1.简单
Why is vitamin K given to newborn babies?
- ATo protect against hepatitis B
- BTo improve weight gain
- CTo prevent vitamin K deficiency bleeding
- DTo prevent neonatal jaundice in the first week
2.简单
Which antibiotic group shares the beta-lactam ring with penicillins?
- ATetracyclines
- BMacrolides
- CAminoglycosides
- DCephalosporins
3.简单
What is the most common side effect of first-generation antihistamines such as diphenhydramine?
- ARaised blood pressure
- BDrowsiness
- CDiarrhoea
- DInsomnia
4.中等
After a vaccination, why is a person asked to wait for a short time before leaving?
- ATo make sure the injection site does not bruise
- BTo check that the vaccine has already created protective antibodies
- CTo watch for anaphylaxis, which usually starts within minutes
- DTo measure the person's temperature for fever
5.中等
How should a patient store sublingual glyceryl trinitrate (nitroglycerin) tablets?
- AIn a plastic weekly pill box with other tablets
- BIn the original dark glass bottle, away from heat, light and moisture
- CIn the fridge in a damp, open container to keep them fresh and cool
- DLoose in a shirt pocket close to the body for quick access
6.中等
A patient is starting lisinopril. Which rare but serious adverse effect should the nurse teach the patient to report immediately?
- ADarker skin after exposure to sunlight
- BA harmless rash on the palms of the hands
- CAn increase in appetite in the evening
- DSwelling of the lips, tongue or face
7.困难
A patient with heart failure on furosemide is also given metolazone, a thiazide-like diuretic. Which risk increases most?
- ASevere hypertension, tachycardia and fluid retention
- BHyperkalaemia and fluid overload
- CHypoglycaemia and weight gain
- DSevere hypokalaemia, hyponatraemia and dehydration
8.困难
Why is the TPMT enzyme often tested before azathioprine is started?
- ATPMT testing shows whether the patient has tuberculosis
- BTPMT is needed to absorb azathioprine from the gut
- CHigh TPMT activity causes an allergic reaction to azathioprine
- DLow TPMT activity causes toxic levels and marrow suppression
答案
- 1. C · To prevent vitamin K deficiency bleeding
- 2. D · Cephalosporins
- 3. B · Drowsiness
- 4. C · To watch for anaphylaxis, which usually starts within minutes
- 5. B · In the original dark glass bottle, away from heat, light and moisture
- 6. D · Swelling of the lips, tongue or face
- 7. D · Severe hypokalaemia, hyponatraemia and dehydration
- 8. D · Low TPMT activity causes toxic levels and marrow suppression
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