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Nama: ____________________ Tarikh: ____________
1.Mudah
Disulfiram is used in alcohol use disorder because it:
AReplaces alcohol at its receptors in the brain
BCauses an unpleasant reaction if alcohol is drunk
CCures liver damage caused by alcohol
DRemoves alcohol from the blood faster
2.Mudah
Why is adrenaline (epinephrine) sometimes added to a local anaesthetic injection?
AIt speeds up the removal of the anaesthetic from the tissue into the blood
BIt constricts vessels, so the block lasts longer and less enters the blood
CIt prevents allergic reactions to the anaesthetic
DIt makes the anaesthetic act on the brain as well
3.Mudah
Antibiotik berkesan terhadap:
AVirus
BSemua mikroorganisma sama rata
CBakteria
DTindak balas alergi
4.Sederhana
A patient is starting lisinopril. Which rare but serious adverse effect should the nurse teach the patient to report immediately?
AA harmless rash on the palms of the hands
BAn increase in appetite in the evening
CDarker skin after exposure to sunlight
DSwelling of the lips, tongue or face
5.Sederhana
Which lab tests are monitored in a patient taking carbamazepine?
AThyroid antibodies and cortisol
BSerum amylase and lipase
CFull blood count and serum sodium
DINR and aPTT
6.Sederhana
How does sucralfate help a peptic ulcer heal?
AIt blocks histamine H2 receptors in the stomach
BIt neutralises acid by releasing bicarbonate
CIt forms a protective coating over the ulcer base
DIt kills Helicobacter pylori directly
7.Sukar
Why is glibenclamide (glyburide) generally avoided in older adults?
AIt causes severe weight loss and muscle wasting in older people
BIt causes high blood glucose in older adults
CIt is not absorbed in people over 65
DIt is long-acting and can cause prolonged, severe hypoglycaemia
8.Sukar
A patient with Parkinson's disease has nausea. Why should metoclopramide be avoided?
AIt inhibits the absorption of all oral drugs
BIt increases dopamine levels in the brain too much and causes psychosis
CIt blocks dopamine receptors in the brain and can worsen the parkinsonism
DIt causes severe diarrhoea in Parkinson's disease
Kunci jawapan
1. B · Causes an unpleasant reaction if alcohol is drunk
2. B · It constricts vessels, so the block lasts longer and less enters the blood
3. C · Bakteria
4. D · Swelling of the lips, tongue or face
5. C · Full blood count and serum sodium
6. C · It forms a protective coating over the ulcer base
7. D · It is long-acting and can cause prolonged, severe hypoglycaemia
8. C · It blocks dopamine receptors in the brain and can worsen the parkinsonism
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