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Imię: ____________________ Data: ____________
1.Łatwy
Which long-term side effect of phenytoin makes good oral hygiene especially important?
ABlue-grey discoloration of the teeth and gums
BExcess saliva production
CLoss of taste
DOvergrowth of the gums (gingival hyperplasia)
2.Łatwy
Why is carbidopa combined with levodopa?
AIt converts levodopa into dopamine inside the gut
BIt increases the breakdown of dopamine in the liver
CIt stops levodopa turning into dopamine outside the brain
DIt blocks dopamine receptors to reduce nausea in the brain
3.Łatwy
Adenosine is used mainly to:
ATreat ventricular fibrillation
BPrevent blood clots in atrial fibrillation
CTerminate supraventricular tachycardia
DRaise blood pressure in shock
4.Średni
Które działanie niepożądane jest typowe dla metoklopramidu, zwłaszcza u młodych osób?
ASuchy kaszel
BNiska glikemia
CPozapiramidowe zaburzenia ruchowe, takie jak ostra dystonia
DCiężkie zaparcie
5.Średni
A prescriber gives a verbal medication order in an emergency. What should the nurse do?
ARemember it and write it in the chart at the end of the shift
BWrite it down and read it back to the prescriber to confirm
CGive the drug without recording the order
DAsk another nurse to remember the order
6.Średni
An Rh-negative mother gives birth to an Rh-positive baby. When is anti-D immunoglobulin usually given?
AIt is not needed if the baby is Rh-positive
BAt least two weeks after the birth
COnly at the start of the next pregnancy
DWithin 72 hours after the birth
7.Trudny
Why is pethidine (meperidine) avoided in older people and in kidney impairment?
AIt has no pain-relieving effect in older people
BIt is not absorbed from the gut when kidney function is poor
CIt causes severe hypoglycaemia in these groups
DIts metabolite norpethidine builds up and can cause seizures
8.Trudny
Dawka 500 mg podana dożylnie daje początkowe stężenie w osoczu 10 mg/L. Ile wynosi objętość dystrybucji?
A5000 L
B500 L
C50 L
D5 L
Klucz odpowiedzi
1. D · Overgrowth of the gums (gingival hyperplasia)
2. C · It stops levodopa turning into dopamine outside the brain
3. C · Terminate supraventricular tachycardia
4. C · Pozapiramidowe zaburzenia ruchowe, takie jak ostra dystonia
5. B · Write it down and read it back to the prescriber to confirm
6. D · Within 72 hours after the birth
7. D · Its metabolite norpethidine builds up and can cause seizures
8. C · 50 L
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