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Nama: ____________________ Tanggal: ____________
1.Mudah
Why should insulin injection sites be rotated?
ATo prevent lumpy fatty areas that make absorption unpredictable
BTo make the insulin work more slowly and evenly every time
CTo stop the insulin from freezing under the skin
DBecause insulin causes the skin to bleed if one site is used often
2.Mudah
The term "polypharmacy" usually means:
AGiving one medicine by several routes
BA single medicine that contains many active ingredients
CA pharmacy that sells many different brands
DA patient taking many medicines at the same time
3.Mudah
The term "hypernatraemia" means:
AA high blood glucose level
BA low serum sodium level
CA high serum sodium level
DA high serum potassium level
4.Sedang
Which instruction is correct for taking weekly alendronic acid (alendronate)?
ATake it with plain water on an empty stomach and stay upright for 30 minutes
BTake it with an antacid to protect the stomach
CTake it with a glass of milk at bedtime and then lie down straight away
DChew the tablet with breakfast and a cup of milky tea
5.Sedang
An older adult has left lower abdominal pain, fever and a raised CRP. Which condition is most likely?
ABiliary colic
BAppendicitis
CGastric ulcer
DDiverticulitis
6.Sedang
What happens in third-degree (complete) heart block?
AThe atria beat chaotically with no P waves, and the ventricular rate is irregular
BNo impulses from the atria reach the ventricles, so they beat independently
CEvery impulse reaches the ventricles, but each one is slightly delayed
DThe ventricles beat very fast and regularly
7.Sulit
Pasien lansia tiba-tiba bingung semalaman dengan perhatian yang naik turun. Penyebab apa yang paling perlu diselidiki lebih dulu?
AAwitan mendadak penyakit Alzheimer
BDelirium akibat masalah yang mendasari seperti infeksi atau obat
CKurang minat terhadap lingkungan
DPenuaan normal
8.Sulit
Pasien yang mendapat infus heparin mengalami penurunan trombosit mendadak lima hari setelah dimulai. Apa yang harus dicurigai?
AKekurangan vitamin K akibat asupan yang buruk
BAnemia defisiensi besi
CTrombositopenia akibat heparin
DRespons normal terhadap heparin
Kunci jawaban
1. A · To prevent lumpy fatty areas that make absorption unpredictable
2. D · A patient taking many medicines at the same time
3. C · A high serum sodium level
4. A · Take it with plain water on an empty stomach and stay upright for 30 minutes
5. D · Diverticulitis
6. B · No impulses from the atria reach the ventricles, so they beat independently
7. B · Delirium akibat masalah yang mendasari seperti infeksi atau obat
8. C · Trombositopenia akibat heparin
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