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Vardas: ____________________ Data: ____________
1.Lengvas
Which description fits insulin glargine?
AA rapid-acting insulin given with each meal
BA long-acting basal insulin with no marked peak
CAn oral tablet that makes the pancreas release insulin
DAn intermediate-acting cloudy insulin with a clear peak
2.Lengvas
Which adverse effect can follow long-term use of strong topical corticosteroids?
APermanent darkening of the nails
BThickening of the skin
CThinning of the skin
DIncreased hair loss on the scalp
3.Lengvas
What is the normal serum sodium range in adults?
A150–165 mmol/L
B135–145 mmol/L
C95–105 mmol/L
D3,5–5,0 mmol/L
4.Vidutinis
Which assessment is most important before giving a dose of IV morphine?
ABlood glucose and temperature, checked before each dose
BBowel sounds and urine colour
CRespiratory rate and level of sedation
DPupil size and hearing
5.Vidutinis
A patient must mix regular (soluble) insulin and NPH (isophane) insulin in one syringe. What is the correct order?
AShake both vials hard, then draw them up in any order
BDraw up the cloudy NPH insulin first, then the clear regular insulin
CDraw them up in separate syringes, then mix them in a cup
DDraw up the clear regular insulin first, then the cloudy NPH insulin
6.Vidutinis
A patient takes isoniazid. Which advice is most important?
AStop the drug when the cough improves
BExpect the urine to turn orange
CAvoid alcohol and report jaundice, dark urine or poor appetite
DTake it with antacids to protect the stomach from irritation
7.Sunkus
Carboprost is a prostaglandin used for postpartum haemorrhage. In which woman should it be avoided?
AA woman with iron deficiency anaemia
BA woman who had a vaginal birth
CA woman who is breastfeeding
DA woman with asthma
8.Sunkus
Pacientui, neseniai pradėjusiam vartoti haloperidolį, atsiranda aukšta temperatūra, „švino vamzdžio“ tipo raumenų rigidiškumas, sumišimas ir labai didelis kreatinkinazės aktyvumas. Kokia labiausiai tikėtina diagnozė?
APiktybinė hipertermija dėl anestezijos
BPiktybinis neurolepsinis sindromas
CŪminė distonija
DSerotonino sindromas
Atsakymai
1. B · A long-acting basal insulin with no marked peak
2. C · Thinning of the skin
3. B · 135–145 mmol/L
4. C · Respiratory rate and level of sedation
5. D · Draw up the clear regular insulin first, then the cloudy NPH insulin
6. C · Avoid alcohol and report jaundice, dark urine or poor appetite
7. D · A woman with asthma
8. B · Piktybinis neurolepsinis sindromas
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