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Naam: ____________________ Datum: ____________
1.Makkelijk
Which adverse effect of ethambutol requires vision checks?
AOptic neuritis, with blurred vision and colour blindness
BBleeding in the back of the eye
CPermanent dilation of the pupils
DCataracts that form within a few days of starting
2.Makkelijk
Desmopressin is a synthetic analogue of which hormone?
AOxytocin, the hormone of labour
BAntidiuretic hormone (vasopressin)
CAldosterone
DInsulin
3.Makkelijk
Why is carbidopa combined with levodopa?
AIt blocks dopamine receptors to reduce nausea in the brain
BIt increases the breakdown of dopamine in the liver
CIt converts levodopa into dopamine inside the gut
DIt stops levodopa turning into dopamine outside the brain
4.Gemiddeld
How is adenosine given for supraventricular tachycardia?
AAs a slow infusion over one hour
BAs a rapid IV push followed by a fast saline flush
CAs a tablet under the tongue
DAs an intramuscular injection into the outer thigh muscle
5.Gemiddeld
Which adverse effect is a well-known risk of zidovudine?
ARed–green colour blindness
BOrange-red colouring of the urine and tears
CGum overgrowth
DBone marrow suppression, especially anaemia
6.Gemiddeld
Which antihypertensive class can raise blood glucose and uric acid levels, sometimes triggering gout?
AThiazide diuretics
BAngiotensin II receptor blockers
CAlpha-1 blockers
DACE inhibitors
7.Moeilijk
A patient with myasthenia gravis took extra pyridostigmine doses. She now has increasing weakness, heavy salivation, sweating, small pupils and diarrhoea. What is the most likely cause?
ACholinergic crisis from too much anticholinesterase drug
BA stroke unrelated to the medication
CMyasthenic crisis from too little anticholinesterase drug
DAn allergic reaction to pyridostigmine
8.Moeilijk
Why is the TPMT enzyme often tested before azathioprine is started?
AHigh TPMT activity causes an allergic reaction to azathioprine
BTPMT is needed to absorb azathioprine from the gut
CTPMT testing shows whether the patient has tuberculosis
DLow TPMT activity causes toxic levels and marrow suppression
Antwoordenblad
1. A · Optic neuritis, with blurred vision and colour blindness
2. B · Antidiuretic hormone (vasopressin)
3. D · It stops levodopa turning into dopamine outside the brain
4. B · As a rapid IV push followed by a fast saline flush
5. D · Bone marrow suppression, especially anaemia
6. A · Thiazide diuretics
7. A · Cholinergic crisis from too much anticholinesterase drug
8. D · Low TPMT activity causes toxic levels and marrow suppression
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