1.简单
What is drug synergism?
- AA drug loses its effect after repeated doses
- BTwo drugs together produce exactly the sum of their separate effects
- COne drug cancels out the effect of another drug
- DTwo drugs together have a greater effect than the sum of each alone
2.简单
In the United States, what is a "boxed warning" (black box warning) on a drug label?
- AThe strongest FDA warning about a serious or life-threatening risk
- BA sign that the drug must be stored in a dark box
- CA note that the drug is available without prescription
- DA label showing that the drug is a controlled substance with abuse potential
3.简单
Which intramuscular site is recommended for infants?
- ADeltoid
- BVentral forearm
- CVastus lateralis (outer thigh)
- DDorsogluteal (upper outer buttock)
4.中等
An IV site is cool, swollen and pale, and the infusion is running slowly. What should the nurse do?
- AFlush the cannula forcefully with saline
- BIncrease the infusion rate to push through and clear the blockage
- CStop the infusion, remove the cannula and elevate the limb
- DApply a tight bandage over the site
5.中等
A patient takes theophylline for COPD. Which advice is most important?
- ATake extra doses when short of breath
- BDrink plenty of grapefruit juice each morning to improve absorption
- CLimit coffee, tea and cola, because caffeine adds to the side effects
- DAvoid potassium-rich foods such as bananas
6.中等
Why is testing for HLA-B*15:02 recommended before carbamazepine in people of some Asian ancestries?
- AThis gene variant speeds up the kidney excretion of carbamazepine
- BIt greatly raises the risk of Stevens–Johnson syndrome
- CThis gene variant causes carbamazepine to raise blood glucose
- DThis gene variant makes carbamazepine ineffective
7.困难
一种半衰期短的药物以远长于其半衰期的给药间隔给药。达到稳态时结果如何?
- A峰浓度和谷浓度之间波动很大
- B浓度非常稳定,几乎没有波动
- C逐渐蓄积到中毒浓度
- D永远达不到稳态
8.困难
A patient is switched from oral to intravenous morphine. Why is the IV dose lower than the oral dose?
- AThe oral route causes tolerance faster than the IV route
- BOral morphine has a large first-pass effect, so less reaches the blood
- CIV morphine is excreted much more slowly by the kidney than oral morphine
- DIV morphine is a stronger chemical form of the drug
答案
- 1. D · Two drugs together have a greater effect than the sum of each alone
- 2. A · The strongest FDA warning about a serious or life-threatening risk
- 3. C · Vastus lateralis (outer thigh)
- 4. C · Stop the infusion, remove the cannula and elevate the limb
- 5. C · Limit coffee, tea and cola, because caffeine adds to the side effects
- 6. B · It greatly raises the risk of Stevens–Johnson syndrome
- 7. A · 峰浓度和谷浓度之间波动很大
- 8. B · Oral morphine has a large first-pass effect, so less reaches the blood
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