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الاسم: ____________________ التاريخ: ____________
1.سهلة
أي بروتين بلازمي يرتبط بمعظم الأدوية الحمضية مثل الوارفارين؟
Aالفيبرينوجين
Bالهيموغلوبين
Cالإنسولين
Dالألبومين
2.سهلة
Which of these is a live attenuated vaccine?
AMMR (measles, mumps and rubella)
BHepatitis B vaccine
CInactivated influenza injection
DTetanus toxoid
3.سهلة
Amphotericin B is used mainly for:
ABacterial urinary tract infections
BSerious systemic fungal infections
CMild athlete's foot
DInfluenza in older people
4.متوسطة
Why is testing for HLA-B*15:02 recommended before carbamazepine in people of some Asian ancestries?
AThis gene variant causes carbamazepine to raise blood glucose
BThis gene variant speeds up the kidney excretion of carbamazepine
CThis gene variant makes carbamazepine ineffective
DIt greatly raises the risk of Stevens–Johnson syndrome
5.متوسطة
يُحذَّر المرضى الذين يتناولون مثبطات MAO القديمة من الأطعمة الغنية بالتيرامين. ماذا قد يحدث؟
Aفشل كلوي مفاجئ
Bأزمة ارتفاع ضغط الدم
Cنقص سكر الدم الشديد
Dطفح تحسسي
6.متوسطة
An IV site is cool, swollen and pale, and the infusion is running slowly. What should the nurse do?
AFlush the cannula forcefully with saline
BIncrease the infusion rate to push through and clear the blockage
CApply a tight bandage over the site
DStop the infusion, remove the cannula and elevate the limb
7.صعبة
A patient taking carbimazole or methimazole (thiamazole) for Graves' disease reports a sore throat and fever. What should the nurse suspect and do?
AA common cold; advise rest and fluids and continue the drug as usual
BAgranulocytosis; stop the drug and check the white cell count urgently
CThyroid storm; double the next dose of the drug
DHypothyroidism; add levothyroxine at once
8.صعبة
A patient has received a sodium nitroprusside infusion for several days. He becomes confused and develops a metabolic acidosis. What should be suspected?
AHyperkalaemia from the infusion
BAn allergic reaction to the plastic of the infusion bag
CHypoglycaemia from nitroprusside
DCyanide toxicity from nitroprusside breakdown
مفتاح الإجابات
1. D · الألبومين
2. A · MMR (measles, mumps and rubella)
3. B · Serious systemic fungal infections
4. D · It greatly raises the risk of Stevens–Johnson syndrome
5. B · أزمة ارتفاع ضغط الدم
6. D · Stop the infusion, remove the cannula and elevate the limb
7. B · Agranulocytosis; stop the drug and check the white cell count urgently
8. D · Cyanide toxicity from nitroprusside breakdown
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