1.Easy
Clomifene is used mainly to:
- ATreat menopausal hot flushes and night sweats
- BInduce ovulation in women with infertility
- CPrevent pregnancy
- DStop postpartum bleeding
2.Easy
Mannitol is an osmotic diuretic used mainly to:
- AReduce raised intracranial pressure
- BTreat high blood pressure long term
- CRaise serum potassium
- DPrevent blood clots
3.Easy
Which intramuscular site is recommended for infants?
- AVastus lateralis (outer thigh)
- BVentral forearm
- CDeltoid
- DDorsogluteal (upper outer buttock)
4.Medium
A 19-year-old starts an SSRI for depression. Which is most important for the nurse to monitor during the first weeks?
- ABlood glucose before every meal and at bedtime
- BNew or worsening suicidal thoughts or agitation
- CDaily bowel movements only
- DHearing loss and tinnitus
5.Medium
How should oral potassium chloride tablets be taken?
- ALying down straight after the dose
- BOn an empty stomach with only a small sip of water, then lie down
- CWith food and plenty of water, swallowed whole if slow-release
- DCrushed and dissolved under the tongue
6.Medium
Which lab tests are monitored in a patient taking carbamazepine?
- ASerum amylase and lipase
- BThyroid antibodies and cortisol
- CFull blood count and serum sodium
- DINR and aPTT
7.Hard
Which pair of adverse effects is characteristic of long-term amiodarone treatment?
- AOtotoxicity and nephrotoxicity
- BThyroid dysfunction and pulmonary fibrosis
- CDry cough and angioedema
- DGum overgrowth and excess hair growth
8.Hard
A woman using the combined oral contraceptive pill starts carbamazepine for epilepsy. What is the main concern?
- ACarbamazepine toxicity because the pill strongly blocks its metabolism
- BNo concern, because the drugs do not interact
- CSevere hypoglycaemia from the combination
- DContraceptive failure because the hormones are metabolised faster
Answer key
- 1. B · Induce ovulation in women with infertility
- 2. A · Reduce raised intracranial pressure
- 3. A · Vastus lateralis (outer thigh)
- 4. B · New or worsening suicidal thoughts or agitation
- 5. C · With food and plenty of water, swallowed whole if slow-release
- 6. C · Full blood count and serum sodium
- 7. B · Thyroid dysfunction and pulmonary fibrosis
- 8. D · Contraceptive failure because the hormones are metabolised faster
Full step-by-step solutions: practise this topic on examproblems.com.