1.Easy
How is pernicious anaemia usually treated?
- AWith folic acid alone
- BWith blood transfusions every month
- CWith vitamin B12 injections, usually for life
- DWith oral iron tablets for three months, then stopping
2.Easy
Which drug reverses the effect of heparin?
- AVitamin K
- BNaloxone
- CFlumazenil
- DProtamine sulfate
3.Easy
In Addison's disease, fludrocortisone is given to replace which hormone?
- AAldosterone
- BThyroxine
- CCortisol
- DAdrenaline
4.Medium
Which blood test is commonly used to monitor a continuous infusion of unfractionated heparin?
- ASerum potassium
- BActivated partial thromboplastin time (aPTT)
- CINR (international normalised ratio, prothrombin time)
- DHaemoglobin A1c
5.Medium
Warfarin works by:
- AActivating antithrombin
- BBlocking platelet aggregation through irreversible inhibition of COX-1
- CDirectly inhibiting thrombin
- DBlocking the vitamin K-dependent synthesis of clotting factors
6.Medium
What is a loading dose used for?
- ATo reach the target plasma concentration quickly
- BTo test for allergic reactions
- CTo slow down the absorption of the drug
- DTo reduce side effects at the start of treatment
7.Hard
A patient on digoxin is started on amiodarone. What change should the nurse expect?
- ADigoxin levels rise, so the digoxin dose is often reduced
- BDigoxin levels fall sharply, so the digoxin dose is doubled
- CNo interaction is expected
- DAmiodarone levels fall to zero
8.Hard
Why is intravenous insulin given with glucose in severe hyperkalaemia?
- AInsulin increases potassium excretion by the kidney
- BInsulin protects the heart muscle directly from potassium
- CGlucose binds potassium in the blood
- DInsulin moves potassium from the blood into cells
Answer key
- 1. C · With vitamin B12 injections, usually for life
- 2. D · Protamine sulfate
- 3. A · Aldosterone
- 4. B · Activated partial thromboplastin time (aPTT)
- 5. D · Blocking the vitamin K-dependent synthesis of clotting factors
- 6. A · To reach the target plasma concentration quickly
- 7. A · Digoxin levels rise, so the digoxin dose is often reduced
- 8. D · Insulin moves potassium from the blood into cells
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