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الاسم: ____________________ التاريخ: ____________
1.سهلة
Psyllium (ispaghula husk) is which type of laxative?
AStimulant
BStool softener
CBulk-forming
DOsmotic
2.سهلة
What is the normal serum sodium range in adults?
A150–165 mmol/L
B95–105 mmol/L
C135–145 mmol/L
D3,5–5,0 mmol/L
3.سهلة
How does ezetimibe lower cholesterol?
AIt increases the excretion of cholesterol in the urine and bile
BIt binds bile acids in the gut
CIt reduces the absorption of cholesterol from the intestine
DIt inhibits HMG-CoA reductase in the liver
4.متوسطة
A malnourished patient with alcohol dependence needs IV glucose. Which vitamin should be given before or with it?
AThiamine (vitamin B1)
BVitamin C
CVitamin D
DVitamin K (phytomenadione)
5.متوسطة
Which group of signs suggests opioid withdrawal?
AYawning, runny nose, sweating, dilated pupils and diarrhoea
BPinpoint pupils, slow breathing and drowsiness
CConstipation, itching and a slow heart rate
DDry mouth, urinary retention, blurred vision and confusion
6.متوسطة
Why is testing for HLA-B*15:02 recommended before carbamazepine in people of some Asian ancestries?
AIt greatly raises the risk of Stevens–Johnson syndrome
BThis gene variant makes carbamazepine ineffective
CThis gene variant causes carbamazepine to raise blood glucose
DThis gene variant speeds up the kidney excretion of carbamazepine
7.صعبة
A patient on adalimumab for rheumatoid arthritis has a fever and cough on the day of her next injection. What should the nurse advise?
AGive the injection, as it will help the fever
BDouble the next dose to make up for the infection
CStop the drug permanently without telling the prescriber
DWithhold the injection and get the infection assessed first
8.صعبة
A patient with latent tuberculosis feels well and is not infectious. Why is treatment such as isoniazid still offered?
ATo stop the patient spreading TB at the moment
BTo produce a negative skin test quickly
CTo cure an active lung infection
DTo prevent progression to active TB later
مفتاح الإجابات
1. C · Bulk-forming
2. C · 135–145 mmol/L
3. C · It reduces the absorption of cholesterol from the intestine
4. A · Thiamine (vitamin B1)
5. A · Yawning, runny nose, sweating, dilated pupils and diarrhoea
6. A · It greatly raises the risk of Stevens–Johnson syndrome
7. D · Withhold the injection and get the infection assessed first
8. D · To prevent progression to active TB later
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