ورقة عمل علم الأدوية مع الإجابات

Tamoxifen is used mainly to treat:

1. AType 2 diabetes
2. BOsteoarthritis
3. COestrogen receptor-positive breast cancer
4. DProstate enlargement and prostate cancer in older men

Timolol eye drops are used mainly to treat:

1. ABacterial conjunctivitis
2. BGlaucoma
3. CDry eyes
4. DCataracts

Filgrastim, a granulocyte colony-stimulating factor (G-CSF), is given to:

1. AIncrease the production of platelets
2. BStop bleeding from wounds
3. CLower the white cell count in leukaemia
4. DIncrease the production of neutrophils

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?

1. AGive a large meal high in fat and protein to keep glucose up for longer
2. BGive intramuscular glucagon at once
3. CGive 15–20 g of fast-acting carbohydrate, such as juice
4. DGive the next scheduled dose of insulin

Which approach is usually recommended to prevent constipation in a patient on regular opioids?

1. ABulk-forming fibre alone, with fluid intake restricted
2. BAn antidiarrhoeal drug at night to slow the gut
3. CA stimulant laxative such as senna, often with a stool softener
4. DNo laxative until the patient has not opened the bowels for a week

Why are benzodiazepines used with great caution in older people?

1. AThey are not absorbed from the gut after age 65
2. BThey cause severe high blood pressure in older people
3. CThey cause permanent hearing loss in older people
4. DThey raise the risk of confusion, falls and fractures

A patient's record shows anaphylaxis to penicillin. Amoxicillin has been prescribed. What should the nurse do?

1. AGive half the dose and observe for a reaction
2. BGive the amoxicillin, as it belongs to a different antibiotic group
3. CWithhold it and contact the prescriber, as amoxicillin is a penicillin
4. DGive the amoxicillin with an antihistamine to prevent a reaction

A patient who takes propranolol has anaphylaxis and does not respond to repeated adrenaline doses. Which drug may help?

1. AOral cetirizine alone
2. BMore propranolol
3. CGlucagon
4. DNaloxone