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Ім’я: ____________________ Дата: ____________
1.Легка
Why is anti-D immunoglobulin given to an Rh-negative mother?
ATo treat anaemia in the newborn
BTo stop her forming anti-D antibodies against Rh-positive fetal cells
CTo speed up labour
DTo make her own blood group Rh-positive before the next pregnancy
2.Легка
Fluconazole is used to treat infections caused by:
AGram-negative bacteria
BParasites such as malaria
CFungi such as Candida
DViruses such as influenza
3.Легка
How do local anaesthetics such as lidocaine block pain?
AThey enhance the action of GABA in the brain and spinal cord
BThey activate opioid receptors in the spinal cord
CThey block voltage-gated sodium channels in nerve membranes
DThey block prostaglandin synthesis at the injury site
4.Середня
An IV site is cool, swollen and pale, and the infusion is running slowly. What should the nurse do?
AApply a tight bandage over the site
BStop the infusion, remove the cannula and elevate the limb
CIncrease the infusion rate to push through and clear the blockage
DFlush the cannula forcefully with saline
5.Середня
A malnourished patient with alcohol dependence needs IV glucose. Which vitamin should be given before or with it?
AThiamine (vitamin B1)
BVitamin K (phytomenadione)
CVitamin C
DVitamin D
6.Середня
Why are benzodiazepines used with great caution in older people?
AThey cause severe high blood pressure in older people
BThey are not absorbed from the gut after age 65
CThey raise the risk of confusion, falls and fractures
DThey cause permanent hearing loss in older people
7.Складна
A patient with Parkinson's disease has nausea. Why should metoclopramide be avoided?
AIt causes severe diarrhoea in Parkinson's disease
BIt blocks dopamine receptors in the brain and can worsen the parkinsonism
CIt increases dopamine levels in the brain too much and causes psychosis
DIt inhibits the absorption of all oral drugs
8.Складна
Внутрішньовенна доза 500 mg дає початкову концентрацію в плазмі 10 mg/L. Який об'єм розподілу?
A5 L
B500 L
C50 L
D5000 L
Ключ відповідей
1. B · To stop her forming anti-D antibodies against Rh-positive fetal cells
2. C · Fungi such as Candida
3. C · They block voltage-gated sodium channels in nerve membranes
4. B · Stop the infusion, remove the cannula and elevate the limb
5. A · Thiamine (vitamin B1)
6. C · They raise the risk of confusion, falls and fractures
7. B · It blocks dopamine receptors in the brain and can worsen the parkinsonism
8. C · 50 L
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