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Nama: ____________________ Tanggal: ____________
1.Mudah
The term "hemiplegia" means:
AParalysis of one side of the body
BWeakness of the facial muscles only
CParalysis of both legs
DParalysis of all four limbs
2.Mudah
Which heart rhythm needs immediate defibrillation in a patient in cardiac arrest?
AFirst-degree heart block
BAsystole
CSinus bradycardia
DVentricular fibrillation
3.Mudah
A pressure ulcer with partial-thickness skin loss, seen as a shallow open wound or an intact blister, is which category (stage)?
ACategory 3
BCategory 2
CCategory 4
DCategory 1
4.Sedang
After a laparoscopic cholecystectomy, a patient has pain in the shoulder tip. What is the most likely cause?
AA broken collarbone from being moved onto the table
BGas used during the operation irritating the diaphragm
CA heart attack caused by the stress of surgery
DAn allergic reaction to the dressing
5.Sedang
Which ECG change is typical of hypokalaemia?
AST elevation in leads II, III and aVF
BA very short PR interval with a delta wave
CTall, peaked T waves
DFlattened T waves and prominent U waves
6.Sedang
Seorang pasien diabetes tipe 1 muntah dan makan sedikit. Apa saran hari sakit (sick-day rules) yang benar?
AHentikan insulin sampai bisa makan normal lagi untuk menghindari hipoglikemia
BKurangi asupan cairan separuh untuk mencegah muntah
CPeriksa glukosa hanya sekali sehari
DJangan hentikan insulin; periksa glukosa dan keton lebih sering
7.Sulit
A patient with metastatic breast cancer is confused and constipated, with a corrected calcium of 3,3 mmol/L (about 13,2 mg/dL). What is usually the first treatment?
AStrict fluid restriction to protect the kidneys
BOral calcium supplements and vitamin D
CIV fluid rehydration, followed by a bisphosphonate
DA high-calcium diet
8.Sulit
A patient going home after chemotherapy is taught about infection. Which statement shows a need for further teaching?
A"I will check my temperature if I feel unwell or shivery at home."
B"If I get a temperature, I'll take paracetamol and wait until my next clinic."
C"I will phone the helpline if I have a fever or shivering."
D"I will wash my hands well before eating and after using the toilet."
Kunci jawaban
1. A · Paralysis of one side of the body
2. D · Ventricular fibrillation
3. B · Category 2
4. B · Gas used during the operation irritating the diaphragm
5. D · Flattened T waves and prominent U waves
6. D · Jangan hentikan insulin; periksa glukosa dan keton lebih sering
7. C · IV fluid rehydration, followed by a bisphosphonate
8. B · "If I get a temperature, I'll take paracetamol and wait until my next clinic."
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