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الاسم: ____________________ التاريخ: ____________
1.سهلة
يُستخدم الليفوثيروكسين لعلاج أي حالة؟
Aالسكري من النوع 1
Bفرط نشاط الغدة الدرقية
Cقصور الغدة الدرقية
Dداء أديسون
2.سهلة
ماذا تصف «فاعلية» الدواء (potency)؟
Aمدة بقاء الدواء في الجسم
Bأكبر تأثير يمكن أن يُحدثه الدواء
Cمدى أمان الدواء مقارنة بالأدوية الأخرى في فئته
Dكمية الدواء اللازمة لإحداث تأثير معيّن
3.سهلة
Where is a sublingual tablet placed?
ABetween the cheek and the gum
BIn the stomach, swallowed with water
CUnder the tongue
DOn top of the tongue, then chewed
4.متوسطة
Why is a progestogen added to oestrogen in hormone replacement therapy for a woman who still has her uterus?
ATo prevent breast cancer completely
BTo reduce hot flushes much more than oestrogen alone can
CTo protect against endometrial hyperplasia and cancer
DTo lower the risk of blood clots to zero
5.متوسطة
100 mL of an antibiotic is to be given over 30 minutes using a giving set of 20 drops/mL. What is the drip rate?
AAbout 67 drops per minute
BAbout 100 drops per minute
CAbout 33 drops per minute
DAbout 20 drops per minute
6.متوسطة
Why are many drugs started at lower doses in older adults?
AOlder adults always weigh more than younger adults, so drugs last longer
BKidney and liver clearance often decline, and sensitivity to drugs increases
CLower doses are cheaper for older patients
DOlder adults absorb no drugs from the stomach
7.صعبة
A patient on digoxin is started on amiodarone. What change should the nurse expect?
ADigoxin levels fall sharply, so the digoxin dose is doubled
BNo interaction is expected
CDigoxin levels rise, so the digoxin dose is often reduced
DAmiodarone levels fall to zero
8.صعبة
Why is pethidine (meperidine) avoided in older people and in kidney impairment?
AIt causes severe hypoglycaemia in these groups
BIts metabolite norpethidine builds up and can cause seizures
CIt is not absorbed from the gut when kidney function is poor
DIt has no pain-relieving effect in older people
مفتاح الإجابات
1. C · قصور الغدة الدرقية
2. D · كمية الدواء اللازمة لإحداث تأثير معيّن
3. C · Under the tongue
4. C · To protect against endometrial hyperplasia and cancer
5. A · About 67 drops per minute
6. B · Kidney and liver clearance often decline, and sensitivity to drugs increases
7. C · Digoxin levels rise, so the digoxin dose is often reduced
8. B · Its metabolite norpethidine builds up and can cause seizures
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