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Nama: ____________________ Tarikh: ____________
1.Mudah
Which adverse effect is most common with colchicine?
ADrowsiness and slow breathing
BWeight gain and swelling
CDiarrhoea, nausea and vomiting
DConstipation and dry mouth
2.Mudah
Which signs are typical of hypoglycaemia?
AThirst, frequent urination and warm, dry, flushed skin
BSweating, shakiness, a fast heart rate and confusion
CFruity breath with deep, rapid breathing
DA slow pulse, constipation and weight gain
3.Mudah
What is the purpose of "Tall Man" lettering, such as hydrOXYzine and hydrALAZINE?
ATo reduce confusion between look-alike drug names
BTo show which drugs are for children
CTo show the brand name of the drug
DTo show which drugs are high-alert medications
4.Sederhana
A patient refuses a prescribed oral medicine. What should the nurse do?
AExplore the reason, respect the decision, document and inform the prescriber
BHide the tablet in the patient's food
CRecord the medicine as given, so that the chart stays complete for the next shift
DLeave the tablet on the bedside table for later
5.Sederhana
How should a topical corticosteroid cream usually be applied?
AOn broken, infected skin to speed healing
BAs a thin layer to the affected area only, as directed
CUnder a tight plastic dressing every night without advice
DAs a thick layer over the whole body
6.Sederhana
Mengapakah kortikosteroid oral jangka panjang tidak patut dihentikan secara tiba-tiba?
AKelenjar adrenal ditindas dan mungkin tidak menghasilkan kortisol yang mencukupi
BBerhenti menyebabkan kenaikan mendadak glukosa darah
CUbat membentuk metabolit toksik apabila dihentikan
DSistem imun akan segera menyerang hati dan kelenjar adrenal
7.Sukar
A patient who used cocaine has chest pain, agitation, a high temperature, sweating, tachycardia and dilated pupils. Which drug class is commonly first-line for the agitation and sympathetic overactivity?
AAntihistamines
BOpioid antagonists
CAnticholinergic drugs
DBenzodiazepines
8.Sukar
A patient taking carbimazole or methimazole (thiamazole) for Graves' disease reports a sore throat and fever. What should the nurse suspect and do?
AA common cold; advise rest and fluids and continue the drug as usual
BHypothyroidism; add levothyroxine at once
CThyroid storm; double the next dose of the drug
DAgranulocytosis; stop the drug and check the white cell count urgently
Kunci jawapan
1. C · Diarrhoea, nausea and vomiting
2. B · Sweating, shakiness, a fast heart rate and confusion
3. A · To reduce confusion between look-alike drug names
4. A · Explore the reason, respect the decision, document and inform the prescriber
5. B · As a thin layer to the affected area only, as directed
6. A · Kelenjar adrenal ditindas dan mungkin tidak menghasilkan kortisol yang mencukupi
7. D · Benzodiazepines
8. D · Agranulocytosis; stop the drug and check the white cell count urgently
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