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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which adverse effect can follow long-term use of strong topical corticosteroids?
AThickening of the skin
BThinning of the skin
CIncreased hair loss on the scalp
DPermanent darkening of the nails
2.سهلة
In Addison's disease, fludrocortisone is given to replace which hormone?
AThyroxine
BCortisol
CAdrenaline
DAldosterone
3.سهلة
How does activated charcoal work in poisoning?
AIt binds (adsorbs) the poison in the gut so less is absorbed
BIt makes the patient vomit the poison before it is absorbed
CIt neutralises acids in the blood
DIt speeds up liver metabolism of the poison
4.متوسطة
A man taking tamsulosin is planning cataract surgery. What should the nurse advise?
AThe drug has no link with eye surgery
BTake a double dose on the day of surgery
CTell the eye surgeon, as it can cause floppy iris syndrome
DStop the drug for one day and no further action is needed
5.متوسطة
A patient with difficulty swallowing is prescribed several tablets. Which one should not be crushed?
AA modified-release (extended-release) tablet
BA plain paracetamol tablet
CA tablet that the pharmacist says may be crushed
DA plain aspirin dispersible tablet
6.متوسطة
Why is directly observed therapy (DOT) often used for tuberculosis?
ATreatment lasts months, and missed doses cause resistance
BThe drugs work only if a nurse is present
CTB drugs must always be given intravenously in hospital
DPatients with TB cannot swallow tablets
7.صعبة
A woman with epilepsy who takes an antiepileptic drug plans to become pregnant. Which advice is standard?
AStop all antiepileptic drugs straight away as soon as she stops contraception
BAvoid folic acid because it lowers drug levels
CNo change is needed, as antiepileptics carry no risk in pregnancy
DTake folic acid before conception and seek specialist review of her medication
8.صعبة
لماذا تُراقَب جرعات الجنتاميسين بقياس مستواه في الدم؟
Aلأنه سام للكلية والأذن وله مؤشر علاجي ضيق
Bلأنه يُستقلب كليًا في الكبد، فتحدد وظيفة الكبد الجرعة
Cلأنه لا يعمل إلا بتراكيز عالية جدًا
Dلأنه يسبب نقص سكر دم شديدًا
مفتاح الإجابات
1. B · Thinning of the skin
2. D · Aldosterone
3. A · It binds (adsorbs) the poison in the gut so less is absorbed
4. C · Tell the eye surgeon, as it can cause floppy iris syndrome
5. A · A modified-release (extended-release) tablet
6. A · Treatment lasts months, and missed doses cause resistance
7. D · Take folic acid before conception and seek specialist review of her medication
8. A · لأنه سام للكلية والأذن وله مؤشر علاجي ضيق
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