1.Easy
Which adverse effect is most common with colchicine?
- AConstipation and dry mouth
- BDiarrhoea, nausea and vomiting
- CWeight gain and swelling
- DDrowsiness and slow breathing
2.Easy
Which herbal product is commonly taken for sleep and can add to the effect of sedatives?
- APeppermint
- BGinger
- CValerian
- DCranberry
3.Easy
In the United States, what is a "boxed warning" (black box warning) on a drug label?
- AA sign that the drug must be stored in a dark box
- 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 note that the drug is available without prescription
4.Medium
After several years of levodopa treatment, which problem is common?
- ADyskinesias and "on–off" fluctuations in response
- BSevere hypoglycaemia after each dose
- CComplete and permanent loss of all Parkinson's symptoms
- DPermanent hearing loss
5.Medium
A patient with a fentanyl patch is given home-care advice. Which instruction is correct?
- ACut the patch in half if the pain is mild
- BApply each new patch over the same skin area
- CThrow used patches loose into the household bin with the packaging
- DAvoid heating pads, hot baths and saunas over or near the patch
6.Medium
What is the most important adverse effect of sulfonylureas such as gliclazide?
- ALactic acidosis
- BDry cough
- CHyperkalaemia
- DHypoglycaemia
7.Hard
During an IV glyceryl trinitrate (nitroglycerin) infusion for chest pain, the patient's blood pressure drops to 82/50 mmHg and he feels faint. What is the nurse's first action?
- AGive a sublingual nitroglycerin tablet and increase the rate to relieve the remaining chest pain
- BSit the patient fully upright and give paracetamol for the headache
- CStop or reduce the infusion as per protocol, lay the patient flat and notify the prescriber
- DIncrease the infusion rate to improve blood flow to the heart
8.Hard
Why is glibenclamide (glyburide) generally avoided in older adults?
- AIt is not absorbed in people over 65
- BIt causes severe weight loss and muscle wasting in older people
- CIt is long-acting and can cause prolonged, severe hypoglycaemia
- DIt causes high blood glucose in older adults
Answer key
- 1. B · Diarrhoea, nausea and vomiting
- 2. C · Valerian
- 3. C · The strongest FDA warning about a serious or life-threatening risk
- 4. A · Dyskinesias and "on–off" fluctuations in response
- 5. D · Avoid heating pads, hot baths and saunas over or near the patch
- 6. D · Hypoglycaemia
- 7. C · Stop or reduce the infusion as per protocol, lay the patient flat and notify the prescriber
- 8. C · It is long-acting and can cause prolonged, severe hypoglycaemia
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