1.ง่าย
Which drug is the antidote for paracetamol (acetaminophen) overdose?
- ANaloxone
- BAcetylcysteine
- CVitamin K
- DFlumazenil
2.ง่าย
Lithium is used mainly to treat which condition?
- AGeneralised anxiety disorder
- BAttention deficit hyperactivity disorder
- CSchizophrenia with no mood symptoms
- DBipolar disorder
3.ง่าย
Filgrastim, a granulocyte colony-stimulating factor (G-CSF), is given to:
- ALower the white cell count in leukaemia
- BStop bleeding from wounds
- CIncrease the production of neutrophils
- DIncrease the production of platelets
4.ปานกลาง
Why is IV promethazine given with great caution?
- AIt causes a severe rise in blood pressure when it is given intravenously
- BIt can cause severe tissue injury if it leaks or enters an artery
- CIt causes immediate kidney failure
- DIt is a strong opioid that causes addiction
5.ปานกลาง
A patient must mix regular (soluble) insulin and NPH (isophane) insulin in one syringe. What is the correct order?
- ADraw up the cloudy NPH insulin first, then the clear regular insulin
- BDraw up the clear regular insulin first, then the cloudy NPH insulin
- CDraw them up in separate syringes, then mix them in a cup
- DShake both vials hard, then draw them up in any order
6.ปานกลาง
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
- BComplete the incident report before anything else
- CAssess the patient for effects of the error
- DWait to see whether the patient notices
7.ยาก
A patient with severe chronic hyponatraemia receives hypertonic saline. Why is the rate of correction strictly limited?
- ARaising sodium too fast can cause osmotic demyelination in the brain
- BFast correction causes immediate kidney failure
- CRaising sodium too fast causes severe hypokalaemia and cardiac arrest
- DHypertonic saline is toxic to the liver at high rates
8.ยาก
A patient has a serum potassium of 7.0 mmol/L (mEq/L) and peaked T waves on the ECG. Which drug is given first to protect the heart?
- AIntravenous calcium gluconate
- BOral sodium polystyrene sulfonate
- COral potassium chloride
- DIntravenous furosemide
เฉลย
- 1. B · Acetylcysteine
- 2. D · Bipolar disorder
- 3. C · Increase the production of neutrophils
- 4. B · It can cause severe tissue injury if it leaks or enters an artery
- 5. B · Draw up the clear regular insulin first, then the cloudy NPH insulin
- 6. C · Assess the patient for effects of the error
- 7. A · Raising sodium too fast can cause osmotic demyelination in the brain
- 8. A · Intravenous calcium gluconate
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