1.Easy
Which plasma protein binds most acidic drugs, such as warfarin?
- AAlbumin
- BInsulin
- CFibrinogen
- DHaemoglobin
2.Easy
Sertraline, an antidepressant, increases the level of which neurotransmitter in the synapse?
- ADopamine
- BGABA
- CSerotonin
- DAcetylcholine
3.Easy
What is a prodrug?
- AA drug that is given before surgery
- BA drug that has passed all clinical trials
- CA drug that is inactive until the body converts it into its active form
- DA drug that prevents or reverses the effect of another drug in the body
4.Medium
Which rule applies to intravenous potassium chloride?
- AIt is mixed into blood products to save time
- BIt is given as a rapid IV push to correct low levels quickly
- CIt must be diluted and given as an infusion, never as an IV push
- DIt may be given intramuscularly if there is no IV access
5.Medium
A patient uses two different eye drops at the same time of day. What should the nurse advise?
- AMix the drops in one bottle first
- BPut both drops in at exactly the same moment
- CWait at least 5 minutes between the two drops
- DUse only one of them each day
6.Medium
A man takes finasteride. What should be explained about handling the tablets?
- AThe tablets must be stored in the fridge
- BPregnant women should not handle crushed or broken tablets
- CAnyone can handle the tablets, as they contain no active drug
- DThe tablets must be crushed before swallowing
7.Hard
Why is glibenclamide (glyburide) generally avoided in older adults?
- AIt causes high blood glucose in older adults
- BIt is not absorbed in people over 65
- CIt causes severe weight loss and muscle wasting in older people
- DIt is long-acting and can cause prolonged, severe hypoglycaemia
8.Hard
A drug has a volume of distribution of 40 L and complete bioavailability. Which loading dose gives a target plasma concentration of 2 mg/L?
- A20 mg
- B160 mg
- C42 mg
- D80 mg
Answer key
- 1. A · Albumin
- 2. C · Serotonin
- 3. C · A drug that is inactive until the body converts it into its active form
- 4. C · It must be diluted and given as an infusion, never as an IV push
- 5. C · Wait at least 5 minutes between the two drops
- 6. B · Pregnant women should not handle crushed or broken tablets
- 7. D · It is long-acting and can cause prolonged, severe hypoglycaemia
- 8. D · 80 mg
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