1.简单
After chemotherapy, what is the "nadir"?
- AThe point when the tumour is at its smallest after treatment
- BThe point when blood cell counts are at their lowest
- CThe time when nausea is worst
- DThe day the drug is given
2.简单
Dextromethorphan is used as:
- AAn expectorant that thins mucus
- BA cough suppressant
- CAn antibiotic for chest infections
- DA nasal decongestant
3.简单
昂丹司琼主要用于治疗:
- A便秘
- B恶心和呕吐
- C高血压
- D细菌感染
4.中等
按固定间隔给药,大约需要多长时间达到稳态?
- A4 到 5 个半衰期
- B10 个半衰期
- C只取决于剂量大小
- D1 个半衰期
5.中等
Why are patients taking simvastatin often advised to avoid large amounts of grapefruit juice?
- AGrapefruit makes the tablet dissolve in the mouth
- BGrapefruit inhibits CYP3A4 in the gut, raising simvastatin levels and myopathy risk
- CGrapefruit speeds up simvastatin breakdown in the liver, so the drug stops working
- DGrapefruit blocks cholesterol absorption and causes low cholesterol
6.中等
While giving medicines, a patient says, "That pill looks different from the one I usually take." What should the nurse do?
- AStop and recheck the order and the medicine before giving it
- BExplain that only the staff decide which medicines are given
- CReassure the patient and give the pill anyway
- DGive the pill and check the chart afterwards
7.困难
A patient taking long-term morphine for cancer pain becomes very sedated with slow breathing. Why is naloxone given in small, diluted doses?
- ATo make the effect of naloxone last longer than morphine
- BBecause naloxone is toxic to the liver in large doses
- CBecause naloxone is much more potent and toxic in patients with cancer
- DTo restore breathing without causing severe withdrawal and pain
8.困难
A patient taking metoprolol is also started on verapamil. Which adverse effect is most likely?
- ASevere bradycardia and heart block
- BRebound tachycardia and hypertension
- CHypoglycaemia and weight gain
- DHyperkalaemia and muscle weakness
答案
- 1. B · The point when blood cell counts are at their lowest
- 2. B · A cough suppressant
- 3. B · 恶心和呕吐
- 4. A · 4 到 5 个半衰期
- 5. B · Grapefruit inhibits CYP3A4 in the gut, raising simvastatin levels and myopathy risk
- 6. A · Stop and recheck the order and the medicine before giving it
- 7. D · To restore breathing without causing severe withdrawal and pain
- 8. A · Severe bradycardia and heart block
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