1.简单
In the United States, what does a Schedule II controlled substance mean?
- AA drug available freely over the counter
- BA drug with no accepted medical use and a high potential for abuse
- CA drug with accepted medical use but a high risk of abuse
- DA drug with almost no risk of abuse
2.简单
What is a prodrug?
- AA drug that has passed all clinical trials
- BA drug that is given before surgery
- CA drug that is inactive until the body converts it into its active form
- DA drug that prevents or reverses the effect of another drug in the body
3.简单
Why is anti-D immunoglobulin given to an Rh-negative mother?
- ATo make her own blood group Rh-positive before the next pregnancy
- BTo stop her forming anti-D antibodies against Rh-positive fetal cells
- CTo speed up labour
- DTo treat anaemia in the newborn
4.中等
Which drug is used for torsades de pointes?
- AIntravenous magnesium sulfate
- BOral digoxin
- CIntravenous adenosine (rapid push)
- DIntravenous verapamil
5.中等
Which assessment is most important during IV mannitol therapy?
- ABlood glucose before meals and signs of hypoglycaemia
- BUrine output, electrolytes and signs of fluid overload
- CPlatelet count and signs of bleeding
- DLiver enzymes and signs of jaundice
6.中等
A patient with diabetes is sweaty and shaky. Blood glucose is 3.0 mmol/L (54 mg/dL). The patient is awake and can swallow. What should the nurse do first?
- AGive a large meal high in fat and protein to keep glucose up for longer
- BGive intramuscular glucagon at once
- CGive 15–20 g of fast-acting carbohydrate, such as juice
- DGive the next scheduled dose of insulin
7.困难
Why is the TPMT enzyme often tested before azathioprine is started?
- ALow TPMT activity causes toxic levels and marrow suppression
- BTPMT testing shows whether the patient has tuberculosis
- CTPMT is needed to absorb azathioprine from the gut
- DHigh TPMT activity causes an allergic reaction to azathioprine
8.困难
A patient with an epidural infusion of local anaesthetic becomes hypotensive. What is the most likely mechanism?
- AThe epidural catheter has caused heavy bleeding
- BThe local anaesthetic causes a severe allergic reaction
- CThe drug increases urine output and causes dehydration
- DBlockade of sympathetic nerves causes vasodilation
答案
- 1. C · A drug with accepted medical use but a high risk of abuse
- 2. C · A drug that is inactive until the body converts it into its active form
- 3. B · To stop her forming anti-D antibodies against Rh-positive fetal cells
- 4. A · Intravenous magnesium sulfate
- 5. B · Urine output, electrolytes and signs of fluid overload
- 6. C · Give 15–20 g of fast-acting carbohydrate, such as juice
- 7. A · Low TPMT activity causes toxic levels and marrow suppression
- 8. D · Blockade of sympathetic nerves causes vasodilation
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