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علم الأدوية 1 - الامتحان الموحد
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A patient with Alzheimer disease needs treatment for overactive bladder (OAB). Which drug is the best choice for this patient?
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A patient who received a nondepolarizing neuromuscular blocker (NMB) for skeletal muscle relaxation during surgery is experiencing mild skeletal muscle paralysis after the surgery. Which drug could reverse this effect of NMBs?
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A patient who has hypertension and mild asthma attacks bought a herbal remedy for asthma online. He does not take any prescription medications for asthma, but takes a beta1-selective blocker for hypertension. The herbal remedy relieves the asthma attacks, but his blood pressure seems to increase despite the Beta1 blocker therapy. Which of the following drugs is most likely present in the herbal remedy?
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A patient develops urinary retention after an abdominal surgery. Urinary obstruction was ruled out in this patient. Which strategy would be helpful in promoting urination?
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A group of college students is planning a mountain climbing trip to the Andes. Which is most appropriate for them to take to prevent altitude sickness?
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A male patient is placed on a new medication and notes that his breasts have become enlarged and tender to the touch. Which medication is the most likely taking?
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A Beta-blocker was prescribed for hypertension in a patient with asthma. After a week of treatment, the asthma attacks got worse, and the patient was asked to stop taking the Beta-blocker. Which Beta-blocker would you suggest as an alternative that is less likely to worsen the asthma?
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A 75-year-old woman with hypertension and glaucoma is being treated with chlorthalidone, amlodipine, lisinopril, and acetazolamide. In clinic today, she complains of acute joint pain and redness in her great toe, which is diagnosed as gout. Which medication is most likely to have caused the gout attack?
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A 74-year-old man was admitted to the hospital for treatment of heart failure. He received 160 meg of digoxin intravenously, and the plasma digoxin level was 0.4 ng/ml. If the desired plasma concentration of digoxin for optimal therapeutic activity in heart failure is 1.2 ng/ml, and the patient has an estimated Vd of 400 L, calculate the additional dose of digoxin needed for this patient to achieve the desired plasma concentration.
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A 70-year-old male is treated with doxazosin for overflow incontinence due to his enlarged prostate. He complains of dizzy spells while getting up from bed at night. Which drug would you suggest as an alternative that may not cause dizziness?
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