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Special Quiz of Pharmacology
Question 1
For the life and growth; the body needs water and nutrients known as macro and micronutrients. They are needed in small amount to help in many biological functions and chemical reactions. Which of the following vitamins is not classified as water soluble vitamins.
*
A. Folic Acid
B. Riboflavin
C. Pyridoxine
D. ADEK
Question 2
Anemia refers to body state in which there is a reduction in the hemoglobin, hematocrit or red cell number. Several research found that several number of causes may be implicated in the pathophysiology process of anemia either endogenous or exogenous. The following are endogenous causes best describe anemia except:
*
A. Hemolysis due red blood cell in drepanocytosis .
B. Severe internal bleeding observed in sickle cell anemia.
C. Low hemoglobin and reduction of hematocrit level associated to accidental severe cranial trauma.
D. Erythropoietin insufficiency as results of adrenal insufficiency.
Question 3
The spectrum of activity of an anti-infective agent is the most component a nurse should consider before prescribing/administering any anti-infectious drug. It indicates the following statement:
*
A. The acidity of the environment in which they are most effective.
B. The cell membrane type that the anti-infective affects.
C. The resistance factor that bacteria have developed to this anti-infective.
D. The extent of an anti-infective effectiveness against different invading organisms.
Question 4
Limiting the use of antimicrobial agents to the treatment of specific pathogens known to be sensitive to the drug being used is the most component for the principles of antibiotherapy. This principle strongly help in:
*
A. Increasing the broad spectrum of activity of anti-infectious.
B. Transforming bacteriostatic activity into bactericidal action of most antibiotics.
C. Producing an enzyme that deactivates the antimicrobial drug as an effective antidote.
D. Inhibiting and mitigate the develop acquired resistance to the agents
Question 5
The following are contra indication to laxative treatment except:
*
A. Undiagnosed generalized abdominal pain
B. Intestinal obstruction
C. Fecal impaction
D. Lower back pain related to dysmenorrhea
Question 6
Prostaglandins which has obstetrical application is best indicated in the following purpose except:
*
A. Induction of abortion
B. Control of postpartum bleeding
C. Promotion of cervical repining
D. Suppress preterm labor and thereby delay delivery
Question 7
The FDA has established five categories (A, B, C, D, X, N) to indicate the potential of a drug to cause birth defects if used during pregnancy. The following assertion: “Adequate and well-controlled studies have failed to demonstrate a risk to the fetus in the first trimester of pregnancy (and there is no evidence of risk in later trimesters” is describing one of the following pregnancy category:
*
A. Pregnancy category N
B. Pregnancy category B
C. Pregnancy category C
D. Pregnancy category A
Question 8
Emergence of resistant strains of microbes is a serious public health problem. Health care providers must work together to prevent this issue and nurses are in the prime position against this problem. Which of the following statement is not best concerning with drug resistance prevention.
*
A. Preserving the use of antimicrobial agents to the treatment of specific pathogens known to be sensitive to the drug being used.
B. Adequate drug dosing and calculation is important in preventing the development of resistance. Doses should be high enough and the duration of drug therapy should be long enough to eradicate even slightly resistant microorganisms.
C. The duration of drug use is critical to ensure that the microbes are completely, not partially, eliminated and are not given the chance to grow and develop resistant strains.
D. Using the most recent powerful antibiotics to treat an infection especially in pediatric ward to ensure a quick recovery as children are more vulnerable to disease complication.
Question 9
The following statements describe immunity, one of them is strongly highlights about the advantages of artificial passive immunization.
*
A. Their use must be able to stimulate the production of memory B cells and T cells
B. When used, the activation of the immune system and the development of memory are not desirable.
C. Provide immediate protection against a recent infection or a potential infection
D. Preformed antibodies are transferred or “donated” from one person to another
Question 10
A client is receiving intravenous sodium bicarbonate for treatment of metabolic acidosis. During this infusion, how will the nurse monitor for therapeutic effect?
*
A. Blood urea nitrogen (BUN)
B. WBC counts
C. Serum pH
D. Renal function laboratory values
Question 11
Considering the number of microbes they can deal with, list the 3 types of antibiotics used in clinical setting and provide the difference between them.(Select all applied)
*
A. Narrow spectrum antibiotic
B. Broad spectrum antibiotic
C. Extended antibiotic
Question 12
List the 3 therapeutic objectives among patients suffering from angina pectoris(select all applied)
*
A. Minimize the frequency of attacks and decrease the duration and the intensity of the angina pain
B. Improve the patient’s functional capacity with as few adverse effects as possible
C. Prevent or delay the worst possible outcome, MI
Question 13
The following are List and describe the therapeutic mechanism of the two primary drug classes used for managing inflammation(Select all applied)
*
A. Non-steroidal inti-inflammatory drugs
B. Steroidal inti-inflammatory drugs
C. non of above
Question 14
The following are best Explanation of why Acetaminophen/Paracetamol is not classified as Nonsteroidal Anti-Inflammatory Drugs (NSAIDs).(select all applied)
*
A. Because it has no anti-inflammatory properties
B. it has anti-inflammatory properties and analgesic properties only
Question 15
In the following List are types of IV fluids basing on their concentration.(select all applied)
*
A. Isotonic solution
B. Hypotonic solution
C. Hypertonic solution
D. colloids
E. crystalloids
Question 16
Β-adrenergic agonists like bronchodilators are drugs that are able to relax bronchial smooth muscle bands to dilate bronchi and bronchioles that are narrowed as a result of the disease process. List 3 subtypes of these drugs based on their selectivity for β2 receptors(Select all applied)
*
A. Nonselective adrenergic drugs, which stimulateα, β1 (cardiac) and β2 (respiratory) receptors. E.g. epinephrine, ephedrine
B. Nonselectiveβ-adrenergic drugs which stimulate bothβ1 and β2 receptors. E.g. metaproterenol, isoetharine
C. Selective β2 drugs, which primarily stimulate the β2 receptors. E.g. albuterol ,terbutaline ,salmeterol, pirbuterol , bitolterol
Question 17
Basing on their spectrum of action, describe the 2 types of antibiotics (Select all applied)
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A. Broad Spectrum
B. Narrow Spectrum
C. Toxicity
Question 18
The following are factors to depend on when selecting specific medication in pain management. (Select all applied)
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A. Severity of the pain
B. Potential adverse events
C. Drug interactions
D. Contraindications
Question 19
Beta blockers use may lead to toxicity sometime fatal, how will you manage K H if he manifest signs and symptoms of drug overdose? Treatment of overdose consists of following ( select all applied)
*
A. Monitoring of BP and ECG.
B. Respiratory support should implemented if indicated.
C. Hypotensive bradycardia should be treated with atropine
D. Bronchospasm should be treated with a β2-adrenoceptor agonist or theophilline derivative
Question 20
The following statement Explain the pathogenesis of adverse reactions to anti-infective agents on gastro intestinal tract.
*
A. Destruction of normal flora as results from luck of selective toxicity for many anti infectious drugs.
B. Destruction of normal flora are preserved results from luck of selective toxicity for many anti infectious drugs.
C. Maintenance of normal flora as results from luck of selective toxicity for many anti infectious drugs.
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