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Nama: ____________________ Tarikh: ____________
1.Mudah
Donepezil, used in Alzheimer's disease, belongs to which class?
AAcetylcholinesterase inhibitors
BBenzodiazepines
CDopamine agonists
DSelective serotonin reuptake inhibitors
2.Mudah
Which vitamin reverses the effect of warfarin?
AVitamin B12
BVitamin E
CVitamin C
DVitamin K
3.Mudah
Chlordiazepoxide is commonly used to manage:
AOpioid overdose
BAlcohol withdrawal
CMigraine prevention
DBipolar mania
4.Sederhana
Which side effects are most common when starting gabapentin?
ACough and runny nose
BInsomnia and agitation
CHair loss and weight loss
DDrowsiness and dizziness
5.Sederhana
A patient receiving chemotherapy has a very low neutrophil count and is going home. Which teaching is most important?
AEat plenty of raw shellfish to boost protein
BExercise in crowded gyms to build strength
CTake paracetamol regularly so that fevers do not show
DReport a temperature of 38 °C (100.4 °F) or higher straight away
6.Sederhana
Which adverse effects are typical of donepezil?
ANausea, diarrhoea and a slow heart rate
BDry mouth, constipation and a fast heart rate
CWeight gain and high blood glucose
DHair loss and skin pigmentation
7.Sukar
A patient with diabetic ketoacidosis is about to start an IV insulin infusion. Serum potassium is 3.1 mmol/L (mEq/L). Why is this a concern?
AInsulin raises potassium further and can cause cardiac arrest, so the infusion is given faster
BInsulin moves potassium into cells, so the level can fall dangerously low
CPotassium has no link with insulin, so the infusion is started as planned
DLow potassium makes insulin ineffective, so a higher dose is needed
8.Sukar
A patient with epilepsy needs pain relief. Why is tramadol used with caution?
AIt speeds up the metabolism of all antiepileptic drugs
BIt always causes respiratory arrest in epilepsy
CIt lowers the seizure threshold
DIt causes a sharp rise in blood glucose
Kunci jawapan
1. A · Acetylcholinesterase inhibitors
2. D · Vitamin K
3. B · Alcohol withdrawal
4. D · Drowsiness and dizziness
5. D · Report a temperature of 38 °C (100.4 °F) or higher straight away
6. A · Nausea, diarrhoea and a slow heart rate
7. B · Insulin moves potassium into cells, so the level can fall dangerously low
8. C · It lowers the seizure threshold
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