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Naam: ____________________ Datum: ____________
1.Makkelijk
Which effect is common and harmless with oral iron tablets?
ARed-coloured urine
BYellow discoloration of the eyes
CDark or black stools
DBlue tint to the lips
2.Makkelijk
Lithium is used mainly to treat which condition?
ASchizophrenia with no mood symptoms
BAttention deficit hyperactivity disorder
CBipolar disorder
DGeneralised anxiety disorder
3.Makkelijk
Ciclosporin and tacrolimus are used mainly to:
ALower high blood cholesterol
BTreat bacterial infections after surgery
CPrevent rejection of transplanted organs
DRelieve acute pain after surgery
4.Gemiddeld
How should a hyoscine (scopolamine) patch for motion sickness be used?
ACut it in half for children without advice
BApply it to the chest only after the vomiting has started
CApply it behind the ear several hours before travel
DSwallow it if no water is available
5.Gemiddeld
A patient takes low-dose weekly methotrexate for rheumatoid arthritis. Which monitoring is needed?
ADaily blood glucose checks
BRegular blood count, liver and kidney function tests
CWeekly INR checks and a monthly ECG to check the heart rhythm
DMonthly hearing tests
6.Gemiddeld
Welke bijwerking is typisch voor metoclopramide, vooral bij jonge mensen?
ALage bloedglucose
BExtrapiramidale bewegingsstoornissen zoals acute dystonie
CDroge hoest
DErnstige obstipatie
7.Moeilijk
An older patient with coronary artery disease is starting levothyroxine for hypothyroidism. Why is a low starting dose used?
AOlder patients absorb levothyroxine much better, so small doses are all they need
BHigh starting doses cause permanent hypothyroidism
CFast replacement raises cardiac oxygen demand and can cause angina
DLevothyroxine causes severe hypoglycaemia in older patients
8.Moeilijk
Why should a dose never be written as "5,0 mg" on a medication order?
AIt is too precise for most drugs
BThe pharmacy cannot supply doses that contain a decimal point
CThe decimal point may be missed, and the dose read as 50 mg
DIt means the dose must be given five times
Antwoordenblad
1. C · Dark or black stools
2. C · Bipolar disorder
3. C · Prevent rejection of transplanted organs
4. C · Apply it behind the ear several hours before travel
5. B · Regular blood count, liver and kidney function tests
6. B · Extrapiramidale bewegingsstoornissen zoals acute dystonie
7. C · Fast replacement raises cardiac oxygen demand and can cause angina
8. C · The decimal point may be missed, and the dose read as 50 mg
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