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1.سهلة
Donepezil, used in Alzheimer's disease, belongs to which class?
ABenzodiazepines
BSelective serotonin reuptake inhibitors
CDopamine agonists
DAcetylcholinesterase inhibitors
2.سهلة
ماذا يعني «عمر النصف» للدواء؟
Aالزمن اللازم لامتصاص نصف الجرعة من الأمعاء
Bالزمن اللازم لانخفاض تركيز الدواء في البلازما إلى النصف
Cالزمن حتى يبدأ الدواء بالعمل
Dنصف المدة التي يبقى فيها الدواء في الجسم
3.سهلة
Baclofen is used mainly to treat:
AAcid reflux and heartburn
BMuscle spasticity, for example in multiple sclerosis
CHigh blood pressure in pregnancy and pre-eclampsia
DBacterial infections of the skin
4.متوسطة
How is adenosine given for supraventricular tachycardia?
AAs an intramuscular injection into the outer thigh muscle
BAs a tablet under the tongue
CAs a rapid IV push followed by a fast saline flush
DAs a slow infusion over one hour
5.متوسطة
A patient is starting doxazosin, an alpha-1 blocker. What should the nurse advise about the first dose?
AExpect a short rise in blood pressure after the dose
BTake it only if the urine is darker than usual
CTake it at bedtime, because it can cause dizziness and fainting
DTake it in the morning with a cup of strong coffee to stay alert
6.متوسطة
A man taking tamsulosin is planning cataract surgery. What should the nurse advise?
ATell the eye surgeon, as it can cause floppy iris syndrome
BTake a double dose on the day of surgery
CThe drug has no link with eye surgery
DStop the drug for one day and no further action is needed
7.صعبة
A woman with epilepsy who takes an antiepileptic drug plans to become pregnant. Which advice is standard?
AStop all antiepileptic drugs straight away as soon as she stops contraception
BNo change is needed, as antiepileptics carry no risk in pregnancy
CTake folic acid before conception and seek specialist review of her medication
DAvoid folic acid because it lowers drug levels
8.صعبة
Ten days after chemotherapy, a patient has a temperature of 38,5 °C (101,3 °F) but says she feels fine. What should happen?
AWait 48 hours to see whether the fever settles
BUrgent cultures and IV broad-spectrum antibiotics without delay
CParacetamol at home and review at the next routine clinic visit
DStart oral antibiotics only if a rash develops
مفتاح الإجابات
1. D · Acetylcholinesterase inhibitors
2. B · الزمن اللازم لانخفاض تركيز الدواء في البلازما إلى النصف
3. B · Muscle spasticity, for example in multiple sclerosis
4. C · As a rapid IV push followed by a fast saline flush
5. C · Take it at bedtime, because it can cause dizziness and fainting
6. A · Tell the eye surgeon, as it can cause floppy iris syndrome
7. C · Take folic acid before conception and seek specialist review of her medication
8. B · Urgent cultures and IV broad-spectrum antibiotics without delay
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