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الاسم: ____________________ التاريخ: ____________
1.سهلة
Famotidine belongs to which drug class?
AProton pump inhibitors
BProstaglandin analogues
CAntacids
DH2 receptor antagonists
2.سهلة
Naltrexone helps in alcohol use disorder because it:
ABlocks opioid receptors, reducing reward and craving
BSpeeds up the liver breakdown of alcohol
CReplaces alcohol as a sedative
DCauses vomiting and flushing whenever alcohol is drunk
3.سهلة
جرعة الباراسيتامول الزائدة تضر أساسًا أي عضو؟
Aالرئتين
Bالكبد
Cبطانة المعدة
Dالكليتين أولًا ثم القلب
4.متوسطة
A patient given haloperidol develops a sudden painful twisting of the neck and the eyes roll upward. Which drug is usually given?
AAn anticholinergic such as benzatropine (benztropine)
BA second dose of haloperidol
CDantrolene by mouth to relax the twisted neck muscles
DNaloxone
5.متوسطة
Why is propranolol usually avoided in patients with asthma?
AIt causes tolerance to inhaled corticosteroids
BIt increases mucus production by blocking histamine
CIt blocks beta-2 receptors in the airways and can cause bronchospasm
DIt stimulates alpha-1 receptors in the airways and raises blood pressure
6.متوسطة
Which group of signs suggests opioid withdrawal?
AYawning, runny nose, sweating, dilated pupils and diarrhoea
BPinpoint pupils, slow breathing and drowsiness
CDry mouth, urinary retention, blurred vision and confusion
DConstipation, itching and a slow heart rate
7.صعبة
A patient receiving frequent salbutamol (albuterol) nebulisers develops a fine tremor and a heart rate of 120 per minute. What is the best explanation?
AAt high doses it also stimulates beta receptors in skeletal muscle and the heart
BThe patient is allergic to salbutamol and needs adrenaline
CSalbutamol blocks muscarinic receptors in the heart
DSalbutamol causes high potassium, which speeds the heart and causes muscle twitching
8.صعبة
A patient with heart failure on furosemide is also given metolazone, a thiazide-like diuretic. Which risk increases most?
AHyperkalaemia and fluid overload
BHypoglycaemia and weight gain
CSevere hypokalaemia, hyponatraemia and dehydration
DSevere hypertension, tachycardia and fluid retention
مفتاح الإجابات
1. D · H2 receptor antagonists
2. A · Blocks opioid receptors, reducing reward and craving
3. B · الكبد
4. A · An anticholinergic such as benzatropine (benztropine)
5. C · It blocks beta-2 receptors in the airways and can cause bronchospasm
6. A · Yawning, runny nose, sweating, dilated pupils and diarrhoea
7. A · At high doses it also stimulates beta receptors in skeletal muscle and the heart
8. C · Severe hypokalaemia, hyponatraemia and dehydration
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