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الاسم: ____________________ التاريخ: ____________
1.سهلة
لماذا يجب إكمال بعض شوطات المضادات الحيوية كما وُصفت؟
Aلأن الجسم يحتاج عدة أيام ليتعلم إنتاج المضاد الحيوي بنفسه
Bلمنع المضاد الحيوي من إتلاف الكبد
Cليتحسن طعم المضاد الحيوي مع الوقت
Dلتقليل احتمال أن تسبب البكتيريا الناجية انتكاسًا أو مقاومة
2.سهلة
Sumatriptan is used mainly to:
ARelieve nerve pain from diabetes
BPrevent epileptic seizures
CTreat high blood pressure
DTreat an acute migraine attack
3.سهلة
Which adverse effect is most common with colchicine?
AWeight gain and swelling
BDrowsiness and slow breathing
CConstipation and dry mouth
DDiarrhoea, nausea and vomiting
4.متوسطة
Which drug is used for torsades de pointes?
AIntravenous adenosine (rapid push)
BIntravenous verapamil
CIntravenous magnesium sulfate
DOral digoxin
5.متوسطة
A patient is starting lisinopril. Which rare but serious adverse effect should the nurse teach the patient to report immediately?
ADarker skin after exposure to sunlight
BSwelling of the lips, tongue or face
CA harmless rash on the palms of the hands
DAn increase in appetite in the evening
6.متوسطة
A woman taking tamoxifen should report which symptom promptly?
AMild hot flushes, especially at night, in the first months
BUnusual vaginal bleeding or a painful swollen leg
CMild tiredness in the afternoon
DSlightly dry skin
7.صعبة
A patient who used heroin a few hours ago is given a first dose of buprenorphine and quickly develops severe withdrawal. Why?
ABuprenorphine has no effect at opioid receptors
BBuprenorphine causes an allergic reaction in heroin users
CBuprenorphine is a high-affinity partial agonist that displaces heroin
DBuprenorphine is a pure antagonist like naloxone with no agonist effect
8.صعبة
A patient with severe liver cirrhosis needs a benzodiazepine for alcohol withdrawal. Why is lorazepam often chosen instead of diazepam?
ALorazepam is a stronger anticonvulsant than all other benzodiazepines
BLorazepam is cleared by simple conjugation and has no active metabolites
CLorazepam is excreted unchanged in the urine without any metabolism
DLorazepam does not cause sedation in liver disease
مفتاح الإجابات
1. D · لتقليل احتمال أن تسبب البكتيريا الناجية انتكاسًا أو مقاومة
2. D · Treat an acute migraine attack
3. D · Diarrhoea, nausea and vomiting
4. C · Intravenous magnesium sulfate
5. B · Swelling of the lips, tongue or face
6. B · Unusual vaginal bleeding or a painful swollen leg
7. C · Buprenorphine is a high-affinity partial agonist that displaces heroin
8. B · Lorazepam is cleared by simple conjugation and has no active metabolites
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