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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which antibiotic group shares the beta-lactam ring with penicillins?
ACephalosporins
BMacrolides
CTetracyclines
DAminoglycosides
2.سهلة
Which adverse effect of ethambutol requires vision checks?
ABleeding in the back of the eye
BPermanent dilation of the pupils
CCataracts that form within a few days of starting
DOptic neuritis, with blurred vision and colour blindness
3.سهلة
Zolpidem is mainly prescribed for:
APrevention of migraine
BShort-term treatment of insomnia
CLong-term treatment of depression
DTreatment of Parkinson's disease
4.متوسطة
What should the nurse teach a patient starting nitrofurantoin?
ATake it with food, and the urine may turn dark yellow or brown
BStop it as soon as the burning settles
CTake it on an empty stomach with an antacid
DExpect blue urine, which shows that the drug is working well
5.متوسطة
A patient starting sulfasalazine should be told about which harmless effect?
ABlue colouring of the tongue and gums
BGreen colouring of the sweat
COrange-yellow colouring of the urine
DWhite spots on the nails
6.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
BOnly if the patient's viral load is above a set level
COnly after the nurse's HIV test turns positive
DAfter one week, when the risk of infection is clearer
7.صعبة
Why are tetracyclines usually avoided in pregnancy and in young children (under 8 years in US guidance, under 12 years in the UK)?
AThey bind to growing teeth and bone and stain the teeth permanently
BThey block the action of growth hormone and stunt the child's growth
CThey cause grey baby syndrome in infants
DThey cause severe hearing loss in children
8.صعبة
During an IV glyceryl trinitrate (nitroglycerin) infusion for chest pain, the patient's blood pressure drops to 82/50 mmHg and he feels faint. What is the nurse's first action?
ASit the patient fully upright and give paracetamol for the headache
BStop or reduce the infusion as per protocol, lay the patient flat and notify the prescriber
CIncrease the infusion rate to improve blood flow to the heart
DGive a sublingual nitroglycerin tablet and increase the rate to relieve the remaining chest pain
مفتاح الإجابات
1. A · Cephalosporins
2. D · Optic neuritis, with blurred vision and colour blindness
3. B · Short-term treatment of insomnia
4. A · Take it with food, and the urine may turn dark yellow or brown
5. C · Orange-yellow colouring of the urine
6. A · As soon as possible, and within 72 hours at the latest
7. A · They bind to growing teeth and bone and stain the teeth permanently
8. B · Stop or reduce the infusion as per protocol, lay the patient flat and notify the prescriber
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