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Naam: ____________________ Datum: ____________
1.Makkelijk
Finasteride is used in benign prostatic hyperplasia because it:
AKills bacteria in the prostate
BInhibits 5-alpha reductase and slowly shrinks the prostate
CRelaxes smooth muscle in the prostate within hours of the first dose
DIncreases testosterone production
2.Makkelijk
What does the combined oral contraceptive pill contain?
ATestosterone and an oestrogen
BA progestogen only
COxytocin and a progestogen
DAn oestrogen and a progestogen
3.Makkelijk
Welk type receptor blokkeert atropine?
ABèta-1-adrenerge receptoren
BNicotinerge receptoren op de neuromusculaire overgang
CHistamine-H1-receptoren
DMuscarinerge acetylcholinereceptoren
4.Gemiddeld
A nurse has a needlestick injury from a patient with HIV. When should post-exposure prophylaxis start?
AOnly if the patient's viral load is above a set level
BAfter one week, when the risk of infection is clearer
COnly after the nurse's HIV test turns positive
DAs soon as possible, and within 72 hours at the latest
5.Gemiddeld
A woman taking tamoxifen should report which symptom promptly?
AUnusual vaginal bleeding or a painful swollen leg
BMild hot flushes, especially at night, in the first months
CSlightly dry skin
DMild tiredness in the afternoon
6.Gemiddeld
1000 mL of IV fluid is to be given over 8 hours with a pump. What rate should be set?
A250 mL/h
B100 mL/h
C80 mL/h
D125 mL/h
7.Moeilijk
A patient on long-term prednisolone has been vomiting for two days and could not take her tablets. She is now hypotensive and confused, with low sodium and high potassium. What is the most urgent treatment?
AIV hydrocortisone and IV fluids
BIV insulin with glucose only
COral prednisolone with a glass of water
DIV furosemide
8.Moeilijk
A patient on simvastatin is prescribed gemfibrozil. What is the main concern?
AA much higher risk of myopathy and rhabdomyolysis
BA sharp rise in LDL cholesterol and triglycerides
CSevere hypoglycaemia
DLoss of all lipid-lowering effect
Antwoordenblad
1. B · Inhibits 5-alpha reductase and slowly shrinks the prostate
2. D · An oestrogen and a progestogen
3. D · Muscarinerge acetylcholinereceptoren
4. D · As soon as possible, and within 72 hours at the latest
5. A · Unusual vaginal bleeding or a painful swollen leg
6. D · 125 mL/h
7. A · IV hydrocortisone and IV fluids
8. A · A much higher risk of myopathy and rhabdomyolysis
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