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الاسم: ____________________ التاريخ: ____________
1.سهلة
Montelukast, used in asthma, belongs to which drug class?
AAntimuscarinic bronchodilators
BShort-acting beta-2 agonists
CLeukotriene receptor antagonists
DInhaled corticosteroids
2.سهلة
Which effect is common and harmless with oral iron tablets?
ABlue tint to the lips
BRed-coloured urine
CYellow discoloration of the eyes
DDark or black stools
3.سهلة
Which long-term side effect of phenytoin makes good oral hygiene especially important?
AExcess saliva production
BLoss of taste
COvergrowth of the gums (gingival hyperplasia)
DBlue-grey discoloration of the teeth and gums
4.متوسطة
Which group of signs suggests opioid withdrawal?
AYawning, runny nose, sweating, dilated pupils and diarrhoea
BPinpoint pupils, slow breathing and drowsiness
CConstipation, itching and a slow heart rate
DDry mouth, urinary retention, blurred vision and confusion
5.متوسطة
Which early signs suggest systemic toxicity from a local anaesthetic?
AItchy rash and swelling only at the injection site
BPinpoint pupils and slow, shallow breathing
CHeavy sweating, salivation and diarrhoea
DNumbness around the mouth, metallic taste and tinnitus
6.متوسطة
كيف يُحدث الهيبارين تأثيره المضاد للتخثر؟
Aيعزز مضاد الثرومبين الذي يعطّل الثرومبين والعامل Xa
Bيثبط COX-1 في الصفائح تثبيطًا غير عكوس
Cيحجب تخليق عوامل التخثر المعتمد على فيتامين K في الكبد
Dيفكك الفيبرين في الجلطات الموجودة
7.صعبة
A patient took a large paracetamol (acetaminophen) overdose 6 hours ago and feels well. Why is treatment still urgent?
AThe patient is at risk of immediate respiratory arrest
BLiver damage appears 1–3 days later, and early treatment works best
CParacetamol overdose only causes harm if symptoms start in the first hour
DThe drug will cause kidney stones within a few hours
8.صعبة
A patient with heart failure starts taking naproxen regularly for back pain. Why is this a concern?
ANSAIDs cause salt and water retention and can worsen heart failure
BNSAIDs block the absorption of furosemide completely
CNSAIDs lower potassium, which makes digoxin and diuretics fail
DNSAIDs increase heart contractility too much
مفتاح الإجابات
1. C · Leukotriene receptor antagonists
2. D · Dark or black stools
3. C · Overgrowth of the gums (gingival hyperplasia)
4. A · Yawning, runny nose, sweating, dilated pupils and diarrhoea
5. D · Numbness around the mouth, metallic taste and tinnitus
6. A · يعزز مضاد الثرومبين الذي يعطّل الثرومبين والعامل Xa
7. B · Liver damage appears 1–3 days later, and early treatment works best
8. A · NSAIDs cause salt and water retention and can worsen heart failure
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