Which one of the following statements about “one daily” dosing with aminoglycosides is false ? (a) It is convenient for outpatient therapy (b) Adjustment of dosage is less important in renal insufficiency (c) Less nursing time is required (d) It is often less toxic than conventional (multiple)dosing regimens (e) Under-dosing is less of a problem

Which one of the following statements about “one daily” dosing with aminoglycosides is false ? (a) It is convenient for outpatient therapy (b) Adjustment of dosage is less important in renal insufficiency (c) Less nursing time is required (d) It is often less toxic than conventional (multiple)dosing regimens (e) Under-dosing is less of a problem
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A woman’s neglected hangnail has developed into a mild staphylococcal cellulites. Which of the following regimens would be appropriate oral therapy? (a) Dicloxacillin 125 mg q6h (b) Vancomycin 250 mg q6h (c) Methicillin 500 mg q6h (d) Cefazolin 1 g q8h (e) Penicillin V 500 mg q6h

Description : A woman’s neglected hangnail has developed into a mild staphylococcal cellulites. Which of the following regimens would be appropriate oral therapy? (a) Dicloxacillin 125 mg q6h (b) Vancomycin 250 mg q6h (c) Methicillin 500 mg q6h (d) Cefazolin 1 g q8h (e) Penicillin V 500 mg q6h

Last Answer : Ans: A

Select the antibiotic whose dose must be reduced in patients with renal insufficiency (a) Ampicillin (b) Chloramphenicol (c) Tobramycin (d) Erythromycin

Description : Select the antibiotic whose dose must be reduced in patients with renal insufficiency (a) Ampicillin (b) Chloramphenicol (c) Tobramycin (d) Erythromycin

Last Answer : Ans: C

The short course chemotherapy of tuberculosis has practically replaced the conventional regimens because: A. It is more efficatious B. It is less toxic C. It has yielded higher completion rates D. All of the above are correc

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Last Answer : D. All of the above are correct

Which of the following agents and dosage regimens is the best choice of treatment for an asthma patient with rheumatoid arthritis who is considered sensitive to aspirin (experiences bronchospasm with use)? (a) Lbuprofen, 800 mg three times daily (b) Acetaminophen, 650 mg every 4 hours (c) Gold injections, 25 mg intramuscularly once a week (d) Azathioprine, 75 mg daily (e) Cyclophosphamide, 100 mg daily

Description : Which of the following agents and dosage regimens is the best choice of treatment for an asthma patient with rheumatoid arthritis who is considered sensitive to aspirin (experiences bronchospasm with use)? ... once a week (d) Azathioprine, 75 mg daily (e) Cyclophosphamide, 100 mg daily

Last Answer : Ans: C

Which one of the following antimicrobial drugs does not require supplementation of dosage following hemodialysis? (a) Ampicillin (b) Cefazolin (c) Ganciclovir (d) Tobramycin (e) Vancomycin

Description : Which one of the following antimicrobial drugs does not require supplementation of dosage following hemodialysis? (a) Ampicillin (b) Cefazolin (c) Ganciclovir (d) Tobramycin (e) Vancomycin

Last Answer : Ans: E

Acute renal failure (ARF) may be caused by all of the following except (a) Acute tubular necrosis (ATN) due to drug therapy (e.g., aminoglycosides, contrast media) (b) Severe hypotension or circulatolry collapse (c) Decreased cardiac output, as from congestive heart failure (d) Hemolysis, myoglobinuria (e) Hyperkalemia

Description : Acute renal failure (ARF) may be caused by all of the following except (a) Acute tubular necrosis (ATN) due to drug therapy (e.g., aminoglycosides, contrast media) (b) Severe hypotension ... (c) Decreased cardiac output, as from congestive heart failure (d) Hemolysis, myoglobinuria (e) Hyperkalemia

Last Answer : Ans: E

Essential amino acids have been advocated as standard therapy for renal failure. Which of the following statements are true? A. Increased survival from acute renal failure has been reported with both essential and nonessential amino acid therapy of patients in renal failure. B. Essential amino acids retard the rise of blood urea nitrogen (BUN) secondary to decreased urea appearance. C. Essential amino acids and hypertonic dextrose are a convenient form of therapy for hyperkalemia. D. Essential amino acids decrease BUN and creatinine to the same degree as solutions containing excessive nonessential amino acids.

