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Nama: ____________________ Tanggal: ____________
1.Mudah
What does "polypharmacy" mean?
ATaking one drug in several different forms
BUsing a drug at a very high dose
CA pharmacy that stocks many different brands of the same drug
DThe use of many medicines at the same time, often five or more
2.Mudah
Efek samping morfin mana yang hampir tidak pernah hilang dengan penggunaan berkelanjutan?
AGatal
BMengantuk
CMual
DKonstipasi
3.Mudah
Drugs whose names end in "-sartan", such as losartan, belong to which class?
ALoop diuretics
BAngiotensin II receptor blockers
CACE inhibitors, which block the converting enzyme
DAlpha-1 blockers
4.Sedang
Berapa lama kira-kira obat yang diberikan dengan interval teratur mencapai keadaan tunak?
A1 waktu paruh
B4 sampai 5 waktu paruh
CHanya bergantung pada besarnya dosis
D10 waktu paruh
5.Sedang
What should the nurse teach a patient about taking levothyroxine?
ATake it together with the iron tablet to save time
BTake it only on days when feeling tired
CTake it on an empty stomach, 30–60 minutes before breakfast
DTake it with milk at dinner, as calcium protects the stomach lining
6.Sedang
During a rapid infusion of vancomycin, a patient develops flushing and a red rash on the face, neck and upper body. What is the most likely cause and action?
AA sign that the infection is spreading; give a second dose
BAcute kidney failure; stop all IV fluids and antibiotics at once
CA normal effect; increase the infusion rate to finish sooner
DAn infusion reaction; stop or slow the infusion and inform the prescriber
7.Sulit
A patient receiving frequent salbutamol (albuterol) nebulisers develops a fine tremor and a heart rate of 120 per minute. What is the best explanation?
AThe patient is allergic to salbutamol and needs adrenaline
BSalbutamol blocks muscarinic receptors in the heart
CAt high doses it also stimulates beta receptors in skeletal muscle and the heart
DSalbutamol causes high potassium, which speeds the heart and causes muscle twitching
8.Sulit
Mengapa pasien yang menggunakan nitrat kerja panjang disarankan memiliki periode bebas nitrat selama beberapa jam setiap hari?
AUntuk menghindari akumulasi nitrat di jaringan lemak
BUntuk membiarkan hati pulih dari toksisitas
CUntuk mencegah toleransi terhadap nitrat
DUntuk mengurangi risiko perdarahan
Kunci jawaban
1. D · The use of many medicines at the same time, often five or more
2. D · Konstipasi
3. B · Angiotensin II receptor blockers
4. B · 4 sampai 5 waktu paruh
5. C · Take it on an empty stomach, 30–60 minutes before breakfast
6. D · An infusion reaction; stop or slow the infusion and inform the prescriber
7. C · At high doses it also stimulates beta receptors in skeletal muscle and the heart
8. C · Untuk mencegah toleransi terhadap nitrat
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