20 19 Tianjin medical examination-licensed pharmacist practicing western medicine once a day (20 19.7. 16)

2065438+2009 Licensed pharmacists practice pharmacy once a day II.

1. Contraindications of gastrointestinal motility drugs include

A. Gastrointestinal bleeding

B. Mechanical intestinal obstruction or perforation

C. pheochromocytoma

D. pituitary adenoma secreting prolactin

E. Pregnant and lactating women

2. Metoclopramide can be used to stop vomiting in which of the following situations?

A. Vomiting caused by radiotherapy

B. vomiting caused by cisplatin

C. Vomiting caused by motion sickness

D. Vomiting caused by gastrointestinal dysfunction

E. Symptoms of nausea and vomiting after major surgery

3. Atropine has a strong spasmolytic effect on it.

A. detrusor of bladder

B. bile duct

C. urinary catheter

D. bronchus

E. uterine smooth muscle

4. Atropine can be used for clinical treatment.

A. Bladder irritation symptoms

B. Administration before general anesthesia

C. Gastrointestinal colic

D. organophosphorus pesticide poisoning

E. sinoatrial block, atrioventricular block

5. The following drugs have the function of relieving gastrointestinal smooth muscle spasm, including

A. belladonna

B. metoclopramide

C. anisodamine

D. scopolamine

E. atropine

6. The following description about polyene phosphatidylcholine is correct.

A. it is an essential phospholipid drug.

B belongs to anti-inflammatory and liver-protecting drugs.

C. it is forbidden to dilute the electrolyte solution.

The preparation contains benzyl alcohol, which is prohibited for newborns and premature infants.

E. it is beneficial to gallbladder jaundice.

7. Among the following drugs, those that can promote bile secretion and reduce cholestasis are

A. polyene phosphatidylcholine

B. ursodeoxycholic acid

C. adenosylmethionine

D. biphenyl diester

E. reduced glutathione

8. Contraindications of ursodeoxycholic acid include

A. Pregnant and lactating women

B. Patients with severe liver dysfunction

C. Patients with complete biliary obstruction

D. Acute cholecystitis and cholangitis

E bile duct spasm occurs in patients with calcified gallstones.

9. The following description of compound glycyrrhizin is correct.

A can aggravate hypokalemia and hypertension, and it is forbidden for patients with aldosteronism, myopathy and hypokalemia.

B patients with end-stage liver cirrhosis who have a tendency to increase blood ammonia are prohibited.

C. pay attention to monitoring blood potassium during use.

D, high safety, elderly patients can rest assured to use.

E belongs to anti-inflammatory and liver-protecting drugs.

10. About nitroglycerin and propranolol combined treatment of angina pectoris, the correct description is ().

A. it can eliminate the increase of heart rate caused by nitroglycerin.

B. it can eliminate the increase of ventricular volume caused by propranolol.

It can reduce the increase of myocardial contractility caused by nitroglycerin.

D. It can reduce the blood flow ratio between endocardium and epicardium.

E. it can reduce collateral blood flow.

Reference answer and analysis

1, the answer is ABCDE. Analysis: This topic mainly examines the contraindications of drugs. Pregnant women and those with gastrointestinal bleeding, mechanical intestinal obstruction or perforation, pheochromocytoma, breast cancer, prolactin-secreting pituitary adenoma, gastrointestinal bleeding and gastrointestinal perforation are prohibited from using prokinetic drugs.

2. The answer is ABDE. Analysis: This topic mainly investigates the clinical application of drugs. Metoclopramide is mainly used for gastrointestinal dysfunction and vomiting caused by radiotherapy, craniocerebral injury, postoperative vomiting and drug-induced vomiting, but it is ineffective for vomiting caused by vestibular dysfunction.

3. answer ABCD. Analysis: This question mainly examines the characteristics of atropine. Atropine can relax visceral smooth muscle, thus relieving smooth muscle spasm and relieving or eliminating colic caused by gastrointestinal smooth muscle spasm. Atropine has spasmolytic effect on bladder detrusor, bile duct, ureter and bronchus, but has little effect on uterine smooth muscle. Although it can pass through the placental barrier, it has no obvious effect on the fetus and does not inhibit the breathing of the newborn. So the answer is ABCD.

4. Answer ABCDE. Analysis: This question mainly examines the indications of atropine. The indications of atropine are various visceral colic, such as gastrointestinal colic and bladder irritation. The curative effect on biliary colic and renal colic is poor. Administered before general anesthesia, severe night sweats and salivation. Bradycardia such as sinus atrial block and atrioventricular block caused by excessive excitation of vagus nerve. Anti-shock rescue of organophosphorus pesticide poisoning. So the answer is ABCDE.

5. answer ACDE. Analysis: This question mainly examines the functional characteristics of drugs. Spasmodic drugs refer to drugs that can relieve gastrointestinal smooth muscle spasm, mainly nonspecific cholinergic M receptor blocking drugs, which can weaken the peristalsis of esophagus, stomach and small intestine and relax the lower esophageal sphincter, pylorus and biliary sphincter. Commonly used drugs are belladonna, atropine, scopolamine, anisodamine and so on. Metoclopramide is a prokinetic drug and has no spasmolytic effect. Therefore, the answer is ACDE.

6. answer ACD. Analysis: This question mainly examines the functional characteristics of drugs. Polyene phosphatidylcholine is used for various types of liver diseases, such as hepatitis, chronic hepatitis, liver necrosis, liver cirrhosis and liver coma (including precursor liver coma); Fatty liver (also seen in diabetic patients); Bile obstruction; Poisoning; Prevent recurrence of gallstones. The preparation contains benzyl alcohol, which is prohibited for newborns and premature infants and allergic people.

7. answer BC Analysis: This question mainly examines the functional characteristics of drugs. Adenosine methionine is an active substance in all body fluids, which helps to prevent cholestasis in the liver. For all kinds of acute and chronic hepatitis, it can effectively improve itching and abnormal biochemical indexes caused by cholestasis and cell necrosis in the liver, and accelerate the recovery of cell function in patients with acute liver injury. Ursodeoxycholic acid can increase bile secretion, inhibit liver cholesterol synthesis, reduce liver fat, relax sphincter, and promote gallstone dissolution and bile excretion.

8. Answer ABCDE. Analysis: This topic mainly examines the contraindications of drugs. Ursodeoxycholic acid is prohibited in pregnant and lactating women, patients with severe abnormal liver function, patients with complete biliary obstruction, patients with acute cholecystitis and cholangitis, and patients with calcified gallstones when bile duct spasm or biliary colic occurs.

9. The answer is ABCE. Analysis: This question mainly examines the functional characteristics of drugs. Compound glycyrrhizin can aggravate hypokalemia and hypertension, so patients with aldosteronism, myopathy and hypokalemia are prohibited. It is also forbidden for patients with end-stage cirrhosis who have a tendency to increase blood ammonia. Elderly patients should pay attention to themselves, and patients with hypertension should use it with caution.

10, answer ABC. This topic mainly investigates the combined application of drugs. Propranolol combined with nitrate can reduce myocardial oxygen consumption, produce synergistic effect, learn from each other's strengths, improve curative effect and reduce adverse reactions.