Scheda di esercizi di Farmacologia con soluzioni

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Nome: ____________________   Data: ____________

1.Facile

Epoetin alfa, often used in chronic kidney disease, stimulates the production of:

  1. AWhite blood cells
  2. BRed blood cells
  3. CPlatelets
  4. DClotting factors
2.Facile

Adenosine is used mainly to:

  1. ATerminate supraventricular tachycardia
  2. BPrevent blood clots in atrial fibrillation
  3. CTreat ventricular fibrillation
  4. DRaise blood pressure in shock
3.Facile

Which adverse effect can follow long-term use of strong topical corticosteroids?

  1. APermanent darkening of the nails
  2. BThinning of the skin
  3. CIncreased hair loss on the scalp
  4. DThickening of the skin
4.Media

A patient takes regular paracetamol (acetaminophen) at home. Which teaching point best prevents accidental overdose?

  1. ACheck cold and flu remedies, as many also contain paracetamol
  2. BTake paracetamol with alcohol to improve absorption
  3. CTake an extra dose if the first one does not work within 10 minutes
  4. DUse paracetamol only on an empty stomach
5.Media

A woman taking tamoxifen should report which symptom promptly?

  1. AMild hot flushes, especially at night, in the first months
  2. BUnusual vaginal bleeding or a painful swollen leg
  3. CMild tiredness in the afternoon
  4. DSlightly dry skin
6.Media

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

  1. AAn antidiarrhoeal drug at night to slow the gut
  2. BA stimulant laxative such as senna, often with a stool softener
  3. CNo laxative until the patient has not opened the bowels for a week
  4. DBulk-forming fibre alone, with fluid intake restricted
7.Difficile

A teenager took a large overdose of diphenhydramine. He is agitated, hot, flushed and confused, with dry skin, dilated pupils and a full bladder. What is this pattern?

  1. ASerotonin syndrome
  2. BCholinergic toxidrome
  3. CAnticholinergic toxidrome
  4. DOpioid toxidrome
8.Difficile

During an IV glyceryl trinitrate (nitroglycerin) infusion for chest pain, the patient's blood pressure drops to 82/50 mmHg and he feels faint. What is the nurse's first action?

  1. AGive a sublingual nitroglycerin tablet and increase the rate to relieve the remaining chest pain
  2. BStop or reduce the infusion as per protocol, lay the patient flat and notify the prescriber
  3. CIncrease the infusion rate to improve blood flow to the heart
  4. DSit the patient fully upright and give paracetamol for the headache

Soluzioni

  1. 1. B · Red blood cells
  2. 2. A · Terminate supraventricular tachycardia
  3. 3. B · Thinning of the skin
  4. 4. A · Check cold and flu remedies, as many also contain paracetamol
  5. 5. B · Unusual vaginal bleeding or a painful swollen leg
  6. 6. B · A stimulant laxative such as senna, often with a stool softener
  7. 7. C · Anticholinergic toxidrome
  8. 8. B · Stop or reduce the infusion as per protocol, lay the patient flat and notify the prescriber

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