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Nama: ____________________ Tanggal: ____________
1.Mudah
Celecoxib selectively inhibits which enzyme?
APhospholipase A2
BCyclo-oxygenase-2 (COX-2)
CCyclo-oxygenase-1 (COX-1)
DLipoxygenase
2.Mudah
Which herbal product is commonly taken for sleep and can add to the effect of sedatives?
APeppermint
BValerian
CCranberry
DGinger
3.Mudah
In the United States, what is a "boxed warning" (black box warning) on a drug label?
AThe strongest FDA warning about a serious or life-threatening risk
BA sign that the drug must be stored in a dark box
CA label showing that the drug is a controlled substance with abuse potential
DA note that the drug is available without prescription
4.Sedang
Which assessments are most important during a magnesium sulfate infusion?
ABlood glucose, pupil size and pupil reaction to light
BTemperature and skin colour only
CDeep tendon reflexes, respiratory rate and urine output
DBowel sounds and appetite
5.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 normal effect; increase the infusion rate to finish sooner
BAcute kidney failure; stop all IV fluids and antibiotics at once
CA sign that the infection is spreading; give a second dose
DAn infusion reaction; stop or slow the infusion and inform the prescriber
6.Sedang
Which patient should usually not receive a live vaccine?
AA healthy adult nurse who works on a children's ward
BA patient receiving chemotherapy for leukaemia
CA healthy 1-year-old child
DA patient with mild seasonal allergies
7.Sulit
In adult cardiac arrest with shock-refractory ventricular fibrillation, which antiarrhythmic is commonly given?
AAdenosine
BDigoxin
CVerapamil
DAmiodarone
8.Sulit
A patient taking digoxin has nausea, yellow-green vision and a dangerous arrhythmia. Which specific treatment can bind the drug?
ADigoxin immune Fab (antibody fragments)
BIntravenous vitamin K (phytomenadione) given slowly
CProtamine sulfate
DFlumazenil
Kunci jawaban
1. B · Cyclo-oxygenase-2 (COX-2)
2. B · Valerian
3. A · The strongest FDA warning about a serious or life-threatening risk
4. C · Deep tendon reflexes, respiratory rate and urine output
5. D · An infusion reaction; stop or slow the infusion and inform the prescriber
6. B · A patient receiving chemotherapy for leukaemia
7. D · Amiodarone
8. A · Digoxin immune Fab (antibody fragments)
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