Description : Essential amino acids have been advocated as standard therapy for renal failure. Which of the following statements are true? A. Increased survival from acute renal failure has been reported ... BUN and creatinine to the same degree as solutions containing excessive nonessential amino acids.

Last Answer : Answer: BC DISCUSSION: Essential amino acids and hypertonic dextrose, as opposed to hypertonic dextrose alone, was reported by Abel and co-workers to be associated with a decreased mortality rate ... renal failure have not been carried out in sufficient numbers to yield answers to this question

Which aminoglycoside antibiotic causes more hearing loss than vestibular disturabance as toxic effect ? (a) Streptomycin (b) Gentamicin (c) Kanamycin (d) Sisomicin

Description : Which aminoglycoside antibiotic causes more hearing loss than vestibular disturabance as toxic effect ? (a) Streptomycin (b) Gentamicin (c) Kanamycin (d) Sisomicin

Last Answer : Ans: C

Which one of the following statements about ampicillin is false? (a) Its activity is enhanced by sulbactam (b) It causes maculopapular rashes (c) It is the drug of choice for Listeria monocytogenes infection (d) It eradicates most strains of MRSA (e) Pseudomembranous colitis may occur with its use

Description : Which one of the following statements about ampicillin is false? (a) Its activity is enhanced by sulbactam (b) It causes maculopapular rashes (c) It is the drug of choice for Listeria monocytogenes infection (d) It eradicates most strains of MRSA (e) Pseudomembranous colitis may occur with its use

Last Answer : Ans: D

The most suitable tetracycline for use in a patient with impaired renal function is (a) Chlortetracycline (b) Demeclocycline (c) oxytetracycine (d) Doxycycline

Description : The most suitable tetracycline for use in a patient with impaired renal function is (a) Chlortetracycline (b) Demeclocycline (c) oxytetracycine (d) Doxycycline

Last Answer : Ans: D

Clavulanic acid is combined with amoxicillin because (a) It kills bacteria that are not killed by-moxicillin (b) It reduces renal clearance of amoxicillin (c) It counteracts the adverse effects of amoxicillin (d) It inhibits beta lactamases that destroy amoxicillin

Description : Clavulanic acid is combined with amoxicillin because (a) It kills bacteria that are not killed by-moxicillin (b) It reduces renal clearance of amoxicillin (c) It counteracts the adverse effects of amoxicillin (d) It inhibits beta lactamases that destroy amoxicillin

Last Answer : Ans: D

Which toxic effect of aminoglycoside antibiotics is most irreversible in nature ? (a) Vestibular damage (b) Hearing loss (c) Neuromuscular blockade (d) Kidney damage

Description : Which toxic effect of aminoglycoside antibiotics is most irreversible in nature ? (a) Vestibular damage (b) Hearing loss (c) Neuromuscular blockade (d) Kidney damage

Last Answer : Ans: B

All of the following drugs are suitable oral therapy for a lower urinary tract infection due to Pseudomonas aeruginosa except (a) Norfloxacin (b) Trimethoprim-sulfamethxazole (c) Ciprofloxacin (d) Carbenicillin (e) Methenamine mandelate

Description : All of the following drugs are suitable oral therapy for a lower urinary tract infection due to Pseudomonas aeruginosa except (a) Norfloxacin (b) Trimethoprim-sulfamethxazole (c) Ciprofloxacin (d) Carbenicillin (e) Methenamine mandelate

Last Answer : Ans: B

A woman has an upper respiratory infection. Six years ago, she experienced an episode of bronchospasm follwing penicillin V therapy. The cultures now reveal a strain of streptococcus pneumoniae that is sensitive to all of the following drugs. Which of these drugs would be the best choice for this patient? (a) Amoxicillin/clavulanate (b) Erythromycin (c) Ampicillin (d) cefaclor (e) Cyclacillin

