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Ad: ____________________ Tarih: ____________
1.Kolay
Which harmless effect of rifampicin should patients be warned about?
ABlue colouring of the fingernails and lips
BGreen colouring of the stools
CWhite spots on the teeth
DOrange-red colouring of urine, sweat and tears
2.Kolay
After chemotherapy, what is the "nadir"?
AThe point when blood cell counts are at their lowest
BThe point when the tumour is at its smallest after treatment
CThe time when nausea is worst
DThe day the drug is given
3.Kolay
What is enzyme induction?
AA drug speeds up liver enzymes, so other drugs are broken down faster
BA drug causes an allergic reaction to enzymes
CA drug is converted into an enzyme in the body
DA drug blocks liver enzymes, so other drugs build up in the blood
4.Orta
Which adverse effect is a well-known risk of zidovudine?
ARed–green colour blindness
BBone marrow suppression, especially anaemia
COrange-red colouring of the urine and tears
DGum overgrowth
5.Orta
After a vaccination, why is a person asked to wait for a short time before leaving?
ATo watch for anaphylaxis, which usually starts within minutes
BTo make sure the injection site does not bruise
CTo measure the person's temperature for fever
DTo check that the vaccine has already created protective antibodies
6.Orta
A child is starting methylphenidate for ADHD. Which advice is appropriate?
AGive the last dose at bedtime to help the child sleep
BExpect weight gain as the main side effect
CGive the drug only at weekends
DGive doses early in the day and monitor appetite and growth
7.Zor
A patient on stable warfarin is prescribed a course of metronidazole. What is the likely effect, and what should the nurse expect?
AThe INR falls, so the risk of clotting increases
BThe INR rises, so closer INR monitoring is needed
CThe INR stays the same, as these drugs do not interact
DMetronidazole replaces warfarin, so warfarin is stopped
8.Zor
Romatoid artrit için metotreksat haftada bir kez alınır. Bir hasta yanlışlıkla aynı dozu her gün alıyor. Temel tehlike nedir?
AMetotreksat toksisitesine bağlı kemik iliği baskılanması ve mukozit
BSıvı tutulumuna bağlı ağır hipertansiyon
CMetotreksat insülin salınımını güçlü biçimde uyardığı için hipoglisemi
Dİlaç toleransı nedeniyle artritin kötüleşmesi
Cevap anahtarı
1. D · Orange-red colouring of urine, sweat and tears
2. A · The point when blood cell counts are at their lowest
3. A · A drug speeds up liver enzymes, so other drugs are broken down faster
4. B · Bone marrow suppression, especially anaemia
5. A · To watch for anaphylaxis, which usually starts within minutes
6. D · Give doses early in the day and monitor appetite and growth
7. B · The INR rises, so closer INR monitoring is needed
8. A · Metotreksat toksisitesine bağlı kemik iliği baskılanması ve mukozit
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