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Ім’я: ____________________ Дата: ____________
1.Легка
Антибіотики ефективні проти:
AУсіх мікроорганізмів однаково
BАлергічних реакцій
CВірусів
DБактерій
2.Легка
Mannitol is an osmotic diuretic used mainly to:
APrevent blood clots
BReduce raised intracranial pressure
CTreat high blood pressure long term
DRaise serum potassium
3.Легка
Which adverse effect can follow long-term use of strong topical corticosteroids?
APermanent darkening of the nails
BIncreased hair loss on the scalp
CThinning of the skin
DThickening of the skin
4.Середня
A patient takes cholestyramine. How should other oral medicines be timed?
ATake them all at the same time as cholestyramine
BMix them into the cholestyramine drink so they are taken together
CTake them 1 hour before or several hours after cholestyramine
DTiming does not matter, as cholestyramine is not absorbed
5.Середня
A patient with Addison's disease on hydrocortisone develops a fever with flu. What is the usual advice?
AHalve the hydrocortisone to reduce side effects
BStop the hydrocortisone until the fever settles, to let the body recover
CIncrease the dose as instructed (sick-day rules) and seek help if vomiting
DMake no change, as illness does not affect cortisol needs
6.Середня
A patient is starting doxazosin, an alpha-1 blocker. What should the nurse advise about the first dose?
AExpect a short rise in blood pressure after the dose
BTake it in the morning with a cup of strong coffee to stay alert
CTake it only if the urine is darker than usual
DTake it at bedtime, because it can cause dizziness and fainting
7.Складна
A 19-year-old woman is starting isotretinoin for severe acne. Which requirement is most important?
AReliable contraception and pregnancy tests, as it is highly teratogenic
BA high-vitamin A diet to boost the effect
CTaking the drug only at weekends
DWeekly hearing tests and monthly eye examinations during treatment
8.Складна
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 also acts as a bronchodilator
CIt does not block the breakdown of bradykinin
DIt is excreted faster by the kidney
Ключ відповідей
1. D · Бактерій
2. B · Reduce raised intracranial pressure
3. C · Thinning of the skin
4. C · Take them 1 hour before or several hours after cholestyramine
5. C · Increase the dose as instructed (sick-day rules) and seek help if vomiting
6. D · Take it at bedtime, because it can cause dizziness and fainting
7. A · Reliable contraception and pregnancy tests, as it is highly teratogenic
8. C · It does not block the breakdown of bradykinin
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