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الاسم: ____________________ التاريخ: ____________
1.سهلة
Desmopressin is a synthetic analogue of which hormone?
AInsulin
BAldosterone
COxytocin, the hormone of labour
DAntidiuretic hormone (vasopressin)
2.سهلة
Which drug is an antidote for methanol or ethylene glycol (antifreeze) poisoning?
AFlumazenil
BFomepizole
CNaloxone
DAtropine
3.سهلة
يُستخدم الأوندانسيترون أساسًا لعلاج:
Aارتفاع ضغط الدم
Bالإمساك
Cالغثيان والقيء
Dالعداوى البكتيرية
4.متوسطة
Which antihypertensive class can raise blood glucose and uric acid levels, sometimes triggering gout?
AThiazide diuretics
BAngiotensin II receptor blockers
CACE inhibitors
DAlpha-1 blockers
5.متوسطة
Why should loperamide usually be avoided in bloody diarrhoea with fever?
ALoperamide makes the bleeding worse by blocking platelets
BSlowing the gut may keep bacteria and toxins in the bowel longer
CLoperamide causes severe hypertension when there is an infection
DLoperamide is an antibiotic that causes resistance
6.متوسطة
During a rapid infusion of vancomycin, a patient develops flushing and a red rash on the face, neck and upper body. What is the most likely cause and action?
AAcute kidney failure; stop all IV fluids and antibiotics at once
BAn infusion reaction; stop or slow the infusion and inform the prescriber
CA sign that the infection is spreading; give a second dose
DA normal effect; increase the infusion rate to finish sooner
7.صعبة
A patient's record shows anaphylaxis to penicillin. Amoxicillin has been prescribed. What should the nurse do?
AWithhold it and contact the prescriber, as amoxicillin is a penicillin
BGive half the dose and observe for a reaction
CGive the amoxicillin with an antihistamine to prevent a reaction
DGive the amoxicillin, as it belongs to a different antibiotic group
8.صعبة
A patient with heart failure starts taking naproxen regularly for back pain. Why is this a concern?
ANSAIDs increase heart contractility too much
BNSAIDs block the absorption of furosemide completely
CNSAIDs lower potassium, which makes digoxin and diuretics fail
DNSAIDs cause salt and water retention and can worsen heart failure
مفتاح الإجابات
1. D · Antidiuretic hormone (vasopressin)
2. B · Fomepizole
3. C · الغثيان والقيء
4. A · Thiazide diuretics
5. B · Slowing the gut may keep bacteria and toxins in the bowel longer
6. B · An infusion reaction; stop or slow the infusion and inform the prescriber
7. A · Withhold it and contact the prescriber, as amoxicillin is a penicillin
8. D · NSAIDs cause salt and water retention and can worsen heart failure
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