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Naam: ____________________ Datum: ____________
1.Makkelijk
Mannitol is an osmotic diuretic used mainly to:
ARaise serum potassium
BPrevent blood clots
CTreat high blood pressure long term
DReduce raised intracranial pressure
2.Makkelijk
How does rasagiline help in Parkinson's disease?
AIt is converted directly into dopamine inside brain neurones
BIt blocks dopamine receptors in the brain
CIt blocks acetylcholine receptors in the gut
DIt inhibits MAO-B, so brain dopamine is broken down more slowly
3.Makkelijk
Naltrexone helps in alcohol use disorder because it:
ACauses vomiting and flushing whenever alcohol is drunk
BBlocks opioid receptors, reducing reward and craving
CReplaces alcohol as a sedative
DSpeeds up the liver breakdown of alcohol
4.Gemiddeld
A patient takes theophylline for COPD. Which advice is most important?
ADrink plenty of grapefruit juice each morning to improve absorption
BLimit coffee, tea and cola, because caffeine adds to the side effects
CTake extra doses when short of breath
DAvoid potassium-rich foods such as bananas
5.Gemiddeld
A woman taking tamoxifen should report which symptom promptly?
ASlightly dry skin
BMild tiredness in the afternoon
CUnusual vaginal bleeding or a painful swollen leg
DMild hot flushes, especially at night, in the first months
6.Gemiddeld
Welk middel is het tegengif bij een opioïdoverdosis?
AAcetylcysteïne
BFlumazenil
CAtropine
DNaloxon
7.Moeilijk
A patient with heart failure starts taking naproxen regularly for back pain. Why is this a concern?
ANSAIDs cause salt and water retention and can worsen heart failure
BNSAIDs lower potassium, which makes digoxin and diuretics fail
CNSAIDs increase heart contractility too much
DNSAIDs block the absorption of furosemide completely
8.Moeilijk
A patient who takes propranolol has anaphylaxis and does not respond to repeated adrenaline doses. Which drug may help?
AGlucagon
BMore propranolol
CNaloxone
DOral cetirizine alone
Antwoordenblad
1. D · Reduce raised intracranial pressure
2. D · It inhibits MAO-B, so brain dopamine is broken down more slowly
3. B · Blocks opioid receptors, reducing reward and craving
4. B · Limit coffee, tea and cola, because caffeine adds to the side effects
5. C · Unusual vaginal bleeding or a painful swollen leg
6. D · Naloxon
7. A · NSAIDs cause salt and water retention and can worsen heart failure
8. A · Glucagon
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