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1.سهلة
Zolpidem is mainly prescribed for:
AShort-term treatment of insomnia
BPrevention of migraine
CTreatment of Parkinson's disease
DLong-term treatment of depression
2.سهلة
What does "bacteriostatic" mean?
AThe drug kills bacteria directly by breaking down their cell wall
BThe drug prevents the patient's immune response
CThe drug kills viruses as well as bacteria
DThe drug stops bacteria multiplying without killing them directly
3.سهلة
Which vasopressor is usually first-line for septic shock that persists after fluids?
ANoradrenaline (norepinephrine)
BGlyceryl trinitrate
CIsoprenaline (isoproterenol)
DAdenosine
4.متوسطة
A patient takes regular paracetamol (acetaminophen) at home. Which teaching point best prevents accidental overdose?
ACheck cold and flu remedies, as many also contain paracetamol
BTake paracetamol with alcohol to improve absorption
CTake an extra dose if the first one does not work within 10 minutes
DUse paracetamol only on an empty stomach
5.متوسطة
Why are many drugs started at lower doses in older adults?
ALower doses are cheaper for older patients
BOlder adults always weigh more than younger adults, so drugs last longer
CKidney and liver clearance often decline, and sensitivity to drugs increases
DOlder adults absorb no drugs from the stomach
6.متوسطة
100 mL of an antibiotic is to be given over 30 minutes using a giving set of 20 drops/mL. What is the drip rate?
AAbout 20 drops per minute
BAbout 33 drops per minute
CAbout 100 drops per minute
DAbout 67 drops per minute
7.صعبة
A patient starting sertraline is taught about the drug. Which statement shows a need for further teaching?
A"It may take a few weeks to feel the full effect."
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"I may have some nausea at first."
8.صعبة
A patient who used heroin a few hours ago is given a first dose of buprenorphine and quickly develops severe withdrawal. Why?
ABuprenorphine causes an allergic reaction in heroin users
BBuprenorphine is a pure antagonist like naloxone with no agonist effect
CBuprenorphine has no effect at opioid receptors
DBuprenorphine is a high-affinity partial agonist that displaces heroin
مفتاح الإجابات
1. A · Short-term treatment of insomnia
2. D · The drug stops bacteria multiplying without killing them directly
3. A · Noradrenaline (norepinephrine)
4. A · Check cold and flu remedies, as many also contain paracetamol
5. C · Kidney and liver clearance often decline, and sensitivity to drugs increases
6. D · About 67 drops per minute
7. C · "If I feel better after a week, I can stop taking it."
8. D · Buprenorphine is a high-affinity partial agonist that displaces heroin
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