1.ง่าย
Which of these drugs has a narrow therapeutic index?
- ALoratadine
- BOmeprazole
- CLithium
- DAmoxicillin
2.ง่าย
Which drug is the antidote for paracetamol (acetaminophen) overdose?
- AVitamin K
- BNaloxone
- CFlumazenil
- DAcetylcysteine
3.ง่าย
Naltrexone helps in alcohol use disorder because it:
- ASpeeds up the liver breakdown of alcohol
- BReplaces alcohol as a sedative
- CCauses vomiting and flushing whenever alcohol is drunk
- DBlocks opioid receptors, reducing reward and craving
4.ปานกลาง
แวนโคไมซินทางหลอดเลือดดำใช้รักษาการติดเชื้อที่เกิดจากเชื้อใดโดยทั่วไป?
- AMRSA
- BEscherichia coli
- CPseudomonas aeruginosa
- DCandida albicans
5.ปานกลาง
Which statement about allopurinol is correct?
- AIt lowers uric acid over time and does not relieve the pain of an acute attack
- BIt increases uric acid production to flush out crystals
- CIt is taken only during an acute attack and stopped as soon as the pain settles
- DIt works within an hour to relieve joint pain
6.ปานกลาง
A patient is due the first dose of IV cefuroxime. Which question is most important before giving it?
- A"Do you prefer the drip in your left arm or in your right arm?"
- B"Have you ever had a reaction to penicillin or another antibiotic?"
- C"Have you eaten anything in the last two hours?"
- D"Have you taken paracetamol today?"
7.ยาก
A woman with epilepsy who takes an antiepileptic drug plans to become pregnant. Which advice is standard?
- ATake folic acid before conception and seek specialist review of her medication
- BStop all antiepileptic drugs straight away as soon as she stops contraception
- CNo change is needed, as antiepileptics carry no risk in pregnancy
- DAvoid folic acid because it lowers drug levels
8.ยาก
A patient on warfarin also takes ginkgo and high-dose garlic supplements and is having minor surgery next week. What should the nurse do?
- AAdvise stopping warfarin without telling anyone
- BTell the surgical team, as the supplements can increase bleeding
- CIgnore the supplements, as natural products are safe with warfarin
- DAdvise taking extra supplements to improve healing
เฉลย
- 1. C · Lithium
- 2. D · Acetylcysteine
- 3. D · Blocks opioid receptors, reducing reward and craving
- 4. A · MRSA
- 5. A · It lowers uric acid over time and does not relieve the pain of an acute attack
- 6. B · "Have you ever had a reaction to penicillin or another antibiotic?"
- 7. A · Take folic acid before conception and seek specialist review of her medication
- 8. B · Tell the surgical team, as the supplements can increase bleeding
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