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الاسم: ____________________ التاريخ: ____________
1.سهلة
How does ezetimibe lower cholesterol?
AIt reduces the absorption of cholesterol from the intestine
BIt inhibits HMG-CoA reductase in the liver
CIt binds bile acids in the gut
DIt increases the excretion of cholesterol in the urine and bile
2.سهلة
الأدوية التي تنتهي أسماؤها بـ "-olol"، مثل الأتينولول، تنتمي إلى أي فئة؟
Aحاصرات قنوات الكالسيوم
Bحاصرات بيتا
Cمثبطات ACE
Dالستاتينات
3.سهلة
Naltrexone helps in alcohol use disorder because it:
ASpeeds up the liver breakdown of alcohol
BCauses vomiting and flushing whenever alcohol is drunk
CBlocks opioid receptors, reducing reward and craving
DReplaces alcohol as a sedative
4.متوسطة
Which teaching about antiepileptic drugs is most important?
ATake a double dose if you feel a seizure coming
BDo not stop the drug suddenly, as this can trigger severe seizures
CStop the drug when you have had no seizures for one whole week
DAlcohol has no effect on seizure control
5.متوسطة
Which antihypertensive class can raise blood glucose and uric acid levels, sometimes triggering gout?
AAlpha-1 blockers
BACE inhibitors
CThiazide diuretics
DAngiotensin II receptor blockers
6.متوسطة
Which patient should usually not use the combined oral contraceptive pill?
AA 25-year-old woman with heavy periods
BA 22-year-old non-smoker with acne
CA 38-year-old woman who smokes 20 cigarettes a day
DA 30-year-old non-smoker with no medical problems
7.صعبة
A patient with heart failure starts taking naproxen regularly for back pain. Why is this a concern?
ANSAIDs increase heart contractility too much
BNSAIDs lower potassium, which makes digoxin and diuretics fail
CNSAIDs block the absorption of furosemide completely
DNSAIDs cause salt and water retention and can worsen heart failure
8.صعبة
A patient who takes propranolol has anaphylaxis and does not respond to repeated adrenaline doses. Which drug may help?
AOral cetirizine alone
BNaloxone
CGlucagon
DMore propranolol
مفتاح الإجابات
1. A · It reduces the absorption of cholesterol from the intestine
2. B · حاصرات بيتا
3. C · Blocks opioid receptors, reducing reward and craving
4. B · Do not stop the drug suddenly, as this can trigger severe seizures
5. C · Thiazide diuretics
6. C · A 38-year-old woman who smokes 20 cigarettes a day
7. D · NSAIDs cause salt and water retention and can worsen heart failure
8. C · Glucagon
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