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Nama: ____________________ Tarikh: ____________
1.Mudah
Drugs whose names end in "-sartan", such as losartan, belong to which class?
AACE inhibitors, which block the converting enzyme
BAngiotensin II receptor blockers
CLoop diuretics
DAlpha-1 blockers
2.Mudah
Where is a sublingual tablet placed?
ABetween the cheek and the gum
BIn the stomach, swallowed with water
CUnder the tongue
DOn top of the tongue, then chewed
3.Mudah
Dobutamine is mainly used to:
AIncrease heart contractility in cardiogenic shock or acute heart failure
BSlow the heart rate in fast atrial fibrillation with low blood pressure
CDissolve clots in the coronary arteries
DTreat high blood pressure at home
4.Sederhana
Why are benzodiazepines used with great caution in older people?
AThey are not absorbed from the gut after age 65
BThey raise the risk of confusion, falls and fractures
CThey cause permanent hearing loss in older people
DThey cause severe high blood pressure in older people
5.Sederhana
Which description fits tardive dyskinesia?
AA sudden painful spasm of the neck muscles and upward rolling of the eyes within days of the first dose
BA low white cell count with sore throat and fever
CInvoluntary movements of the lips, tongue and face after long-term antipsychotic use
DHigh fever with lead-pipe rigidity and confusion
6.Sederhana
A patient is starting olanzapine. Which monitoring is most important over the following months?
AWeight, blood glucose and blood lipids
BPeak expiratory flow
CHearing tests and vision tests every month
DINR and platelet count
7.Sukar
Which strategy is most effective at preventing errors with IV insulin infusions?
AAn independent double check and a smart pump with a drug library
BWriting "U" for units on the order
CUsing insulin syringes to measure large IV volumes
DPreparing insulin infusions in advance and leaving them unlabelled
8.Sukar
A patient on stable warfarin is prescribed a course of metronidazole. What is the likely effect, and what should the nurse expect?
AThe INR stays the same, as these drugs do not interact
BThe INR falls, so the risk of clotting increases
CMetronidazole replaces warfarin, so warfarin is stopped
DThe INR rises, so closer INR monitoring is needed
Kunci jawapan
1. B · Angiotensin II receptor blockers
2. C · Under the tongue
3. A · Increase heart contractility in cardiogenic shock or acute heart failure
4. B · They raise the risk of confusion, falls and fractures
5. C · Involuntary movements of the lips, tongue and face after long-term antipsychotic use
6. A · Weight, blood glucose and blood lipids
7. A · An independent double check and a smart pump with a drug library
8. D · The INR rises, so closer INR monitoring is needed
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