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الاسم: ____________________ التاريخ: ____________
1.سهلة
Chlordiazepoxide is commonly used to manage:
AOpioid overdose
BBipolar mania
CMigraine prevention
DAlcohol withdrawal
2.سهلة
How long does it usually take for an SSRI to improve mood noticeably?
AOne or two days
BSeveral weeks
CAbout six months
DA few hours
3.سهلة
أي طريق إعطاء يتجنب استقلاب العبور الأول في الكبد؟
Aالتحميلة الموضوعة عاليًا في المستقيم
Bالمحلول الفموي
Cالأقراص الفموية
Dالوريدي
4.متوسطة
Which technique is correct when giving subcutaneous enoxaparin from a prefilled syringe?
AMassage the site well for one minute after the injection
BInject into a vein on the back of the hand
CInject into the abdomen away from the navel and do not rub the site afterwards
DExpel the air bubble from the syringe first, then inject into the deltoid muscle
5.متوسطة
A woman taking tamoxifen should report which symptom promptly?
AMild tiredness in the afternoon
BUnusual vaginal bleeding or a painful swollen leg
CMild hot flushes, especially at night, in the first months
DSlightly dry skin
6.متوسطة
Why are patients taking simvastatin often advised to avoid large amounts of grapefruit juice?
AGrapefruit makes the tablet dissolve in the mouth
BGrapefruit blocks cholesterol absorption and causes low cholesterol
CGrapefruit speeds up simvastatin breakdown in the liver, so the drug stops working
DGrapefruit inhibits CYP3A4 in the gut, raising simvastatin levels and myopathy risk
7.صعبة
A patient on long-term prednisolone has been vomiting for two days and could not take her tablets. She is now hypotensive and confused, with low sodium and high potassium. What is the most urgent treatment?
AIV hydrocortisone and IV fluids
BIV furosemide
CIV insulin with glucose only
DOral prednisolone with a glass of water
8.صعبة
A patient taking a GLP-1 receptor agonist such as semaglutide has severe, constant upper abdominal pain spreading to the back, with vomiting. What should the nurse suspect?
AAcute pancreatitis; the drug is stopped and urgent assessment arranged
BExpected nausea; the patient should take the next dose with food
CConstipation; a laxative will solve the problem
DHypoglycaemia; the patient should eat sweets and continue as usual
مفتاح الإجابات
1. D · Alcohol withdrawal
2. B · Several weeks
3. D · الوريدي
4. C · Inject into the abdomen away from the navel and do not rub the site afterwards
5. B · Unusual vaginal bleeding or a painful swollen leg
6. D · Grapefruit inhibits CYP3A4 in the gut, raising simvastatin levels and myopathy risk
7. A · IV hydrocortisone and IV fluids
8. A · Acute pancreatitis; the drug is stopped and urgent assessment arranged
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