1.쉬움
Clomifene is used mainly to:
- ATreat menopausal hot flushes and night sweats
- BInduce ovulation in women with infertility
- CStop postpartum bleeding
- DPrevent pregnancy
2.쉬움
Which of these is one of the classic "rights" of medication administration?
- ARight price
- BRight brand
- CRight route
- DRight pharmacy
3.쉬움
Stimulation of which receptor increases heart rate and the force of contraction?
- ABeta-2 adrenergic receptor
- BMuscarinic M2 receptor
- CAlpha-2 adrenergic receptor
- DBeta-1 adrenergic receptor
4.보통
Why is propranolol usually avoided in patients with asthma?
- AIt causes tolerance to inhaled corticosteroids
- BIt increases mucus production by blocking histamine
- CIt blocks beta-2 receptors in the airways and can cause bronchospasm
- DIt stimulates alpha-1 receptors in the airways and raises blood pressure
5.보통
Why are patients taking simvastatin often advised to avoid large amounts of grapefruit juice?
- AGrapefruit speeds up simvastatin breakdown in the liver, so the drug stops working
- BGrapefruit makes the tablet dissolve in the mouth
- CGrapefruit inhibits CYP3A4 in the gut, raising simvastatin levels and myopathy risk
- DGrapefruit blocks cholesterol absorption and causes low cholesterol
6.보통
How should a patient store sublingual glyceryl trinitrate (nitroglycerin) tablets?
- AIn the fridge in a damp, open container to keep them fresh and cool
- BIn the original dark glass bottle, away from heat, light and moisture
- CLoose in a shirt pocket close to the body for quick access
- DIn a plastic weekly pill box with other tablets
7.어려움
A patient on adalimumab for rheumatoid arthritis has a fever and cough on the day of her next injection. What should the nurse advise?
- AStop the drug permanently without telling the prescriber
- BGive the injection, as it will help the fever
- CWithhold the injection and get the infection assessed first
- DDouble the next dose to make up for the infection
8.어려움
A man taking spironolactone for heart failure develops painful breast enlargement. Which change may be considered?
- ADoubling the spironolactone dose to overcome the side effect
- BSwitching to potassium chloride tablets
- CAdding testosterone injections
- DSwitching to eplerenone, which has fewer anti-androgen effects
정답표
- 1. B · Induce ovulation in women with infertility
- 2. C · Right route
- 3. D · Beta-1 adrenergic receptor
- 4. C · It blocks beta-2 receptors in the airways and can cause bronchospasm
- 5. C · Grapefruit inhibits CYP3A4 in the gut, raising simvastatin levels and myopathy risk
- 6. B · In the original dark glass bottle, away from heat, light and moisture
- 7. C · Withhold the injection and get the infection assessed first
- 8. D · Switching to eplerenone, which has fewer anti-androgen effects
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