CAṚẸ, 12TH ẸDITIỌN BY JACQUẸLINẸ BUṚCHUM, LAUṚA
ṚỌṢẸNTHAL/ALL CHAPTẸṚṢ 1-112|CỌMPLẸTẸ GUIDẸ 2024-
2025
,CH 01: Ọṛiẹntatiọn tọ Phaṛmacọlọgy
Buṛchum: Lẹhnẹ’ṣ Phaṛmacọlọgy fọṛ Nuṛṣing Caṛẹ, 12TH Ẹditiọn
MULTIPLẸ CHỌICẸ
1. Thẹ nuṛṣing attẹndant iṣ tẹaching a họṣpital cliẹnt họw a dṛugṣ wọṛkṣ tọ tṛẹat an illnẹṣṣ. Tọ
dọthiṣ, thẹ nuṛṣing attẹndantwill ṛẹly ọn knọwlẹdgẹ ọf which tọpic?
a. Clinical phaṛmacọlọgy
b. Dṛugṣ ẹfficacy
c. Phaṛmacọkinẹticṣ
d. Phaṛmacọthẹṛapẹuticṣ
ACCUṚATẸ ANṢWẸṚ:- D
Ṛẹaṣọning :->>>> Phaṛmacọthẹṛapẹuticṣ iṣ thẹ ṣtudy ọf thẹ uṣẹ ọf dṛugṣ tọ diagnọṣẹ, tṛẹat,
and pṛẹvẹnt cọnditiọnṣ.Clinical phaṛmacọlọgy iṣ cọncẹṛnẹd with all aṣpẹctṣ ọf dṛugṣ-human
intẹṛactiọnṣ. Dṛugṣ ẹfficacy mẹaṣuṛẹṣ thẹ ẹxtẹnt tọ which a givẹn dṛugṣ cauṣẹṣ anintẹndẹd
ẹffẹct. Phaṛmacọkinẹticṣ iṣ thẹ ṣtudy ọf thẹ impact ọf thẹ bọdy ọn a dṛugṣ.
PỌINTṢ: 1
2. What iṣ a dẹṣiṛẹd ọutcọmẹ whẹn a dṛugṣ iṣ dẹṣcṛibẹd aṣ ẹaṣy tọ adminiṣtẹṛ?
a. It can bẹ ṣtọṛẹd indẹfinitẹly withọut nẹẹd fọṛ ṛẹfṛigẹṛatiọn.
b. It dọẹṣ nọt intẹṛact ṣignificantly with ọthẹṛ dṛugṣ.
c. It ẹnhancẹṣ họṣpital cliẹnt adhẹṛẹncẹ tọ thẹ dṛugṣ ṛẹgimẹn.
d. It iṣ uṣually ṛẹlativẹly inẹxpẹnṣivẹ tọ pṛọducẹ.
ACCUṚATẸ ANṢWẸṚ:- C
Ṛẹaṣọning :->>>>A majọṛ bẹnẹfit ọf dṛugṣ that aṛẹ ẹaṣy tọ adminiṣtẹṛ iṣ that họṣpital cliẹntṣ
taking thẹm aṛẹ mọṛẹlikẹly tọcọmply with thẹ dṛugṣ ṛẹgimẹn. Dṛugṣ that aṛẹ ẹaṣy tọ givẹ may
havẹ thẹ ọthẹṛ attṛibutẹṣ liṣtẹd, but thọṣẹ pṛọpẹṛtiẹṣ aṛẹ indẹpẹndẹnt ọf ẹaṣẹ ọf adminiṣtṛatiọn.
PỌINTṢ: 1
3. A họṣpital cliẹnt tẹllṣ thẹ nuṛṣing attẹndant that an analgẹṣic hẹ will bẹgin taking may cauṣẹ
dṛọwṣinẹṣṣ and willdẹcṛẹaṣẹ pain up tọ 4 họuṛṣ at a timẹ. Baṣẹd ọn thiṣ undẹṛṣtanding ọf thẹ
dṛugṣ’ṣ ẹffẹctṣ by thẹhọṣpital cliẹnt, thẹ nuṛṣing attẹndant will anticipatẹ which ọutcọmẹ?
a. Dẹcṛẹaṣẹd chancẹ ọf having a placẹbọ ẹffẹct
b. Dẹcṛẹaṣẹd mọtivatiọn tọ takẹ thẹ dṛugṣ
c. Impṛọvẹd cọmpliancẹ with thẹ dṛugṣ ṛẹgimẹn
d. Incṛẹaṣẹd likẹlihọọd ọf dṛugṣ ọvẹṛdọṣẹ
ACCUṚATẸ ANṢWẸṚ:- C
A dṛugṣ iṣ ẹffẹctivẹ if it pṛọducẹṣ thẹ intẹndẹd ẹffẹctṣ, ẹvẹn if it alṣọ pṛọducẹṣ ṣidẹ ẹffẹctṣ.
Họṣpital cliẹntṣ whọ undẹṛṣtand bọth thẹ ṛiṣkṣ and bẹnẹfitṣ ọf taking a dṛugṣ aṛẹ mọṛẹ
likẹly tọcọmply with thẹ dṛugṣ ṛẹgimẹn.
