ورقة عمل علم الأدوية مع الإجابات

Which long-term side effect of phenytoin makes good oral hygiene especially important?

1. ALoss of taste
2. BExcess saliva production
3. CBlue-grey discoloration of the teeth and gums
4. DOvergrowth of the gums (gingival hyperplasia)

Lithium is used mainly to treat which condition?

1. AGeneralised anxiety disorder
2. BBipolar disorder
3. CSchizophrenia with no mood symptoms
4. DAttention deficit hyperactivity disorder

Which signs are typical of hypoglycaemia?

1. AThirst, frequent urination and warm, dry, flushed skin
2. BA slow pulse, constipation and weight gain
3. CSweating, shakiness, a fast heart rate and confusion
4. DFruity breath with deep, rapid breathing

Which signs suggest early lithium toxicity?

1. ADiarrhoea, vomiting, coarse tremor and drowsiness
2. BVery high blood pressure and a severe headache
3. CPinpoint pupils and slow breathing
4. DHair loss and dark urine only

A patient takes cholestyramine. How should other oral medicines be timed?

1. ATiming does not matter, as cholestyramine is not absorbed
2. BMix them into the cholestyramine drink so they are taken together
3. CTake them all at the same time as cholestyramine
4. DTake them 1 hour before or several hours after cholestyramine

During a rapid infusion of vancomycin, a patient develops flushing and a red rash on the face, neck and upper body. What is the most likely cause and action?

1. AA sign that the infection is spreading; give a second dose
2. BAn infusion reaction; stop or slow the infusion and inform the prescriber
3. CAcute kidney failure; stop all IV fluids and antibiotics at once
4. DA normal effect; increase the infusion rate to finish sooner

A drug is ordered at 5 micrograms/kg/min for an 80 kg patient. The infusion contains 1,600 micrograms per mL. What rate in mL/h is needed?

1. A15 mL/h
2. B25 mL/h
3. C150 mL/h
4. D4 mL/h

A patient develops a dry cough on an ACE inhibitor and is switched to losartan. Why is losartan less likely to cause cough?

1. AIt is excreted faster by the kidney
2. BIt does not block the breakdown of bradykinin
3. CIt blocks histamine receptors in the airways
4. DIt also acts as a bronchodilator