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Naam: ____________________ Datum: ____________
1.Makkelijk
Oxytocin is used in obstetrics mainly to:
AMature the fetal lungs before birth
BStop preterm labour by relaxing the uterine muscle
CInduce or strengthen contractions and prevent postpartum bleeding
DLower blood pressure in pre-eclampsia
2.Makkelijk
In the United States, what does a Schedule II controlled substance mean?
AA drug with no accepted medical use and a high potential for abuse
BA drug with almost no risk of abuse
CA drug available freely over the counter
DA drug with accepted medical use but a high risk of abuse
3.Makkelijk
Dobutamine is mainly used to:
ASlow the heart rate in fast atrial fibrillation with low blood pressure
BIncrease heart contractility in cardiogenic shock or acute heart failure
CTreat high blood pressure at home
DDissolve clots in the coronary arteries
4.Gemiddeld
How should a hyoscine (scopolamine) patch for motion sickness be used?
ACut it in half for children without advice
BSwallow it if no water is available
CApply it behind the ear several hours before travel
DApply it to the chest only after the vomiting has started
5.Gemiddeld
Which teaching about zolpidem is correct?
ATake it with alcohol to make it act faster
BTake it in the morning so that it is out of the system by night
CTake it right before bed, only if you can sleep a full night
DDrive soon after waking, as the drug has no next-day effect
6.Gemiddeld
A patient with insulin-treated diabetes is found unconscious with very low blood glucose. There is no IV access. Which drug can a trained helper give?
AIntramuscular adrenaline
BGlucagon by injection or nasal spray
CRapid-acting insulin under the skin
DOral glucose gel poured into the mouth
7.Moeilijk
A patient taking furosemide has a serum potassium of 2,9 mmol/L (mEq/L). Which ECG change is typical of this level?
AA short QT interval with high R waves
BWidened QRS with a sine-wave pattern
CTall, peaked T waves
DFlattened T waves and prominent U waves
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?
ASalbutamol blocks muscarinic receptors in the heart
BThe patient is allergic to salbutamol and needs adrenaline
CAt high doses it also stimulates beta receptors in skeletal muscle and the heart
DSalbutamol causes high potassium, which speeds the heart and causes muscle twitching
Antwoordenblad
1. C · Induce or strengthen contractions and prevent postpartum bleeding
2. D · A drug with accepted medical use but a high risk of abuse
3. B · Increase heart contractility in cardiogenic shock or acute heart failure
4. C · Apply it behind the ear several hours before travel
5. C · Take it right before bed, only if you can sleep a full night
6. B · Glucagon by injection or nasal spray
7. D · Flattened T waves and prominent U waves
8. C · At high doses it also stimulates beta receptors in skeletal muscle and the heart
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