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Naam: ____________________ Datum: ____________
1.Makkelijk
In the United States, what does a Schedule II controlled substance mean?
AA drug with no accepted medical use and a high potential for abuse
BA drug with accepted medical use but a high risk of abuse
CA drug with almost no risk of abuse
DA drug available freely over the counter
2.Makkelijk
Wat is tolerantie voor een geneesmiddel?
AEen allergische reactie op een middel
BEen verminderde reactie na herhaald gebruik, zodat een hogere dosis nodig is
CHet vermogen een middel te gebruiken zonder enige bijwerking te krijgen
DEen sterkere reactie elke keer dat het middel wordt ingenomen
3.Makkelijk
Oxytocin is used in obstetrics mainly to:
ALower blood pressure in pre-eclampsia
BStop preterm labour by relaxing the uterine muscle
CInduce or strengthen contractions and prevent postpartum bleeding
DMature the fetal lungs before birth
4.Gemiddeld
Which blood test is commonly used to monitor a continuous infusion of unfractionated heparin?
ASerum potassium
BHaemoglobin A1c
CINR (international normalised ratio, prothrombin time)
DActivated partial thromboplastin time (aPTT)
5.Gemiddeld
Which early signs suggest systemic toxicity from a local anaesthetic?
AHeavy sweating, salivation and diarrhoea
BItchy rash and swelling only at the injection site
CPinpoint pupils and slow, shallow breathing
DNumbness around the mouth, metallic taste and tinnitus
6.Gemiddeld
How are most medication doses for children calculated?
ABy giving half of the adult dose to all children under 12
BBy body weight in kilograms, or sometimes body surface area
CBy the child's height alone
DBy the child's age in years only
7.Moeilijk
A patient on long-term lithium passes large amounts of dilute urine and is always thirsty. What is the most likely explanation?
AThe patient is drinking too much and lithium is unrelated
BLithium causes type 1 diabetes by destroying the pancreatic beta cells
CLithium blocks the kidney's response to ADH (nephrogenic diabetes insipidus)
DLithium increases ADH release from the pituitary
8.Moeilijk
A patient taking metoprolol is also started on verapamil. Which adverse effect is most likely?
AHypoglycaemia and weight gain
BSevere bradycardia and heart block
CHyperkalaemia and muscle weakness
DRebound tachycardia and hypertension
Antwoordenblad
1. B · A drug with accepted medical use but a high risk of abuse
2. B · Een verminderde reactie na herhaald gebruik, zodat een hogere dosis nodig is
3. C · Induce or strengthen contractions and prevent postpartum bleeding
4. D · Activated partial thromboplastin time (aPTT)
5. D · Numbness around the mouth, metallic taste and tinnitus
6. B · By body weight in kilograms, or sometimes body surface area
7. C · Lithium blocks the kidney's response to ADH (nephrogenic diabetes insipidus)
8. B · Severe bradycardia and heart block
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