All of the following drugs used for iron deficiency anemia EXCEPT:

• Ferrous gluconate
 Folic acid
• Ferrous fumarate
• Ferrous sulfate
Tick the drug belonging to antibiotics-macrolides:
• Cefotaxime
• Neomycin
• Erythromycin
• Doxycycline
This drug inhibits the angiotensin-converting enzyme:
 All responses are correct
• Ramipril
• Captopril
• Enalapril
This drug blocks alpha-1 adrenergic receptors:
• Enalapril
 Prazosin
• Clonidine
• Nifedipine
Tick the drug belonging to antibiotics-tetracyclines:
• Streptomycin
• Clarithromycin
 Doxycycline
• Amoxacillin
Tick the drug belonging to antibiotics-carbapenems:
• Amoxacillin
• Imipinem
• Aztreonam
• Clarithromycin
The manifestations of glycosides intoxication are:
• All responses are correct
• Ventricular arrhythmia
• Gastrointestinal disturbances
• Visual changes
Tick the drug belonging to antiviral group:
• Acyclovir
• Streptomycin
• Chloramphenicol
• Penicillin
Which of the following statements is correct? :
• The use of atropine leads to pupil dilation
• Atropine promotes secretions in the respiratory system
• The use of atropine increases the gastrointestinal system
activity
• Atropine is used in the treatment of glaucoma
All of the following drugs are antibiotics, EXCEPT:
• Streptomycin
• Penicillin
• Chloramphenicol
• Acyclovir
Augmentin is effective against:
• Only bacteroide infections
• Gram-negative microorganisms
• Broad-spectum
• Gram-positive microorganisms
For treatment of thrombosis a doctor prescribed of direct acting
anticoagulants. Name this preparation:
• Phenilin
• Heparin
• Neodikumarin
• Syncumar
Indicate the drug belonging to antagonists of heparin:
• Dalteparin
• Aspirin
• Protamine sulfate
• Dicumarol
Bactericidal effect is:
• Inhibition of bacterial cell division
• Destroying of bacterial cells
• Formation of bacterial L-form
• Inhibition of young bacterial cell growth
Which of the following nitrates and nitrite drugs is used for
prevention of angina attack?
• Nitroglycerin patches (Nitroderm)
• Sodium nitroprusside
• All responses are correct
• Nitroglycerin Sublingual
ndicate the drug which increases absorption of iron from
intestine:
• Erythropoetin
• Folic acid
• Ascorbic acid
• Cyanocobalamin
Main clinical use of calcium channel blockers is:
• Angina pectoris
• All responses are correct
• Arrhythmias
• Hypertension
AV-block is a serious condition that could happen while using
beta-blocker Bisoprolol (Concor) with:
• Verapamil (Isoptin)
• Amlodipine (Amlor)
• Captopril (Capoten)
• Simvastatin (Zocor)
Which of the following drugs is fiibrinolytic?
• Streptokinase
• Warfarin
• Ticlopidine
• Aspirin
Which of the following anti-anginal agents is a calcium channel
blocker?
• Nifedipine
• Nitroglycerin
• Dipyridamole
• Minoxidil
This drug is an angiotensin II receptor antagonist:
• Losartan
• Diazoxide
• Captopril
• Clonidine
Which of the following is an antifungal drugs:
• Myconazol
• Tazobactam
• Erythromycin
• Acyclovir
Aminoglycosides have the following unwanted effects:
• Red neck syndrome
• Pancytopenia
• Ototoxicity .Irritation of gastrointestinal mucosa
A 75-year-old woman with hypertension is being treated with a
thiazide diuretic. Her blood pressure responds well and reads at
120/76 mm Hg. After several months on the medication, she
complains of being tired and weak. An analysis of the blood indicates
low values for which of the following?
• Potassium.
• Uric acid.
• Glucose.
• Calcium.
Vancomicin has the following unwanted effects:
• Ototoxicity
• All of the above
• “Red neck” syndrome, phlebitis
• Pseudomembranous colitis
The following statements concerning mechanism of nitrate beneficial
clinical effect are true, EXCEPT?
