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Nama: ____________________ Tanggal: ____________
1.Mudah
Antibiotik efektif melawan:
AVirus
BReaksi alergi
CSemua mikroorganisme sama baiknya
DBakteri
2.Mudah
Why is folinic acid (leucovorin) given after high-dose methotrexate?
ATo treat an allergic reaction to methotrexate
BTo make methotrexate act faster on the tumour
CTo protect normal cells from methotrexate toxicity
DTo prevent nausea and vomiting after the methotrexate
3.Mudah
Venlafaxine belongs to which class of antidepressants?
A patient takes isoniazid. Which advice is most important?
AAvoid alcohol and report jaundice, dark urine or poor appetite
BExpect the urine to turn orange
CTake it with antacids to protect the stomach from irritation
DStop the drug when the cough improves
5.Sedang
Why is a progestogen added to oestrogen in hormone replacement therapy for a woman who still has her uterus?
ATo prevent breast cancer completely
BTo reduce hot flushes much more than oestrogen alone can
CTo lower the risk of blood clots to zero
DTo protect against endometrial hyperplasia and cancer
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 normal effect; increase the infusion rate to finish sooner
BA sign that the infection is spreading; give a second dose
CAcute kidney failure; stop all IV fluids and antibiotics at once
DAn infusion reaction; stop or slow the infusion and inform the prescriber
7.Sulit
A patient with heart failure starts taking naproxen regularly for back pain. Why is this a concern?
ANSAIDs increase heart contractility too much
BNSAIDs cause salt and water retention and can worsen heart failure
CNSAIDs lower potassium, which makes digoxin and diuretics fail
DNSAIDs block the absorption of furosemide completely
8.Sulit
Which regimen is standard for eradicating Helicobacter pylori?
AAn antacid alone, taken after meals and at bedtime for six months
BAcid suppression plus at least two antibiotics, often with bismuth, for 14 days
CA single dose of an antibiotic given intravenously
DAn H2 blocker taken only when pain occurs
Kunci jawaban
1. D · Bakteri
2. C · To protect normal cells from methotrexate toxicity
3. C · Serotonin–noradrenaline reuptake inhibitors (SNRIs)
4. A · Avoid alcohol and report jaundice, dark urine or poor appetite
5. D · To protect against endometrial hyperplasia and cancer
6. D · An infusion reaction; stop or slow the infusion and inform the prescriber
7. B · NSAIDs cause salt and water retention and can worsen heart failure
8. B · Acid suppression plus at least two antibiotics, often with bismuth, for 14 days
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