Description : A woman has an upper respiratory infection. Six years ago, she experienced an episode of bronchospasm follwing penicillin V therapy. The cultures now reveal a strain of streptococcus pneumoniae that is ... ? (a) Amoxicillin/clavulanate (b) Erythromycin (c) Ampicillin (d) cefaclor (e) Cyclacillin

Last Answer : Ans: B

A man has an Escherichia coli bacteremia with a low-grade fever (101.6°F). Appropriate management of his fever would be (a) Give acetaminophen 650 mg orally every 4 hours (b) Give aspirin 650 mg orally every 4 hours (c) Give alternating doses of aspirin and acetaminophen every 4 hours (d) Withhold antipyretics, and use the fever curve to monitor his response to antibiotic therapy (e) Use tepid water baths to reduce the fever

Description : A man has an Escherichia coli bacteremia with a low-grade fever (101.6°F). Appropriate management of his fever would be (a) Give acetaminophen 650 mg orally every 4 hours (b) Give aspirin 650 ... fever curve to monitor his response to antibiotic therapy (e) Use tepid water baths to reduce the fever

Last Answer : Ans: D

All of the following factors may increase the risk of nephrotoxicity from gentamicin therapy except (a) age over 70 years (b) prolonged courses of gentamicin therapy (c) concurrent amphotericin B therapy (d) trough gentamicin levels below 2 mg/ml (e) concurrent cisplatin therapy

Description : All of the following factors may increase the risk of nephrotoxicity from gentamicin therapy except (a) age over 70 years (b) prolonged courses of gentamicin therapy (c) concurrent amphotericin B therapy (d) trough gentamicin levels below 2 mg/ml (e) concurrent cisplatin therapy

Last Answer : Ans: D

Prolonged oral therapy with the following antibiotic can damage intestinal villi resulting in statorrhoea and loose motions (a) Ampicillin (b) Tetracycline (c) Neomycin (d) Nystatin

Description : Prolonged oral therapy with the following antibiotic can damage intestinal villi resulting in statorrhoea and loose motions (a) Ampicillin (b) Tetracycline (c) Neomycin (d) Nystatin

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Choose the correct statement about the role of opioid antimotility drugs in the management of diarrhoeas (a) They are used to control diarrhoea irrespective of its etiology (b) They should be used only as a short-term measure after ensuring that enteroinvasive organisms are not involved (c) They are used as adjuvants to antimicrobial therapy of diarrhoea (d) They are the drugs of choice in irritable bowel syndrome diarrhoea

Description : Choose the correct statement about the role of opioid antimotility drugs in the management of diarrhoeas (a) They are used to control diarrhoea irrespective of its etiology (b) They should be ... therapy of diarrhoea (d) They are the drugs of choice in irritable bowel syndrome diarrhoea

Last Answer : Ans: B

In the empiric treatment of severe bacterial infections of unidentified entiology, this drug, often used in combination with an aminoglycoside, provides coverage against many staphylococci (a) Amoxicillin (b) Clavulanic acid (c) Erythromycin (d) Nafcillin (e) Tetracycline

Description : In the empiric treatment of severe bacterial infections of unidentified entiology, this drug, often used in combination with an aminoglycoside, provides coverage against many staphylococci (a) Amoxicillin (b) Clavulanic acid (c) Erythromycin (d) Nafcillin (e) Tetracycline

Last Answer : Ans: D

Bleomycin is used in most effective drug combination regiment for the chemotherapy of testicular carcinoma. Which one of the following statements about the drug is accurate? (a) Acts mainly in the M phase of the cell cycle (b) Derived from the bark of yew trees (c) Myelosuppression is dose-limiting (d) Peripheral neuropathy occurs in more than 50% of patients (e) Pulmonary infiltrates and fibrosis may occur

Description : Bleomycin is used in most effective drug combination regiment for the chemotherapy of testicular carcinoma. Which one of the following statements about the drug is accurate? (a) Acts mainly in the ... neuropathy occurs in more than 50% of patients (e) Pulmonary infiltrates and fibrosis may occur

