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Naam: ____________________ Datum: ____________
1.Makkelijk
Clomifene is used mainly to:
ATreat menopausal hot flushes and night sweats
BInduce ovulation in women with infertility
CStop postpartum bleeding
DPrevent pregnancy
2.Makkelijk
Desmopressin is a synthetic analogue of which hormone?
AOxytocin, the hormone of labour
BInsulin
CAldosterone
DAntidiuretic hormone (vasopressin)
3.Makkelijk
Alendronate, used for osteoporosis, belongs to which class?
ACalcium channel blockers
BCorticosteroids
CThyroid hormones
DBisphosphonates
4.Gemiddeld
Which patient should usually not receive a live vaccine?
AA healthy adult nurse who works on a children's ward
BA patient with mild seasonal allergies
CA healthy 1-year-old child
DA patient receiving chemotherapy for leukaemia
5.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?
AOral glucose gel poured into the mouth
BRapid-acting insulin under the skin
CGlucagon by injection or nasal spray
DIntramuscular adrenaline
6.Gemiddeld
When should a patient take a once-daily proton pump inhibitor such as omeprazole?
AAbout 30–60 minutes before the first meal of the day
BOnly when heartburn is severe
CStraight after a large evening meal
DWith a glass of milk at bedtime, when acid output is highest
7.Moeilijk
A patient with HIV has a CD4 count below 200 cells/mm3. Which prophylaxis is usually started?
ACo-trimoxazole to prevent Pneumocystis pneumonia
BOseltamivir to prevent influenza
CFluconazole to prevent urinary and skin infections
DIsoniazid to prevent hepatitis B
8.Moeilijk
Why is clavulanic acid combined with amoxicillin (co-amoxiclav)?
AIt reduces the risk of penicillin allergy
BIt makes amoxicillin cross the blood–brain barrier more easily
CIt inhibits beta-lactamase enzymes that would destroy amoxicillin
DIt slows the kidney excretion of amoxicillin
Antwoordenblad
1. B · Induce ovulation in women with infertility
2. D · Antidiuretic hormone (vasopressin)
3. D · Bisphosphonates
4. D · A patient receiving chemotherapy for leukaemia
5. C · Glucagon by injection or nasal spray
6. A · About 30–60 minutes before the first meal of the day
7. A · Co-trimoxazole to prevent Pneumocystis pneumonia
8. C · It inhibits beta-lactamase enzymes that would destroy amoxicillin
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