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Nama: ____________________ Tarikh: ____________
1.Mudah
Montelukast, used in asthma, belongs to which drug class?
AInhaled corticosteroids
BShort-acting beta-2 agonists
CLeukotriene receptor antagonists
DAntimuscarinic bronchodilators
2.Mudah
What is physical dependence on a drug?
AThe person has an allergy to the drug
BWithdrawal symptoms appear if the drug is stopped suddenly
CThe drug no longer has any effect, even at much higher doses
DThe person takes the drug only when needed
3.Mudah
What is an "adjuvant analgesic"?
AA strong opioid used only for severe pain at the end of life
BA placebo given to test whether pain is real
CA drug that reverses the effects of opioids
DA drug for another condition that also relieves some pain
4.Sederhana
How can the absorption of oral iron be improved?
ATake it at the same time as an antacid to protect the stomach
BTake it with a glass of milk
CTake it with vitamin C, such as orange juice, on an empty stomach
DTake it with a cup of strong tea
5.Sederhana
Which technique is correct when giving subcutaneous enoxaparin from a prefilled syringe?
AInject into the abdomen away from the navel and do not rub the site afterwards
BInject into a vein on the back of the hand
CExpel the air bubble from the syringe first, then inject into the deltoid muscle
DMassage the site well for one minute after the injection
6.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 half the dose and document the pulse
BGive the dose and recheck the pulse in one hour
CGive the dose with food to slow absorption
DWithhold the dose and notify the prescriber
7.Sukar
A patient on long-term prednisolone has been vomiting for two days and could not take her tablets. She is now hypotensive and confused, with low sodium and high potassium. What is the most urgent treatment?
AIV furosemide
BIV hydrocortisone and IV fluids
CIV insulin with glucose only
DOral prednisolone with a glass of water
8.Sukar
Sesetengah reseptor menunjukkan aktiviti walaupun tanpa agonis. Bagaimanakah agonis songsang berbeza daripada antagonis neutral pada reseptor sedemikian?
AIa meningkatkan aktiviti melebihi paras asas
BIa mengurangkan aktiviti di bawah paras asas
CIa memusnahkan reseptor secara kekal
DIa tiada kesan apabila diberi sendirian
Kunci jawapan
1. C · Leukotriene receptor antagonists
2. B · Withdrawal symptoms appear if the drug is stopped suddenly
3. D · A drug for another condition that also relieves some pain
4. C · Take it with vitamin C, such as orange juice, on an empty stomach
5. A · Inject into the abdomen away from the navel and do not rub the site afterwards
6. D · Withhold the dose and notify the prescriber
7. B · IV hydrocortisone and IV fluids
8. B · Ia mengurangkan aktiviti di bawah paras asas
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