Last Answer : Ans: E

Which one of the following statements about cefotetan is accurate? (a) It is active against MRSA strains (b) It is the drug of choice in community-acquired pneumonia (c) It is a fourth-generation cephalosporin (d) It decreases prothrombin time (e) Its antibacterial spectrum include Bacteroides fragilis

Description : Which one of the following statements about cefotetan is accurate? (a) It is active against MRSA strains (b) It is the drug of choice in community-acquired pneumonia (c) ... fourth-generation cephalosporin (d) It decreases prothrombin time (e) Its antibacterial spectrum include Bacteroides fragilis

Last Answer : Ans: E

Which of the following statements about vancomycin is accurate? (a) It is bacteriostatic (b) It binds to PBPs (c) It is not susceptible to penicillinase (d) It has the advantage of oral bioavailability (e) Staphylococcal enterocolitis occurs commonly with its use

Description : Which of the following statements about vancomycin is accurate? (a) It is bacteriostatic (b) It binds to PBPs (c) It is not susceptible to penicillinase (d) It has the advantage of oral bioavailability (e) Staphylococcal enterocolitis occurs commonly with its use

Last Answer : Ans: C

True statements concerning hypoadrenal shock include which of the following? A. Adrenocortical insufficiency may manifest itself as severe shock refractory to volume and pressor therapy. B. The presence of hyperglycemia and hypotension may suggest the diagnosis of shock due to adrenocortical insufficiency. C. Hydrocortisone does not interfere with the serum cortisol assay and should be given to hemodynamically unstable patients suspected of having hypoadrenal shock. D. The rapid adrenocorticotropic hormone (ACTH) stimulation test should be performed to help establish the diagnosis of acute adrenocortical insufficiency.

Description : True statements concerning hypoadrenal shock include which of the following? A. Adrenocortical insufficiency may manifest itself as severe shock refractory to volume and pressor therapy. B. ... test should be performed to help establish the diagnosis of acute adrenocortical insufficiency.

Last Answer : Answer: AD DISCUSSION: Shock due to acute adrenocortical insufficiency is relatively uncommon but must be considered when shock refractory to volume replacement and pressor therapy is present. ... and it is the corticosteroid of choice while the ACTH stimulation test is being performed

All of the following statements regarding pentamidine isethionate are true except (a) it is indicated for treatment or prophylaxis of infection due to Pneumocystis carinii (b) it may be administered intramuscularly, intravenously or by inhalation (c) it has no clinically significant effect on serum glucose (d) it is effective in the treatment of leishmaniasis

Description : All of the following statements regarding pentamidine isethionate are true except (a) it is indicated for treatment or prophylaxis of infection due to Pneumocystis carinii (b) it may be ... clinically significant effect on serum glucose (d) it is effective in the treatment of leishmaniasis

Last Answer : Ans: C

Roxithromycin has the following advantages over erythromycin except (a) It is more effective in whooping cough (b) It causes less gastric irritation (c) It has longer plasma half-life (d) It is unlikely to precipitate theophylline toxicity

Description : Roxithromycin has the following advantages over erythromycin except (a) It is more effective in whooping cough (b) It causes less gastric irritation (c) It has longer plasma half-life (d) It is unlikely to precipitate theophylline toxicity

Last Answer : Ans: A

In the treatment of typhoid fever, ciprofloxacin has the following advantage(s) (a) It is effective in nearly all cases (b) Early abetment of fever and other symptoms (c) Development of carrier state is less likely (d) All of the above

Description : In the treatment of typhoid fever, ciprofloxacin has the following advantage(s) (a) It is effective in nearly all cases (b) Early abetment of fever and other symptoms (c) Development of carrier state is less likely (d) All of the above

Last Answer : Ans: D

Which of the following is not true of sulfonamides ? (a) They are primarily metabolized by acetylation (b) They are more likely to produce crystalluria in alkaline urine in which they are less soluble (c) They may exert bactericidal action in the urinary tract (d) Used alone, they have become therapeutically unreliable for serious infections

Description : Which of the following is not true of sulfonamides ? (a) They are primarily metabolized by acetylation (b) They are more likely to produce crystalluria in alkaline urine in which they are ... in the urinary tract (d) Used alone, they have become therapeutically unreliable for serious infections

