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Ім’я: ____________________ Дата: ____________
1.Легка
Drugs whose names end in "-sartan", such as losartan, belong to which class?
AACE inhibitors, which block the converting enzyme
BAngiotensin II receptor blockers
CAlpha-1 blockers
DLoop diuretics
2.Легка
Zolpidem is mainly prescribed for:
AShort-term treatment of insomnia
BLong-term treatment of depression
CPrevention of migraine
DTreatment of Parkinson's disease
3.Легка
Naltrexone helps in alcohol use disorder because it:
ACauses vomiting and flushing whenever alcohol is drunk
BBlocks opioid receptors, reducing reward and craving
CReplaces alcohol as a sedative
DSpeeds up the liver breakdown of alcohol
4.Середня
Besides lithium levels, which blood tests are monitored in long-term lithium treatment?
ALiver enzymes, serum amylase and lipase
BINR and fibrinogen
CTroponin and CK-MB
DKidney function and thyroid function
5.Середня
Which advice helps reduce the most common side effect of varenicline?
ATake it after food with a full glass of water
BTake double doses in the first week
CTake it with alcohol to reduce nausea
DTake it on an empty stomach at bedtime with a little milk
6.Середня
Чому НПЗЗ, як-от ібупрофен, підвищують ризик виразки шлунка?
AЗменшують захисні простагландини в слизовій шлунка
BПідвищують pH шлункової кислоти
CЗбільшують кількість Helicobacter pylori в шлунку
DБезпосередньо розчиняють шар слизу
7.Складна
A postoperative patient using morphine PCA is very drowsy, hard to rouse and has a respiratory rate of 7 per minute. What should the nurse do first?
ALet the patient sleep and recheck in one hour
BEncourage the patient to press the button only when awake and in pain
CStop the PCA, try to rouse the patient and give naloxone as per protocol
DReduce the PCA dose and leave the pump running
8.Складна
A malnourished patient with low serum albumin shows nystagmus and unsteady gait. Her total phenytoin level is within range. What is the most likely explanation?
AMore phenytoin is unbound when albumin is low, so free levels rise
BLow albumin makes phenytoin bind more tightly, so the drug is less active
CThe total level is high, but the laboratory is wrong
DLow albumin speeds up phenytoin metabolism
Ключ відповідей
1. B · Angiotensin II receptor blockers
2. A · Short-term treatment of insomnia
3. B · Blocks opioid receptors, reducing reward and craving
4. D · Kidney function and thyroid function
5. A · Take it after food with a full glass of water
6. A · Зменшують захисні простагландини в слизовій шлунка
7. C · Stop the PCA, try to rouse the patient and give naloxone as per protocol
8. A · More phenytoin is unbound when albumin is low, so free levels rise
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