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Imię: ____________________ Data: ____________
1.Łatwy
What is the normal serum sodium range in adults?
A95–105 mmol/L
B150–165 mmol/L
C3,5–5,0 mmol/L
D135–145 mmol/L
2.Łatwy
What is drug synergism?
ATwo drugs together have a greater effect than the sum of each alone
BOne drug cancels out the effect of another drug
CA drug loses its effect after repeated doses
DTwo drugs together produce exactly the sum of their separate effects
3.Łatwy
Dextromethorphan is used as:
AAn antibiotic for chest infections
BA cough suppressant
CA nasal decongestant
DAn expectorant that thins mucus
4.Średni
A nurse realises that a patient has been given the wrong dose of a medicine. What is the first action?
ACorrect the chart so it shows the right dose
BAssess the patient for effects of the error
CComplete the incident report before anything else
DWait to see whether the patient notices
5.Średni
Jak inhibitory ACE obniżają ciśnienie tętnicze?
ABlokują kanały wapniowe typu L w komórkach mięśniówki gładkiej naczyń
BZwiększają wchłanianie zwrotne sodu w nerce
CHamują przemianę angiotensyny I w angiotensynę II
DBlokują receptory beta-1 w sercu
6.Średni
Why should a patient rinse the mouth after using an inhaled corticosteroid?
ATo stop the drug being absorbed too quickly into the blood
BTo reduce the risk of oral thrush (candidiasis) and hoarseness
CTo make the drug work faster in the lungs
DTo prevent a fall in blood glucose
7.Trudny
An older patient who has taken omeprazole for many years has muscle cramps, tremor and an irregular heartbeat. Which lab finding is most likely linked to the drug?
ALow serum magnesium
BHigh serum sodium
CHigh serum calcium
DLow serum glucose
8.Trudny
A woman with epilepsy who takes an antiepileptic drug plans to become pregnant. Which advice is standard?
ANo change is needed, as antiepileptics carry no risk in pregnancy
BStop all antiepileptic drugs straight away as soon as she stops contraception
CTake folic acid before conception and seek specialist review of her medication
DAvoid folic acid because it lowers drug levels
Klucz odpowiedzi
1. D · 135–145 mmol/L
2. A · Two drugs together have a greater effect than the sum of each alone
3. B · A cough suppressant
4. B · Assess the patient for effects of the error
5. C · Hamują przemianę angiotensyny I w angiotensynę II
6. B · To reduce the risk of oral thrush (candidiasis) and hoarseness
7. A · Low serum magnesium
8. C · Take folic acid before conception and seek specialist review of her medication
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