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Imię: ____________________ Data: ____________
1.Łatwy
Where is a sublingual tablet placed?
AUnder the tongue
BBetween the cheek and the gum
COn top of the tongue, then chewed
DIn the stomach, swallowed with water
2.Łatwy
What does "bacteriostatic" mean?
AThe drug kills bacteria directly by breaking down their cell wall
BThe drug kills viruses as well as bacteria
CThe drug prevents the patient's immune response
DThe drug stops bacteria multiplying without killing them directly
3.Łatwy
How is pernicious anaemia usually treated?
AWith folic acid alone
BWith oral iron tablets for three months, then stopping
CWith vitamin B12 injections, usually for life
DWith blood transfusions every month
4.Średni
A patient wants to stop paroxetine suddenly. What should the nurse explain?
AIt can be stopped at any time, as antidepressants cause no withdrawal effects
BIt can cause dizziness, "electric shock" feelings and irritability
CStopping suddenly causes the drug to work better for a while
A patient takes regular paracetamol (acetaminophen) at home. Which teaching point best prevents accidental overdose?
ACheck cold and flu remedies, as many also contain paracetamol
BTake paracetamol with alcohol to improve absorption
CUse paracetamol only on an empty stomach
DTake an extra dose if the first one does not work within 10 minutes
6.Średni
Ipratropium to lek rozszerzający oskrzela stosowany w POChP. Jak działa?
ABlokuje receptory muskarynowe w mięśniach gładkich dróg oddechowych
BZmniejsza zapalenie jak glikokortykosteroid
CBlokuje receptory leukotrienowe
DPobudza receptory beta-2-adrenergiczne w drogach oddechowych
7.Trudny
A patient with myasthenia gravis took extra pyridostigmine doses. She now has increasing weakness, heavy salivation, sweating, small pupils and diarrhoea. What is the most likely cause?
AA stroke unrelated to the medication
BCholinergic crisis from too much anticholinesterase drug
CMyasthenic crisis from too little anticholinesterase drug
DAn allergic reaction to pyridostigmine
8.Trudny
A patient on methadone is also prescribed diazepam for anxiety. What is the main safety concern?
AMethadone causes diazepam to be excreted very quickly
BAdditive sedation and respiratory depression
CDiazepam blocks the effect of methadone completely
DSevere hypertension from the combination
Klucz odpowiedzi
1. A · Under the tongue
2. D · The drug stops bacteria multiplying without killing them directly
3. C · With vitamin B12 injections, usually for life
4. B · It can cause dizziness, "electric shock" feelings and irritability
5. A · Check cold and flu remedies, as many also contain paracetamol
6. A · Blokuje receptory muskarynowe w mięśniach gładkich dróg oddechowych
7. B · Cholinergic crisis from too much anticholinesterase drug
8. B · Additive sedation and respiratory depression
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