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1. Hyperglycemia can occur , especially in patients with Diabetes type 2 ,
sometimes progressing to coma and death in which of the following
medications ?
Thiothixene ( Navane )
Olanzapine ( Zyprexa )
Haloperidol ( Haldol )
Fluphenazine ( Prolixin )
2. Which diagnostic test is most important to obtain rapidly when caring for a
client who has just arrived in the emergency department with possible acute
coronary syndrome (ACS)?
12-lead electrocardiogram (ECG)
Chest radiograph
Creatine kinase MB (CK-MB)
Troponin T (cTnT)
3. What is the primary test used for diagnosing acute coronary syndrome
(ACS)?
CXR
ECG
CBC
ECHO
,4. Which dopamine agonist is known to cause pulmonary/retroperitoneal
fibrosis?
pramipexole (Mirapex)
ropinirole (Requip)
rotigotine (Neupro)
bromocriptine (Parlodel and Cycloset)
5. A patient presents with chest pain and an ECG shows non-specific changes.
Cardiac enzyme tests reveal elevated levels. Based on this information, what
is the most likely diagnosis?
Acute coronary syndrome without myocardial infarction
NSTEMI
Stable angina
Unstable angina
6. A patient with a history of diabetes is prescribed Olanzapine for bipolar
disorder. What should the healthcare provider monitor closely during
treatment?
Liver function tests
Blood glucose levels
Cholesterol levels
Kidney function tests
7. Which medication is recommended for a post-myocardial infarction patient
experiencing premature ventricular contractions?
Flecainide
, Amiodarone
Metoprolol
No medication is warranted
8. Select the correct loading dose of clopidogrel in myocardial infarction with
ST-segment elevation:
150 mg
450 mg
300 mg
75mg
9. Which of the following drugs would increase lithium concentrations?
Acetazolamide
Lisinopril
Caffeine
Sodium Bicarbonate
10. Which of the following is the correct therapeutic range to target for lithium
in the treatment of acute mania?
0.8-1.2 mEq/L
75-125 mcg/mL
0.4-0.8 mEq/L
50-100 mcg/mL
, 11. Which medication is recommended for treating anxiety in patients with a
history of drug abuse and dependence?
Paroxetine
Buspirone
Lorazepam
Ziprasidone
12. Describe the primary difference in side effects between first-generation and
second-generation antipsychotics.
First-generation antipsychotics have fewer side effects than second-
generation antipsychotics.
Second-generation antipsychotics generally have a lower
incidence of extrapyramidal symptoms compared to first-
generation antipsychotics.
Second-generation antipsychotics cause more sedation than first-
generation antipsychotics.
First-generation antipsychotics are more effective than second-
generation antipsychotics.
13. What is the recommended initial dose of aspirin for treating acute coronary
syndrome (ACS)?
100mg
162 - 325mg
81mg
500mg