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Ad: ____________________ Tarih: ____________
1.Kolay
Methylphenidate, used in ADHD, belongs to which class?
ABenzodiazepines
BAntipsychotics (dopamine blockers)
CCentral nervous system stimulants
DOpioid analgesics
2.Kolay
Which of these is an extrapyramidal side effect of antipsychotics?
AAkathisia (a feeling of inner restlessness)
BWeight gain
CDry mouth
DAgranulocytosis (a very low neutrophil count)
3.Kolay
Why is adrenaline (epinephrine) sometimes added to a local anaesthetic injection?
AIt makes the anaesthetic act on the brain as well
BIt speeds up the removal of the anaesthetic from the tissue into the blood
CIt constricts vessels, so the block lasts longer and less enters the blood
DIt prevents allergic reactions to the anaesthetic
4.Orta
During a rapid infusion of vancomycin, a patient develops flushing and a red rash on the face, neck and upper body. What is the most likely cause and action?
AAcute kidney failure; stop all IV fluids and antibiotics at once
BAn infusion reaction; stop or slow the infusion and inform the prescriber
CA sign that the infection is spreading; give a second dose
DA normal effect; increase the infusion rate to finish sooner
5.Orta
Uzun süreli ağızdan kortikosteroid kullanımının iyi bilinen bir advers etkisi hangisidir?
AOsteoporoz
BKilo kaybı
CHipoglisemi
DDüşük kan basıncı
6.Orta
Kalsiyum kanal blokeri amlodipin için hangi yan etki tipiktir?
AKuru öksürük
BAyak bileği şişliği
CHiperkalemi
DBronkospazm
7.Zor
A patient develops a dry cough on an ACE inhibitor and is switched to losartan. Why is losartan less likely to cause cough?
AIt blocks histamine receptors in the airways
BIt is excreted faster by the kidney
CIt also acts as a bronchodilator
DIt does not block the breakdown of bradykinin
8.Zor
A patient who uses insulin is taught sick-day rules. Which statement shows a need for further teaching?
A"If I am ill and not eating, I will stop my insulin completely."
B"I will keep drinking fluids, even if I cannot eat much."
C"I will seek help if I keep vomiting or have ketones."
D"I will check my blood glucose and ketones more often while I am ill."
Cevap anahtarı
1. C · Central nervous system stimulants
2. A · Akathisia (a feeling of inner restlessness)
3. C · It constricts vessels, so the block lasts longer and less enters the blood
4. B · An infusion reaction; stop or slow the infusion and inform the prescriber
5. A · Osteoporoz
6. B · Ayak bileği şişliği
7. D · It does not block the breakdown of bradykinin
8. A · "If I am ill and not eating, I will stop my insulin completely."
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