1.Easy
What does "polypharmacy" mean?
- AThe use of many medicines at the same time, often five or more
- BTaking one drug in several different forms
- CA pharmacy that stocks many different brands of the same drug
- DUsing a drug at a very high dose
2.Easy
What is the generic name of a medicine?
- AThe name of the pharmacy that made it
- BThe chemical formula printed on the packet
- CThe name chosen by the company for marketing
- DThe non-proprietary name of the active substance
3.Easy
What is a placebo?
- AA drug that is only active in the placebo group
- BA drug that is given at half the normal dose to reduce side effects in trials
- CA new drug that has not been approved yet
- DAn inactive treatment that can still produce effects through expectation
4.Medium
While giving medicines, a patient says, "That pill looks different from the one I usually take." What should the nurse do?
- AGive the pill and check the chart afterwards
- BExplain that only the staff decide which medicines are given
- CStop and recheck the order and the medicine before giving it
- DReassure the patient and give the pill anyway
5.Medium
How should a patient take oral alendronate?
- AWith plain water on an empty stomach, staying upright for 30 minutes
- BWith breakfast and coffee to protect the stomach
- CCrushed into yoghurt with calcium supplements
- DWith milk at bedtime, then lying down straight away to aid absorption
6.Medium
A patient takes regular paracetamol (acetaminophen) at home. Which teaching point best prevents accidental overdose?
- AUse paracetamol only on an empty stomach
- BCheck cold and flu remedies, as many also contain paracetamol
- CTake an extra dose if the first one does not work within 10 minutes
- DTake paracetamol with alcohol to improve absorption
7.Hard
The thalidomide disaster of the late 1950s and early 1960s is best known for which effect, and what did it lead to?
- AHeart attacks in older adults; the start of generic medicines
- BDeafness in children; the end of animal testing
- CLiver failure in adults; the ban of all sedatives
- DSevere limb defects in babies; stricter drug testing and regulation
8.Hard
Which statement about raloxifene for postmenopausal osteoporosis is correct?
- AIt acts like oestrogen on bone but blocks oestrogen in the breast, and raises clot risk
- BIt is a bisphosphonate taken weekly with water
- CIt acts like oestrogen in all tissues, including the breast, and relieves hot flushes
- DIt has no effect on the risk of blood clots
Answer key
- 1. A · The use of many medicines at the same time, often five or more
- 2. D · The non-proprietary name of the active substance
- 3. D · An inactive treatment that can still produce effects through expectation
- 4. C · Stop and recheck the order and the medicine before giving it
- 5. A · With plain water on an empty stomach, staying upright for 30 minutes
- 6. B · Check cold and flu remedies, as many also contain paracetamol
- 7. D · Severe limb defects in babies; stricter drug testing and regulation
- 8. A · It acts like oestrogen on bone but blocks oestrogen in the breast, and raises clot risk
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