تجميعات برومترك صيدلي (SPLE) — أسئلة اختبار الهيئة

1. During an ophthalmic surgical procedure, the surgeon wanted to constrict the pupil of the patient using a miotic drug. However, he accidentally used another drug that caused dilation of the pupil (mydriasis) instead. Most likely, which of the following drugs did he use?

1. Acetylcholine.
2. Pilocarpine.
3. Tropicamide. ✓
4. Phentolamine.
5. Bethanechol.

الشرح: Tropicamide مضاد مسكاريني يوسع الحدقة بينما الباقي يضيقها؛ المعلومة المفتاحية: Antimuscarinic mydriasis

2. A 45-year-old man who has been injured in a car accident is brought into the emergency room. His blood alcohol level on admission is 275 mg/dL. Hospital records show a prior hospitalization for alcohol-related seizures. His wife confirms that he has been drinking heavily for 3 weeks. What treatment should be provided to the patient if he goes into withdrawal?

1. None.
2. Lorazepam. ✓
3. Pentobarbital.
4. Phenytoin.
5. Buspirone.

الشرح: Benzodiazepines مثل lorazepam علاج انسحاب الكحول؛ المعلومة المفتاحية: Lorazepam في alcohol withdrawal

3. A 9-year-old boy is sent for neurologic evaluation because of episodes of apparent inattention. Over the past year, the child has experienced episodes during which he develops a blank look on his face and his eyes blink for 15 seconds. He immediately resumes his previous activity. Which one the following best describes this patient’s seizures?

1. Simple partial.
2. Complex partial.
3. Tonic–clonic.
4. Absence. ✓
5. Myoclonic.

الشرح: نوبات الغياب نظرة فارغة لثوانٍ دون فقدان للوعي بعدها؛ المعلومة المفتاحية: Absence seizure