. Khang sinh phai 6 kha ning dén duge vi tri nhigém khuan véi ndng 49 cao nhat. 4. Néu khéng cé biing ching ve vi khuan sau 48 gig digu tri, can danh gid lai kim sing. Cau 31. Dé ting higu qua tri léet da day ~té trang, nén wong Esomeprazole: vao lie 15 ~ 30 phat trrée khi an sing Rifampicin Kim giam tic dyng cia b. Cam img enzym chuyén héa thuée ©. Te tuong tranh gan két trén protein in tro hap thu 3. Sir dyng Metronidazole cho nhirng nguii dang uéng rurgu cé thé dua dén tink trang non mira, dau dau, d6 mat, do co ché: a. Metronidazol ite ché enzyme alcol dehydrogenase . Rugu gay tre che enzym Cytochrome Paso c. Rugu gay cdm img enzym Cytochrome Psso d. Metronidazol uc ché enzyme acetaldehyde b Tigu digt ng ap Kian duemy roe ©. Ue ché enzyme chuyen hon thube d, Canh tranh gin ket én protein huyét tone Chiw 36. Ubng Usoninzia lau ngdy trong dieu ei Jao phdi gay thiéu vitamin nao 2 a, Vitamin BY baat b, Vitamin B6 €. Vitamin B12 4. Vitamin C Cau 37, Ue ché beta duge khuyén cio sir dung cho cae d6i twang ting huyét Ap va: a, Ngudi > 65 tudi b, Bénh thin man tinh c. Suy tim 4, Dai théo duéng, Céu 38. Phdi hop furosemid véi thuée nao sau diy ting dc tinh day thin kinh VIL: a, Captopril b, Sipronolacton c. Gentamycin d, Digoxin Cau 39. Twong tie nao sau day it gay anh hwéng néng 46 kali mau: a. Ueché men chuyén + thiazid b. Uc ché beta + DHP c. Uc ché men chuyén + NSAID d. Uc ché men chuyén + DHP Cau 40. Statin ¢6 théi gian bin thai dai nhat: a. Fluvastatin b. Atorvastatin c. Lovastatin 4d, Simvastatin Cau 41. Bénh nhin 65 tudi, ting huyét 4p 46 2, nguy co trung binh, khong suy tim va bénh mach yanh, nén chon: a, Uc ché men chuyen b. DHP + ire che men chuyén c. Ue ché beta chon loc + DHP d, Loi tiéu gidng thiazid Cu 42, Sy dé khang gid: a, Do néng d6 khang sinh trong mau luén duy tri 6 mire cao hon MIC. b. Cé bigu hign la dé khéng véi ban chat 1a do ngudn goc di trayén. c. Do vi khuan dang 6 trang thai nghi, khong chuyén hoa. 4. Do mot bién cd di truyén la dt bién hode nhén duge gen dé khang,a ‘Thai gian: 8 phi ona ae ‘ab ic iy niio: ie ohé thin kinh trung uong gay budn ngi b. Ha canxi mau ¢. Nhip tim nhanh do d, Dau ngyc do cot xa giao cim vanh Sr voag wag agian eh eanes sce eee (ub stoke ngfm dui lus) o oF ng Caner be huyét 4p kém tim ny P ip Gane GHA TE nes win coe eee nao: a. Labetalol c. Metoprolol . Timolol d. Atenolol. Cau 46.U'c ché men chuyén lam giam ton thuong thin do: , a. Gifin dng mach dén lam ting ép lye oe cd. than b. Co déng mach dén lim giém 4p lyc loc cu thén c, Gian dng mach di nhiéu hon nén lim gidm ap 4, Tang thai natri lm gidm huyét dp, gidm ap lye Gi thude c, Rosuvastatin d. Fluvastatin dung khang sinh hgp ly trong g sinh dom tr} Su va/ho; sinh c6 sinh kha dung cao. . Cau 49. Sir dung omeprazole kéo dai c6 thé gay thiéu vitamin nao sau day: itamin B) AUYHCT Kay Wviram (wane Sau khang sinh, t khuan phy thuge nd i Khuan phy thade nds 4, The dung digt khuan phu thuoe 1 Cfu 51. Tic dyng hi an 4. Due nic dinh tone momen b Ta the dung ite ché su ting sinh vi Khun kh tiép xtic véi khang sinh néngdé thich hep. ©. Co ché la do vi khudn cin thei gian dé ee mh enzyme mdi truéc khi ting truonglai 4. Phan én cde trong hop PAE in viero kéo dai hon cic PAE in vivo. ‘Céu 52. Khi sir dung thiazid, cin theo doi tic dung phy: a. Tang kali miu ». Giam canxi mau ¢. Tang NH;/méu d, Tang acid uric mau Cau 53. Hign nay vé xép loai mire 49 dé khang, vi khudn khang m@ rong, khéng nhay cim véi <1 khang sinh ciia tat ed cde nhém, nhung con nhay cdm voi $2 nhém duge thir, durge goi la: a. Da khang - MDR. b. Khang mo rng - XDR. c. Toan khang ~ PDR. 4. Tat ca ding. ; Cau 54, MOt khang sinh c6 thé tich phan bé Va=10 lit, va T1/2 14 2h, duge tiém ne voi vn t6c 20mg/h. Thdi gian tiém truyén dé c6 thé dat trang thai cn bing (Css) cia thuéc Ia: b. Higu ing ©. Tée dung 5. 