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Nama: ____________________ Tanggal: ____________
1.Mudah
A pressure ulcer with partial-thickness skin loss, seen as a shallow open wound or an intact blister, is which category (stage)?
ACategory 1
BCategory 2
CCategory 3
DCategory 4
2.Mudah
Mengapa target saturasi oksigen yang lebih rendah (88–92%) sering digunakan pada pasien PPOK berat?
AParu-paru mereka sama sekali tidak dapat menyerap oksigen
BOksigen hanya mudah terbakar pada PPOK
COksigen aliran tinggi dapat menyebabkan retensi karbon dioksida pada sebagian pasien ini
DOksigen memperburuk nyeri dada mereka
3.Mudah
Glasgow Coma Scale (GCS) menilai:
AUkuran dan reaksi pupil, tekanan darah, dan nadi
BNyeri, mual, dan kecemasan
CMembuka mata, respons verbal, dan respons motorik
DRefleks, tonus otot, dan sensasi
4.Sedang
Seorang pasien yang mengonsumsi digoksin mengalami mual, nadi 48/menit, dan mengeluh semuanya tampak kuning. Apa yang harus dicurigai?
AEfek samping normal yang tidak memerlukan tindakan
BHipertiroidisme
CToksisitas digoksin
DHipoglikemia
5.Sedang
Which blood results are typical of Addison's disease (primary adrenal insufficiency)?
ALow haemoglobin and high platelets
BHigh sodium and low potassium
CLow sodium and high potassium
DHigh glucose and high calcium
6.Sedang
A patient on the ward has shingles with open blisters. Which people are most at risk from contact?
APeople who have already had chickenpox in childhood and are now healthy
BOnly people over 80 who have already had shingles themselves
CNo one, because shingles cannot spread
DPregnant women and immunocompromised people who have not had chickenpox
7.Sulit
A patient with a small leg wound has severe pain out of proportion to the skin changes, rapidly spreading redness and signs of sepsis. What should be suspected?
ANecrotising fasciitis
BA superficial bruise
CAn allergic reaction to the dressing
DSimple cellulitis that will settle with oral antibiotics
8.Sulit
A patient who used sildenafil the day before develops chest pain. Why is glyceryl trinitrate (GTN, nitroglycerin) normally avoided?
AThe combination causes severe hyperkalaemia
BThe combination can cause a severe, dangerous fall in blood pressure
CGTN makes sildenafil toxic to the liver
DSildenafil stops GTN from being absorbed under the tongue at all
Kunci jawaban
1. B · Category 2
2. C · Oksigen aliran tinggi dapat menyebabkan retensi karbon dioksida pada sebagian pasien ini
3. C · Membuka mata, respons verbal, dan respons motorik
4. C · Toksisitas digoksin
5. C · Low sodium and high potassium
6. D · Pregnant women and immunocompromised people who have not had chickenpox
7. A · Necrotising fasciitis
8. B · The combination can cause a severe, dangerous fall in blood pressure
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