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الاسم: ____________________ التاريخ: ____________
1.سهلة
How does ezetimibe lower cholesterol?
AIt increases the excretion of cholesterol in the urine and bile
BIt reduces the absorption of cholesterol from the intestine
CIt binds bile acids in the gut
DIt inhibits HMG-CoA reductase in the liver
2.سهلة
What is a "broad-spectrum" antibiotic?
AOne that also treats viral and fungal infections
BOne that is given only intravenously in hospital
COne that acts against many Gram-positive and Gram-negative bacteria
DOne that is taken for a long time at low dose to prevent any infection
3.سهلة
Which drug can be used in beta blocker overdose because it raises heart rate through a non-adrenergic pathway?
AGlucagon
BNaloxone
CInsulin
DFlumazenil
4.متوسطة
A woman taking the combined pill should seek care urgently for which symptom?
ALight spotting between periods early on
BA painful, swollen calf or sudden chest pain
CMild breast tenderness in the first month
DSlight nausea in the first few weeks
5.متوسطة
A patient with a fentanyl patch is given home-care advice. Which instruction is correct?
AApply each new patch over the same skin area
BCut the patch in half if the pain is mild
CThrow used patches loose into the household bin with the packaging
DAvoid heating pads, hot baths and saunas over or near the patch
6.متوسطة
Why is propranolol usually avoided in patients with asthma?
AIt causes tolerance to inhaled corticosteroids
BIt blocks beta-2 receptors in the airways and can cause bronchospasm
CIt increases mucus production by blocking histamine
DIt stimulates alpha-1 receptors in the airways and raises blood pressure
7.صعبة
In myxoedema coma, why is hydrocortisone often given before or with thyroid hormone?
AHydrocortisone prevents the hypoglycaemia caused by levothyroxine
BThyroid hormone can trigger adrenal crisis if cortisol is also low
CThyroid hormone is inactive unless hydrocortisone is given
DHydrocortisone makes thyroid hormone work faster
8.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 falls, so the risk of clotting increases
CMetronidazole replaces warfarin, so warfarin is stopped
DThe INR rises, so closer INR monitoring is needed
مفتاح الإجابات
1. B · It reduces the absorption of cholesterol from the intestine
2. C · One that acts against many Gram-positive and Gram-negative bacteria
3. A · Glucagon
4. B · A painful, swollen calf or sudden chest pain
5. D · Avoid heating pads, hot baths and saunas over or near the patch
6. B · It blocks beta-2 receptors in the airways and can cause bronchospasm
7. B · Thyroid hormone can trigger adrenal crisis if cortisol is also low
8. D · The INR rises, so closer INR monitoring is needed
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