55. Chi dinh nao sau day 1A khong ding a. Tiém prednison vao khép g6i dé dieu tri vim khop b. Phoi hop dexamethason véi penicillin dé diéu tri viém hong c, Hydrocortison diéu tri bénh Addison d, Prednisolon diéu trj hOi chimg than hu Cau 56. Véi liéu 10mg/ngay, statin nao c6 thé lam gidm dén 50% LDL-c: a. Fluvastatin b, Rosuvastatin c. Lovastatin d. Pravastatin(10 liu tf gy (NM: ‘he van si dung thube wind oh jot thud ‘Chhgn ir di str yng thude bio quan thude rl CAU S8 DEN CAU 60 sink A dirge Hem truyén Cin mach voi 6 £4 12 gid, Ché dé tidy dang duge lip Jai mdi ty ctia thude, Nong dO cia thude trong miu ngay true ©.7Smg. b. 85,5 mg 4.99 mg. Cin 59, Biét thude nay c6 hé so ly trich 6 gan Ey= 1 Va liu lugng mau qua gan 2. 1200ml/phat, Niw vay thé tich phan bé ita thude nay 207 mL/Kg 1.346 mUKg, b. 2071 4 MOL Cain 60. Tinh lid sir dyng ban dau cho tiém truyén dé dat dire ndng do thude trong huyét tong & ng tri ligu tir Smg/L den L0me/L 2yl clg—2g alg/imL ding ve a b cc. Linh vue lign quan hhigu phOng trinh bi Linh vye lign quan dén vige phat hign, danh gid, hiéu phong trinh bat ky mOt van dé ndo khac hen ‘quan dén thude Ciu 62. Pham vi hoat dng eita canh gide duge, NGOAL gnu ‘ a. phan img ¢6 hi cia thude TRAMsinnierea Sere niepn wane: 16 | 4. Truydn thon > H b. Hoi ddng clip sé a ©. Tring tim DI & ADK khu vwe - khim bénh, chira bi Hogt dong Phat hign tin higu, di ¢ duge gom cae nhigm vy: ‘a, Neimg cfp moi, clip | ky b. Rut sd ding ky, thu cc. CAp nhat théng tin an toan thude trén thé gids va ‘viet Nam, . d. Phan hoi thdng tin cho nhan vién y te Ciu 66, Phat biéu dung vé hoat dong ra quyét dinh can thigp (# cdp 49 co’ sé hofie quoe gia) trong canh gid duge, NGOAT TRU ‘a. Phan hoi thong tin cho nhan vién y é b. Yéu cau siza doi nbéin thuoc c. Trién khai cde danh gid, nghién cir die thi . Thu hdi 16 thude Cau 67. “Phan ting cé hai cia thude 1A phan ting Khong mong muén, ¢6 hai dén site khée, c6 the xiy raé liu ding binh thudng” IA ctia 6 chite, van ban no? ‘a, Té chire y té thé gigi (WHO) b. Luat duge Viet Nam (2005, cp nhat 2016) ¢. Higp hdi cinh gide durge chau Au (2017) d. Higp hi canh gide duge chau A Cau 68, Phan loai theo théi gian khéi phat, y kién “thudc khing viem corticoid gay hdi chimg A nguy Cushing”, thuge logi phan ting e6 hai nao? a. Ban cap c. Cap tinh b, Nhanh d, Cham Cau 69, Tée dung khong mong muén cita digoxin tidu chay (3.2%) thude tin suat xuat hién nio? a, Thuing gap c. it gap b. Hiém gap 4. Rit thutng op Ciu 70. Khi nao edn chi dinh do mat d9 xuong bing phwong phap hip phy tia X nding lugng kép? a. Phy nit > 65 tudi hoe nam gidi > 70 tudi b. Phy nit < 65 tudi di man kinh va nam gidi 50 — 69 tudi €6 cae yeu t6 nguy eo c. Gidm sat diéu tri trén bénh nhan dang duge diéu ti enh loding xvong d. Tit ca déu dingYe TRUONG DH Y DUGC CAN THO | DE THI HOC KY T, NAM HOC 2019-2020; Lin thi: 1 BO MON DUGC LY- DUGC LAM SANG | Mén thi: DUOC LY LAM SANG oe Déi tugng dy thi: YHCT K42 DE:2 TRAM I/ YHCT K42 tak ‘Théi gian: 9 phiit/tram MABE: 263 D Cau 1. Dang thudc nao KHONG NEN sir dung nhiéu cho bénh nhan ting huyét dp: a. Héndijch c. Xird b. Nhd tuong ch [Dp Cau 2, Dang bao ché thuéc nao sau day, khuyén bénh nhan a. Héndich E b. Nhii trong Céu ava b ding C, Céu 3, Theo “Huéng din sir dung khang sinh” cia BO Y é hign nay, sit dung khéng sinh hop ly trong didu tri thé hign qua bao nhiéu nguyén tac: a2, b.6. ©.7. al. P, Cu 4. Dgc tinh chon loc cia khiing sinh 1a qué trinh: a. Téc nhan gay bénh tac déng trén thuéc. c. Thuéc téc dong trén co thé. b. Thudc tée dng trén téc nhfin gay bénh. d. Co thé tc dng trén thud. + A, Clu 5. Chisé PK/PD durge sit dung cho nhém khang sinh Beta-lactam: . a. MIC. b. Cpeak/MIC. c. AUCIMIC. 