Farmakologia: karta pracy z odpowiedziami

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Imię: ____________________   Data: ____________

1.Łatwy

Benzodiazepiny, takie jak diazepam, działają, nasilając efekt którego neuroprzekaźnika?

  1. AGABA
  2. BNoradrenaliny
  3. CGlutaminianu
  4. DSerotoniny
2.Łatwy

Which adverse effect can follow long-term use of strong topical corticosteroids?

  1. AThickening of the skin
  2. BPermanent darkening of the nails
  3. CThinning of the skin
  4. DIncreased hair loss on the scalp
3.Łatwy

Permethrin is used to treat:

  1. AScabies and head lice
  2. BPsoriasis
  3. CAcne
  4. DFungal nail infections
4.Średni

A patient is starting doxazosin, an alpha-1 blocker. What should the nurse advise about the first dose?

  1. ATake it at bedtime, because it can cause dizziness and fainting
  2. BTake it only if the urine is darker than usual
  3. CTake it in the morning with a cup of strong coffee to stay alert
  4. DExpect a short rise in blood pressure after the dose
5.Średni

A patient with Addison's disease on hydrocortisone develops a fever with flu. What is the usual advice?

  1. AHalve the hydrocortisone to reduce side effects
  2. BMake no change, as illness does not affect cortisol needs
  3. CStop the hydrocortisone until the fever settles, to let the body recover
  4. DIncrease the dose as instructed (sick-day rules) and seek help if vomiting
6.Średni

A patient receiving chemotherapy has a very low neutrophil count and is going home. Which teaching is most important?

  1. AReport a temperature of 38 °C (100,4 °F) or higher straight away
  2. BExercise in crowded gyms to build strength
  3. CTake paracetamol regularly so that fevers do not show
  4. DEat plenty of raw shellfish to boost protein
7.Trudny

A patient with severe chronic hyponatraemia receives hypertonic saline. Why is the rate of correction strictly limited?

  1. AHypertonic saline is toxic to the liver at high rates
  2. BFast correction causes immediate kidney failure
  3. CRaising sodium too fast can cause osmotic demyelination in the brain
  4. DRaising sodium too fast causes severe hypokalaemia and cardiac arrest
8.Trudny

An older patient with coronary artery disease is starting levothyroxine for hypothyroidism. Why is a low starting dose used?

  1. AFast replacement raises cardiac oxygen demand and can cause angina
  2. BOlder patients absorb levothyroxine much better, so small doses are all they need
  3. CHigh starting doses cause permanent hypothyroidism
  4. DLevothyroxine causes severe hypoglycaemia in older patients

Klucz odpowiedzi

  1. 1. A · GABA
  2. 2. C · Thinning of the skin
  3. 3. A · Scabies and head lice
  4. 4. A · Take it at bedtime, because it can cause dizziness and fainting
  5. 5. D · Increase the dose as instructed (sick-day rules) and seek help if vomiting
  6. 6. A · Report a temperature of 38 °C (100,4 °F) or higher straight away
  7. 7. C · Raising sodium too fast can cause osmotic demyelination in the brain
  8. 8. A · Fast replacement raises cardiac oxygen demand and can cause angina

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