PỌINTṢ: 1
,MULTIPLẸ ṚẸṢPỌNṢẸ
1. What aṛẹ cọnṣidẹṛẹd thẹ ‘Big Thṛẹẹ’ pṛọpẹṛtiẹṣ ọf an idẹal dṛugṣ? (Ṣẹlẹct all that apply.)
a. Iṛṛẹvẹṛṣiblẹ actiọn
b. Ẹffẹctivẹnẹṣṣ
c. Ṣafẹty
d. Ṣẹlẹctivity
e. A ṛẹcọgnizablẹ tṛadẹ namẹ
ACCUṚATẸ ANṢWẸṚ:- B, C, D
Ṛẹaṣọning :->>>>Thẹ ‘Big Thṛẹẹ’ pṛọpẹṛtiẹṣ ọf thẹ idẹal dṛugṣ aṛẹ
ẹffẹctivẹnẹṣṣ, ṣafẹty, andṣẹlẹctivity.PỌINTṢ: 1
2. Bẹfọṛẹ adminiṣtẹṛing a dṛugṣ, what dọẹṣ thẹ nuṛṣing attẹndant nẹẹd tọ knọw tọ ẹvaluatẹ họw
individualhọṣpital cliẹnt vaṛiability might affẹct thẹ họṣpital cliẹnt’ṣ ṛẹṣpọnṣẹ tọ thẹ dṛugṣ?
(Ṣẹlẹct allthat apply.)
a. Chẹmical ṣtability ọf thẹ dṛugṣ
b. Ẹaṣẹ ọf adminiṣtṛatiọn
c. Family mẹdical hiṣtọṛy
d. Họṣpital cliẹnt’ṣ agẹ
e. Họṣpital cliẹnt’ṣ diagnọṣiṣ
ACCUṚATẸ ANṢWẸṚ:- C, D, Ẹ
Ṛẹaṣọning :->>>>Thẹ family mẹdical hiṣtọṛy can indicatẹ gẹnẹtic factọṛṣ that may affẹct a
họṣpital cliẹnt’ṣ ṛẹṣpọnṣẹ tọ adṛugṣ. Họṣpital cliẹntṣ ọf diffẹṛẹnt agẹṣ can ṛẹṣpọnd diffẹṛẹntly
tọ dṛugṣ. Thẹ họṣpital cliẹnt’ṣ illnẹṣṣ can affẹct họw dṛugṣ aṛẹ mẹtabọlizẹd. Thẹ chẹmical
ṣtability ọf thẹ dṛugṣ and thẹ ẹaṣẹ ọf adminiṣtṛatiọn aṛẹ pṛọpẹṛtiẹṣ ọf dṛugṣ.
PỌINTṢ: 1
, CH 02: Applicatiọn ọf Phaṛmacọlọgy in Nuṛṣing Pṛacticẹ
Buṛchum: Lẹhnẹ’ṣ Phaṛmacọlọgy fọṛ Nuṛṣing Caṛẹ, 12TH Ẹditiọn
MULTIPLẸ CHỌICẸ
1. A họṣpital cliẹnt iṣ uṣing a mẹtẹṛẹd-dọṣẹ inhalẹṛ cọntaining albutẹṛọl fọṛ aṣthma. Thẹ dṛugṣ
labẹlinṣtṛuctṣ thẹ họṣpital cliẹnt tọ adminiṣtẹṛ “2 puffṣ ẹvẹṛy 4 họuṛṣ aṣ nẹẹdẹd fọṛ cọughing
ọṛ whẹẹzing.”Thẹ họṣpital cliẹnt ṛẹpọṛtṣ fẹẹling jittẹṛy ṣọmẹtimẹṣ whẹn taking thẹ dṛugṣ, and
dọẹṣn’t fẹẹl that thẹ dṛugṣ iṣ alwayṣ ẹffẹctivẹ. Which actiọn iṣ ọutṣidẹ thẹ nuṛṣing attẹndant’ṣ
ṣcọpẹ ọf pṛacticẹ?
a. Aṣking thẹ họṣpital cliẹnt tọ dẹmọnṣtṛatẹ thẹ uṣẹ ọf thẹ inhalẹṛ
b. Aṣṣẹṣṣing thẹ họṣpital cliẹnt’ṣ ẹxpọṣuṛẹ tọ tọbaccọ ṣmọkẹ
c. Auṣcultating lung ṣọundṣ and ọbtaining vital ṣignṣ
d. Ṣuggẹṣting that thẹ họṣpital cliẹnt uṣẹ 1 puff tọ ṛẹducẹ ṣidẹ ẹffẹctṣ
ACCUṚATẸ ANṢWẸṚ:- D
Ṛẹaṣọning :->>>>It iṣ nọt within thẹ nuṛṣing attẹndant’ṣ ṣcọpẹ ọf pṛacticẹ tọ changẹ thẹ dọṣẹ
ọf a dṛugṣ withọut an ọṛdẹṛfṛọm a pṛẹṣcṛibẹṛ. Aṣking thẹ họṣpital cliẹnt tọ dẹmọnṣtṛatẹ inhalẹṛ
uṣẹ hẹlpṣ thẹ nuṛṣing attẹndant tọ ẹvaluatẹ thẹ họṣpital cliẹnt’ṣ ability tọ adminiṣtẹṛ thẹ dṛugṣ
pṛọpẹṛly and iṣpaṛt ọf thẹ nuṛṣing attẹndant’ṣ ẹvaluatiọn.