Last Answer : Ans: B

Methicillin resistant staphylococci do not respond to ß-lactam antibiotics because (a) They produce a ß-lactamase which destroys methicillin and related drugs (b) They elaborate an amidase which destroys methicillin and related drugs (c) They have acquired a penicillin binding protein which has low affinity for ß-lactam antibiotics (d) They are less permeable to ß-lactam antibiotics

Description : Methicillin resistant staphylococci do not respond to ß-lactam antibiotics because (a) They produce a ß-lactamase which destroys methicillin and related drugs (b) They elaborate an amidase which destroys ... low affinity for ß-lactam antibiotics (d) They are less permeable to ß-lactam antibiotics

Last Answer : Ans: C

The most important mechanism of bacterial resistance to an aminoglycoside antibiotic is (a) Plasmid mediated acquisition of aminoglycoside conjugating enzyme (b) Mutational acquisition of aminoglycoside hydrolyzing enzyme (c) Mutation reducing affinity of ribosomal protein for the antibiotic (d) Mutational loss of porin channels

Description : The most important mechanism of bacterial resistance to an aminoglycoside antibiotic is (a) Plasmid mediated acquisition of aminoglycoside conjugating enzyme (b) Mutational acquisition of aminoglycoside ... affinity of ribosomal protein for the antibiotic (d) Mutational loss of porin channels

Last Answer : Ans: A

What is the most important reason for restricted clinical use of chloramphenicol ? (a) Its narrow spectrum of activity (b) Emergence of chloramphenicol resistance (c) Its potential to cause bone marrow depression (d) Its potential to cause superinfections

Description : What is the most important reason for restricted clinical use of chloramphenicol ? (a) Its narrow spectrum of activity (b) Emergence of chloramphenicol resistance (c) Its potential to cause bone marrow depression (d) Its potential to cause superinfections

Last Answer : Ans: C

The most important mechanism by which gram negative bacilli acquire chloramphenicol resistance is (a) Decreased permeability into the bacterial cell (b) Acquisition of a plasmid encoded for chloramphenicol acetyl transferase (c) Lowered affinity of the bacterial ribosome for chloramphenicol (d) Switching over from ribosomal to mitochondrial protein synthesis

Description : The most important mechanism by which gram negative bacilli acquire chloramphenicol resistance is (a) Decreased permeability into the bacterial cell (b) Acquisition of a plasmid encoded ... bacterial ribosome for chloramphenicol (d) Switching over from ribosomal to mitochondrial protein synthesis

Last Answer : Ans: B

The most important mechanism by which tetracycline antibiotics exert antiimicrobial action is (a) They chelate Ca2+ ions and alter permeability of bacterial cell membrane (b) They bind to 30S ribosomes and inhibit bacterial protein synthesis (c) They bind to 50S ribosomes and interfere with translocation of the growing peptide chain in the bacteria (d) They interfere with DNA mediated RNA synthesis in bacteria

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Last Answer : Ans: B

The most important reason for highly restricted use of penicillin G injections in present day therapeutics is its (a) Narrow spectrum of activity (b) Potential to cause hypersensitivity reaction (c) Short duration of action (d) Neurotoxicity

Description : The most important reason for highly restricted use of penicillin G injections in present day therapeutics is its (a) Narrow spectrum of activity (b) Potential to cause hypersensitivity reaction (c) Short duration of action (d) Neurotoxicity

Last Answer : Ans: B

Important microbiological features of ciprofloxacin include the following except (a) Long postantibiotic effect (b) Marked suppression of intestinal anaerobes (c) MBC values close to MIC values (d) Slow development of resistance

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Last Answer : Ans: B

Of the following which is the most important mechanism of concurrent acquisition of multidrug resistance among bacteria ? (a) Mutation (b) Conjugation (c) Transduction (d) Transformation

Description : Of the following which is the most important mechanism of concurrent acquisition of multidrug resistance among bacteria ? (a) Mutation (b) Conjugation (c) Transduction (d) Transformation

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Last Answer : A. Higher efficacy in arterial thrombosis

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Description : Which fluoroquinolone is highly active against Mycobact. leprae and is being used in alternative multidrug therapy regimens: A. Norfloxacin B. Ofloxacin C. Ciprofloxacin D. Lomefloxacin

Last Answer : B. Ofloxacin

Antibiotics causing swollen lymph nodes under jawline?

