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Naam: ____________________ Datum: ____________
1.Makkelijk
With patient-controlled analgesia (PCA), who should press the button to give a dose?
AOnly the patient
BAny visitor who thinks the patient is in pain
CA family member when the patient is asleep
DThe nursing assistant at set times
2.Makkelijk
Benzodiazepinen zoals diazepam werken door het effect van welke neurotransmitter te versterken?
ASerotonine
BGlutamaat
CNoradrenaline
DGABA
3.Makkelijk
Why is folinic acid (leucovorin) given after high-dose methotrexate?
ATo treat an allergic reaction to methotrexate
BTo make methotrexate act faster on the tumour
CTo prevent nausea and vomiting after the methotrexate
DTo protect normal cells from methotrexate toxicity
4.Gemiddeld
A patient starting sulfasalazine should be told about which harmless effect?
AGreen colouring of the sweat
BOrange-yellow colouring of the urine
CWhite spots on the nails
DBlue colouring of the tongue and gums
5.Gemiddeld
A patient takes low-dose weekly methotrexate for rheumatoid arthritis. Which monitoring is needed?
AWeekly INR checks and a monthly ECG to check the heart rhythm
BMonthly hearing tests
CDaily blood glucose checks
DRegular blood count, liver and kidney function tests
6.Gemiddeld
How should a patient take oral alendronate?
AWith milk at bedtime, then lying down straight away to aid absorption
BWith breakfast and coffee to protect the stomach
CWith plain water on an empty stomach, staying upright for 30 minutes
DCrushed into yoghurt with calcium supplements
7.Moeilijk
Why is adenosine used with caution in patients with asthma?
AIt causes severe hypertension in asthma
BIt reduces the effect of inhaled steroids
CIt can cause bronchospasm
DIt is broken down too slowly in asthma
8.Moeilijk
A patient with HIV has a CD4 count below 200 cells/mm3. Which prophylaxis is usually started?
AOseltamivir to prevent influenza
BIsoniazid to prevent hepatitis B
CFluconazole to prevent urinary and skin infections
DCo-trimoxazole to prevent Pneumocystis pneumonia
Antwoordenblad
1. A · Only the patient
2. D · GABA
3. D · To protect normal cells from methotrexate toxicity
4. B · Orange-yellow colouring of the urine
5. D · Regular blood count, liver and kidney function tests
6. C · With plain water on an empty stomach, staying upright for 30 minutes
7. C · It can cause bronchospasm
8. D · Co-trimoxazole to prevent Pneumocystis pneumonia
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