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Naam: ____________________ Datum: ____________
1.Makkelijk
Famotidine belongs to which drug class?
AProstaglandin analogues
BProton pump inhibitors
CAntacids
DH2 receptor antagonists
2.Makkelijk
How does rasagiline help in Parkinson's disease?
AIt blocks acetylcholine receptors in the gut
BIt is converted directly into dopamine inside brain neurones
CIt inhibits MAO-B, so brain dopamine is broken down more slowly
DIt blocks dopamine receptors in the brain
3.Makkelijk
Dextromethorphan is used as:
AA nasal decongestant
BA cough suppressant
CAn antibiotic for chest infections
DAn expectorant that thins mucus
4.Gemiddeld
A man taking tamsulosin is planning cataract surgery. What should the nurse advise?
AThe drug has no link with eye surgery
BTell the eye surgeon, as it can cause floppy iris syndrome
CStop the drug for one day and no further action is needed
DTake a double dose on the day of surgery
5.Gemiddeld
A patient refuses a prescribed oral medicine. What should the nurse do?
AHide the tablet in the patient's food
BExplore the reason, respect the decision, document and inform the prescriber
CRecord the medicine as given, so that the chart stays complete for the next shift
DLeave the tablet on the bedside table for later
6.Gemiddeld
Which blood test is commonly used to monitor a continuous infusion of unfractionated heparin?
AINR (international normalised ratio, prothrombin time)
BSerum potassium
CHaemoglobin A1c
DActivated partial thromboplastin time (aPTT)
7.Moeilijk
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
8.Moeilijk
Welk paar bijwerkingen is kenmerkend voor langdurige behandeling met amiodaron?
ATandvleeshyperplasie en overmatige haargroei
BSchildklierfunctiestoornissen en longfibrose
COtotoxiciteit en nefrotoxiciteit
DDroge hoest en angio-oedeem
Antwoordenblad
1. D · H2 receptor antagonists
2. C · It inhibits MAO-B, so brain dopamine is broken down more slowly
3. B · A cough suppressant
4. B · Tell the eye surgeon, as it can cause floppy iris syndrome
5. B · Explore the reason, respect the decision, document and inform the prescriber
6. D · Activated partial thromboplastin time (aPTT)
7. C · Severe bone marrow suppression, because azathioprine breakdown is reduced
8. B · Schildklierfunctiestoornissen en longfibrose
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