4. Tit c& ding. @ Cau 6. Sir dung khang sinh bira bai sé din dén nhimg nguy co sau: a. Lim vi khudn nhay cm véi thuée manh hon, b. Han ché durge str phat trign ciia cdc ding vi khudn dé king thudc. c. Gay tinh hinh nhiém tring 4m tham phat trién ma khéng phat hién duge. d. Han ché sy nhay cdm véi thuéc trong cong ding. C Cau 7. Yéu t6 ddi hdi adi voi mGt khang sinh dé phat huy higu qua didu tr] tot: a. D8 sir dung. b. Cé tic dung hiép déng véi thudc phéi hgp. ¢. Cé dirge déng hoc phi hop vi vj tri nhiém khudn. . Khéng gay dj img chéo. A- Cu 8. TIM CAU SAI: Theo “Huéng din sir dung khang sinh” cia BO Y té hién nay a, Cé mhiéu khéng sinh c6 ty kéo dai lam cho sy tun thi diéu tri trérnén kh6 kh’in hon. b. Khéng nén diéu tri kéo dai dé tranh khang thudc, ting chi phi diéu tri. c. D6 dai diéu tri phy thuéc vao tinh trang, vi tri nhiém khudn, d. Vigc kéo dai digu tr) o6 thé lam ting ty 1¢ xudt hign téc dung khéng mong muén. C, Cau 9, Sy 48 khang gid: a, Cé biéu hign la dé khang voi ban chit I do nguén géc di trayén. b. La do ndng 46 khéng sinh trong mau luén duy tri & mire cao hon MIC. c. Do vi khuan dang trang thai nghi, khéng chuyén héa. d. Do mét bién cé di truyén 1a d6t bién hodc nhin duge gen dé khing. Cfu 10. Vi khudn cé thé dé khiing khang sinh theo co ché: a, Thay déi tinh thm qua mang té bao. b. Thay di kha ning tham qua mang té bao cia thude. ¢. Ue ché chuyén héa acid nucleic cia nhén té bao. . Uc ché sinh téng hop protein cia té bio vi khudn, D can 11. Thuée nao gy tac dung phu ri loan dung nap glucose, khuyén céo khong nén sit dung ngudi dai thao duong: a. Atorvastatin c. Gemfibrosil b. Fenofibate d. A. Nicotinic 8 Cau 12. Thuéc nén tranh sir dung ddng thai véi thuéc khic do hign tugng tao phic: a. Statin b. Resin c. Ezetimibe 4. A. NicotinicTRAM 2/ YHCT K42 Thai gian: 9 phiittram pe: 263 iu 13. Cach ding xiré thude ‘a. Pha lodng biing mudc trudc khi ding b. Khéng sit dung cho bénh han cé bénh tang huyét 4p c. Lic déu true khi ding d. Cau a va b ding dc Chu 14. Chi djnh nio sau day 18 khong ding a. Tiém prednison vao khép goi dé digu trj vim khop », Phi hop dexamethason véi penicillin 48 diéu trj viém hong ¢, Hydrocortison diéu tri bénh Addison 4. Prednisolon digu trj hi chimg thén hw : - D cau 15. Khi sir dyng nhém gluco-corticoid ngin ngay (2-3 ngay) tai bién nao sau day khong thé xay ra. NGOAI TRU a. H6i ching cushing c. Long xuong b. Suy v6 thugng thén cp d. Loét da day ¢_ Chu 16. Téc dung phy nao sau day khong thuge nhém gluco-corticoid a. Gidm site dé khang c. Ting bradykinin | . Ting durimg huyét 4. Loét da diy té trang néu sir dung chung voi NSAID Cau 17. Phéi hp thudc nao sau day khéng hgp ly “ . C( a. Metformin + Glyburid c. Insulin lispro + insuin glargin . Glyburid + Chlorpropamid 4. Exenatid+ Insulin glargin Cu 18. Phéi hop thuéc hgp ly. NGOAI TRU a. Metformin + Gliclazid . Sitagliptin + Glipizid ’b. Vildagliptin + Dapagliflozin Insulin lispro + Lixisenatid Cau 19. Cac yéu t6 xem xét khi lya chon mye tiéu HbAtc cho bénh nhan dai thio dung theo hudng cf thé héa, a. Nguy co ha duréng huyét va kha nang tuén thi didu tr} b. Thai gian mac bénh di th4o during va tudi cia bénh nhan