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الاسم: ____________________ التاريخ: ____________
1.سهلة
Methylphenidate, used in ADHD, belongs to which class?
ACentral nervous system stimulants
BAntipsychotics (dopamine blockers)
CBenzodiazepines
DOpioid analgesics
2.سهلة
Which harmless effect of rifampicin should patients be warned about?
AOrange-red colouring of urine, sweat and tears
BWhite spots on the teeth
CGreen colouring of the stools
DBlue colouring of the fingernails and lips
3.سهلة
How is pernicious anaemia usually treated?
AWith oral iron tablets for three months, then stopping
BWith folic acid alone
CWith blood transfusions every month
DWith vitamin B12 injections, usually for life
4.متوسطة
A woman taking the combined pill should seek care urgently for which symptom?
AMild breast tenderness in the first month
BLight spotting between periods early on
CSlight nausea in the first few weeks
DA painful, swollen calf or sudden chest pain
5.متوسطة
A patient is starting lisinopril. Which rare but serious adverse effect should the nurse teach the patient to report immediately?
AAn increase in appetite in the evening
BA harmless rash on the palms of the hands
CDarker skin after exposure to sunlight
DSwelling of the lips, tongue or face
6.متوسطة
Which description fits tardive dyskinesia?
AHigh fever with lead-pipe rigidity and confusion
BA low white cell count with sore throat and fever
CA sudden painful spasm of the neck muscles and upward rolling of the eyes within days of the first dose
DInvoluntary movements of the lips, tongue and face after long-term antipsychotic use
7.صعبة
Which heart failure drug improves symptoms and reduces hospital admissions but has not been shown to reduce mortality?
AA mineralocorticoid receptor antagonist such as spironolactone
BDigoxin
CAn ACE inhibitor
DA beta blocker such as bisoprolol
8.صعبة
A patient starting sertraline is taught about the drug. Which statement shows a need for further teaching?
A"I may have some nausea at first."
B"I will tell someone if I have thoughts of harming myself."
C"If I feel better after a week, I can stop taking it."
D"It may take a few weeks to feel the full effect."
مفتاح الإجابات
1. A · Central nervous system stimulants
2. A · Orange-red colouring of urine, sweat and tears
3. D · With vitamin B12 injections, usually for life
4. D · A painful, swollen calf or sudden chest pain
5. D · Swelling of the lips, tongue or face
6. D · Involuntary movements of the lips, tongue and face after long-term antipsychotic use
7. B · Digoxin
8. C · "If I feel better after a week, I can stop taking it."
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