1.简单
Which adverse effect can follow long-term use of strong topical corticosteroids?
- APermanent darkening of the nails
- BThickening of the skin
- CIncreased hair loss on the scalp
- DThinning of the skin
2.简单
What does "bacteriostatic" mean?
- AThe drug prevents the patient's immune response
- BThe drug kills viruses as well as bacteria
- CThe drug stops bacteria multiplying without killing them directly
- DThe drug kills bacteria directly by breaking down their cell wall
3.简单
Dextromethorphan is used as:
- AA nasal decongestant
- BAn antibiotic for chest infections
- CA cough suppressant
- DAn expectorant that thins mucus
4.中等
How are most medication doses for children calculated?
- ABy giving half of the adult dose to all children under 12
- BBy the child's height alone
- CBy body weight in kilograms, or sometimes body surface area
- DBy the child's age in years only
5.中等
When should a patient take a once-daily proton pump inhibitor such as omeprazole?
- AStraight after a large evening meal
- BAbout 30–60 minutes before the first meal of the day
- CWith a glass of milk at bedtime, when acid output is highest
- DOnly when heartburn is severe
6.中等
What should the nurse teach a patient starting nitrofurantoin?
- ATake it on an empty stomach with an antacid
- BTake it with food, and the urine may turn dark yellow or brown
- CExpect blue urine, which shows that the drug is working well
- DStop it as soon as the burning settles
7.困难
Why may omeprazole be avoided in a patient taking clopidogrel?
- AIt inhibits CYP2C19, so less clopidogrel is converted to its active form
- BIt increases clopidogrel absorption from the gut and causes bleeding
- CIt binds clopidogrel in the stomach and makes it insoluble
- DIt speeds up kidney excretion of clopidogrel
8.困难
A patient taking dabigatran has a life-threatening bleed. Which specific reversal agent is used?
- AIdarucizumab
- BVitamin K
- CAndexanet alfa
- DProtamine sulfate
答案
- 1. D · Thinning of the skin
- 2. C · The drug stops bacteria multiplying without killing them directly
- 3. C · A cough suppressant
- 4. C · By body weight in kilograms, or sometimes body surface area
- 5. B · About 30–60 minutes before the first meal of the day
- 6. B · Take it with food, and the urine may turn dark yellow or brown
- 7. A · It inhibits CYP2C19, so less clopidogrel is converted to its active form
- 8. A · Idarucizumab
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