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नाम: ____________________ दिनांक: ____________
1.आसान
कौन-सा मार्ग यकृत के फ़र्स्ट-पास मेटाबॉलिज़्म से बचाता है?
Aमलाशय में ऊपर रखी सपोज़िटरी
Bमुँह से घोल
Cअंतःशिरा (इंट्रावीनस)
Dमुँह से गोली
2.आसान
Chlordiazepoxide is commonly used to manage:
AMigraine prevention
BAlcohol withdrawal
CBipolar mania
DOpioid overdose
3.आसान
Clomifene is used mainly to:
APrevent pregnancy
BInduce ovulation in women with infertility
CStop postpartum bleeding
DTreat menopausal hot flushes and night sweats
4.मध्यम
Which rule applies when giving phenytoin intravenously?
AMix or flush it only with normal saline and give it slowly
BMix it with glucose 5% to prevent low blood sugar
CGive it as a rapid push to stop seizures faster
DGive it in the same line as other drugs without flushing
5.मध्यम
Which adverse effect of doxorubicin requires monitoring of heart function?
ARapid rise in cholesterol
BPericarditis caused by infection
CCumulative heart muscle damage leading to heart failure
DSevere hypertension during the infusion itself
6.मध्यम
An adult patient is due to receive digoxin. The apical pulse, counted for a full minute, is 52 beats per minute. What should the nurse do?
AGive the dose with food to slow absorption
BGive half the dose and document the pulse
CWithhold the dose and notify the prescriber
DGive the dose and recheck the pulse in one hour
7.कठिन
A patient on weekly methotrexate is prescribed trimethoprim for a urinary infection. What is the main risk?
ASevere hypertension from the combination
BLoss of antibiotic effect because methotrexate binds trimethoprim
CHypoglycaemia from reduced liver glucose output
DBone marrow suppression, because both drugs inhibit folate metabolism
8.कठिन
A breastfeeding mother needs a mild analgesic. Which drug is generally considered compatible with breastfeeding?
ACodeine (as co-codamol)
BParacetamol (acetaminophen)
CPethidine (meperidine)
DAspirin
उत्तर कुंजी
1. C · अंतःशिरा (इंट्रावीनस)
2. B · Alcohol withdrawal
3. B · Induce ovulation in women with infertility
4. A · Mix or flush it only with normal saline and give it slowly
5. C · Cumulative heart muscle damage leading to heart failure
6. C · Withhold the dose and notify the prescriber
7. D · Bone marrow suppression, because both drugs inhibit folate metabolism
8. B · Paracetamol (acetaminophen)
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