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الاسم: ____________________ التاريخ: ____________
1.سهلة
How does activated charcoal work in poisoning?
AIt speeds up liver metabolism of the poison
BIt makes the patient vomit the poison before it is absorbed
CIt neutralises acids in the blood
DIt binds (adsorbs) the poison in the gut so less is absorbed
2.سهلة
What does "bacteriostatic" mean?
AThe drug stops bacteria multiplying without killing them directly
BThe drug kills bacteria directly by breaking down their cell wall
CThe drug kills viruses as well as bacteria
DThe drug prevents the patient's immune response
3.سهلة
Sumatriptan is used mainly to:
ATreat high blood pressure
BPrevent epileptic seizures
CRelieve nerve pain from diabetes
DTreat an acute migraine attack
4.متوسطة
A patient uses a salbutamol (albuterol) inhaler and a corticosteroid inhaler at the same time of day. Which order is usually taught?
AUse both in the same breath to save time
BUse the steroid first, then the salbutamol right after without any gap
CThe order does not matter and no waiting is needed
DUse the salbutamol first, wait a few minutes, then use the steroid
5.متوسطة
Which group of signs suggests opioid withdrawal?
AYawning, runny nose, sweating, dilated pupils and diarrhoea
BDry mouth, urinary retention, blurred vision and confusion
CConstipation, itching and a slow heart rate
DPinpoint pupils, slow breathing and drowsiness
6.متوسطة
Why should NSAIDs be used with caution in some people with asthma?
AThey can trigger bronchospasm in aspirin-sensitive asthma
BThey block the anti-inflammatory effect of inhaled corticosteroids
CThey increase the clearance of salbutamol
DThey cause mucus plugs by drying the airways
7.صعبة
A woman with epilepsy who takes an antiepileptic drug plans to become pregnant. Which advice is standard?
ATake folic acid before conception and seek specialist review of her medication
BStop all antiepileptic drugs straight away as soon as she stops contraception
CAvoid folic acid because it lowers drug levels
DNo change is needed, as antiepileptics carry no risk in pregnancy
8.صعبة
A nurse calculates a child's dose and finds it is ten times higher than the usual range in the drug reference. What should the nurse do?
AWithhold it, recheck the calculation and clarify with the prescriber
BGive half the dose as a compromise
CGive one tenth of the dose without telling anyone
DGive the dose, because the prescriber is responsible for the order
مفتاح الإجابات
1. D · It binds (adsorbs) the poison in the gut so less is absorbed
2. A · The drug stops bacteria multiplying without killing them directly
3. D · Treat an acute migraine attack
4. D · Use the salbutamol first, wait a few minutes, then use the steroid
5. A · Yawning, runny nose, sweating, dilated pupils and diarrhoea
6. A · They can trigger bronchospasm in aspirin-sensitive asthma
7. A · Take folic acid before conception and seek specialist review of her medication
8. A · Withhold it, recheck the calculation and clarify with the prescriber
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