1.Easy
Which adverse effect is most common with colchicine?
- ADiarrhoea, nausea and vomiting
- BWeight gain and swelling
- CDrowsiness and slow breathing
- DConstipation and dry mouth
2.Easy
Amphotericin B is used mainly for:
- ABacterial urinary tract infections
- BInfluenza in older people
- CSerious systemic fungal infections
- DMild athlete's foot
3.Easy
Lithium is used mainly to treat which condition?
- AGeneralised anxiety disorder
- BAttention deficit hyperactivity disorder
- CBipolar disorder
- DSchizophrenia with no mood symptoms
4.Medium
A patient takes isoniazid. Which advice is most important?
- AExpect the urine to turn orange
- BAvoid alcohol and report jaundice, dark urine or poor appetite
- CStop the drug when the cough improves
- DTake it with antacids to protect the stomach from irritation
5.Medium
An Rh-negative mother gives birth to an Rh-positive baby. When is anti-D immunoglobulin usually given?
- AIt is not needed if the baby is Rh-positive
- BAt least two weeks after the birth
- COnly at the start of the next pregnancy
- DWithin 72 hours after the birth
6.Medium
Long-term use of metformin can cause a deficiency of which vitamin?
- AVitamin K
- BVitamin D
- CVitamin A
- DVitamin B12
7.Hard
A patient taking metoprolol is also started on verapamil. Which adverse effect is most likely?
- AHyperkalaemia and muscle weakness
- BRebound tachycardia and hypertension
- CHypoglycaemia and weight gain
- DSevere bradycardia and heart block
8.Hard
A patient with type 2 diabetes starts a high dose of prednisolone for a flare of COPD. Which change should the nurse expect?
- AHigher blood glucose, so more frequent glucose checks are needed
- BNo change in glucose, as steroids act only in the lungs
- CLower potassium only, with no effect on glucose
- DLower blood glucose, so the diabetes medicines should be stopped
Answer key
- 1. A · Diarrhoea, nausea and vomiting
- 2. C · Serious systemic fungal infections
- 3. C · Bipolar disorder
- 4. B · Avoid alcohol and report jaundice, dark urine or poor appetite
- 5. D · Within 72 hours after the birth
- 6. D · Vitamin B12
- 7. D · Severe bradycardia and heart block
- 8. A · Higher blood glucose, so more frequent glucose checks are needed
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