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Nama: ____________________ Tarikh: ____________
1.Mudah
What is a "superinfection" during antibiotic treatment?
AAn infection that spreads from one patient to another on the ward
BA very severe form of the original infection
CAn infection that is cured by a single antibiotic dose
DA new infection because normal body flora are disturbed
2.Mudah
How does rasagiline help in Parkinson's disease?
AIt blocks acetylcholine receptors in the gut
BIt is converted directly into dopamine inside brain neurones
CIt blocks dopamine receptors in the brain
DIt inhibits MAO-B, so brain dopamine is broken down more slowly
3.Mudah
Which of these insulins is rapid-acting?
ANPH (isophane) insulin
BInsulin glargine
CInsulin lispro
DInsulin detemir
4.Sederhana
A patient uses two different eye drops at the same time of day. What should the nurse advise?
AMix the drops in one bottle first
BPut both drops in at exactly the same moment
CUse only one of them each day
DWait at least 5 minutes between the two drops
5.Sederhana
An adult patient is due to receive digoxin. The apical pulse, counted for a full minute, is 52 beats per minute. What should the nurse do?
AGive the dose and recheck the pulse in one hour
BGive half the dose and document the pulse
CWithhold the dose and notify the prescriber
DGive the dose with food to slow absorption
6.Sederhana
How should a hyoscine (scopolamine) patch for motion sickness be used?
AApply it behind the ear several hours before travel
BSwallow it if no water is available
CApply it to the chest only after the vomiting has started
DCut it in half for children without advice
7.Sukar
A patient with type 2 diabetes starts a high dose of prednisolone for a flare of COPD. Which change should the nurse expect?
ALower potassium only, with no effect on glucose
BNo change in glucose, as steroids act only in the lungs
CHigher blood glucose, so more frequent glucose checks are needed
DLower blood glucose, so the diabetes medicines should be stopped
8.Sukar
An older patient who has taken omeprazole for many years has muscle cramps, tremor and an irregular heartbeat. Which lab finding is most likely linked to the drug?
ALow serum glucose
BHigh serum sodium
CLow serum magnesium
DHigh serum calcium
Kunci jawapan
1. D · A new infection because normal body flora are disturbed
2. D · It inhibits MAO-B, so brain dopamine is broken down more slowly
3. C · Insulin lispro
4. D · Wait at least 5 minutes between the two drops
5. C · Withhold the dose and notify the prescriber
6. A · Apply it behind the ear several hours before travel
7. C · Higher blood glucose, so more frequent glucose checks are needed
8. C · Low serum magnesium
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