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Nama: ____________________ Tarikh: ____________
1.Mudah
Naltrexone helps in alcohol use disorder because it:
ABlocks opioid receptors, reducing reward and craving
BSpeeds up the liver breakdown of alcohol
CCauses vomiting and flushing whenever alcohol is drunk
DReplaces alcohol as a sedative
2.Mudah
What is the purpose of the Z-track technique for intramuscular injections?
ATo allow a larger volume to be given than with a standard injection
BTo make the injection faster
CTo stop the drug leaking back into the subcutaneous tissue
DTo avoid the need to clean the skin
3.Mudah
Stimulation of which receptor increases heart rate and the force of contraction?
AMuscarinic M2 receptor
BBeta-2 adrenergic receptor
CAlpha-2 adrenergic receptor
DBeta-1 adrenergic receptor
4.Sederhana
A patient refuses a prescribed oral medicine. What should the nurse do?
AHide the tablet in the patient's food
BRecord the medicine as given, so that the chart stays complete for the next shift
CLeave the tablet on the bedside table for later
DExplore the reason, respect the decision, document and inform the prescriber
5.Sederhana
Which adverse effect is a well-known risk of zidovudine?
ARed–green colour blindness
BOrange-red colouring of the urine and tears
CGum overgrowth
DBone marrow suppression, especially anaemia
6.Sederhana
A malnourished patient with alcohol dependence needs IV glucose. Which vitamin should be given before or with it?
AVitamin K (phytomenadione)
BThiamine (vitamin B1)
CVitamin D
DVitamin C
7.Sukar
A toddler swallowed many of his mother's iron tablets. He has vomiting and bloody diarrhoea. Which drug may be used to bind iron?
AActivated charcoal given by mouth
BNaloxone
CAcetylcysteine
DDeferoxamine (desferrioxamine)
8.Sukar
Mengapakah penyekat beta boleh menyembunyikan tanda amaran hipoglisemia pada orang yang menghidap diabetes?
AIa menyebabkan hipertermia yang menyembunyikan peluh
BIa menumpulkan gejala adrenergik seperti gegaran dan jantung berdebar
CIa menaikkan glukosa darah supaya hipoglisemia langsung tidak boleh berlaku
DIa menyekat pembebasan insulin sepenuhnya
Kunci jawapan
1. A · Blocks opioid receptors, reducing reward and craving
2. C · To stop the drug leaking back into the subcutaneous tissue
3. D · Beta-1 adrenergic receptor
4. D · Explore the reason, respect the decision, document and inform the prescriber
5. D · Bone marrow suppression, especially anaemia
6. B · Thiamine (vitamin B1)
7. D · Deferoxamine (desferrioxamine)
8. B · Ia menumpulkan gejala adrenergik seperti gegaran dan jantung berdebar
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