1.Easy
Chlordiazepoxide is commonly used to manage:
- AMigraine prevention
- BBipolar mania
- COpioid overdose
- DAlcohol withdrawal
2.Easy
Which drug can be used in beta blocker overdose because it raises heart rate through a non-adrenergic pathway?
- AGlucagon
- BInsulin
- CNaloxone
- DFlumazenil
3.Easy
Which adverse effect is most common with colchicine?
- ADiarrhoea, nausea and vomiting
- BDrowsiness and slow breathing
- CConstipation and dry mouth
- DWeight gain and swelling
4.Medium
Which blood test is used to monitor warfarin therapy?
- AActivated partial thromboplastin time (aPTT)
- BSerum albumin
- CINR (prothrombin time)
- DPlatelet count
5.Medium
A patient with heart failure starts furosemide. Which self-monitoring instruction is most useful?
- ACount the respiratory rate each evening
- BWeigh daily at the same time on the same scales
- CMeasure the temperature twice a day and record it in a diary
- DCheck the blood glucose before every meal
6.Medium
How many micrograms are in 0.5 mg?
- A5 micrograms
- B500 micrograms
- C5000 micrograms
- D50 micrograms
7.Hard
A patient on warfarin also takes ginkgo and high-dose garlic supplements and is having minor surgery next week. What should the nurse do?
- AAdvise taking extra supplements to improve healing
- BIgnore the supplements, as natural products are safe with warfarin
- CAdvise stopping warfarin without telling anyone
- DTell the surgical team, as the supplements can increase bleeding
8.Hard
An 80-year-old man with an enlarged prostate starts oxybutynin for an overactive bladder. He becomes confused and cannot pass urine. What is the most likely explanation?
- AOpioid toxicity
- BAn allergic reaction to the drug
- CSerotonin syndrome
- DAnticholinergic adverse effects
Answer key
- 1. D · Alcohol withdrawal
- 2. A · Glucagon
- 3. A · Diarrhoea, nausea and vomiting
- 4. C · INR (prothrombin time)
- 5. B · Weigh daily at the same time on the same scales
- 6. B · 500 micrograms
- 7. D · Tell the surgical team, as the supplements can increase bleeding
- 8. D · Anticholinergic adverse effects
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