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الاسم: ____________________ التاريخ: ____________
1.سهلة
Why is HIV treated with a combination of antiretroviral drugs?
ABecause one drug alone causes no side effects
BTo make the treatment shorter, usually a few weeks
CTo suppress the virus and prevent drug resistance
DBecause each single drug cures only part of the infection
2.سهلة
Filgrastim, a granulocyte colony-stimulating factor (G-CSF), is given to:
AIncrease the production of platelets
BIncrease the production of neutrophils
CStop bleeding from wounds
DLower the white cell count in leukaemia
3.سهلة
Varenicline helps people stop smoking because it:
AMakes cigarettes taste bitter
BIs a form of nicotine absorbed slowly through the skin
CIs a nicotinic partial agonist that reduces craving and reward
DBlocks dopamine receptors in the brain completely
4.متوسطة
Which rule applies when giving phenytoin intravenously?
AGive it as a rapid push to stop seizures faster
BGive it in the same line as other drugs without flushing
CMix it with glucose 5% to prevent low blood sugar
DMix or flush it only with normal saline and give it slowly
5.متوسطة
يُحذَّر المرضى الذين يتناولون مثبطات MAO القديمة من الأطعمة الغنية بالتيرامين. ماذا قد يحدث؟
Aنقص سكر الدم الشديد
Bطفح تحسسي
Cأزمة ارتفاع ضغط الدم
Dفشل كلوي مفاجئ
6.متوسطة
Benzathine benzylpenicillin (penicillin G benzathine) is ordered. Which route is correct?
AIntravenous infusion over 30 minutes
BDeep intramuscular only
CIntravenous push
DSubcutaneous in the abdomen
7.صعبة
A patient on stable warfarin is prescribed a course of metronidazole. What is the likely effect, and what should the nurse expect?
AThe INR stays the same, as these drugs do not interact
BThe INR rises, so closer INR monitoring is needed
CMetronidazole replaces warfarin, so warfarin is stopped
DThe INR falls, so the risk of clotting increases
8.صعبة
Why is adenosine used with caution in patients with asthma?
AIt reduces the effect of inhaled steroids
BIt causes severe hypertension in asthma
CIt can cause bronchospasm
DIt is broken down too slowly in asthma
مفتاح الإجابات
1. C · To suppress the virus and prevent drug resistance
2. B · Increase the production of neutrophils
3. C · Is a nicotinic partial agonist that reduces craving and reward
4. D · Mix or flush it only with normal saline and give it slowly
5. C · أزمة ارتفاع ضغط الدم
6. B · Deep intramuscular only
7. B · The INR rises, so closer INR monitoring is needed
8. C · It can cause bronchospasm
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