1.Dễ
What is enzyme induction?
- AA drug causes an allergic reaction to enzymes
- BA drug speeds up liver enzymes, so other drugs are broken down faster
- CA drug blocks liver enzymes, so other drugs build up in the blood
- DA drug is converted into an enzyme in the body
2.Dễ
What is the normal fasting blood glucose range in a healthy adult?
- A1,5–3,0 mmol/L (about 27–54 mg/dL)
- B11,1–15,0 mmol/L (about 200–270 mg/dL)
- C3,9–5,5 mmol/L (about 70–100 mg/dL)
- D7,0–10,0 mmol/L (about 126–180 mg/dL)
3.Dễ
Chlordiazepoxide is commonly used to manage:
- ABipolar mania
- BOpioid overdose
- CMigraine prevention
- DAlcohol withdrawal
4.Trung bình
Thuốc ức chế men chuyển (ACE) hạ huyết áp bằng cách nào?
- ANgăn chuyển angiotensin I thành angiotensin II
- BChẹn thụ thể beta-1 ở tim
- CTăng tái hấp thu natri ở thận
- DChẹn kênh calci típ L ở tế bào cơ trơn mạch máu
5.Trung bình
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 at bedtime, because it can cause dizziness and fainting
- CTake it in the morning with a cup of strong coffee to stay alert
- DTake it only if the urine is darker than usual
6.Trung bình
A 19-year-old starts an SSRI for depression. Which is most important for the nurse to monitor during the first weeks?
- AHearing loss and tinnitus
- BBlood glucose before every meal and at bedtime
- CDaily bowel movements only
- DNew or worsening suicidal thoughts or agitation
7.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?
- AOpioid antagonists
- BBenzodiazepines
- CAntihistamines
- DAnticholinergic drugs
8.Khó
A patient on weekly methotrexate is prescribed trimethoprim for a urinary infection. What is the main risk?
- ALoss of antibiotic effect because methotrexate binds trimethoprim
- BSevere hypertension from the combination
- CBone marrow suppression, because both drugs inhibit folate metabolism
- DHypoglycaemia from reduced liver glucose output
Đáp án
- 1. B · A drug speeds up liver enzymes, so other drugs are broken down faster
- 2. C · 3,9–5,5 mmol/L (about 70–100 mg/dL)
- 3. D · Alcohol withdrawal
- 4. A · Ngăn chuyển angiotensin I thành angiotensin II
- 5. B · Take it at bedtime, because it can cause dizziness and fainting
- 6. D · New or worsening suicidal thoughts or agitation
- 7. B · Benzodiazepines
- 8. C · Bone marrow suppression, because both drugs inhibit folate metabolism
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