• Decreased myocardial oxygen requirement
• Relief of coronary artery spasm
• Improved perfusion to ischemic myocardium
• Increased myocardial oxygen requirement
All of the following statements regarding cardiac glycosides are true
EXCEPT:
• They competes with potassium at its binding site on the
sodium potassium pump
• The main cause of digitalis intoxication is the administration
of diuretics that deplete K
• They cause a decrease in cardiac contractility
• Dopamine, Dobutamine increase digoxin effect
All of these drugs are antiplatelet agents EXCEPT:
• Ticlopidine
• Aspirin
• Clopidogrel
• streptokinase
All of the following statements regarding verapamil are true
EXCEPT:
• It blocks L-type calcium channels
• It relaxes coronary artery smooth muscle
• It increases cardiac contractility
• It depresses cardiac contractility
Choose the drug which contains cobalt atom:
• Iron dextran
• Ferrous gluconate
• Cyanocobalamine
• Folic acid
In very severe digitalis intoxication the best choice is to use:
• Reducing the dose of the drug
• Digibind (Digoxin immune fab)
• Oral potassium supplementation
• Lidocaine
Pick out the beta-lactamase inhibitor for co-administration
with penicillins:
• Tazobactam
• Clavulanic acid
• All of the above
• Sulbactam
Pick out the drug belonging to anticoagulants of direct action:
• Phenprocoumon
• Aspirin
• Heparin
• Dicumarol
Which of the following drugs belongs to coumarin derivatives?
• Enoxaparin
• Dalteparin
• Warfarin
• Heparin
Select the drug used for pernicious anemia:
• Cyanocobalamin
• Iron dextran
• Ferrous lactate
• Ferrous gluconate
.Duration of nitroglycerin action (sublingual) is:
• 3-5 hours
• hours
• 5-15 minutes
• 6-8 hours
The reason of diuretics administration for hypertension
treatment is:
• Diminishing of blood volume and amount of Na+/H2O
retention
• Block the adrenergic transmission
• Depression of the vasomotor center
• Depression of rennin-angiotensin-aldosterone system
Which of the following cholinergic agonists has an indirect
action?
• Acetylcholine
• Neostigmine
• Carbachol
• Pilocarpine
Which of the following antibiotics contains a beta-lactam ring
in their chemical structure :
• All groups
• Penicillins
• Carbapenems and monobactams
• Cephalosporins
The reason of beta-blockers administration for hypertension
treatment is:
• Peripheral vasodilatation
• Diminishing of blood volume
• Decreasing of heart work
• Depression of vasomotor center
The following agents are cardioselective beta1-adrenoceptor-
blocking drugs labeled for use in angina,EXCEPT:
• Atenolol
• Propranolol
• Bisoprolol
• Metoprolol
Which of the following antianginal agents is a beta-
adrenoceptor-blocking drug:
• Validol
• Atenolol
• Alinidine
• Dipyridamole
Tick the drug used as an oral anticoagulant:
• Enoxaparin
• Daltreparin
• sintrom
• Heparin
Rational anti-microbial combination is used to:
• Provide broad coverage
• Prevent the resistance
• All of the above
• Provide synergism when one drug is not effective
Which of the following drugs has low-molecular weight
heparin?