c. Di cb bién chimg trén mach méu nhé va lén chua? 4. Bénh nhin cé béo phi hay khéng Cau 20. Vige chon Iva thudc diéu trj dai thio duéng cin liu ¥ vin a8 nao sau diy. NGOAT TRU’ a. Higu qua gidm HbAJe va nguy co ha duréng huyét, c. Chi phi digu tri b. Anh huéng trén cn nang va tée dung phy ca thude d. Thuéc dang uéng hay tiém C. Ciu 21. Nhém thude didu tr] dai thao duémg nado c6 nguy co gay gay xwong a, Sulfonylureas b. Biguanid °.TZD d. Uc ché men DPP4 © Cfu 22. CHON CAU DUNG. Tj I insulin nén va insulin bira din (Insulin tie dung nhanh) cho bénh nhan dai thao durimg type 1 a, 1/3 insulin nén + 2/3 insulin bita an ¢. 1/2 insulin nén + 1/2 insulin bita an b. 1/3 insulin bifa an + 2/3 insulin nén . 3/4 insulin nén + 1/4 insulin bita an @Cau 23. Insulin tiém duéi da ngay 4 lan, gbm 2 loai insulin: CHQN CAU DUNG. a. 1 mii insulin regular + 3 mOi insulin lispro b. | mai insulin lispro + 3 mai insulin glargin ¢. 1 mdi insulin detemir +3 mi insulin aspart 4.1 mai insulin aspart + 3 mili insulin regular Cau 24, Mgt sé yéu t6 gay ra sai sét lign quan dén thudc thurdmg gip, ngoai trir: a. Curing 46 lam vic cao va tinh trang mét méi cia nhfn vign y té, b. Truyén dat th6ng tin khéng higu qua giita cdc nhan vién y té (bao gém ca chit viét tay khé doc va y Jgnh bang loi) va gitta nhan vien y té voi ngudi bénh. Nhin vign c6 kinh nghigm va duge dio tao diy di Sees t6 méi truéng, vi dy nhw anh séng yéu, nhiéu tiéng dn, bj gidn doan céng viée thudng xuyén.pe:2 ‘TRAM 3/ YHCT K42 Théi gian: 9 phit/tram MABE: £65 Chu 25. Ezetimibe: © a, Phéi hgp véi statin gay men transaminase b. Tang vin chuyén nguge cholesterol vé gan c. Gia hép thu cholesterol qua niém mge rugt (ti mét va tir ngubn ngoai sinh) 4. Ting qué trinh nd tong héa lipid tai rugt B Cau 26. Cée nguyén nh4n khang sinh khong dat téi nguéng the dung tai 6 nhiém khudn, NGOAL TRU: ‘a. Duge dng hoc cia thude khéng thich hgp. c. Cé sy tong tc thude. b. Ty Ie phdi hop khong cho tac dung higp dng tot. d. Lidu lugng khong hop ly. D cau 27. Rosuvastatin: ; a. Céthdi gian ban thaingin d. Gidm >50% LDL-c khi ding liéu . Chuyén héa qua CYP3A4 >20mg/ngiy c. Khdng cdn giém liéu khi suy thin nang © Cau 28. KHONG nén sir dung cach két hop mio sao day trong diéu tri ting huyét 4p: F a. Amlodipin va Indapamid ¢. Captopril va Losartan b. Lisinopril va hydrochlorothiazide d. Perindopril va metoprolol D Caw 29. Statin 06 tic dung giam LDL-c do: a. Kich hoat men Lipoprotein lipase ¢. Tang phéng thich VLDL ti gan b. Giam ting hop thy thé LDL-c d. Ue ché téng hop cholesterol tai gan Cau 30. Sir dyng Fenofibrate cin theo doi: . a, Tée dung phy dau ca, tiéu co c. Nong d6 acid uric mau b. Men transaminase, dic biét khi c6 phdi hgp statin d. Tang triglyceride do phan img bi trit Cau 31. Statin chuyén héa qua CYP 2C9 : a. Fluvastatin b. Atorvastatin c. Lovastatin 4. Simvastatin “D Cau 32. Ngoai tac dung ire ché t4i hp thu natri tai éng thn, Hydrochlorothiazid con c6 tac dyng: a. Heccalci méu do ting thai canxi qua duég nigu b. Ucché dang thai men carbonic anhydrase khi sir dung liéu thap . cc. Giarm thai kali qua 6ng thin 4. Gidin mach © cau 33. Thude gay ting aicd uric mau khi ding ligu cao: a. Acetazolamid b, Spironolacton ¢. Hydrochlorothiazid d, Mannitol b Cau 34. TiM CAU SAL: Theo “Huéng din sir dyng khang sinh” cia BG Y té hign nay a. Dudng ubng la dung ding duge wu tién vi gid than ré, é b. Dudng tiém chi ding khi cdn néng d6 khang sinh trong mau cao. ¢. Sinh kha dung cia thude tir 80% tra lén durge coi hap thu durdng uédng tuong ty dudng tiém. 4. Vige chon khang sinh duémg