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Naam: ____________________ Datum: ____________
1.Makkelijk
Why is carbidopa combined with levodopa?
AIt stops levodopa turning into dopamine outside the brain
BIt increases the breakdown of dopamine in the liver
CIt converts levodopa into dopamine inside the gut
DIt blocks dopamine receptors to reduce nausea in the brain
2.Makkelijk
Why is folinic acid (leucovorin) given after high-dose methotrexate?
ATo prevent nausea and vomiting after the methotrexate
BTo treat an allergic reaction to methotrexate
CTo protect normal cells from methotrexate toxicity
DTo make methotrexate act faster on the tumour
3.Makkelijk
Which effect is common and harmless with oral iron tablets?
ARed-coloured urine
BYellow discoloration of the eyes
CBlue tint to the lips
DDark or black stools
4.Gemiddeld
Aciclovir wordt vooral gebruikt voor infecties veroorzaakt door:
AHiv
BHerpesvirussen zoals herpes simplex en varicellazoster
CInfluenza A-virus
DBacteriën die bètalactamase maken
5.Gemiddeld
A patient starting niacin (nicotinic acid) complains of flushing and warmth after doses. Which advice may reduce this?
ADouble the dose to build tolerance faster
BTake the niacin with a hot drink so that it dissolves and acts faster
CTake aspirin 30 minutes before the niacin, if the prescriber agrees
DTake it on an empty stomach in a hot bath
6.Gemiddeld
After a vaccination, why is a person asked to wait for a short time before leaving?
ATo measure the person's temperature for fever
BTo watch for anaphylaxis, which usually starts within minutes
CTo check that the vaccine has already created protective antibodies
DTo make sure the injection site does not bruise
7.Moeilijk
A patient on heparin for 7 days has a platelet count that has fallen by more than half, and a new leg vein thrombosis. What is the most likely cause and the key action?
AWarfarin skin necrosis; switch from heparin to warfarin at once
BNormal dilution of platelets; continue and recheck in a week
CHeparin-induced thrombocytopenia; stop all heparin
DVitamin K deficiency; give vitamin K and continue heparin
8.Moeilijk
On admission, a patient's home medicine list includes warfarin for atrial fibrillation, but warfarin is not on the admission orders. What should the nurse do?
AGive the patient's own warfarin brought from home without an order
BTell the patient to stop warfarin permanently
CAssume the omission is intended and do nothing
DClarify the omission with the prescriber (medication reconciliation)
Antwoordenblad
1. A · It stops levodopa turning into dopamine outside the brain
2. C · To protect normal cells from methotrexate toxicity
3. D · Dark or black stools
4. B · Herpesvirussen zoals herpes simplex en varicellazoster
5. C · Take aspirin 30 minutes before the niacin, if the prescriber agrees
6. B · To watch for anaphylaxis, which usually starts within minutes
7. C · Heparin-induced thrombocytopenia; stop all heparin
8. D · Clarify the omission with the prescriber (medication reconciliation)
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