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Naam: ____________________ Datum: ____________
1.Makkelijk
Which of these is a second-generation (atypical) antipsychotic?
AChlorpromazine
BHaloperidol
CFluphenazine
DOlanzapine
2.Makkelijk
Which drug is an antidote for methanol or ethylene glycol (antifreeze) poisoning?
ANaloxone
BFomepizole
CFlumazenil
DAtropine
3.Makkelijk
Welke hiervan is een typische fase II-reactie (conjugatie) in het geneesmiddelmetabolisme?
AHydrolyse
BReductie
CGlucuronidering
DOxidatie
4.Gemiddeld
A person who has never been vaccinated against tetanus has a deep, dirty wound. What is usually given?
ANo treatment unless symptoms appear
BTetanus vaccine only, after the wound heals
CTetanus vaccine and tetanus immunoglobulin
DOral antibiotics only
5.Gemiddeld
How does sucralfate help a peptic ulcer heal?
AIt forms a protective coating over the ulcer base
BIt blocks histamine H2 receptors in the stomach
CIt kills Helicobacter pylori directly
DIt neutralises acid by releasing bicarbonate
6.Gemiddeld
A patient taking levodopa finds that the drug works poorly after large meals. Which advice is most appropriate?
ADouble the dose after each meal
BTake the drug only at bedtime
CAvoid taking doses at the same time as high-protein meals
DTake every dose with a large glass of milk and a protein snack
7.Moeilijk
A patient taking co-trimoxazole develops fever, a spreading blistering rash and painful mouth sores. What is the most likely diagnosis?
ASunburn caused by the drug; advise sunscreen only
BA mild rash that will settle; continue the drug and give moisturiser
CStevens–Johnson syndrome; stop the drug and get urgent medical care
DOral thrush; start an antifungal and continue the antibiotic
8.Moeilijk
A patient has received a sodium nitroprusside infusion for several days. He becomes confused and develops a metabolic acidosis. What should be suspected?
AHyperkalaemia from the infusion
BAn allergic reaction to the plastic of the infusion bag
CHypoglycaemia from nitroprusside
DCyanide toxicity from nitroprusside breakdown
Antwoordenblad
1. D · Olanzapine
2. B · Fomepizole
3. C · Glucuronidering
4. C · Tetanus vaccine and tetanus immunoglobulin
5. A · It forms a protective coating over the ulcer base
6. C · Avoid taking doses at the same time as high-protein meals
7. C · Stevens–Johnson syndrome; stop the drug and get urgent medical care
8. D · Cyanide toxicity from nitroprusside breakdown
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