Бесплатный лист заданий для печати по теме «Фармакология»: 8 задач от простых до экзаменационного уровня, с ответами. Распечатайте его или сохраните как PDF.
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1.Лёгкая
Why is folinic acid (leucovorin) given after high-dose methotrexate?
ATo prevent nausea and vomiting after the methotrexate
BTo make methotrexate act faster on the tumour
CTo protect normal cells from methotrexate toxicity
DTo treat an allergic reaction to methotrexate
2.Лёгкая
Sumatriptan is used mainly to:
APrevent epileptic seizures
BRelieve nerve pain from diabetes
CTreat high blood pressure
DTreat an acute migraine attack
3.Лёгкая
Baclofen is used mainly to treat:
ABacterial infections of the skin
BAcid reflux and heartburn
CMuscle spasticity, for example in multiple sclerosis
DHigh blood pressure in pregnancy and pre-eclampsia
4.Средняя
During an infusion of a vesicant chemotherapy drug, the patient reports burning, and the site is swollen. What should the nurse do first?
ARemove the cannula at once and massage the area firmly
BIncrease the infusion rate to finish quickly
CFlush the line with a large volume of saline
DStop the infusion, leave the cannula in and follow the protocol
5.Средняя
A patient takes isoniazid. Which advice is most important?
AAvoid alcohol and report jaundice, dark urine or poor appetite
BStop the drug when the cough improves
CExpect the urine to turn orange
DTake it with antacids to protect the stomach from irritation
6.Средняя
A patient starting niacin (nicotinic acid) complains of flushing and warmth after doses. Which advice may reduce this?
ADouble the dose to build tolerance faster
BTake aspirin 30 minutes before the niacin, if the prescriber agrees
CTake it on an empty stomach in a hot bath
DTake the niacin with a hot drink so that it dissolves and acts faster
7.Сложная
A patient with Parkinson's disease has nausea. Why should metoclopramide be avoided?
AIt increases dopamine levels in the brain too much and causes psychosis
BIt blocks dopamine receptors in the brain and can worsen the parkinsonism
CIt inhibits the absorption of all oral drugs
DIt causes severe diarrhoea in Parkinson's disease
8.Сложная
A patient with heart failure starts taking naproxen regularly for back pain. Why is this a concern?
ANSAIDs increase heart contractility too much
BNSAIDs block the absorption of furosemide completely
CNSAIDs lower potassium, which makes digoxin and diuretics fail
DNSAIDs cause salt and water retention and can worsen heart failure
Ответы
1. C · To protect normal cells from methotrexate toxicity
2. D · Treat an acute migraine attack
3. C · Muscle spasticity, for example in multiple sclerosis
4. D · Stop the infusion, leave the cannula in and follow the protocol
5. A · Avoid alcohol and report jaundice, dark urine or poor appetite
6. B · Take aspirin 30 minutes before the niacin, if the prescriber agrees
7. B · It blocks dopamine receptors in the brain and can worsen the parkinsonism
8. D · NSAIDs cause salt and water retention and can worsen heart failure
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