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الاسم: ____________________ التاريخ: ____________
1.سهلة
Mannitol is an osmotic diuretic used mainly to:
AReduce raised intracranial pressure
BRaise serum potassium
CPrevent blood clots
DTreat high blood pressure long term
2.سهلة
Sumatriptan is used mainly to:
ARelieve nerve pain from diabetes
BTreat an acute migraine attack
CPrevent epileptic seizures
DTreat high blood pressure
3.سهلة
How does activated charcoal work in poisoning?
AIt makes the patient vomit the poison before it is absorbed
BIt neutralises acids in the blood
CIt binds (adsorbs) the poison in the gut so less is absorbed
DIt speeds up liver metabolism of the poison
4.متوسطة
A patient with heart failure starts furosemide. Which self-monitoring instruction is most useful?
AWeigh daily at the same time on the same scales
BCheck the blood glucose before every meal
CMeasure the temperature twice a day and record it in a diary
DCount the respiratory rate each evening
5.متوسطة
A patient with a peanut allergy is taught to use an adrenaline auto-injector. Which statement is correct?
AThere is no need to see a doctor if the swelling goes down
BUse it only if the antihistamine has not worked after an hour
CKeep it at home so it is not lost
DCall emergency services after using it, even if symptoms improve
6.متوسطة
A woman taking the combined pill should seek care urgently for which symptom?
ALight spotting between periods early on
BMild breast tenderness in the first month
CA painful, swollen calf or sudden chest pain
DSlight nausea in the first few weeks
7.صعبة
Five days after starting clindamycin, a patient has frequent watery diarrhoea, abdominal cramps and a fever. What should the nurse suspect and do?
AFood poisoning; encourage a high-fibre diet and plenty of milk products
BAn allergy to clindamycin; give an antihistamine and continue the antibiotic
CC. difficile infection; send stool, use contact precautions, avoid antidiarrhoeals
DA normal side effect; give loperamide and continue as usual
8.صعبة
A patient on digoxin is started on amiodarone. What change should the nurse expect?
AAmiodarone levels fall to zero
BDigoxin levels fall sharply, so the digoxin dose is doubled
CDigoxin levels rise, so the digoxin dose is often reduced
DNo interaction is expected
مفتاح الإجابات
1. A · Reduce raised intracranial pressure
2. B · Treat an acute migraine attack
3. C · It binds (adsorbs) the poison in the gut so less is absorbed
4. A · Weigh daily at the same time on the same scales
5. D · Call emergency services after using it, even if symptoms improve
6. C · A painful, swollen calf or sudden chest pain
7. C · C. difficile infection; send stool, use contact precautions, avoid antidiarrhoeals
8. C · Digoxin levels rise, so the digoxin dose is often reduced
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