1.Easy
Vitamin D supplements support bone health mainly by:
- AIncreasing calcium absorption from the gut
- BIncreasing calcium loss in the urine
- CStimulating osteoclasts to break down bone
- DReplacing collagen in bone
2.Easy
Which organ excretes most water-soluble drugs and their metabolites?
- ALung
- BLiver
- CSkin
- DKidney
3.Easy
Why is adrenaline (epinephrine) sometimes added to a local anaesthetic injection?
- AIt prevents allergic reactions to the anaesthetic
- BIt makes the anaesthetic act on the brain as well
- CIt speeds up the removal of the anaesthetic from the tissue into the blood
- DIt constricts vessels, so the block lasts longer and less enters the blood
4.Medium
How many micrograms are in 0.5 mg?
- A500 micrograms
- B5000 micrograms
- C50 micrograms
- D5 micrograms
5.Medium
A patient with heart failure starts furosemide. Which self-monitoring instruction is most useful?
- AMeasure the temperature twice a day and record it in a diary
- BCount the respiratory rate each evening
- CCheck the blood glucose before every meal
- DWeigh daily at the same time on the same scales
6.Medium
During an infusion of a vesicant chemotherapy drug, the patient reports burning, and the site is swollen. What should the nurse do first?
- AFlush the line with a large volume of saline
- BIncrease the infusion rate to finish quickly
- CStop the infusion, leave the cannula in and follow the protocol
- DRemove the cannula at once and massage the area firmly
7.Hard
A patient with HIV has a CD4 count below 200 cells/mm3. Which prophylaxis is usually started?
- AFluconazole to prevent urinary and skin infections
- BCo-trimoxazole to prevent Pneumocystis pneumonia
- COseltamivir to prevent influenza
- DIsoniazid to prevent hepatitis B
8.Hard
A patient taking azathioprine is prescribed allopurinol for gout. What is the main danger?
- ASevere hypertension from the combination
- BLiver enzyme induction, making azathioprine ineffective
- CSevere bone marrow suppression, because azathioprine breakdown is reduced
- DGout becomes worse because allopurinol is inactivated by azathioprine
Answer key
- 1. A · Increasing calcium absorption from the gut
- 2. D · Kidney
- 3. D · It constricts vessels, so the block lasts longer and less enters the blood
- 4. A · 500 micrograms
- 5. D · Weigh daily at the same time on the same scales
- 6. C · Stop the infusion, leave the cannula in and follow the protocol
- 7. B · Co-trimoxazole to prevent Pneumocystis pneumonia
- 8. C · Severe bone marrow suppression, because azathioprine breakdown is reduced
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