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Naam: ____________________ Datum: ____________
1.Makkelijk
What is the normal fasting blood glucose range in a healthy adult?
A1,5–3,0 mmol/L (about 27–54 mg/dL)
B7,0–10,0 mmol/L (about 126–180 mg/dL)
C3,9–5,5 mmol/L (about 70–100 mg/dL)
D11,1–15,0 mmol/L (about 200–270 mg/dL)
2.Makkelijk
How is pernicious anaemia usually treated?
AWith folic acid alone
BWith blood transfusions every month
CWith vitamin B12 injections, usually for life
DWith oral iron tablets for three months, then stopping
3.Makkelijk
Buspirone is used mainly to treat:
APanic attacks needing immediate relief
BAcute alcohol withdrawal
CGeneralised anxiety disorder
DSevere pain
4.Gemiddeld
Which patient should usually not use the combined oral contraceptive pill?
AA 30-year-old non-smoker with no medical problems
BA 22-year-old non-smoker with acne
CA 38-year-old woman who smokes 20 cigarettes a day
DA 25-year-old woman with heavy periods
5.Gemiddeld
After instilling eye drops, why should the patient press gently on the inner corner of the eye for a minute or two?
ATo make the pupil dilate faster
BTo spread the drop evenly over the eyelid
CTo reduce drainage into the nose and absorption into blood
DTo stop the eye from producing tears for about an hour
6.Gemiddeld
Hoe verlagen ACE-remmers de bloeddruk?
AZe verhogen de natriumterugresorptie in de nier
BZe blokkeren L-type-calciumkanalen in de gladde spiercellen van de vaatwand
CZe blokkeren bèta-1-receptoren in het hart
DZe remmen de omzetting van angiotensine I in angiotensine II
7.Moeilijk
Why are antipsychotics used with great caution in older people with dementia?
AThey always cure the dementia and stop all behaviour problems
BThey cause severe hypoglycaemia in older people
CThey are linked to a higher risk of stroke and death
DThey are not absorbed in people over 65
8.Moeilijk
A patient receiving a phenylephrine infusion has a rise in blood pressure and a fall in heart rate. What is the best explanation?
AThe fall in heart rate shows phenylephrine toxicity of the AV node
BPhenylephrine directly blocks beta-1 receptors in the heart's conduction system
CPhenylephrine stimulates muscarinic receptors
DAlpha-1 vasoconstriction raises blood pressure and causes reflex bradycardia
Antwoordenblad
1. C · 3,9–5,5 mmol/L (about 70–100 mg/dL)
2. C · With vitamin B12 injections, usually for life
3. C · Generalised anxiety disorder
4. C · A 38-year-old woman who smokes 20 cigarettes a day
5. C · To reduce drainage into the nose and absorption into blood
6. D · Ze remmen de omzetting van angiotensine I in angiotensine II
7. C · They are linked to a higher risk of stroke and death
8. D · Alpha-1 vasoconstriction raises blood pressure and causes reflex bradycardia
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