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1.سهلة
Bupropion is used as an antidepressant in some countries, such as the US. What else is it commonly used for?
ATreating acute mania
BReversing opioid overdose
CHelping people stop smoking
DTreating alcohol withdrawal seizures
2.سهلة
What is lanugo, which may be seen in severe anorexia nervosa?
APainful swelling of the salivary glands in front of the ears caused by repeated vomiting
BThickening of the skin on the knuckles caused by repeated vomiting
CFine, soft hair that grows on the body as it tries to conserve heat
DLoss of tooth enamel caused by repeated contact with stomach acid
3.سهلة
A patient smiles and laughs while describing the death of her son. How is this affect described?
ACongruent
BIncongruent
CEuthymic
DRestricted but appropriate
4.متوسطة
أي مراقبة مهمة بوجه خاص للمرضى الذين يتناولون مضادات الذهان من الجيل الثاني مثل الأولانزابين؟
Aكثافة العظام فقط
Bتعداد الصفائح فقط
Cالسمع والبصر فقط، لأنهما الأكثر تأثرًا بالدواء
Dالوزن ومحيط الخصر وسكر الدم والدهون
5.متوسطة
Which preparation is usual before electroconvulsive therapy (ECT)?
ANo preparation, because the patient stays fully awake during ECT
BEating a large meal to prevent low blood sugar during the seizure
CFasting for several hours, because a brief general anaesthetic is given
DStopping all regular medicines for 2 weeks before the first treatment
6.متوسطة
Which side effects are most common with quetiapine?
AInsomnia and severe weight loss
BA cough and swollen ankles
CHigh prolactin with breast enlargement in almost every patient
DSedation, dizziness when standing and weight gain
7.صعبة
A patient who takes fluoxetine in the evening says he has had trouble falling asleep since starting it. What should the nurse suggest?
AStop the fluoxetine at once and tell the prescriber at his next appointment
BTake a double dose at night to make him sleepy
CDiscuss with the prescriber whether he can take it in the morning instead
DDrink a small glass of wine or beer before bed to help him fall asleep
8.صعبة
A nurse notices that a colleague smells of alcohol, has slurred speech and is about to give medicines. What should the nurse do?
AReport the concern immediately to the nurse in charge, following policy, to protect patients
BSay nothing, because it is not her responsibility
CGive the colleague some strong coffee and let her continue with the medicine round if she says she feels fine
DWait until the end of the shift, then talk privately with the colleague
مفتاح الإجابات
1. C · Helping people stop smoking
2. C · Fine, soft hair that grows on the body as it tries to conserve heat
3. B · Incongruent
4. D · الوزن ومحيط الخصر وسكر الدم والدهون
5. C · Fasting for several hours, because a brief general anaesthetic is given
6. D · Sedation, dizziness when standing and weight gain
7. C · Discuss with the prescriber whether he can take it in the morning instead
8. A · Report the concern immediately to the nurse in charge, following policy, to protect patients
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