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Naam: ____________________ Datum: ____________
1.Makkelijk
Welke hiervan is een typische fase II-reactie (conjugatie) in het geneesmiddelmetabolisme?
AOxidatie
BReductie
CHydrolyse
DGlucuronidering
2.Makkelijk
On the WHO analgesic ladder, which drugs form the first step?
AStrong opioids such as morphine given intravenously
BLocal anaesthetic nerve blocks for all patients
CWeak opioids such as codeine or tramadol, used on their own
DNon-opioids such as paracetamol and NSAIDs
3.Makkelijk
Tamoxifen is used mainly to treat:
AOestrogen receptor-positive breast cancer
BOsteoarthritis
CType 2 diabetes
DProstate enlargement and prostate cancer in older men
4.Gemiddeld
When should a patient take a once-daily proton pump inhibitor such as omeprazole?
AWith a glass of milk at bedtime, when acid output is highest
BOnly when heartburn is severe
CAbout 30–60 minutes before the first meal of the day
DStraight after a large evening meal
5.Gemiddeld
A patient is due the first dose of IV cefuroxime. Which question is most important before giving it?
A"Have you eaten anything in the last two hours?"
B"Have you taken paracetamol today?"
C"Have you ever had a reaction to penicillin or another antibiotic?"
D"Do you prefer the drip in your left arm or in your right arm?"
6.Gemiddeld
A patient is starting lisinopril. Which rare but serious adverse effect should the nurse teach the patient to report immediately?
AA harmless rash on the palms of the hands
BSwelling of the lips, tongue or face
CDarker skin after exposure to sunlight
DAn increase in appetite in the evening
7.Moeilijk
Why is gentamicin often given once daily instead of in several small doses?
AIt is absorbed slowly from the muscle over 24 hours
BIt has a very long half-life of several days
CIts killing depends on high peak levels, with a post-antibiotic effect
DIts killing depends only on the time the level stays above the MIC
8.Moeilijk
A patient with heart failure on furosemide is also given metolazone, a thiazide-like diuretic. Which risk increases most?
ASevere hypertension, tachycardia and fluid retention
BHypoglycaemia and weight gain
CHyperkalaemia and fluid overload
DSevere hypokalaemia, hyponatraemia and dehydration
Antwoordenblad
1. D · Glucuronidering
2. D · Non-opioids such as paracetamol and NSAIDs
3. A · Oestrogen receptor-positive breast cancer
4. C · About 30–60 minutes before the first meal of the day
5. C · "Have you ever had a reaction to penicillin or another antibiotic?"
6. B · Swelling of the lips, tongue or face
7. C · Its killing depends on high peak levels, with a post-antibiotic effect
8. D · Severe hypokalaemia, hyponatraemia and dehydration
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