1.简单
Why is carbidopa combined with levodopa?
- AIt converts levodopa into dopamine inside the gut
- BIt increases the breakdown of dopamine in the liver
- CIt blocks dopamine receptors to reduce nausea in the brain
- DIt stops levodopa turning into dopamine outside the brain
2.简单
What does "polypharmacy" mean?
- AA pharmacy that stocks many different brands of the same drug
- BUsing a drug at a very high dose
- CTaking one drug in several different forms
- DThe use of many medicines at the same time, often five or more
3.简单
Naltrexone helps in alcohol use disorder because it:
- ASpeeds up the liver breakdown of alcohol
- BCauses vomiting and flushing whenever alcohol is drunk
- CReplaces alcohol as a sedative
- DBlocks opioid receptors, reducing reward and craving
4.中等
Which adverse effect of doxorubicin requires monitoring of heart function?
- APericarditis caused by infection
- BCumulative heart muscle damage leading to heart failure
- CSevere hypertension during the infusion itself
- DRapid rise in cholesterol
5.中等
A patient is due the first dose of IV cefuroxime. Which question is most important before giving it?
- A"Have you eaten anything in the last two hours?"
- B"Have you ever had a reaction to penicillin or another antibiotic?"
- C"Have you taken paracetamol today?"
- D"Do you prefer the drip in your left arm or in your right arm?"
6.中等
After a vaccination, why is a person asked to wait for a short time before leaving?
- ATo watch for anaphylaxis, which usually starts within minutes
- BTo measure the person's temperature for fever
- CTo make sure the injection site does not bruise
- DTo check that the vaccine has already created protective antibodies
7.困难
A patient's record shows anaphylaxis to penicillin. Amoxicillin has been prescribed. What should the nurse do?
- AGive half the dose and observe for a reaction
- BWithhold it and contact the prescriber, as amoxicillin is a penicillin
- CGive the amoxicillin, as it belongs to a different antibiotic group
- DGive the amoxicillin with an antihistamine to prevent a reaction
8.困难
A noradrenaline infusion is running through a peripheral cannula. The skin around the site becomes pale, cold and hard. What should the nurse do?
- AStop the infusion at that site and follow the extravasation protocol
- BIncrease the rate to improve blood flow to the area
- CApply heat and massage the area, then continue the infusion
- DLeave the infusion running and recheck in 4 hours
答案
- 1. D · It stops levodopa turning into dopamine outside the brain
- 2. D · The use of many medicines at the same time, often five or more
- 3. D · Blocks opioid receptors, reducing reward and craving
- 4. B · Cumulative heart muscle damage leading to heart failure
- 5. B · "Have you ever had a reaction to penicillin or another antibiotic?"
- 6. A · To watch for anaphylaxis, which usually starts within minutes
- 7. B · Withhold it and contact the prescriber, as amoxicillin is a penicillin
- 8. A · Stop the infusion at that site and follow the extravasation protocol
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