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Naam: ____________________ Datum: ____________
1.Makkelijk
How does allopurinol prevent gout?
AIt blocks prostaglandins in the inflamed joint
BIt increases the kidney excretion of calcium
CIt inhibits xanthine oxidase, so less uric acid is made
DIt dissolves crystals already in the joint within hours
2.Makkelijk
Which of these is a second-generation (atypical) antipsychotic?
AFluphenazine
BOlanzapine
CChlorpromazine
DHaloperidol
3.Makkelijk
Oseltamivir is used to treat or prevent which infection?
AHerpes simplex
BTuberculosis
CHIV
DInfluenza
4.Gemiddeld
Which side effects are most common when starting gabapentin?
AHair loss and weight loss
BCough and runny nose
CInsomnia and agitation
DDrowsiness and dizziness
5.Gemiddeld
How is adenosine given for supraventricular tachycardia?
AAs a tablet under the tongue
BAs a slow infusion over one hour
CAs an intramuscular injection into the outer thigh muscle
DAs a rapid IV push followed by a fast saline flush
6.Gemiddeld
Welke ernstige maar zeldzame bijwerking van statines moeten patiënten direct melden?
AEnkelzwelling
BEen droge hoest
CEen metaalsmaak
DOnverklaarde spierpijn of spierzwakte
7.Moeilijk
A patient on digoxin is started on amiodarone. What change should the nurse expect?
ANo interaction is expected
BAmiodarone levels fall to zero
CDigoxin levels fall sharply, so the digoxin dose is doubled
DDigoxin levels rise, so the digoxin dose is often reduced
8.Moeilijk
A patient receiving frequent salbutamol (albuterol) nebulisers develops a fine tremor and a heart rate of 120 per minute. What is the best explanation?
AAt high doses it also stimulates beta receptors in skeletal muscle and the heart
BSalbutamol causes high potassium, which speeds the heart and causes muscle twitching
CSalbutamol blocks muscarinic receptors in the heart
DThe patient is allergic to salbutamol and needs adrenaline
Antwoordenblad
1. C · It inhibits xanthine oxidase, so less uric acid is made
2. B · Olanzapine
3. D · Influenza
4. D · Drowsiness and dizziness
5. D · As a rapid IV push followed by a fast saline flush
6. D · Onverklaarde spierpijn of spierzwakte
7. D · Digoxin levels rise, so the digoxin dose is often reduced
8. A · At high doses it also stimulates beta receptors in skeletal muscle and the heart
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