uéng ma hap thu it bj anh hung boi thitc an sé dim bao sy tuan thd didu trj cia ngudi bénh tt hon. 5 cau 35. Tang huyét dp di kém bénh mach vanh, ¢6 nhjp tim nhanh nén phéi hgp thém: a. Dihydropyridin c, Loi tiéu quai b. Ue ché thy thé beta d. Chen thy thé angiotensin I f) Cau 36, KHONG nén sir dung Metoprolol: a. Suy thén ¢. Hg Natri méu b. Suy gan d. Tang acid uric mauTRAM 4/ YHCT K42 wApe: 263 Thai gian: 9 phivtram iu 37. Thudc ditu trj bénh trio nguge da day ~ thye quin ndo sau dy cin thn trong khi igang cho bémh nhan suy tim sung huyét va suy thin? b. Alginate c. Domperidon 4, Itoprid a. Sucralfat \_ Cau 38: Nguon thong tin thudc thirdng e6 tinh cp nhat nbAt: (1) CAp 1; (11) C4p 2; (1) Cap 3? a. Chi (D ding c. (1) va (II) ding 4d. (0, () va (I ding b. Chi (Ill) ding gudn thong tin thudc trong thyc hinh didu tri? © Chu 39: Chién hrge tim tin tir ede ny a, Nén tim ti ngudn efp 1 trudec, sau dé dén cp 2 va cubi cing méi ofp 3 b, Néntim tir ngudn cdp 2 tnrdc, sau dé dén cp 3 va cudi cing méi cap 1 c. Nén tim tir nguén cap 3 trréc, sau d6 dén cép 2 va cudi cling méi cap 1 4. Nén tim ci 3 ngudn cing lic © Cau 40: Khi tra ciru twong tie thudc trén website tra ciru durge: (1) Mire d6 twong tac thude; (II) Mite chimg cir minh twong téc; (IID) Co’ ché turong tc; (IV) Hau qua twong tic? a. Chi (D ding c. (O, (HD va (IY) ding b. () va QV) ding 4. (, (I), (HD va IV) ding Cau 41: Cie ngudn thong tin thude tin cy ngudi bac sTe6 thé sir dung trong ké dom: (1) MIMS; () VIDAL; (IID Duge thur Quéc gia Vigt Nam; (IV) To huéng dan sir dung thude? a. Chi (1) ding cc. (D, (MM) va (IV) ding b. (va) ding d. (0), (I), (HID va (IV) ding ( C&u 42. Trong Khuyén céo vé Chan doan va pigu trj Ting huyét 4p nim 2018 ciia HOt ‘Tim Mach hoc Quéc gia Vigt Nam, mire chiimg cir B cho biét dit ligu cé tir? a. Nhigu nghién ctu lém sing ngau nhién hode céc phan tich g6p b, Mot nehién cfu lim sing nglu nhign hofe eéc nghién cia on khong ngéu nhién ¢, Che nghién ciru nhd, cac nghién ciru h6i ctu 4. Sur déng thuén céc chuyén gia 10 sau day ? C Cau 43. Vign kém gay we ché hip thu cia thude ni a, Lincomycin >, Amoxicillin c. Ciprofloxacin 4. Metronidazole © Cau 44, Sucralfat kim khé hap thu cdc thude khic khi udng ding thdi la do: a. Tap phife chat khé tan c. Lam thay doi pH da day b. Can trézco hoc d. Anh buémg nhu dng da day ~ rut C Ciu 45, Sir dyng Metronidazole cho nhing ngudi dang udng rugu cé thé dua dén tinh trang nén mifa, dau dau, 46 mit, do co ché : a, Metronidazol ite ché enzyme alcol dehydrogenase b. Rugu gay tte ché enzym Cytochrome Paso d. Rugu gay cm img enzym Cytochrome Paso c. Metronidazol tte ché enzyme acetaldehyde dehydrogenase & cau 46. Uéng Isoniazid liu ngay trong dieu tr} lao phi gay thiéu vitamin mio sau day? a. Vitamin BI b. Vitamin B6 c. Vitamin B12 d. Vitamin Cau 47, Sir dyng “Ibuprofen — Warfarin” dong thai theo dong udng, ting nguy co xudt huyét JA do: a. Tao tuong the & giai dogn thai trit b, Teo twong téc tuong tranh gin két trén protein huyét tuong c. Tao tuong tac tuong tranh gin két trén m6 d. Ibuprofen gay cin tro hap thu 6 Warfarin Cau 48. Cé mét don thudc bao gdm: “Aspirin — Glipizid”, khi uéng, dng thdi hai thuée cé thé gay ting nguy co hg duéng huyét qua mitc la do: a, Tao tuong tac & giai dogn thai tri 4. Aspirin gay can tra hdp thu Glipizid b. Tao tuong tac turong tranh gin két trén protein huyét trong c. Aspirin gly tte ché enzyme chuyén héa thude cyt-P450 DRUGS.COM, théng tin ban c6 the cia cic nghién ciru chingTRAM 5/ YHCT Ka2 <—S F Thoi gian: 9 phivtram MABE: 2635 Cau 49. Cin phai dn