1.ง่าย
With patient-controlled analgesia (PCA), who should press the button to give a dose?
- AOnly the patient
- BAny visitor who thinks the patient is in pain
- CA family member when the patient is asleep
- DThe nursing assistant at set times
2.ง่าย
What does "polypharmacy" mean?
- AA pharmacy that stocks many different brands of the same drug
- BTaking one drug in several different forms
- CUsing a drug at a very high dose
- DThe use of many medicines at the same time, often five or more
3.ง่าย
Oxytocin is used in obstetrics mainly to:
- ALower blood pressure in pre-eclampsia
- BMature the fetal lungs before birth
- CStop preterm labour by relaxing the uterine muscle
- DInduce or strengthen contractions and prevent postpartum bleeding
4.ปานกลาง
ปัจจัยใดเพิ่มความเสี่ยงของภาวะเป็นพิษจากลิเทียม?
- Aภาวะขาดน้ำ
- Bดื่มน้ำเพิ่มขึ้น
- Cรับประทานยาพร้อมอาหาร
- Dอาหารเค็มจัด
5.ปานกลาง
How should the nurse straighten the ear canal to give ear drops to a 2-year-old child?
- APush the pinna forward and up
- BPull the pinna up and back
- CLeave the ear untouched and drop into the canal
- DPull the pinna down and back
6.ปานกลาง
When does oseltamivir give the most benefit in influenza?
- AWhen started within 48 hours of the first symptoms
- BOnly after symptoms have lasted at least one week
- COnly after a bacterial pneumonia has developed
- DAt any time, as the timing makes no difference
7.ยาก
Why is vincristine labelled "for intravenous use only – fatal if given by other routes"?
- AIntramuscular injection causes severe and prolonged hypoglycaemia
- BOral vincristine causes immediate anaphylaxis
- CAccidental intrathecal injection causes fatal ascending neurotoxicity
- DSubcutaneous injection makes the drug inactive
8.ยาก
A patient who has taken lorazepam daily for many months stops it suddenly. Which serious complication may follow?
- AProfound respiratory depression
- BWithdrawal seizures
- CPinpoint pupils and coma
- DSevere bradycardia
เฉลย
- 1. A · Only the patient
- 2. D · The use of many medicines at the same time, often five or more
- 3. D · Induce or strengthen contractions and prevent postpartum bleeding
- 4. A · ภาวะขาดน้ำ
- 5. D · Pull the pinna down and back
- 6. A · When started within 48 hours of the first symptoms
- 7. C · Accidental intrathecal injection causes fatal ascending neurotoxicity
- 8. B · Withdrawal seizures
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