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Naam: ____________________ Datum: ____________
1.Makkelijk
Before giving any medication, how should the nurse identify the patient?
AUse two identifiers, such as full name and date of birth
BRead the name on the sign next to the door
CCheck the room and bed number against the medication chart
DAsk "Are you Mr Jones?" and wait for a nod
2.Makkelijk
Welke toedieningsweg omzeilt het first-pass-effect in de lever?
AIntraveneus
BTablet via de mond
CDrank via de mond
DZetpil hoog in het rectum
3.Makkelijk
Naltrexone helps in alcohol use disorder because it:
ABlocks opioid receptors, reducing reward and craving
BSpeeds up the liver breakdown of alcohol
CCauses vomiting and flushing whenever alcohol is drunk
DReplaces alcohol as a sedative
4.Gemiddeld
Why is testing for HLA-B*15:02 recommended before carbamazepine in people of some Asian ancestries?
AThis gene variant makes carbamazepine ineffective
BThis gene variant causes carbamazepine to raise blood glucose
CIt greatly raises the risk of Stevens–Johnson syndrome
DThis gene variant speeds up the kidney excretion of carbamazepine
5.Gemiddeld
A patient with Addison's disease on hydrocortisone develops a fever with flu. What is the usual advice?
AHalve the hydrocortisone to reduce side effects
BIncrease the dose as instructed (sick-day rules) and seek help if vomiting
CMake no change, as illness does not affect cortisol needs
DStop the hydrocortisone until the fever settles, to let the body recover
6.Gemiddeld
Which rule applies to intravenous potassium chloride?
AIt may be given intramuscularly if there is no IV access
BIt must be diluted and given as an infusion, never as an IV push
CIt is mixed into blood products to save time
DIt is given as a rapid IV push to correct low levels quickly
7.Moeilijk
A patient taking hydralazine for several months develops joint pain, fever and a rash. Anti-histone antibodies are positive. What is the most likely diagnosis?
ADrug-induced lupus
BAn acute viral infection
CRheumatoid arthritis
DGout
8.Moeilijk
Een boer die is blootgesteld aan een organofosfaatbestrijdingsmiddel heeft kleine pupillen, sterke speekselvloed, zweten, bronchiale secreties en bradycardie. Wat is het mechanisme?
AOvermatige afgifte van noradrenaline
BBlokkade van GABA-A-receptoren
CBlokkade van muscarinereceptoren
DRemming van acetylcholinesterase
Antwoordenblad
1. A · Use two identifiers, such as full name and date of birth
2. A · Intraveneus
3. A · Blocks opioid receptors, reducing reward and craving
4. C · It greatly raises the risk of Stevens–Johnson syndrome
5. B · Increase the dose as instructed (sick-day rules) and seek help if vomiting
6. B · It must be diluted and given as an infusion, never as an IV push
7. A · Drug-induced lupus
8. D · Remming van acetylcholinesterase
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