bénh nhan diéu gi khi sir dung Sucralfate dé tri loét da day? ‘a, Udng hic bung adi (1-2 gid truée bita an) c. Nhai réi méi uéng, b, Uéng trong bita an d. Uéng ngay sau khi an @ cau 50, MOt phy nir71 tudi than dau nhite cdc diu xwong va cOt sing kém theo co cimg co dge cét song, duge chi djnh do mat 4 xwong, két qua chi sb T-score la — 0,94 & 03 song dii. Két Infn 1a: a. Bénh lodng xuong ¢. Binh thutng, b. Giam mat 46 xuong 4. Bénh loaing xuong ning D Cfu 51. Mt bénh nhan né 70 tudi, bi gay xwong chdu va c6 chi sé TBMD-2,6 ocd xuong dii va — 2.1 6 xwong séng, nh4n djnh nao sau day ding? a. BMD binh thuing 6 xuong ditt ¢. Loaing xwong & xuong aii b. Giém mét 46 xong 6 xuong ditt d., Lofing xwong ning & xuong dai ® Cu 52. Mét bénh nhin ni 68 tudi, ¢6 chi sé T BMD -2,4 & cd xurong diti va—2.1 & xuong sing, nh§n dinh no sau day ding? a, BMD binh thug 6 xuong ditt c. Loding xuong 6 xuong dai >. Gidm mat 46 xuong 6 xuong di d. Loaing xuong ning 6 xuong aii AN Cau 53. Thudc c6 thé gay hoai tir xwong him? a. Acid Zoledronat_ —_b, Calcitonin c. Teriparatid 4d. Raloxifen ) cau 54. Bién 6 bit loi (adverse event - AE) 18 “pat ky mot bién c6 bat loi ndo xy ra trong qué trinh ...(X)... khi diéu tri nhung khong nhit thiét la do phac 40 diéu tri gay ra”. Chon tir dang nat a8 din vao vj tri (X): a. phan phéi thuée. c. bao quan thuéc b. kiém nghiém thuée d. sir dung thuée ® Cau 55. Pham vi hoat dng cia cAnh giée duge, NGOAI TRU ‘a. phan tmg cé hai cia thudc c. sai sot lién quan dén thude b. 466 nhiém cita kh6ng khi d. thudc kém chit lugng C. Cfu 56. Quy trinh hoat dng ciia céc thinh phin trong hé théng Canh gide duge: a. Phat hign tin higu, dénh gid nguy co-> Béo céo-> Ra quyét dinh can thigp> Truyén théng-> Bao cho b, Truyén théng-> Phat hign tin higu, dénh gié nguy co-> Bao c4o-> Re quyét dinh can thigp > Béo céo ¢. Béo céo-> Phat hién tin higu, dénh gié nguy co>Ra quyét dinh can thigp-> Truyén thong> Bio cio 4. Truyén thong > Béo céo-> Phat hign tin higu, danh gid nguy co > Ra quyét dinh can thigp > Béo céo C. Céu 57. Host dng Phat hign tin higu, dénh gid nguy eg trong Canh gic durge gim céc nhigm vy: a. Ngimg cap méi, cp Iai sé ding ky 4. Rut s6 dang ky, thu h6i sin phim b. Phan hoi théng tin cho nhan vién y t8 c. Phat hign tin higu vé 6 an toan thuéc, dénh gid tinh higu va dura ra canh bio Cau 58. Thude chon digu trj suy vo thugng thin cp a, Desoxycorticosteroid c. Prednisolon b, Hydrocortison 4, Methyl prednisolon €, Cu 59, Sit dung omeprazole kéo dai cé thé gay thiéu vitamin mio sau Gy: a. Vitamin B1 b. Vitamin BG c. Vitamin B12 4. Vitamin PP () Cau 60. Dé ting higu qua trj léet da day — ta trang, nén udng Esomeprazole : a. Nhai trig khi uéng c. Udng mot lin truée khi ngh b. Udng ngay bita an d, Uéng 30 — 60 phiit trade khi an sang1 HOC "3920-202! Lin the \ eu Y DUGCEANTHO 5 EYL NAMES TRUONG DH ¥ DUOC CA! HO DE THIHOCEY BT 5 SANG | Bo MON DUOC LY- UGC LAM SANG. | Mon thit pe aden ict 2: uct rms > Ng péi won. Se Ske = ee. ee M bE: 2 TRAM! -Thai gian: 8 phavirem™ oe 5 ib gi thao a HON CAU DUNG can 8. THUBE iu tri oe te Cin 1. CHO ON ae y isolon liéu ca0 digu tri bénh Addison. tin cho ben : : At huyé Ghimepirid *pethamethason dieu tri ben xudt huyét gidm ae Tiéu chu v8 cin. Sarin ¢. Hydrocortison didu tri hoi chimg thn hu. sq Linse ea ason chi dinh lao mang phoi- @ ae ay piNG ; Sy sulin, tuan xt nghiém audng, 4, Dexameth Cau 2. Phoi hop thnde ndo sau day khong hgp ry a. Metformin + Glyburid , Dulaglutid + Empagliflogin oo + Linagliptin Pioglitazon + Liraghutid Cau 3. Lys chon thud cé chi phi enh nhin dai