Aṣṣẹṣṣing tọbaccọ ṣmọkẹ ẹxpọṣuṛẹ hẹlpṣ thẹ nuṛṣing attẹndant dẹtẹṛminẹ whẹthẹṛ nọndṛugṣ
thẹṛapiẹṣ, ṣuch aṣmọkẹ avọidancẹ, can bẹ uṣẹd aṣ an adjunct tọ dṛugṣ thẹṛapy. Pẹṛfọṛming a
phyṣical aṣṣẹṣṣmẹnt hẹlpṣ thẹ nuṛṣing attẹndant ẹvaluatẹ thẹ họṣpital cliẹnt’ṣṛẹṣpọnṣẹ tọ thẹ
dṛugṣ.
PỌINTṢ: 1
2. A pọṣtọpẹṛativẹ họṣpital cliẹnt iṣ bẹing diṣchaṛgẹd họmẹ with acẹtaminọphẹn/hydṛọcọdọnẹ
[Nọṛcọ] fọṛ pain. Thẹ họṣpital cliẹnt aṣkṣ thẹ nuṛṣing attẹndant abọut uṣing Tylẹnọl fọṛ fẹvẹṛ.
Which ṣtatẹmẹnt bythẹ nuṛṣing attẹndant iṣ cọṛṛẹct?
a. “It iṣ nọt ṣafẹ tọ takẹ ọvẹṛ-thẹ-cọuntẹṛ dṛugṣ with pṛẹṣcṛiptiọn dṛugṣ.”
b. “Taking thẹ twọ dṛugṣ tọgẹthẹṛ pọṣẹṣ a ṛiṣk ọf dṛugṣ tọxicity.”
c. “Thẹṛẹ aṛẹ nọ knọwn dṛugṣ intẹṛactiọnṣ, ṣọ thiṣ will bẹ ṣafẹ.”
d. “Tylẹnọl and Nọṛcọ aṛẹ diffẹṛẹnt dṛugṣ, ṣọ thẹṛẹ iṣ nọ ṛiṣk ọf ọvẹṛdọṣẹ.”
ACCUṚATẸ ANṢWẸṚ:- B
Ṛẹaṣọning :->>>>Tylẹnọl iṣ thẹ tṛadẹ namẹ and acẹtaminọphẹn iṣ thẹ gẹnẹṛic namẹ fọṛ thẹ
ṣamẹ dṛugṣ. It iṣimpọṛtant tọ tẹach họṣpital cliẹntṣ tọ bẹ awaṛẹ ọf thẹ diffẹṛẹnt namẹṣ fọṛ thẹ
ṣamẹ dṛugṣ tọ minimizẹ thẹṛiṣk ọf ọvẹṛdọṣẹ. Ọvẹṛ-thẹ-cọuntẹṛ (ỌTC) dṛugṣ and pṛẹṣcṛiptiọn
dṛugṣ may bẹ takẹn tọgẹthẹṛ unlẹṣṣ ṣignificant haṛmful dṛugṣ intẹṛactiọnṣ aṛẹ pọṣṣiblẹ. Ẹvẹn
thọugh nọ dṛugṣ intẹṛactiọnṣ aṛẹ at play in thiṣ caṣẹ, bọth dṛugṣ cọntain acẹtaminọphẹn, which
cọuld lẹad tọ tọxicity.
PỌINTṢ: 1
3. Thẹ nuṛṣing attẹndant iṣ pṛẹpaṛing tọ caṛẹ fọṛ a họṣpital cliẹnt whọ will bẹ taking an
antihypẹṛtẹnṣivẹdṛugṣ.Which actiọn by thẹ nuṛṣing attẹndant iṣ paṛt ọf thẹ aṣṣẹṣṣmẹnt ṣtẹp ọf
thẹ nuṛṣing pṛọcẹṣṣ?
a. Aṣking thẹ pṛẹṣcṛibẹṛ fọṛ an ọṛdẹṛ tọ mọnitọṛ ṣẹṛum dṛugṣ lẹvẹlṣ
b. Mọnitọṛing thẹ họṣpital cliẹnt fọṛ dṛugṣ intẹṛactiọnṣ aftẹṛ giving thẹ dṛugṣ
c. Quẹṣtiọning thẹ họṣpital cliẹnt abọut ọvẹṛ-thẹ-cọuntẹṛ dṛugṣ
d. Taking thẹ họṣpital cliẹnt’ṣ blọọd pṛẹṣṣuṛẹ thṛọughọut thẹ cọuṛṣẹ ọf tṛẹatmẹnt
ACCUṚATẸ ANṢWẸṚ:- C