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Nome: ____________________   Data: ____________

1.Facile

Naltrexone helps in alcohol use disorder because it:

  1. ASpeeds up the liver breakdown of alcohol
  2. BReplaces alcohol as a sedative
  3. CCauses vomiting and flushing whenever alcohol is drunk
  4. DBlocks opioid receptors, reducing reward and craving
2.Facile

Why is anti-D immunoglobulin given to an Rh-negative mother?

  1. ATo treat anaemia in the newborn
  2. BTo stop her forming anti-D antibodies against Rh-positive fetal cells
  3. CTo speed up labour
  4. DTo make her own blood group Rh-positive before the next pregnancy
3.Facile

Baclofen is used mainly to treat:

  1. AHigh blood pressure in pregnancy and pre-eclampsia
  2. BMuscle spasticity, for example in multiple sclerosis
  3. CBacterial infections of the skin
  4. DAcid reflux and heartburn
4.Media

How can the absorption of oral iron be improved?

  1. ATake it with a cup of strong tea
  2. BTake it with vitamin C, such as orange juice, on an empty stomach
  3. CTake it with a glass of milk
  4. DTake it at the same time as an antacid to protect the stomach
5.Media

A patient is starting doxazosin, an alpha-1 blocker. What should the nurse advise about the first dose?

  1. ATake it only if the urine is darker than usual
  2. BTake it in the morning with a cup of strong coffee to stay alert
  3. CExpect a short rise in blood pressure after the dose
  4. DTake it at bedtime, because it can cause dizziness and fainting
6.Media

Besides lithium levels, which blood tests are monitored in long-term lithium treatment?

  1. AKidney function and thyroid function
  2. BINR and fibrinogen
  3. CTroponin and CK-MB
  4. DLiver enzymes, serum amylase and lipase
7.Difficile

A pregnant woman develops a deep vein thrombosis. Which anticoagulant is usually preferred?

  1. AAspirin alone
  2. BLow-molecular-weight heparin, such as enoxaparin
  3. CWarfarin
  4. DRivaroxaban, a direct oral factor Xa inhibitor
8.Difficile

Which finding most favours serotonin syndrome over neuroleptic malignant syndrome?

  1. ARapid onset with hyperreflexia and clonus
  2. BRecent start of an antipsychotic drug
  3. CSlow onset over days with lead-pipe rigidity
  4. DA very high creatine kinase

Soluzioni

  1. 1. D · Blocks opioid receptors, reducing reward and craving
  2. 2. B · To stop her forming anti-D antibodies against Rh-positive fetal cells
  3. 3. B · Muscle spasticity, for example in multiple sclerosis
  4. 4. B · Take it with vitamin C, such as orange juice, on an empty stomach
  5. 5. D · Take it at bedtime, because it can cause dizziness and fainting
  6. 6. A · Kidney function and thyroid function
  7. 7. B · Low-molecular-weight heparin, such as enoxaparin
  8. 8. A · Rapid onset with hyperreflexia and clonus

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