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नाम: ____________________ दिनांक: ____________
1.आसान
How do local anaesthetics such as lidocaine block pain?
AThey block voltage-gated sodium channels in nerve membranes
BThey activate opioid receptors in the spinal cord
CThey enhance the action of GABA in the brain and spinal cord
DThey block prostaglandin synthesis at the injury site
2.आसान
Which drug is an antidote for methanol or ethylene glycol (antifreeze) poisoning?
AFlumazenil
BNaloxone
CAtropine
DFomepizole
3.आसान
Zolpidem is mainly prescribed for:
AShort-term treatment of insomnia
BPrevention of migraine
CTreatment of Parkinson's disease
DLong-term treatment of depression
4.मध्यम
A patient starting niacin (nicotinic acid) complains of flushing and warmth after doses. Which advice may reduce this?
ATake aspirin 30 minutes before the niacin, if the prescriber agrees
BDouble the dose to build tolerance faster
CTake the niacin with a hot drink so that it dissolves and acts faster
DTake it on an empty stomach in a hot bath
5.मध्यम
A prescriber gives a verbal medication order in an emergency. What should the nurse do?
ARemember it and write it in the chart at the end of the shift
BAsk another nurse to remember the order
CGive the drug without recording the order
DWrite it down and read it back to the prescriber to confirm
6.मध्यम
Why is directly observed therapy (DOT) often used for tuberculosis?
AThe drugs work only if a nurse is present
BPatients with TB cannot swallow tablets
CTB drugs must always be given intravenously in hospital
DTreatment lasts months, and missed doses cause resistance
7.कठिन
A patient is switched from oral to intravenous morphine. Why is the IV dose lower than the oral dose?
AIV morphine is excreted much more slowly by the kidney than oral morphine
BOral morphine has a large first-pass effect, so less reaches the blood
CThe oral route causes tolerance faster than the IV route
DIV morphine is a stronger chemical form of the drug
8.कठिन
A patient develops a dry cough on an ACE inhibitor and is switched to losartan. Why is losartan less likely to cause cough?
AIt is excreted faster by the kidney
BIt does not block the breakdown of bradykinin
CIt blocks histamine receptors in the airways
DIt also acts as a bronchodilator
उत्तर कुंजी
1. A · They block voltage-gated sodium channels in nerve membranes
2. D · Fomepizole
3. A · Short-term treatment of insomnia
4. A · Take aspirin 30 minutes before the niacin, if the prescriber agrees
5. D · Write it down and read it back to the prescriber to confirm
6. D · Treatment lasts months, and missed doses cause resistance
7. B · Oral morphine has a large first-pass effect, so less reaches the blood
8. B · It does not block the breakdown of bradykinin
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