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Imię: ____________________ Data: ____________
1.Łatwy
Drugs whose names end in "-pril", such as lisinopril, belong to which class?
ACalcium channel blockers
BACE inhibitors
CBeta blockers
DAngiotensin II receptor blockers
2.Łatwy
Which signs are typical of hypoglycaemia?
AThirst, frequent urination and warm, dry, flushed skin
BFruity breath with deep, rapid breathing
CSweating, shakiness, a fast heart rate and confusion
DA slow pulse, constipation and weight gain
3.Łatwy
Które działanie niepożądane morfiny prawie nigdy nie ustępuje przy dalszym stosowaniu?
AZaparcie
BNudności
CŚwiąd
DSenność
4.Średni
Które receptory blokują głównie beta-blokery, np. metoprolol?
AReceptory alfa-1 w naczyniach
BReceptory beta-1 adrenergiczne w sercu
CReceptory beta-3 w tkance tłuszczowej
DReceptory muskarynowe w sercu
5.Średni
Why is a spacer recommended with a metered-dose inhaler?
AIt turns the inhaler into a nebuliser
BIt doubles the dose of drug released by each puff of the inhaler
CIt removes the need to shake the inhaler
DMore drug reaches the lungs and less stays in the mouth
6.Średni
After naloxone reverses an opioid overdose, why must the patient be watched closely?
ANaloxone often causes severe low blood glucose a few hours after the dose
BNaloxone may wear off before the opioid does, so breathing can slow again
CNaloxone itself causes respiratory depression at high doses
DNaloxone makes the opioid stay longer in the body
7.Trudny
A patient with diabetic ketoacidosis is about to start an IV insulin infusion. Serum potassium is 3,1 mmol/L (mEq/L). Why is this a concern?
AInsulin moves potassium into cells, so the level can fall dangerously low
BPotassium has no link with insulin, so the infusion is started as planned
CInsulin raises potassium further and can cause cardiac arrest, so the infusion is given faster
DLow potassium makes insulin ineffective, so a higher dose is needed
8.Trudny
A patient with heart failure starts taking naproxen regularly for back pain. Why is this a concern?
ANSAIDs cause salt and water retention and can worsen heart failure
BNSAIDs increase heart contractility too much
CNSAIDs block the absorption of furosemide completely
DNSAIDs lower potassium, which makes digoxin and diuretics fail
Klucz odpowiedzi
1. B · ACE inhibitors
2. C · Sweating, shakiness, a fast heart rate and confusion
3. A · Zaparcie
4. B · Receptory beta-1 adrenergiczne w sercu
5. D · More drug reaches the lungs and less stays in the mouth
6. B · Naloxone may wear off before the opioid does, so breathing can slow again
7. A · Insulin moves potassium into cells, so the level can fall dangerously low
8. A · NSAIDs cause salt and water retention and can worsen heart failure
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