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الاسم: ____________________ التاريخ: ____________
1.سهلة
What does "bacteriostatic" mean?
AThe drug stops bacteria multiplying without killing them directly
BThe drug kills bacteria directly by breaking down their cell wall
CThe drug kills viruses as well as bacteria
DThe drug prevents the patient's immune response
2.سهلة
How does rasagiline help in Parkinson's disease?
AIt is converted directly into dopamine inside brain neurones
BIt blocks dopamine receptors in the brain
CIt blocks acetylcholine receptors in the gut
DIt inhibits MAO-B, so brain dopamine is broken down more slowly
3.سهلة
What is drug synergism?
ATwo drugs together produce exactly the sum of their separate effects
BOne drug cancels out the effect of another drug
CA drug loses its effect after repeated doses
DTwo drugs together have a greater effect than the sum of each alone
4.متوسطة
A patient takes cholestyramine. How should other oral medicines be timed?
AMix them into the cholestyramine drink so they are taken together
BTake them 1 hour before or several hours after cholestyramine
CTake them all at the same time as cholestyramine
DTiming does not matter, as cholestyramine is not absorbed
5.متوسطة
Which adverse effects are typical of donepezil?
AHair loss and skin pigmentation
BNausea, diarrhoea and a slow heart rate
CWeight gain and high blood glucose
DDry mouth, constipation and a fast heart rate
6.متوسطة
A patient with diabetes is sweaty and shaky. Blood glucose is 3,0 mmol/L (54 mg/dL). The patient is awake and can swallow. What should the nurse do first?
AGive 15–20 g of fast-acting carbohydrate, such as juice
BGive intramuscular glucagon at once
CGive the next scheduled dose of insulin
DGive a large meal high in fat and protein to keep glucose up for longer
7.صعبة
A man taking doxazosin for hypertension starts sildenafil for erectile dysfunction. What is the main risk?
ABronchospasm
BSevere hypertension and a pounding headache
CSymptomatic low blood pressure and fainting
DHyperkalaemia
8.صعبة
A woman with epilepsy who takes an antiepileptic drug plans to become pregnant. Which advice is standard?
ANo change is needed, as antiepileptics carry no risk in pregnancy
BStop all antiepileptic drugs straight away as soon as she stops contraception
CTake folic acid before conception and seek specialist review of her medication
DAvoid folic acid because it lowers drug levels
مفتاح الإجابات
1. A · The drug stops bacteria multiplying without killing them directly
2. D · It inhibits MAO-B, so brain dopamine is broken down more slowly
3. D · Two drugs together have a greater effect than the sum of each alone
4. B · Take them 1 hour before or several hours after cholestyramine
5. B · Nausea, diarrhoea and a slow heart rate
6. A · Give 15–20 g of fast-acting carbohydrate, such as juice
7. C · Symptomatic low blood pressure and fainting
8. C · Take folic acid before conception and seek specialist review of her medication
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