théo durimg tye 2 c. Lixisenatid a. Empagliflogin cup > oT Oe b. Liraghutid Cau 4. Logi insulin nio sau day dling am insulin nén dé gay higu tng Somogyi nhat a, Insulin aspart c. Insulin glargin — NPH 4. Insulin detemir 1 5, Thude 48 durge chirng minh giam ce pign cé do tim mgch va bao han. a. Linagliptin Jmpagliflogin b. Metformin liburid Cau 6. Thude wu tién Iya chon phdi hgp cho bénh nhiin dai thio duimg type 2.66 bénh tim mach do xo vira thp nhat cho c. Gliclazid ‘g.ainsulin lispro, Cin d. Saxagliptin 4u 7. Benh nhin dai théo during type 2, beo phi la van dé ln véi bénh nhan, thude nado sau day nén wu tién chon c. Rosiglitazon a. Dé chinh Aiba ins) huyét 2 yan. Saat p, Kiém soat during huyet chic & thdo duromg gid 00 nhigu bien chOms . enh nhan DTD vo"s hhuyét chura dat muc tigu, Pring x8 nie HbAte | lin. : id Khong nén tiem insulin nnn cho Vain tiém true khi nga \ Cau 10. PhO hop 2 thude nay sé tang net hg K’ mau ethamethason + Ibuprofen gnisolon + Salbutamol ~ Hiydrocortisol + Loratadin 4, Triameinolon + Amoxicillin Cau 11. Phéi hgp 2 thude nay sé ting nguy Co loét da day a, Dexamethason + Spiramycin piPrednison + terbutalin c, Hydrocortisol + Fexofenadin olon + Pioxicam fu 12: Ngudn thong tin thude thurong ¢6 tinh 9 tin cay cao nit: (1) Cap 1; (1) Cip 2; (I) Chip 3? ° Chi () ding IChi (III) ding c. (0) va (Il) dung, enh nan ot y 00 Gliclazid on 4. Insulin glargin 4. (1), () va (i) dang,RAM? pia ‘Thai gian: 8 phivtrem yi kiudn Kh tibp chin ge tira tin tree gv thong thyehanh diéu tei? p 1 true, sau 46 dén ep 2 Ciu 3: tin thude trong a. Nén tim tirngudn a i clung moi cap 3 b. as an dp 2 trade, sau dd dén chp 3 va cudi cing méi cp 1 i QO fim tirngudn cdp 3 tudo, sau a0 den clip 2 va cubi cing méi clip 1 4, Nén tim c@ 3 nguén cing lie ca Khi tra ciru turong tae thude trén website DRUGS.COM, théng tin ban 6 thé tra ciru duge: (1) Mire dO twong tie; (ID Cae nghién ‘iru chiimg min trong tes (III) Cor ché tuong tie; (IV) Hu qua turong tie? a. Chi (1) ding ¢. (1), (1), (HID va (LV) ding b. (va (IV) ding ), (11) va (IV) ding Cau 15: Cae ngudn thongtin thude tin cy ngudi bac si thuring sir dyng @é tham khao trong ké don: (1) MIMS; (11) VIDAL; (III) Duge aign Vigt Nam; (IV) Te hudng din sir dung thude? a, Chi(ding —_¢- (1), AN, (I) va (IV) ding b, (va (I) ding @. (I) va (IV) diing Cau 16, Trong Khuyén edo've Chan doan va pigu trj Ting huyét 4p nim 2018 cia HOi Tim Mach hge Quéc gia Vigt Nam, mite chirng et B cho biét dit ligu c6 tir? a, Nhiéu nghién ctu Kim sing ngdu nhién hole cde phan tich gop ee nghién citu lim sing ngiu nhién hod cic nghién ciru én khéng ngau nhién Ocie nghién oir nhd, cée nghién otra hoi cira d, Sy déng thufin cdc chuyén gia Cau 17. Sy ite ché phat trién cia vi khudin kéo dai sau khi tiép xtc voi khang sinh duge goi la: ur higp Iyc lam sing. ie «ing sau khéng sinh. . Tac dung diét khuan phy thudc ndng 46. d. Téc dung diét khudn phu thude thai gian, Cafu 18. Tée dyng hu khéng sinh-PAE a, Duge xéc dinh trong mé hinh in vitro. z z “ee ” han cfc PAE in vive, ag at xing, nay cam vrs vikhudn khang 1 khang sinh ca tht ca ede nom, nhung com bay edim vot $2 nom Gv thir, durge sot i pa khdng - MDR. ¢, Toin khang ~ ang mo rong XDR. 4, Tat ca dang. iw 20. Cac chi so PK/PD trong sir dyng khang sinh, NGOAL TRU: a. T>MIC. , Cpeak/MIC. {BC/MIC . AUCoad/MIC. < Cau 21. Mét Khdng sinh 6 thé tich phan bd Vd=10 lit, va ty 1A 2h, durge ti¢m truyén voi van téc 20mg/h. Thoi gian tiém truyin dé c6 thé dat trang thai cfin bing (Css) cha thude la: a6s5gid. b.7ed. 67,5 Bid. & gid. Cau 22. Mot khdng