1.ง่าย
Celecoxib selectively inhibits which enzyme?
- ALipoxygenase
- BPhospholipase A2
- CCyclo-oxygenase-1 (COX-1)
- DCyclo-oxygenase-2 (COX-2)
2.ง่าย
A patient taking furosemide is advised to eat potassium-rich foods. Which food is a good choice?
- AWhite rice
- BBananas
- CEgg whites
- DButter
3.ง่าย
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
4.ปานกลาง
Why is simvastatin traditionally taken in the evening?
- AIt is inactivated by sunlight during the day
- BIt is short-acting, and cholesterol synthesis peaks at night
- CIt must be taken with the largest meal of the day
- DIt causes too much drowsiness to be taken in the morning
5.ปานกลาง
A patient receives lactulose for hepatic encephalopathy. Which finding shows that it is working?
- AHigher blood ammonia with improved appetite
- BTen watery stools a day and a low serum potassium
- CNo bowel movement for three days, with less confusion than before
- DBetter alertness and orientation, with two to three soft stools a day
6.ปานกลาง
A 19-year-old starts an SSRI for depression. Which is most important for the nurse to monitor during the first weeks?
- AHearing loss and tinnitus
- BNew or worsening suicidal thoughts or agitation
- CBlood glucose before every meal and at bedtime
- DDaily bowel movements only
7.ยาก
Why is adenosine used with caution in patients with asthma?
- AIt can cause bronchospasm
- BIt is broken down too slowly in asthma
- CIt causes severe hypertension in asthma
- DIt reduces the effect of inhaled steroids
8.ยาก
A patient on digoxin is started on amiodarone. What change should the nurse expect?
- ADigoxin levels rise, so the digoxin dose is often reduced
- BNo interaction is expected
- CAmiodarone levels fall to zero
- DDigoxin levels fall sharply, so the digoxin dose is doubled
เฉลย
- 1. D · Cyclo-oxygenase-2 (COX-2)
- 2. B · Bananas
- 3. D · 135–145 mmol/L
- 4. B · It is short-acting, and cholesterol synthesis peaks at night
- 5. D · Better alertness and orientation, with two to three soft stools a day
- 6. B · New or worsening suicidal thoughts or agitation
- 7. A · It can cause bronchospasm
- 8. A · Digoxin levels rise, so the digoxin dose is often reduced
เฉลยทีละขั้นตอนฉบับเต็ม: ฝึกหัวข้อนี้ได้ที่ examproblems.com