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Imię: ____________________ Data: ____________
1.Łatwy
Famotidine belongs to which drug class?
AProstaglandin analogues
BH2 receptor antagonists
CAntacids
DProton pump inhibitors
2.Łatwy
Dextromethorphan is used as:
AAn antibiotic for chest infections
BAn expectorant that thins mucus
CA cough suppressant
DA nasal decongestant
3.Łatwy
Vitamin D supplements support bone health mainly by:
AStimulating osteoclasts to break down bone
BIncreasing calcium absorption from the gut
CIncreasing calcium loss in the urine
DReplacing collagen in bone
4.Średni
Why are many drugs started at lower doses in older adults?
AOlder adults always weigh more than younger adults, so drugs last longer
BOlder adults absorb no drugs from the stomach
CKidney and liver clearance often decline, and sensitivity to drugs increases
DLower doses are cheaper for older patients
5.Średni
Why is hypovolaemia corrected with IV fluids before or while starting a vasopressor?
AVasopressors only work when they are diluted in large fluid volumes
BVasopressors cannot keep perfusion up if the circulation is under-filled
CFluids stop the vasopressor causing a fever
DVasopressors cause the patient to retain too much fluid
6.Średni
Bethanechol may be used for non-obstructive urinary retention. How does it work?
AIt increases urine production in the kidney
BIt stimulates muscarinic receptors and contracts the bladder muscle
CIt shrinks the prostate gland
DIt blocks muscarinic receptors and relaxes the bladder wall muscle
7.Trudny
Carboprost is a prostaglandin used for postpartum haemorrhage. In which woman should it be avoided?
AA woman with iron deficiency anaemia
BA woman who is breastfeeding
CA woman who had a vaginal birth
DA woman with asthma
8.Trudny
A patient with heart failure starts taking naproxen regularly for back pain. Why is this a concern?
ANSAIDs block the absorption of furosemide completely
BNSAIDs lower potassium, which makes digoxin and diuretics fail
CNSAIDs increase heart contractility too much
DNSAIDs cause salt and water retention and can worsen heart failure
Klucz odpowiedzi
1. B · H2 receptor antagonists
2. C · A cough suppressant
3. B · Increasing calcium absorption from the gut
4. C · Kidney and liver clearance often decline, and sensitivity to drugs increases
5. B · Vasopressors cannot keep perfusion up if the circulation is under-filled
6. B · It stimulates muscarinic receptors and contracts the bladder muscle
7. D · A woman with asthma
8. D · NSAIDs cause salt and water retention and can worsen heart failure
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