sinh A durge tiém yen tinh mach v6i ligu 100mg, c6 t y 1a 2 gid ché 46 teu. ding duge Mp Iai mdi t in cla thudc. Nong 49 cia thude trong miu ngay triée khi ding litu third SB 1a: a, S0mg, —_b.75mg. Qss mg. 4.99 mg. Cu 23. Trong nghién cirw in vitro hod in vivo, TMIC Ii chi s6 dy bio higu qua didu tri cia ‘ing sinh nhom: (*) jetalactam, ¢, Fluoroquinolon 6. Aminoglycosid. d, Tat cd cde nhom. - 24, Sir dyng khing sinh hyp lf trong diu tr) oe qua cde nguyén tic, NGOAI TRU: 2 ie ae Khang sinh don trj ligu. . Sit dung khang sinh khi c6 bi fae recor ig sinh khi c6 bing ching r3 rang vé c. Cdn higu chin lai lidu-vasho ic kh (Bs theo chire nang gan thén, oang céich dua nang ung 1a don; + 4 1g din; i . sinh ¢6 sinh kha dung cao, eRe vg khang,a pe:2 TRAM 3 quyé: -Thoi gian: 8 phititrem 5 thigp y (Caw 25. Ting huyét 6p 4! kim bénh mach vanb, c6mbip | © Ra quyét dinh can oase tim nhan nén phoi hgp them: ; iam the ame cia t 7 Dihydropyridin ¢. Loi tiéu quai 31. Rifampicin ae Qe: dé thy thé beta /«L'Chen thy thé angiotensin TT auong vine! a he 1 26, KHONG nén sir dung Metoprolol: é enzym ont bes - a. Suy thin Hg Natri miu 1g enzym oh p mee uy gan 4.Ting acid uric miu ingen pang tanh ein HE en r Bical MeN , | | ae io hin 40 tuéi, ning S0kg, bi viém hong, chura c in try hip the d. Gay can 2 aio ve tidn sirdl rng v6i thude, durge Ke dom ding | Cy Seat” ech hip the nude ndo sau day khéng sinh ampicillin (thuge nhdm penicillin) vien & ‘Arsoxicllia etracyclin 500mg x 2 Lin/ngiy: €6 bigu hign sumg phi mach, +, Chloramphenicol ‘Erythromycin khé thé, nén 6i, tiéu ehay, tut huyét dp, co gidt. aa 33, Mgt béah nbn pj loet da day do nhiém A. ‘ping phe 4d phoi hep khang Hiy danh gia bién co bit Igi xay ra: a. Bién cd bat loi khOng do phan tmg véi thude gay ra DRs khdng do sai sot cia nha digu tr} © ADRs do sai sot cia nha diéu tri d. Sai sot gay ra bién o6 bat loi ma khong phai ld Pylory duge itu tri sinh va huéng 4 digu trj bang thude. Tay ahi khong tuiin thi theo Tai chi Sau khi udng rungu vai phiit, dau dau, nén mira. bénh nba dang an khéng nén udng regu (rong khi an, bénh nhan may 43 din va da uéng rurgu. pénh nhan bj 4 mat, sir dyng thude ADRs Cau 28. Cho tinh huéng lm sang sau: Mot bénh art nhan 40 tuéi, ning S0kg, bj viém hong, bénh an ghi phoean O89 eas hj ¢é tién sir dj emg véi penicillin, durge ké don etronidazol . a Tetracyclin 4. Ampicillin ng a} cia digoxin ding khdng sink ampicillin (thuge nh6m penicillin) vitn 500mg x 2 Kin/ngay: 6 biéu hign sung phit mach, khé thé, nén 6i, tiéu chay, tut huyét 4p, co gift. Hay dinh gid bién 6 bit loi xay ra: ‘a, Bién cé bat loi khong do phan img voi thude gly ra ADRs khéng do sai s6t cia nha diéu tri Rs do sai sot ota nha diéu tri © Sai sot gay ra bién cb bat loi ma khong phai li ADRs Céu 29. Buée dau tién trong quy trinh hogt dng cia hg théng Canh gide d Vigt Nam li: a. Banh gid nguy eo cdo b. Tuyén truyén cdc sai pham c. Ra quyét djnh can thiép .Ciu 30. Buée cudi cing trong quy trinh hoat dong cia hé thong Canh gite duge tai Viet Nam Ia: a. Pénh gid nguy co Cau 34. Ampicillin Lam ting nf trong mau Khi uéng dong thai do twong tae nao sau day: a, Tang téc d@ lim rong da day ‘gu diét hé tap khudn dudmg rugt ie ché enzyme chuyén hoa thuée 4. Canh tranh gin két trén protein huyét tuong Cau 35. Sucralfat lim khé hip thu cée thude khitc Khi uéng ding thdi 1a do: Tap phite chat khé tan ‘An td co hoc ‘Lim thay di pH da day 4. Anh huéng nhu dng da diy —rugt Céu 36. Uéng Omeprazole lau ngay trong diu tr c6 nguy ev gay thiéu vitamin pio sau Gay? Vee itamin B12 ». Vitamin BG Panik