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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is the purpose of the Z-track technique for intramuscular injections?
ATo avoid the need to clean the skin
BTo allow a larger volume to be given than with a standard injection
CTo stop the drug leaking back into the subcutaneous tissue
DTo make the injection faster
2.سهلة
ما التفاعل الدوائي الضار؟
Aالتأثير العلاجي المقصود للدواء
Bاستجابة ضارة غير مقصودة لدواء بالجرعات المعتادة
Cأي تأثير للدواء يلاحظه المريض
Dتفاعل لا يحدث إلا بعد جرعة زائدة
3.سهلة
Which of these is an extrapyramidal side effect of antipsychotics?
ADry mouth
BWeight gain
CAgranulocytosis (a very low neutrophil count)
DAkathisia (a feeling of inner restlessness)
4.متوسطة
An IV site is cool, swollen and pale, and the infusion is running slowly. What should the nurse do?
AStop the infusion, remove the cannula and elevate the limb
BApply a tight bandage over the site
CFlush the cannula forcefully with saline
DIncrease the infusion rate to push through and clear the blockage
5.متوسطة
A child is starting methylphenidate for ADHD. Which advice is appropriate?
AGive doses early in the day and monitor appetite and growth
BGive the last dose at bedtime to help the child sleep
CExpect weight gain as the main side effect
DGive the drug only at weekends
6.متوسطة
A patient takes low-dose weekly methotrexate for rheumatoid arthritis. Which monitoring is needed?
AMonthly hearing tests
BRegular blood count, liver and kidney function tests
CWeekly INR checks and a monthly ECG to check the heart rhythm
DDaily blood glucose checks
7.صعبة
A teenager took a large overdose of diphenhydramine. He is agitated, hot, flushed and confused, with dry skin, dilated pupils and a full bladder. What is this pattern?
AOpioid toxidrome
BAnticholinergic toxidrome
CSerotonin syndrome
DCholinergic toxidrome
8.صعبة
A patient on simvastatin is prescribed gemfibrozil. What is the main concern?
AA much higher risk of myopathy and rhabdomyolysis
BA sharp rise in LDL cholesterol and triglycerides
CLoss of all lipid-lowering effect
DSevere hypoglycaemia
مفتاح الإجابات
1. C · To stop the drug leaking back into the subcutaneous tissue
2. B · استجابة ضارة غير مقصودة لدواء بالجرعات المعتادة
3. D · Akathisia (a feeling of inner restlessness)
4. A · Stop the infusion, remove the cannula and elevate the limb
5. A · Give doses early in the day and monitor appetite and growth
6. B · Regular blood count, liver and kidney function tests
7. B · Anticholinergic toxidrome
8. A · A much higher risk of myopathy and rhabdomyolysis
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