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الاسم: ____________________ التاريخ: ____________
1.سهلة
Psyllium (ispaghula husk) is which type of laxative?
AStimulant
BBulk-forming
COsmotic
DStool softener
2.سهلة
What is drug synergism?
AA drug loses its effect after repeated doses
BTwo drugs together produce exactly the sum of their separate effects
CTwo drugs together have a greater effect than the sum of each alone
DOne drug cancels out the effect of another drug
3.سهلة
On the WHO analgesic ladder, which drugs form the first step?
ALocal anaesthetic nerve blocks for all patients
BStrong opioids such as morphine given intravenously
CWeak opioids such as codeine or tramadol, used on their own
DNon-opioids such as paracetamol and NSAIDs
4.متوسطة
A patient is starting lamotrigine. Which adverse effect should the patient report at once?
AA brief change in taste
BAny new skin rash
CSlight tiredness in the afternoon
DMild headache on the first day
5.متوسطة
ما الذي يجعل الجرعة الزائدة من مضادات الاكتئاب ثلاثية الحلقات مثل الأميتريبتيلين خطيرة بشكل خاص؟
Aحصى الكلى
Bفشل كبدي شديد خلال ساعات
Cاضطرابات نظم القلب والنوبات الاختلاجية
Dارتفاع مفاجئ في سكر الدم
6.متوسطة
After several years of levodopa treatment, which problem is common?
AComplete and permanent loss of all Parkinson's symptoms
BDyskinesias and "on–off" fluctuations in response
CSevere hypoglycaemia after each dose
DPermanent hearing loss
7.صعبة
A patient has a serum potassium of 7,0 mmol/L (mEq/L) and peaked T waves on the ECG. Which drug is given first to protect the heart?
AOral sodium polystyrene sulfonate
BIntravenous furosemide
COral potassium chloride
DIntravenous calcium gluconate
8.صعبة
A patient taking a GLP-1 receptor agonist such as semaglutide has severe, constant upper abdominal pain spreading to the back, with vomiting. What should the nurse suspect?
AExpected nausea; the patient should take the next dose with food
BHypoglycaemia; the patient should eat sweets and continue as usual
CAcute pancreatitis; the drug is stopped and urgent assessment arranged
DConstipation; a laxative will solve the problem
مفتاح الإجابات
1. B · Bulk-forming
2. C · Two drugs together have a greater effect than the sum of each alone
3. D · Non-opioids such as paracetamol and NSAIDs
4. B · Any new skin rash
5. C · اضطرابات نظم القلب والنوبات الاختلاجية
6. B · Dyskinesias and "on–off" fluctuations in response
7. D · Intravenous calcium gluconate
8. C · Acute pancreatitis; the drug is stopped and urgent assessment arranged
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