1.ง่าย
Which signs are typical of hypoglycaemia?
- AFruity breath with deep, rapid breathing
- BA slow pulse, constipation and weight gain
- CThirst, frequent urination and warm, dry, flushed skin
- DSweating, shakiness, a fast heart rate and confusion
2.ง่าย
Propylthiouracil and carbimazole (or its active form methimazole, also called thiamazole) are used to treat which condition?
- AHyperthyroidism
- BType 1 diabetes
- CAdrenal insufficiency
- DHypothyroidism
3.ง่าย
Which side effect is common with magnesium-containing antacids?
- ADiarrhoea
- BDrowsiness
- CConstipation
- DDry cough
4.ปานกลาง
ผลข้างเคียงที่รู้จักกันดีของคอร์ติโคสเตียรอยด์ชนิดรับประทานระยะยาวคืออะไร?
- Aน้ำหนักลด
- Bกระดูกพรุน
- Cน้ำตาลในเลือดต่ำ
- Dความดันโลหิตต่ำ
5.ปานกลาง
While giving medicines, a patient says, "That pill looks different from the one I usually take." What should the nurse do?
- AStop and recheck the order and the medicine before giving it
- BExplain that only the staff decide which medicines are given
- CReassure the patient and give the pill anyway
- DGive the pill and check the chart afterwards
6.ปานกลาง
Which statement about allopurinol is correct?
- AIt increases uric acid production to flush out crystals
- BIt works within an hour to relieve joint pain
- CIt lowers uric acid over time and does not relieve the pain of an acute attack
- DIt is taken only during an acute attack and stopped as soon as the pain settles
7.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
- BIntravenous furosemide
- COral potassium chloride
- DOral sodium polystyrene sulfonate
8.ยาก
A patient who uses insulin is taught sick-day rules. Which statement shows a need for further teaching?
- A"I will seek help if I keep vomiting or have ketones."
- B"I will keep drinking fluids, even if I cannot eat much."
- C"I will check my blood glucose and ketones more often while I am ill."
- D"If I am ill and not eating, I will stop my insulin completely."
เฉลย
- 1. D · Sweating, shakiness, a fast heart rate and confusion
- 2. A · Hyperthyroidism
- 3. A · Diarrhoea
- 4. B · กระดูกพรุน
- 5. A · Stop and recheck the order and the medicine before giving it
- 6. C · It lowers uric acid over time and does not relieve the pain of an acute attack
- 7. A · Intravenous calcium gluconate
- 8. D · "If I am ill and not eating, I will stop my insulin completely."
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