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Naam: ____________________ Datum: ____________
1.Makkelijk
How do second-generation antihistamines such as cetirizine and loratadine differ from older ones?
AThey work only on the skin
BThey block H2 receptors in the stomach
CThey are given only by injection
DThey cause much less drowsiness
2.Makkelijk
How does allopurinol prevent gout?
AIt increases the kidney excretion of calcium
BIt dissolves crystals already in the joint within hours
CIt inhibits xanthine oxidase, so less uric acid is made
DIt blocks prostaglandins in the inflamed joint
3.Makkelijk
Which drug is an antidote for methanol or ethylene glycol (antifreeze) poisoning?
ANaloxone
BFomepizole
CAtropine
DFlumazenil
4.Gemiddeld
Why should a patient rinse the mouth after using an inhaled corticosteroid?
ATo make the drug work faster in the lungs
BTo reduce the risk of oral thrush (candidiasis) and hoarseness
CTo stop the drug being absorbed too quickly into the blood
DTo prevent a fall in blood glucose
5.Gemiddeld
Welke factor verhoogt het risico op lithiumintoxicatie?
AUitdroging
BDe dosis met voedsel innemen
CEen zoutrijk dieet
DExtra water drinken
6.Gemiddeld
Which approach is usually recommended to prevent constipation in a patient on regular opioids?
AA stimulant laxative such as senna, often with a stool softener
BBulk-forming fibre alone, with fluid intake restricted
CAn antidiarrhoeal drug at night to slow the gut
DNo laxative until the patient has not opened the bowels for a week
7.Moeilijk
A patient on methadone is also prescribed diazepam for anxiety. What is the main safety concern?
AAdditive sedation and respiratory depression
BSevere hypertension from the combination
CMethadone causes diazepam to be excreted very quickly
DDiazepam blocks the effect of methadone completely
8.Moeilijk
A drug is ordered at 5 micrograms/kg/min for an 80 kg patient. The infusion contains 1,600 micrograms per mL. What rate in mL/h is needed?
A15 mL/h
B25 mL/h
C150 mL/h
D4 mL/h
Antwoordenblad
1. D · They cause much less drowsiness
2. C · It inhibits xanthine oxidase, so less uric acid is made
3. B · Fomepizole
4. B · To reduce the risk of oral thrush (candidiasis) and hoarseness
5. A · Uitdroging
6. A · A stimulant laxative such as senna, often with a stool softener
7. A · Additive sedation and respiratory depression
8. A · 15 mL/h
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