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Naam: ____________________ Datum: ____________
1.Makkelijk
Why is folinic acid (leucovorin) given after high-dose methotrexate?
ATo make methotrexate act faster on the tumour
BTo protect normal cells from methotrexate toxicity
CTo prevent nausea and vomiting after the methotrexate
DTo treat an allergic reaction to methotrexate
2.Makkelijk
Infliximab and adalimumab are biological drugs that block:
ATumour necrosis factor-alpha (TNF-alpha)
BHistamine H1 receptors in the skin and airways
CVitamin K recycling
DInsulin receptors
3.Makkelijk
What is the purpose of "Tall Man" lettering, such as hydrOXYzine and hydrALAZINE?
ATo show which drugs are high-alert medications
BTo show which drugs are for children
CTo show the brand name of the drug
DTo reduce confusion between look-alike drug names
4.Gemiddeld
Which patient should usually not use the combined oral contraceptive pill?
AA 30-year-old non-smoker with no medical problems
BA 25-year-old woman with heavy periods
CA 22-year-old non-smoker with acne
DA 38-year-old woman who smokes 20 cigarettes a day
5.Gemiddeld
A patient with a fentanyl patch is given home-care advice. Which instruction is correct?
ACut the patch in half if the pain is mild
BApply each new patch over the same skin area
CThrow used patches loose into the household bin with the packaging
DAvoid heating pads, hot baths and saunas over or near the patch
6.Gemiddeld
Hoe geeft heparine zijn antistollende effect?
AHet blokkeert in de lever de vitamine K-afhankelijke synthese van stollingsfactoren
BHet remt COX-1 in bloedplaatjes onomkeerbaar
CHet breekt fibrine in bestaande stolsels af
DHet versterkt antitrombine, dat trombine en factor Xa inactiveert
7.Moeilijk
A patient has a serum potassium of 7,0 mmol/L (mEq/L) and peaked T waves on the ECG. Which drug is given first to protect the heart?
AOral potassium chloride
BOral sodium polystyrene sulfonate
CIntravenous furosemide
DIntravenous calcium gluconate
8.Moeilijk
A patient on valproate becomes lethargic, starts vomiting and develops jaundice. Which adverse effect should be suspected first?
ANormal start-up side effects
BKidney stones
CLiver toxicity
DHypothyroidism
Antwoordenblad
1. B · To protect normal cells from methotrexate toxicity
2. A · Tumour necrosis factor-alpha (TNF-alpha)
3. D · To reduce confusion between look-alike drug names
4. D · A 38-year-old woman who smokes 20 cigarettes a day
5. D · Avoid heating pads, hot baths and saunas over or near the patch
6. D · Het versterkt antitrombine, dat trombine en factor Xa inactiveert
7. D · Intravenous calcium gluconate
8. C · Liver toxicity
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