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الاسم: ____________________ التاريخ: ____________
1.سهلة
How does ezetimibe lower cholesterol?
AIt inhibits HMG-CoA reductase in the liver
BIt binds bile acids in the gut
CIt reduces the absorption of cholesterol from the intestine
DIt increases the excretion of cholesterol in the urine and bile
2.سهلة
Why is adrenaline (epinephrine) sometimes added to a local anaesthetic injection?
AIt makes the anaesthetic act on the brain as well
BIt speeds up the removal of the anaesthetic from the tissue into the blood
CIt prevents allergic reactions to the anaesthetic
DIt constricts vessels, so the block lasts longer and less enters the blood
3.سهلة
Which intramuscular site is recommended for infants?
ADeltoid
BVastus lateralis (outer thigh)
CDorsogluteal (upper outer buttock)
DVentral forearm
4.متوسطة
A nurse has a needlestick injury from a patient with HIV. When should post-exposure prophylaxis start?
AAs soon as possible, and within 72 hours at the latest
BAfter one week, when the risk of infection is clearer
COnly after the nurse's HIV test turns positive
DOnly if the patient's viral load is above a set level
5.متوسطة
A patient with heart failure starts furosemide. Which self-monitoring instruction is most useful?
AMeasure the temperature twice a day and record it in a diary
BCount the respiratory rate each evening
CCheck the blood glucose before every meal
DWeigh daily at the same time on the same scales
6.متوسطة
أي جزء من الدواء في البلازما يمكنه الوصول إلى المستقبل وإحداث التأثير؟
Aالجزء المرتبط بالألبومين
Bالجزء المرتبط بالغلوبولينات
Cالجزء المخزّن في خلايا الدم الحمراء
Dالجزء غير المرتبط (الحر)
7.صعبة
A heparin infusion contains 25,000 units in 500 mL. The order is 1,000 units per hour. What rate should be set on the pump?
A10 mL/h
B20 mL/h
C50 mL/h
D25 mL/h
8.صعبة
A patient taking metoprolol is also started on verapamil. Which adverse effect is most likely?
AHypoglycaemia and weight gain
BRebound tachycardia and hypertension
CSevere bradycardia and heart block
DHyperkalaemia and muscle weakness
مفتاح الإجابات
1. C · It reduces the absorption of cholesterol from the intestine
2. D · It constricts vessels, so the block lasts longer and less enters the blood
3. B · Vastus lateralis (outer thigh)
4. A · As soon as possible, and within 72 hours at the latest
5. D · Weigh daily at the same time on the same scales
6. D · الجزء غير المرتبط (الحر)
7. B · 20 mL/h
8. C · Severe bradycardia and heart block
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