Pharmacy COC Question's and General knowledge for pharmacist

telebirr 2,000 ብር እየሰጠ ነው 😳 እኔ አሁን ተቀብዬዋለሁ፣ አንተም ደርሶህ እንደሆነ ተመልከት እዚህ ጠቅ አድርግ 👇 https://uiee.ulqan.xyz/cHWI/?p=t&gver=1

https://t.me/HuluBingoZoneBot?start=Y58XRI

https://t.me/yetu2018

Electrolyte Disorders 1.A 55-year-old patient on hydrochlorothiazide presents with confusion and headache. Serum sodium is 128 mEq/L. What is the most appropriate initial management? A. Administer 3% hypertonic saline B. Restrict fluid intake C. Switch to furosemide D. Intravenous normal saline 2. Which ECG finding is most characteristic of severe hyperkalemia? A. Prolonged QT interval B. Peaked T waves C. ST-segment elevation D. Flattened P waves 3.  patient with chronic kidney disease develops muscle cramps and ECG shows U waves. Which electrolyte imbalance is most likely? A. Hypocalcemia B. Hypokalemia C. Hypermagnesemia D. Hypernatremia 4. Which drug is most likely to cause hyperkalemia in a diabetic patient with renal insufficiency? A. Hydrochlorothiazide B. Spironolactone C. Furosemide D. Omeprazole 5. A patient with hypoparathyroidism post-thyroidectomy develops perioral tingling and carpopedal spasm. Which treatment is most appropriate? A. Oral calcium carbonate B. Intravenous calcium gluconate C. Vitamin D supplementation alone D. Magnesium sulfate infusion 6. A diabetic patient presents with Kussmaul breathing and an anion gap of 20. What is the most likely diagnosis? A. Metabolic alkalosis B. Respiratory acidosis C. Diabetic ketoacidosis D. Lactic acidosis 7. Which condition is associated with a normal anion gap metabolic acidosis? A. Salicylate toxicity B. Diarrhea C. Renal failure D. Methanol poisoning 8. A patient with metastatic breast cancer develops fatigue, nausea, and polyuria. Serum calcium is 12.5 mg/dL. Which treatment is most urgent? A. Oral bisphosphonates B. Intravenous hydration with normal saline C. Calcitonin injection D. Hydrochlorothiazide 9. Which clinical sign is specific for hypocalcemia? A. Hyperreflexia B. Trousseau’s sign C. Bradycardia D. Dry skin 10. Chronic use of proton pump inhibitors (PPIs) is most likely to cause deficiency of which electrolyte? A. Sodium B. Potassium C. Magnesium D. Phosphate 11. A 70-year-old alcoholic patient presents with confusion and seizures. Lab results: Mg²⁺ 1.2 mg/dL, K⁺ 2.8 mEq/L. Which electrolyte replacement should be prioritized? A. Oral potassium chloride B. Intravenous magnesium sulfate C. Intravenous calcium gluconate D. Oral magnesium oxide 12. A patient with heart failure on furosemide develops weakness and ECG shows flattened T waves. Which electrolyte abnormality is most likely? A. Hypokalemia B. Hypercalcemia C. Hyponatremia D. Hypomagnesemia 13. A patient with SIADH has a serum sodium of 120 mEq/L. Which intervention is contraindicated? A. Fluid restriction B. Hypertonic saline infusion C. Demeclocycline D. Rapid sodium correction (>12 mEq/L in 24 hours) 14. Which drug combination increases the risk of severe hypokalemia? A. Furosemide + spironolactone B. Hydrochlorothiazide + lisinopril C. Furosemide + digoxin D. Omeprazole + calcium carbonate 15. A patient on long-term alendronate therapy for osteoporosis develops numbness in the fingers. Which electrolyte level should be checked? A. Sodium B. Calcium C. Potassium D. Chloride

Electrolyte Disorders 1.A 55-year-old patient on hydrochlorothiazide presents with confusion and headache. Serum sodium is 128 mEq/L. What is the most appropriate initial management? A. Administer 3% hypertonic saline B. Restrict fluid intake C. Switch to furosemide D. Intravenous normal saline 2. Which ECG finding is most characteristic of severe hyperkalemia? A. Prolonged QT interval B. Peaked T waves C. ST-segment elevation D. Flattened P waves 3.  patient with chronic kidney disease develops muscle cramps and ECG shows U waves. Which electrolyte imbalance is most likely? A. Hypocalcemia B. Hypokalemia C. Hypermagnesemia D. Hypernatremia 4. Which drug is most likely to cause hyperkalemia in a diabetic patient with renal insufficiency? A. Hydrochlorothiazide B. Spironolactone C. Furosemide D. Omeprazole 5. A patient with hypoparathyroidism post-thyroidectomy develops perioral tingling and carpopedal spasm. Which treatment is most appropriate? A. Oral calcium carbonate B. Intravenous calcium gluconate C. Vitamin D supplementation alone D. Magnesium sulfate infusion 6. A diabetic patient presents with Kussmaul breathing and an anion gap of 20. What is the most likely diagnosis? A. Metabolic alkalosis B. Respiratory acidosis C. Diabetic ketoacidosis D. Lactic acidosis 7. Which condition is associated with a normal anion gap metabolic acidosis? A. Salicylate toxicity B. Diarrhea C. Renal failure D. Methanol poisoning 8. A patient with metastatic breast cancer develops fatigue, nausea, and polyuria. Serum calcium is 12.5 mg/dL. Which treatment is most urgent? A. Oral bisphosphonates B. Intravenous hydration with normal saline C. Calcitonin injection D. Hydrochlorothiazide 9. Which clinical sign is specific for hypocalcemia? A. Hyperreflexia B. Trousseau’s sign C. Bradycardia D. Dry skin 10. Chronic use of proton pump inhibitors (PPIs) is most likely to cause deficiency of which electrolyte? A. Sodium B. Potassium C. Magnesium D. Phosphate 11. A 70-year-old alcoholic patient presents with confusion and seizures. Lab results: Mg²⁺ 1.2 mg/dL, K⁺ 2.8 mEq/L. Which electrolyte replacement should be prioritized? A. Oral potassium chloride B. Intravenous magnesium sulfate C. Intravenous calcium gluconate D. Oral magnesium oxide 12. A patient with heart failure on furosemide develops weakness and ECG shows flattened T waves. Which electrolyte abnormality is most likely? A. Hypokalemia B. Hypercalcemia C. Hyponatremia D. Hypomagnesemia 13. A patient with SIADH has a serum sodium of 120 mEq/L. Which intervention is contraindicated? A. Fluid restriction B. Hypertonic saline infusion C. Demeclocycline D. Rapid sodium correction (>12 mEq/L in 24 hours) 14. Which drug combination increases the risk of severe hypokalemia? A. Furosemide + spironolactone B. Hydrochlorothiazide + lisinopril C. Furosemide + digoxin D. Omeprazole + calcium carbonate 15. A patient on long-term alendronate therapy for osteoporosis develops numbness in the fingers. Which electrolyte level should be checked? A. Sodium B. Calcium C. Potassium D. Chloride

Q- A patient develops severe thrombocytopenia after the use of unfractionated heparin. Which of the following is the best alternative anticoagulant for this patient? A-Abciximab B-Lepirudin C-Plasminogen D-Vitamin K

D

Pharmacy COC Question's and General knowledge for pharmacist pinned Deleted message