Description : Antibiotics causing swollen lymph nodes under jawline?

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Select the antibiotic whose dose must be reduced in patients with renal insufficiency: A. Ampicillin B. Chloramphenicol C. Tobramycin D. Erythromycin

Description : Select the antibiotic whose dose must be reduced in patients with renal insufficiency: A. Ampicillin B. Chloramphenicol C. Tobramycin D. Erythromycin

Last Answer : C. Tobramycin

he current therapeutic indication of acetazolamide is: A. Congestive heart failure B. Renal insufficiency C. Cirrhosis of liver D. Glaucoma

Description : he current therapeutic indication of acetazolamide is: A. Congestive heart failure B. Renal insufficiency C. Cirrhosis of liver D. Glaucoma

Last Answer : D. Glaucoma

In patients with renal insufficiency the clearance of the following drug is reduced parallel to the reduction in creatinine clearance: A. Propranolol B. Digoxin C. Lignocaine D. Verapamil

Description : In patients with renal insufficiency the clearance of the following drug is reduced parallel to the reduction in creatinine clearance: A. Propranolol B. Digoxin C. Lignocaine D. Verapamil

Last Answer : B. Digoxin

In patients with renal insufficiency the clearance of the following drug is reduced parallel to the reduction in creatinine clearance: A. Propranolol B. Digoxin C. Lignocaine D. Verapamil

Description : In patients with renal insufficiency the clearance of the following drug is reduced parallel to the reduction in creatinine clearance: A. Propranolol B. Digoxin C. Lignocaine D. Verapamil

Last Answer : B. Digoxin

The regimens recommended for treatment of chloroquine resistant P.falciparum malaria in an adult include the following except: A. Quinine 10 mg/kg/8 hourly+ doxycycline 100 mg/day for 7 days B. Quinine 10 mg/kg 3 times a day × 7 days with pyrimethamine 75 mg + sulfadoxine 1500 mg on first day C. Mefloquine 0.5 g daily for 7 days D. Artemether 80 mg i.m./twice on first day followed by once daily for 4 days

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Last Answer : C. Mefloquine 0.5 g daily for 7 days

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Description : The persistent suppression of bacterial growth that may occur following limited exposure to some antimicrobial drugs is called (a) Time-dependent killing (b) The post antibiotic effect (c) Clinical synergy (d) Concentration – dependent killing (e) Sequential blockade

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Which of the following drugs has demonstrated in vitro activity against Mycobacterium avium-intracellular(MAI)? (a) Vancomycin (b) Clarithromycin (c) Erythromycin base (d) Troleandomycin (e) Erythromycin estolate

Description : Which of the following drugs has demonstrated in vitro activity against Mycobacterium avium-intracellular(MAI)? (a) Vancomycin (b) Clarithromycin (c) Erythromycin base (d) Troleandomycin (e) Erythromycin estolate

Last Answer : Ans: B

Amoxicillin + Clavulanic acid is active against the following organism except (a) Methicillin resistant Staph. aureus (b) Penicillinase producing Staph. aureus (c) Penicillinase producing n. gonorrhoeae (d) ß-lactamase producing E. coli

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Last Answer : Ans: A

Spectinomycin is an aminoglycoside-like antibiotic indicated for the treatment of (a) Gram-negative bacillary septicemia (b) Tuberculosis (c) Penicillin-resistant gonococcal infections (d) Syphilis (e) Gram-negative meningitis due to susceptible organisms

Description : Spectinomycin is an aminoglycoside-like antibiotic indicated for the treatment of (a) Gram-negative bacillary septicemia (b) Tuberculosis (c) Penicillin-resistant gonococcal infections (d) Syphilis (e) Gram-negative meningitis due to susceptible organisms

Last Answer : Ans: C

Cyclosporine is used for (a) Allergies (b) Angina (c) Prevention of transplant rejection (d) Steroid deficiency (e) Treating led poisoning

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