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1.سهلة
On the WHO analgesic ladder, which drugs form the first step?
AStrong opioids such as morphine given intravenously
BWeak opioids such as codeine or tramadol, used on their own
CLocal anaesthetic nerve blocks for all patients
DNon-opioids such as paracetamol and NSAIDs
2.سهلة
Why is magnesium sulfate given to a woman with severe pre-eclampsia?
ATo treat a urinary infection
BTo start labour contractions
CTo prevent eclamptic seizures
DTo raise her blood pressure
3.سهلة
لصاقة الفنتانيل الموضوعة على الجلد مثال على أي طريق إعطاء؟
Aعبر الجلد (transdermal)
Bداخل الأدمة
Cتحت اللسان
Dتحت الجلد
4.متوسطة
يعمل الوارفارين عن طريق:
Aتنشيط مضاد الثرومبين
Bتثبيط الثرومبين مباشرة
Cحجب تخليق عوامل التخثر المعتمد على فيتامين K
Dحجب تكدس الصفائح عبر التثبيط غير العكوس لـ COX-1
5.متوسطة
A patient with diabetes is sweaty and shaky. Blood glucose is 3,0 mmol/L (54 mg/dL). The patient is awake and can swallow. What should the nurse do first?
AGive 15–20 g of fast-acting carbohydrate, such as juice
BGive the next scheduled dose of insulin
CGive a large meal high in fat and protein to keep glucose up for longer
DGive intramuscular glucagon at once
6.متوسطة
Which side effects are most common when starting gabapentin?
ADrowsiness and dizziness
BCough and runny nose
CHair loss and weight loss
DInsomnia and agitation
7.صعبة
An older patient with coronary artery disease is starting levothyroxine for hypothyroidism. Why is a low starting dose used?
AFast replacement raises cardiac oxygen demand and can cause angina
BOlder patients absorb levothyroxine much better, so small doses are all they need
CHigh starting doses cause permanent hypothyroidism
DLevothyroxine causes severe hypoglycaemia in older patients
8.صعبة
A patient with type 2 diabetes starts a high dose of prednisolone for a flare of COPD. Which change should the nurse expect?
AHigher blood glucose, so more frequent glucose checks are needed
BLower blood glucose, so the diabetes medicines should be stopped
CLower potassium only, with no effect on glucose
DNo change in glucose, as steroids act only in the lungs
مفتاح الإجابات
1. D · Non-opioids such as paracetamol and NSAIDs
2. C · To prevent eclamptic seizures
3. A · عبر الجلد (transdermal)
4. C · حجب تخليق عوامل التخثر المعتمد على فيتامين K
5. A · Give 15–20 g of fast-acting carbohydrate, such as juice
6. A · Drowsiness and dizziness
7. A · Fast replacement raises cardiac oxygen demand and can cause angina
8. A · Higher blood glucose, so more frequent glucose checks are needed
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