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1.سهلة
Why is HIV treated with a combination of antiretroviral drugs?
ABecause each single drug cures only part of the infection
BBecause one drug alone causes no side effects
CTo suppress the virus and prevent drug resistance
DTo make the treatment shorter, usually a few weeks
2.سهلة
Donepezil, used in Alzheimer's disease, belongs to which class?
ADopamine agonists
BSelective serotonin reuptake inhibitors
CAcetylcholinesterase inhibitors
DBenzodiazepines
3.سهلة
Which intramuscular site is recommended for infants?
AVastus lateralis (outer thigh)
BDeltoid
CVentral forearm
DDorsogluteal (upper outer buttock)
4.متوسطة
A patient uses a salbutamol (albuterol) inhaler and a corticosteroid inhaler at the same time of day. Which order is usually taught?
AThe order does not matter and no waiting is needed
BUse the steroid first, then the salbutamol right after without any gap
CUse the salbutamol first, wait a few minutes, then use the steroid
DUse both in the same breath to save time
5.متوسطة
ما أهم أثر ضار للسلفونيل يوريا مثل الغليكلازيد؟
Aالسعال الجاف
Bنقص سكر الدم
Cالحماض اللبني
Dفرط بوتاسيوم الدم
6.متوسطة
A man taking tamsulosin is planning cataract surgery. What should the nurse advise?
ATake a double dose on the day of surgery
BThe drug has no link with eye surgery
CTell the eye surgeon, as it can cause floppy iris syndrome
DStop the drug for one day and no further action is needed
7.صعبة
A patient on disulfiram becomes flushed, nauseated and has palpitations after using a mouthwash. What is the most likely cause?
AAlcohol in the mouthwash caused a disulfiram–alcohol reaction
BDisulfiram toxicity from taking too many tablets by mistake
CAn allergy to mint flavouring in the mouthwash
DLow blood glucose from skipping breakfast
8.صعبة
A ventilated ICU patient receives vecuronium, a neuromuscular blocker. Why must sedation and pain relief also be given?
ANeuromuscular blockers paralyse muscles but do not cause sedation or analgesia
BSedatives are needed to prevent vecuronium from causing seizures and agitation
CVecuronium stops working unless a sedative is also given
DVecuronium causes severe pain at the injection site
مفتاح الإجابات
1. C · To suppress the virus and prevent drug resistance
2. C · Acetylcholinesterase inhibitors
3. A · Vastus lateralis (outer thigh)
4. C · Use the salbutamol first, wait a few minutes, then use the steroid
5. B · نقص سكر الدم
6. C · Tell the eye surgeon, as it can cause floppy iris syndrome
7. A · Alcohol in the mouthwash caused a disulfiram–alcohol reaction
8. A · Neuromuscular blockers paralyse muscles but do not cause sedation or analgesia
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