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Nama: ____________________ Tanggal: ____________
1.Mudah
How does activated charcoal work in poisoning?
AIt neutralises acids in the blood
BIt makes the patient vomit the poison before it is absorbed
CIt binds (adsorbs) the poison in the gut so less is absorbed
DIt speeds up liver metabolism of the poison
2.Mudah
Naltrexone helps in alcohol use disorder because it:
ACauses vomiting and flushing whenever alcohol is drunk
BBlocks opioid receptors, reducing reward and craving
CReplaces alcohol as a sedative
DSpeeds up the liver breakdown of alcohol
3.Mudah
Which intramuscular site is recommended for infants?
ADeltoid
BVentral forearm
CDorsogluteal (upper outer buttock)
DVastus lateralis (outer thigh)
4.Sedang
Why is a spacer recommended with a metered-dose inhaler?
AIt turns the inhaler into a nebuliser
BMore drug reaches the lungs and less stays in the mouth
CIt doubles the dose of drug released by each puff of the inhaler
DIt removes the need to shake the inhaler
5.Sedang
A man taking tamsulosin is planning cataract surgery. What should the nurse advise?
ATell the eye surgeon, as it can cause floppy iris syndrome
BThe drug has no link with eye surgery
CTake a double dose on the day of surgery
DStop the drug for one day and no further action is needed
6.Sedang
A patient must mix regular (soluble) insulin and NPH (isophane) insulin in one syringe. What is the correct order?
ADraw up the clear regular insulin first, then the cloudy NPH insulin
BShake both vials hard, then draw them up in any order
CDraw up the cloudy NPH insulin first, then the clear regular insulin
DDraw them up in separate syringes, then mix them in a cup
7.Sulit
A patient has SIADH with mild hyponatraemia and no neurological symptoms. What is usually the first-line treatment?
AFluid restriction
BLarge volumes of IV glucose 5%
CDesmopressin
DA rapid bolus of hypertonic saline
8.Sulit
Why are tetracyclines usually avoided in pregnancy and in young children (under 8 years in US guidance, under 12 years in the UK)?
AThey cause grey baby syndrome in infants
BThey cause severe hearing loss in children
CThey bind to growing teeth and bone and stain the teeth permanently
DThey block the action of growth hormone and stunt the child's growth
Kunci jawaban
1. C · It binds (adsorbs) the poison in the gut so less is absorbed
2. B · Blocks opioid receptors, reducing reward and craving
3. D · Vastus lateralis (outer thigh)
4. B · More drug reaches the lungs and less stays in the mouth
5. A · Tell the eye surgeon, as it can cause floppy iris syndrome
6. A · Draw up the clear regular insulin first, then the cloudy NPH insulin
7. A · Fluid restriction
8. C · They bind to growing teeth and bone and stain the teeth permanently
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