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Nama: ____________________ Tanggal: ____________
1.Mudah
Celecoxib selectively inhibits which enzyme?
APhospholipase A2
BLipoxygenase
CCyclo-oxygenase-2 (COX-2)
DCyclo-oxygenase-1 (COX-1)
2.Mudah
In Addison's disease, fludrocortisone is given to replace which hormone?
AAldosterone
BThyroxine
CAdrenaline
DCortisol
3.Mudah
Oseltamivir is used to treat or prevent which infection?
AHIV
BInfluenza
CHerpes simplex
DTuberculosis
4.Sedang
Apa efek samping terpenting dari sulfonilurea seperti glikazid?
AAsidosis laktat
BHipoglikemia
CBatuk kering
DHiperkalemia
5.Sedang
Bethanechol may be used for non-obstructive urinary retention. How does it work?
AIt increases urine production in the kidney
BIt stimulates muscarinic receptors and contracts the bladder muscle
CIt shrinks the prostate gland
DIt blocks muscarinic receptors and relaxes the bladder wall muscle
6.Sedang
Long-term use of metformin can cause a deficiency of which vitamin?
AVitamin K
BVitamin B12
CVitamin A
DVitamin D
7.Sulit
Kodein diubah menjadi morfin oleh CYP2D6. Apa yang terjadi pada pasien yang merupakan ultra-rapid metaboliser CYP2D6?
AKodein diekskresikan tanpa berubah melalui urine
BLebih banyak morfin terbentuk, sehingga meningkatkan risiko toksisitas opioid
CKodein hampir tidak memberikan pereda nyeri karena sedikit morfin yang terbentuk
DKodein hanya diubah menjadi senyawa tidak aktif
8.Sulit
A patient took a large paracetamol (acetaminophen) overdose 6 hours ago and feels well. Why is treatment still urgent?
AThe drug will cause kidney stones within a few hours
BParacetamol overdose only causes harm if symptoms start in the first hour
CThe patient is at risk of immediate respiratory arrest
DLiver damage appears 1–3 days later, and early treatment works best
Kunci jawaban
1. C · Cyclo-oxygenase-2 (COX-2)
2. A · Aldosterone
3. B · Influenza
4. B · Hipoglikemia
5. B · It stimulates muscarinic receptors and contracts the bladder muscle
6. B · Vitamin B12
7. B · Lebih banyak morfin terbentuk, sehingga meningkatkan risiko toksisitas opioid
8. D · Liver damage appears 1–3 days later, and early treatment works best
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