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Naam: ____________________ Datum: ____________
1.Makkelijk
Why is HIV treated with a combination of antiretroviral drugs?
ABecause each single drug cures only part of the infection
BTo suppress the virus and prevent drug resistance
CTo make the treatment shorter, usually a few weeks
DBecause one drug alone causes no side effects
2.Makkelijk
What is an "adjuvant analgesic"?
AA strong opioid used only for severe pain at the end of life
BA drug for another condition that also relieves some pain
CA placebo given to test whether pain is real
DA drug that reverses the effects of opioids
3.Makkelijk
Why is magnesium sulfate given to a woman with severe pre-eclampsia?
ATo treat a urinary infection
BTo raise her blood pressure
CTo prevent eclamptic seizures
DTo start labour contractions
4.Gemiddeld
A patient receiving chemotherapy has a very low neutrophil count and is going home. Which teaching is most important?
AExercise in crowded gyms to build strength
BReport a temperature of 38 °C (100,4 °F) or higher straight away
CTake paracetamol regularly so that fevers do not show
DEat plenty of raw shellfish to boost protein
5.Gemiddeld
Klassieke antipsychotica zoals haloperidol werken vooral door blokkade van:
ADopamine-D2-receptoren
BDe heropname van serotonine
CAcetylcholinesterase
DGABA-A-receptoren
6.Gemiddeld
Hoe verlaagt metformine vooral de bloedglucose?
AHet blokkeert de glucoseopname in de nier
BHet vervangt ontbrekende insuline
CHet vermindert de glucoseproductie door de lever
DHet stimuleert de insulineafgifte door de alvleesklier
7.Moeilijk
A patient who uses insulin is taught sick-day rules. Which statement shows a need for further teaching?
A"I will seek help if I keep vomiting or have ketones."
B"I will keep drinking fluids, even if I cannot eat much."
C"If I am ill and not eating, I will stop my insulin completely."
D"I will check my blood glucose and ketones more often while I am ill."
8.Moeilijk
A patient on long-term lithium passes large amounts of dilute urine and is always thirsty. What is the most likely explanation?
ALithium causes type 1 diabetes by destroying the pancreatic beta cells
BLithium increases ADH release from the pituitary
CThe patient is drinking too much and lithium is unrelated
DLithium blocks the kidney's response to ADH (nephrogenic diabetes insipidus)
Antwoordenblad
1. B · To suppress the virus and prevent drug resistance
2. B · A drug for another condition that also relieves some pain
3. C · To prevent eclamptic seizures
4. B · Report a temperature of 38 °C (100,4 °F) or higher straight away
5. A · Dopamine-D2-receptoren
6. C · Het vermindert de glucoseproductie door de lever
7. C · "If I am ill and not eating, I will stop my insulin completely."
8. D · Lithium blocks the kidney's response to ADH (nephrogenic diabetes insipidus)
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