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Naam: ____________________ Datum: ____________
1.Makkelijk
Infliximab and adalimumab are biological drugs that block:
ATumour necrosis factor-alpha (TNF-alpha)
BHistamine H1 receptors in the skin and airways
CInsulin receptors
DVitamin K recycling
2.Makkelijk
Which of these is one of the classic "rights" of medication administration?
ARight route
BRight brand
CRight price
DRight pharmacy
3.Makkelijk
Which drug can be used in beta blocker overdose because it raises heart rate through a non-adrenergic pathway?
AGlucagon
BNaloxone
CFlumazenil
DInsulin
4.Gemiddeld
A man taking tamsulosin is planning cataract surgery. What should the nurse advise?
AStop the drug for one day and no further action is needed
BTell the eye surgeon, as it can cause floppy iris syndrome
CThe drug has no link with eye surgery
DTake a double dose on the day of surgery
5.Gemiddeld
Which teaching about antiepileptic drugs is most important?
AAlcohol has no effect on seizure control
BStop the drug when you have had no seizures for one whole week
CTake a double dose if you feel a seizure coming
DDo not stop the drug suddenly, as this can trigger severe seizures
6.Gemiddeld
What should the nurse teach a patient about taking levothyroxine?
ATake it on an empty stomach, 30–60 minutes before breakfast
BTake it only on days when feeling tired
CTake it together with the iron tablet to save time
DTake it with milk at dinner, as calcium protects the stomach lining
7.Moeilijk
Het verdelingsvolume van een middel is erg groot (bijvoorbeeld 500 L bij een volwassene). Waar wijst dit op?
AHet middel blijft bijna volledig in het plasmacompartiment
BHet middel wordt snel door de nieren uitgescheiden
CHet middel kan niet intraveneus worden gegeven
DHet middel wordt sterk door de weefsels opgenomen
8.Moeilijk
A patient taking co-trimoxazole develops fever, a spreading blistering rash and painful mouth sores. What is the most likely diagnosis?
AOral thrush; start an antifungal and continue the antibiotic
BSunburn caused by the drug; advise sunscreen only
CA mild rash that will settle; continue the drug and give moisturiser
DStevens–Johnson syndrome; stop the drug and get urgent medical care
Antwoordenblad
1. A · Tumour necrosis factor-alpha (TNF-alpha)
2. A · Right route
3. A · Glucagon
4. B · Tell the eye surgeon, as it can cause floppy iris syndrome
5. D · Do not stop the drug suddenly, as this can trigger severe seizures
6. A · Take it on an empty stomach, 30–60 minutes before breakfast
7. D · Het middel wordt sterk door de weefsels opgenomen
8. D · Stevens–Johnson syndrome; stop the drug and get urgent medical care
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