• Dicumarol
• Heparin
• Phenprocoumon
• Lovenox
Which of the following statements best describes the
mechanism of action of Anticholinesterases:
• Anticholinesterases are cholinergic agonists which have a
direct effect on the cholinergic receptors
• Anticholinesterases decrease the concentration of
acetylcholine in the synaptic cleft
• Anticholinesterases prolong the lifetime of acetylcholine
• Anticholinesterases stimulate the decomposition of
acetylcholine
Pernicious anemia is developed due to deficiency of:
• Iron
 Vitamin B12
• Erythropoetin
• Vitamin B6
An adverse effect of oral iron therapy is:
• Headache
• Thrombocytopenia
 Constipation
• Anemia
The myocardiums contain:
Beta 2 adrenergic receptor
• Αlfa1 adrenergic receptor
• Αlfa2 adrenergic receptor
 Beta 1 adrenergic receptor
All of the following statement result from the use of ACE
inhibitors, EXCEPT :
• Decreasedblood pressure
 Decreased level of Bradykinin
• Decreased sodium and water retention
• Increasedvasodilation
Propranolol is used in the treatment of all these following
diseases EXCEPT:
• Hyperthyroidism
• Cardiovascular disease
 Asthma .Migraine
Bacteristatic effect is:
• Destroying of bacterial cells
• Formation of bacterial L-form
 Inhibition of bacterial cell division
• Sporulation effect
All of the following drugs are indirect acting anticoagulants
EXCEPT:
• Dicumarol
• Phenindione
 Heparin
• Warfarin
Tick the drug belongs to antibiotics-cephalosporins:
 Cephalosporins
• Streptomycin
• Phenoxymethilpenicillin
• Erythromycin
Mechanism of aspirin action is:
• Enhances the interaction between antithrombin III and
thrombin
• Converts inactive plasminogen into active plasmin
 Inhibits COX and thus thromboxane synthesis
• Inhibits the glycoprotein IIb/IIIa complex
Tick the drug belonging to antibiotics-aminoglycosides:
• Erythromycin
• Vancomycin
 Gentamycin
• Polymyxin
Which of the following drugs is classified as loop diuretic?
• Acetazolamide
• Mannitol
  Furosemide
• Spironolactone
Antibiotics inhibiting the bacterial cell wall synthesis are:
• Macrolides
• Tetracyclines
 Beta-lactam antibiotics
• Aminoglycosides
Which preparation is the specific antidote in case of
intoxication with iron preparation?
• Atropinum
 Deferoxamin
• Penicillamin
• Bemegridum
An elderly female who lives in a farm brought to the emergency in
serious condition after ingesting a liquid from an unlabeled bottle. She
presented with diarrhea, frequent urination, convulsions, breathing
difficulties, (miosis), and excessive salivation. Which of the following
is correct regarding this patient?
• Her symptoms can be treated using a cholinergic agonist.
• She most likely consumed an organophosphate pesticide.
• Her symptoms can be treated using an anticholinesterase agent.
 The symptoms are consistent with sympathetic activation.
Which of the following diuretics drugs may cause
hyperkalemia?
• Furosemide
• Chlorothiazide
 Spironolactone
• Mannitol
Which diuretic agent for hypertension treatment is used in
case of metabolic alkalosis:
 Spironolactone .Acetazolamide
.Triamterene • Furosemide
True or false (20pts) 2pt for each:
1. Heparin is effective when administered orally. This
consideration is: False /True
2. Isoniazid belonging to anti mycobacterial drug to first-line
agents: False /True
3. Over dose of hydrochlorothiazide may cause
hypoglycemia: True /False
4. Iron deficiency anemia leads to pallor, fatigue, dizziness,
exertional dyspnea and other symptoms of tissue
ischemia. It’s:False /True
5. Clopidogrel is an inhibitor of ADP-induced platelet
aggregation. It’s: False /True
6. The use of heparin is recommended for treatment of deep
venous thrombosis. This statement is:True/False
 7. The calcium channel blockers have direct negative
inotropic effects because they reduce the inward
movement of calcium during the action potential. True
/False
8. Cardiac glycosides combine with the sodium-potassium
ATPase and promote its activity in order to stimulate the
entrance of calcium inside the cell :True /False
9. Beta blockers are not useful in the treatment of variant
angina:True /False
10. Carbachol in only used in the treatment of atonic
bladder:True /False
Case study Total (18pts)
Case 2 (10pts): A young man is brought into the hospital with
unknown bacterial infection, the physician decide to treat him
with antibacterial agent, he ask the nurse some question to
help him chose the appropriate antibiotics.
1- What are the step to choose the appropriate antibiotics?
(4pts)
2- 2- The physician decide that the patient should receive
vancomycin 500 mg every 6 hours IV for a serious
infection. Write main side effects of vacomycin (2 pts)
3- Write 4 nursing intervention that the nurse will do to
prevent complications with Vancomycin (4 pts)
Case 1 (8pts): 1)Name 3 classes of drugs used in the treatment
of acute angina attack (3pts) 2) What should the nurse provide
during the management of organophosphate toxicity (5pts)