Nokea
Isotonic normal saline (0.9%) solution is LEAST indicated in which one of the following conditions?
- A. Vomiting
- B. Hypercalcemia
- C. Body wide sodium depletion (e.g. DKA)
- D. Volume overload (e.g. liver disease)
Correct Answer: D
Rationale: Normal saline worsens volume overload in conditions like liver disease due to sodium retention.
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Influenza vaccine may be administered annually to:
- A. Patients with an egg allergy
- B. Pregnant patients
- C. Patients age 6 weeks or older
- D. Patients with acute febrile illness
Correct Answer: B
Rationale: Influenza vaccine is safe in pregnancy; egg allergy requires caution, 6 weeks is too young, and fever delays it.
A 24 year-old man with a history of substance abuse is suffering from generalized anxiety disorder. Which of the following drugs would be the most suitable for the management of his condition?
- A. Zolpidem
- B. Buspirone
- C. Midazolam
- D. Triazolam
Correct Answer: B
Rationale: Buspirone, a non-benzodiazepine, treats anxiety without dependence risk.
Substrate concentration & velocity curve indicates
- A. Michelis-Mentons equation
- B. Inverse relation
- C. Zero order kinetics
- D. All of the above
Correct Answer: C
Rationale: Substrate concentration vs. velocity in zero-order kinetics shows saturation, unlike first-order (Michaelis-Menten).
There is enough preliminary evidence to recommend that children with autism receive which supplemental nutrient?
- A. Vitamin B1 (thiamine)
- B. Vitamin B2 (riboflavin)
- C. Calcium
- D. Omega-3 fatty acids
Correct Answer: D
Rationale: Preliminary evidence suggests omega-3 fatty acids may benefit children with autism.
The U.S. Food and Drug Administration regulates:
- A. Prescribing of drugs by MDs and NPs
- B. The official labeling for all prescription and over-the-counter drugs
- C. Off-label recommendations for prescribing
- D. Pharmaceutical educational offerings
Correct Answer: B
Rationale: The FDA regulates drug labeling , not prescribing practices , off-label use , or education , which fall under state or professional domains.