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Imię: ____________________ Data: ____________
1.Łatwy
Nicotine replacement therapy is used to:
ABlock nicotine receptors completely
BRepair the lung damage caused by years of smoking
CMake cigarettes taste unpleasant
DReduce withdrawal and cravings when stopping smoking
2.Łatwy
Mannitol is an osmotic diuretic used mainly to:
ARaise serum potassium
BPrevent blood clots
CTreat high blood pressure long term
DReduce raised intracranial pressure
3.Łatwy
Which herbal product is commonly taken for sleep and can add to the effect of sedatives?
APeppermint
BValerian
CGinger
DCranberry
4.Średni
Which group of effects would the nurse expect after a dose of an anticholinergic drug such as atropine?
ADiarrhoea, frequent urination and sweating
BHeavy salivation, slow heart rate and small pupils
CBronchial secretions, wheeze and tearing of the eyes
DDry mouth, faster heart rate and dilated pupils
5.Średni
Why are patients taking simvastatin often advised to avoid large amounts of grapefruit juice?
AGrapefruit inhibits CYP3A4 in the gut, raising simvastatin levels and myopathy risk
BGrapefruit blocks cholesterol absorption and causes low cholesterol
CGrapefruit makes the tablet dissolve in the mouth
DGrapefruit speeds up simvastatin breakdown in the liver, so the drug stops working
6.Średni
How should a hyoscine (scopolamine) patch for motion sickness be used?
AApply it behind the ear several hours before travel
BCut it in half for children without advice
CApply it to the chest only after the vomiting has started
DSwallow it if no water is available
7.Trudny
A patient is switched from oral to intravenous morphine. Why is the IV dose lower than the oral dose?
AIV morphine is excreted much more slowly by the kidney than oral morphine
BThe oral route causes tolerance faster than the IV route
CIV morphine is a stronger chemical form of the drug
DOral morphine has a large first-pass effect, so less reaches the blood
8.Trudny
A patient took a doxycycline tablet with a sip of water just before lying down. Now swallowing is very painful. What is the most likely cause?
AGastric ulcer caused by doxycycline
BOral candidiasis from the antibiotic
CPill-induced oesophagitis
DAn allergic reaction to the tablet coating
Klucz odpowiedzi
1. D · Reduce withdrawal and cravings when stopping smoking
2. D · Reduce raised intracranial pressure
3. B · Valerian
4. D · Dry mouth, faster heart rate and dilated pupils
5. A · Grapefruit inhibits CYP3A4 in the gut, raising simvastatin levels and myopathy risk
6. A · Apply it behind the ear several hours before travel
7. D · Oral morphine has a large first-pass effect, so less reaches the blood
8. C · Pill-induced oesophagitis
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