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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which vasopressor is usually first-line for septic shock that persists after fluids?
AIsoprenaline (isoproterenol)
BNoradrenaline (norepinephrine)
CAdenosine
DGlyceryl trinitrate
2.سهلة
Giving a patient immunoglobulin after exposure to an infection provides which type of immunity?
AHerd immunity
BInnate immunity
CPassive immunity
DActive immunity
3.سهلة
Which drug is used as an antidote for cyanide poisoning?
AProtamine sulfate
BDeferoxamine
CHydroxocobalamin
DVitamin K
4.متوسطة
Which teaching about antiepileptic drugs is most important?
AAlcohol has no effect on seizure control
BStop the drug when you have had no seizures for one whole week
CTake a double dose if you feel a seizure coming
DDo not stop the drug suddenly, as this can trigger severe seizures
5.متوسطة
أي عامل يزيد خطر التسمم بالليثيوم؟
Aشرب ماء إضافي
Bنظام غذائي غني بالملح
Cأخذ الجرعة مع الطعام
Dالجفاف
6.متوسطة
A man taking tamsulosin is planning cataract surgery. What should the nurse advise?
AStop the drug for one day and no further action is needed
BThe drug has no link with eye surgery
CTake a double dose on the day of surgery
DTell the eye surgeon, as it can cause floppy iris syndrome
7.صعبة
A patient with Parkinson's disease has nausea. Why should metoclopramide be avoided?
AIt causes severe diarrhoea in Parkinson's disease
BIt blocks dopamine receptors in the brain and can worsen the parkinsonism
CIt inhibits the absorption of all oral drugs
DIt increases dopamine levels in the brain too much and causes psychosis
8.صعبة
During general anaesthesia with a volatile agent and suxamethonium (succinylcholine), a patient develops muscle rigidity, rising end-tidal CO2 and a fast-rising temperature. Which drug is the specific treatment?
ADantrolene
BParacetamol
CNeostigmine
DNaloxone
مفتاح الإجابات
1. B · Noradrenaline (norepinephrine)
2. C · Passive immunity
3. C · Hydroxocobalamin
4. D · Do not stop the drug suddenly, as this can trigger severe seizures
5. D · الجفاف
6. D · Tell the eye surgeon, as it can cause floppy iris syndrome
7. B · It blocks dopamine receptors in the brain and can worsen the parkinsonism
8. A · Dantrolene
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