1.Dễ
On the WHO analgesic ladder, which drugs form the first step?
- ANon-opioids such as paracetamol and NSAIDs
- BWeak opioids such as codeine or tramadol, used on their own
- CLocal anaesthetic nerve blocks for all patients
- DStrong opioids such as morphine given intravenously
2.Dễ
Venlafaxine belongs to which class of antidepressants?
- ASelective serotonin reuptake inhibitors (SSRIs)
- BTricyclic antidepressants
- CSerotonin–noradrenaline reuptake inhibitors (SNRIs)
- DMonoamine oxidase inhibitors
3.Dễ
What is a "superinfection" during antibiotic treatment?
- AA very severe form of the original infection
- BAn infection that spreads from one patient to another on the ward
- CA new infection because normal body flora are disturbed
- DAn infection that is cured by a single antibiotic dose
4.Trung bình
Vancomycin đường tĩnh mạch thường được dùng để điều trị nhiễm trùng do:
- ACandida albicans
- BEscherichia coli
- CPseudomonas aeruginosa
- DMRSA
5.Trung bình
Bethanechol may be used for non-obstructive urinary retention. How does it work?
- AIt increases urine production in the kidney
- BIt shrinks the prostate gland
- CIt stimulates muscarinic receptors and contracts the bladder muscle
- DIt blocks muscarinic receptors and relaxes the bladder wall muscle
6.Trung bình
A patient with diabetes is sweaty and shaky. Blood glucose is 3,0 mmol/L (54 mg/dL). The patient is awake and can swallow. What should the nurse do first?
- AGive intramuscular glucagon at once
- BGive the next scheduled dose of insulin
- CGive a large meal high in fat and protein to keep glucose up for longer
- DGive 15–20 g of fast-acting carbohydrate, such as juice
7.Khó
A patient with myasthenia gravis took extra pyridostigmine doses. She now has increasing weakness, heavy salivation, sweating, small pupils and diarrhoea. What is the most likely cause?
- AMyasthenic crisis from too little anticholinesterase drug
- BA stroke unrelated to the medication
- CAn allergic reaction to pyridostigmine
- DCholinergic crisis from too much anticholinesterase drug
8.Khó
A patient who used cocaine has chest pain, agitation, a high temperature, sweating, tachycardia and dilated pupils. Which drug class is commonly first-line for the agitation and sympathetic overactivity?
- ABenzodiazepines
- BAntihistamines
- CAnticholinergic drugs
- DOpioid antagonists
Đáp án
- 1. A · Non-opioids such as paracetamol and NSAIDs
- 2. C · Serotonin–noradrenaline reuptake inhibitors (SNRIs)
- 3. C · A new infection because normal body flora are disturbed
- 4. D · MRSA
- 5. C · It stimulates muscarinic receptors and contracts the bladder muscle
- 6. D · Give 15–20 g of fast-acting carbohydrate, such as juice
- 7. D · Cholinergic crisis from too much anticholinesterase drug
- 8. A · Benzodiazepines
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