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Nama: ____________________ Tarikh: ____________
1.Mudah
What is the most common side effect of first-generation antihistamines such as diphenhydramine?
ADiarrhoea
BRaised blood pressure
CDrowsiness
DInsomnia
2.Mudah
How is pernicious anaemia usually treated?
AWith folic acid alone
BWith oral iron tablets for three months, then stopping
CWith blood transfusions every month
DWith vitamin B12 injections, usually for life
3.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 avoid the need to clean the skin
CTo stop the drug leaking back into the subcutaneous tissue
DTo make the injection faster
4.Sederhana
Which lab tests are monitored in a patient taking carbamazepine?
AFull blood count and serum sodium
BThyroid antibodies and cortisol
CINR and aPTT
DSerum amylase and lipase
5.Sederhana
Why is IV promethazine given with great caution?
AIt is a strong opioid that causes addiction
BIt causes immediate kidney failure
CIt causes a severe rise in blood pressure when it is given intravenously
DIt can cause severe tissue injury if it leaks or enters an artery
6.Sederhana
Which group of effects would the nurse expect after a dose of an anticholinergic drug such as atropine?
ADry mouth, faster heart rate and dilated pupils
BDiarrhoea, frequent urination and sweating
CBronchial secretions, wheeze and tearing of the eyes
DHeavy salivation, slow heart rate and small pupils
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
BPotassium has no link with insulin, so the infusion is started as planned
CLow potassium makes insulin ineffective, so a higher dose is needed
DInsulin moves potassium into cells, so the level can fall dangerously low
8.Sukar
A patient taking azathioprine is prescribed allopurinol for gout. What is the main danger?
ALiver enzyme induction, making azathioprine ineffective
BSevere hypertension from the combination
CSevere bone marrow suppression, because azathioprine breakdown is reduced
DGout becomes worse because allopurinol is inactivated by azathioprine
Kunci jawapan
1. C · Drowsiness
2. D · With vitamin B12 injections, usually for life
3. C · To stop the drug leaking back into the subcutaneous tissue
4. A · Full blood count and serum sodium
5. D · It can cause severe tissue injury if it leaks or enters an artery
6. A · Dry mouth, faster heart rate and dilated pupils
7. D · Insulin moves potassium into cells, so the level can fall dangerously low
8. C · Severe bone marrow suppression, because azathioprine breakdown is reduced
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