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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
How do second-generation antihistamines such as cetirizine and loratadine differ from older ones?
AThey cause much less drowsiness
BThey are given only by injection
CThey block H2 receptors in the stomach
DThey work only on the skin
3.سهلة
Alendronate, used for osteoporosis, belongs to which class?
ACalcium channel blockers
BBisphosphonates
CCorticosteroids
DThyroid hormones
4.متوسطة
Before starting a TNF-alpha inhibitor such as adalimumab, which test is required?
AA glucose tolerance test
BScreening for latent tuberculosis
CAn echocardiogram in every patient
DA bone density scan
5.متوسطة
In which patient is bupropion contraindicated?
AA patient with high blood cholesterol and a family history of it
BA patient with a seizure disorder or an eating disorder
CA patient who wants to stop smoking
DA patient with seasonal allergies
6.متوسطة
A patient is starting lisinopril. Which rare but serious adverse effect should the nurse teach the patient to report immediately?
AAn increase in appetite in the evening
BDarker skin after exposure to sunlight
CA harmless rash on the palms of the hands
DSwelling of the lips, tongue or face
7.صعبة
On admission, a patient's home medicine list includes warfarin for atrial fibrillation, but warfarin is not on the admission orders. What should the nurse do?
AAssume the omission is intended and do nothing
BClarify the omission with the prescriber (medication reconciliation)
CTell the patient to stop warfarin permanently
DGive the patient's own warfarin brought from home without an order
8.صعبة
Why do infants absorb more of a topical corticosteroid than adults?
AInfants do not absorb topical drugs at all
BThey have more skin area per kilogram and thinner skin
CTheir liver changes the cream into a much stronger form
DTheir skin contains no blood vessels
مفتاح الإجابات
1. C · Leukotriene receptor antagonists
2. A · They cause much less drowsiness
3. B · Bisphosphonates
4. B · Screening for latent tuberculosis
5. B · A patient with a seizure disorder or an eating disorder
6. D · Swelling of the lips, tongue or face
7. B · Clarify the omission with the prescriber (medication reconciliation)
8. B · They have more skin area per kilogram and thinner skin
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