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الاسم: ____________________ التاريخ: ____________
1.سهلة
أي فئة من الأدوية تُستخدم لتخفيف نوبة ربو حادة؟
Aمثبطات الإنزيم المحول للأنجيوتنسين
Bمضادات الهيستامين
Cناهضات بيتا-2 قصيرة المفعول
Dحاصرات بيتا
2.سهلة
What is physical dependence on a drug?
AThe person has an allergy to the drug
BWithdrawal symptoms appear if the drug is stopped suddenly
CThe person takes the drug only when needed
DThe drug no longer has any effect, even at much higher doses
3.سهلة
Disulfiram is used in alcohol use disorder because it:
AReplaces alcohol at its receptors in the brain
BCauses an unpleasant reaction if alcohol is drunk
CCures liver damage caused by alcohol
DRemoves alcohol from the blood faster
4.متوسطة
Why are benzodiazepines used with great caution in older people?
AThey are not absorbed from the gut after age 65
BThey raise the risk of confusion, falls and fractures
CThey cause permanent hearing loss in older people
DThey cause severe high blood pressure in older people
5.متوسطة
An adult patient is due to receive digoxin. The apical pulse, counted for a full minute, is 52 beats per minute. What should the nurse do?
AGive half the dose and document the pulse
BGive the dose and recheck the pulse in one hour
CWithhold the dose and notify the prescriber
DGive the dose with food to slow absorption
6.متوسطة
Which group of signs suggests opioid withdrawal?
AConstipation, itching and a slow heart rate
BPinpoint pupils, slow breathing and drowsiness
CDry mouth, urinary retention, blurred vision and confusion
DYawning, runny nose, sweating, dilated pupils and diarrhoea
7.صعبة
A patient with type 2 diabetes starts a high dose of prednisolone for a flare of COPD. Which change should the nurse expect?
AHigher blood glucose, so more frequent glucose checks are needed
BLower blood glucose, so the diabetes medicines should be stopped
CLower potassium only, with no effect on glucose
DNo change in glucose, as steroids act only in the lungs
8.صعبة
Which heart failure drug improves symptoms and reduces hospital admissions but has not been shown to reduce mortality?
AA beta blocker such as bisoprolol
BA mineralocorticoid receptor antagonist such as spironolactone
CAn ACE inhibitor
DDigoxin
مفتاح الإجابات
1. C · ناهضات بيتا-2 قصيرة المفعول
2. B · Withdrawal symptoms appear if the drug is stopped suddenly
3. B · Causes an unpleasant reaction if alcohol is drunk
4. B · They raise the risk of confusion, falls and fractures
5. C · Withhold the dose and notify the prescriber
6. D · Yawning, runny nose, sweating, dilated pupils and diarrhoea
7. A · Higher blood glucose, so more frequent glucose checks are needed
8. D · Digoxin
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