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الاسم: ____________________ التاريخ: ____________
1.سهلة
Venlafaxine belongs to which class of antidepressants?
Montelukast, used in asthma, belongs to which drug class?
ALeukotriene receptor antagonists
BShort-acting beta-2 agonists
CAntimuscarinic bronchodilators
DInhaled corticosteroids
3.سهلة
Fibrates such as fenofibrate mainly lower which blood lipid?
ALipoprotein(a) only
BTriglycerides
CHDL cholesterol
DBile acids
4.متوسطة
Why should a patient rinse the mouth after using an inhaled corticosteroid?
ATo stop the drug being absorbed too quickly into the blood
BTo reduce the risk of oral thrush (candidiasis) and hoarseness
CTo prevent a fall in blood glucose
DTo make the drug work faster in the lungs
5.متوسطة
Methylergometrine (methylergonovine) is prescribed for postpartum bleeding. Which finding would make the nurse withhold it and check with the prescriber?
ABlood pressure of 160/105 mmHg
BHaemoglobin slightly below normal
CHeart rate of 88 per minute
DTemperature of 37,2 °C (99 °F)
6.متوسطة
How should oral potassium chloride tablets be taken?
ACrushed and dissolved under the tongue
BWith food and plenty of water, swallowed whole if slow-release
COn an empty stomach with only a small sip of water, then lie down
DLying down straight after the dose
7.صعبة
A child has a tonic–clonic seizure lasting more than 5 minutes at home and has no IV access. Which drug can be given first by a trained carer or paramedic?
AOral phenytoin tablets crushed in water
BBuccal or intranasal midazolam
CIntramuscular morphine
DOral paracetamol syrup
8.صعبة
A patient took a large paracetamol (acetaminophen) overdose 6 hours ago and feels well. Why is treatment still urgent?
AThe drug will cause kidney stones within a few hours
BThe patient is at risk of immediate respiratory arrest
CParacetamol overdose only causes harm if symptoms start in the first hour
DLiver damage appears 1–3 days later, and early treatment works best
مفتاح الإجابات
1. C · Serotonin–noradrenaline reuptake inhibitors (SNRIs)
2. A · Leukotriene receptor antagonists
3. B · Triglycerides
4. B · To reduce the risk of oral thrush (candidiasis) and hoarseness
5. A · Blood pressure of 160/105 mmHg
6. B · With food and plenty of water, swallowed whole if slow-release
7. B · Buccal or intranasal midazolam
8. D · Liver damage appears 1–3 days later, and early treatment works best
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