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1 liver function tests 2 full blood count 3 renal function tests A 1, 2, 3 B 1, 2 only C 2, 3 only D 1 only E 3 only Q99 The patient is instructed to take methotrexate: A daily B twice daily C every alternate day D weekly E monthly Q100 Disadvantages of Deltacortril therapy include: 1 precipitation of osteoporosis 2 insomnia 3 candidiasis A 1, 2, 3 B 1, 2 only C 2, 3 only D 1 only E 3 only Test 2 Answers A1 A Syndol is a combination analgesic containing paracetamol (non-opioid analgesic), codeine (opioid analgesic), caffeine and doxylamine (antihistamine). Alka-Seltzer is presented as effervescent tablets containing aspirin, citric acid and sodium bicarbonate. Anadin Extra is a combination analgesic containing aspirin, paracetamol and caffeine (a weak stimulant). Nu-Seals contains aspirin at the 75 mg dose per tablet. A2 B Unstable angina is buy tramadol on line distinguished from stable angina by changes in frequency and severity of attacks. The aims of the management of angina are to provide supportive care and relief during an acute attack, and to prevent subsequent myocardial infarction and death. Patients should be admitted to hospital and drug therapy optimised.

The management involves the administration of antiplatelet agents, namely aspirin and clopidogrel. Nitrates - for example, isosorbide dinitrate - are used to relieve ischaemic pain and act as vasodilators. Beta-blockers such as atenolol should be used in patients without contraindications. Patients are advised to avoid strenuous exercise (and therefore avoid undertaking the exercise stress test) to minimise the occurrence of attacks. A3 E Digoxin is a positive inotrope, hence it increases the buy tramadol on line force of myocardial contraction and may be effective in heart failure. It is a cardiac glycoside, which reduces the conductivity of the atrioventricular (AV) node and which may be used in atrial fibrillation.

Digoxin has a long half-life and is given once daily. It is cleared by the renal system and hence renal impairment requires the reduction of digoxin dose. Arrhythmias, such as atrial tachycardia, may be a sign of digoxin toxicity.

Digoxin toxicity is enhanced if there are electrolyte disturbances, especially hypokalaemia, hypomagnesaemia and hypercalcaemia. A4 A Adrenaline (epinephrine) is a sympathomimetic agent that tartarato zolpidem causes bronchodilatation. It is used to relieve bronchospasm in anaphylactic shock reactions. Histamine, kinins and prostaglandins, such as prostaglandin E2, are inflammatory mediators.

In response to allergic stimuli, inflammatory mediators may cause bronchoconstrictions.

Guaifenesin is an expectorant preparation that increases bronchial secretions to promote the expulsion of the mucus coughed up. A5 B Information sources recommended to be available buy tramadol on line in a pharmacy include a recent copy of a drug formulary, such as the British National Formulary; a current edition of a drug compendium, such as Martindale: The Complete Drug Reference; a copy of a pharmacology and therapeutics reference, such as Goodman and Gilman's Pharmacological Basis of Therapeutics and buy tramadol on line an updated copy of the laws order phentermine online no perscription regulating the pharmacy profession. A6 A cam phentermine viagra xanax Clarinase contains the beroende tramadol nedtrappning non-sedating antihistamine loratadine and the nasal decongestant pseudoephedrine. Similarly to Clarinase, Cirrus contains a nonsedating antihistamine buy tramadol on line cetirizine and the nasal decongestant pseudoephedrine. Actifed contains the sedating antihistamine triprolidine and the nasal decongestant pseudoephedrine. Clarityn, Xyzal and Telfast contain a non-sedating antihistamine, namely loratadine, levocetirizine and fexofenadine respectively.

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