1.Easy
What is the most common side effect of first-generation antihistamines such as diphenhydramine?
- ADrowsiness
- BRaised blood pressure
- CDiarrhoea
- DInsomnia
2.Easy
A patient taking furosemide is advised to eat potassium-rich foods. Which food is a good choice?
- AWhite rice
- BButter
- CEgg whites
- DBananas
3.Easy
In the United States, what is a "boxed warning" (black box warning) on a drug label?
- AA note that the drug is available without prescription
- BA label showing that the drug is a controlled substance with abuse potential
- CThe strongest FDA warning about a serious or life-threatening risk
- DA sign that the drug must be stored in a dark box
4.Medium
How do ACE inhibitors lower blood pressure?
- AThey block L-type calcium channels in vascular smooth muscle cells
- BThey increase sodium reabsorption in the kidney
- CThey block the conversion of angiotensin I to angiotensin II
- DThey block beta-1 receptors in the heart
5.Medium
What should the nurse teach a patient about taking levothyroxine?
- ATake it with milk at dinner, as calcium protects the stomach lining
- BTake it on an empty stomach, 30–60 minutes before breakfast
- CTake it only on days when feeling tired
- DTake it together with the iron tablet to save time
6.Medium
How should oral potassium chloride tablets be taken?
- ALying down straight after the dose
- BCrushed and dissolved under the tongue
- COn an empty stomach with only a small sip of water, then lie down
- DWith food and plenty of water, swallowed whole if slow-release
7.Hard
A patient on weekly methotrexate is prescribed trimethoprim for a urinary infection. What is the main risk?
- AHypoglycaemia from reduced liver glucose output
- BSevere hypertension from the combination
- CLoss of antibiotic effect because methotrexate binds trimethoprim
- DBone marrow suppression, because both drugs inhibit folate metabolism
8.Hard
Which statement about raloxifene for postmenopausal osteoporosis is correct?
- AIt acts like oestrogen in all tissues, including the breast, and relieves hot flushes
- BIt has no effect on the risk of blood clots
- CIt is a bisphosphonate taken weekly with water
- DIt acts like oestrogen on bone but blocks oestrogen in the breast, and raises clot risk
Answer key
- 1. A · Drowsiness
- 2. D · Bananas
- 3. C · The strongest FDA warning about a serious or life-threatening risk
- 4. C · They block the conversion of angiotensin I to angiotensin II
- 5. B · Take it on an empty stomach, 30–60 minutes before breakfast
- 6. D · With food and plenty of water, swallowed whole if slow-release
- 7. D · Bone marrow suppression, because both drugs inhibit folate metabolism
- 8. D · It acts like oestrogen on bone but blocks oestrogen in the breast, and raises clot risk
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