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الاسم: ____________________ التاريخ: ____________
1.سهلة
Celecoxib selectively inhibits which enzyme?
ALipoxygenase
BPhospholipase A2
CCyclo-oxygenase-2 (COX-2)
DCyclo-oxygenase-1 (COX-1)
2.سهلة
Which intramuscular site is recommended for infants?
ADeltoid
BVentral forearm
CVastus lateralis (outer thigh)
DDorsogluteal (upper outer buttock)
3.سهلة
Naltrexone helps in alcohol use disorder because it:
ACauses vomiting and flushing whenever alcohol is drunk
BBlocks opioid receptors, reducing reward and craving
CReplaces alcohol as a sedative
DSpeeds up the liver breakdown of alcohol
4.متوسطة
Why is testing for HLA-B*15:02 recommended before carbamazepine in people of some Asian ancestries?
AThis gene variant makes carbamazepine ineffective
BThis gene variant speeds up the kidney excretion of carbamazepine
CIt greatly raises the risk of Stevens–Johnson syndrome
DThis gene variant causes carbamazepine to raise blood glucose
5.متوسطة
Which assessment is most important during IV mannitol therapy?
ALiver enzymes and signs of jaundice
BPlatelet count and signs of bleeding
CUrine output, electrolytes and signs of fluid overload
DBlood glucose before meals and signs of hypoglycaemia
6.متوسطة
Why are patients taking simvastatin often advised to avoid large amounts of grapefruit juice?
AGrapefruit blocks cholesterol absorption and causes low cholesterol
BGrapefruit makes the tablet dissolve in the mouth
CGrapefruit inhibits CYP3A4 in the gut, raising simvastatin levels and myopathy risk
DGrapefruit speeds up simvastatin breakdown in the liver, so the drug stops working
7.صعبة
Why do infants absorb more of a topical corticosteroid than adults?
AThey have more skin area per kilogram and thinner skin
BTheir skin contains no blood vessels
CTheir liver changes the cream into a much stronger form
DInfants do not absorb topical drugs at all
8.صعبة
A drug is ordered at 5 micrograms/kg/min for an 80 kg patient. The infusion contains 1,600 micrograms per mL. What rate in mL/h is needed?
A4 mL/h
B25 mL/h
C150 mL/h
D15 mL/h
مفتاح الإجابات
1. C · Cyclo-oxygenase-2 (COX-2)
2. C · Vastus lateralis (outer thigh)
3. B · Blocks opioid receptors, reducing reward and craving
4. C · It greatly raises the risk of Stevens–Johnson syndrome
5. C · Urine output, electrolytes and signs of fluid overload
6. C · Grapefruit inhibits CYP3A4 in the gut, raising simvastatin levels and myopathy risk
7. A · They have more skin area per kilogram and thinner skin
8. D · 15 mL/h
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