বহুনির্বাচনি (MCQ)
১. The most serious, though rare, adverse effect of metformin is:
ক) Hypoglycaemia
খ) Weight gain
গ) Lactic acidosis
ঘ) Hepatotoxicity
ঙ) Agranulocytosis
উত্তর দেখুন
সঠিক উত্তর: গ) Lactic acidosis
ব্যাখ্যা: Metformin reduces hepatic gluconeogenesis; lactic acidosis can occur, especially with renal impairment, hypoxia or contrast media. It does not cause hypoglycaemia when used alone.
📖 রেফারেন্স: Katzung, Basic & Clinical Pharmacology · Pancreatic hormones and antidiabetic drugs
