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Nama: ____________________ Tanggal: ____________
1.Mudah
Finasteride is used in benign prostatic hyperplasia because it:
AInhibits 5-alpha reductase and slowly shrinks the prostate
BRelaxes smooth muscle in the prostate within hours of the first dose
CIncreases testosterone production
DKills bacteria in the prostate
2.Mudah
Baclofen is used mainly to treat:
AAcid reflux and heartburn
BBacterial infections of the skin
CHigh blood pressure in pregnancy and pre-eclampsia
DMuscle spasticity, for example in multiple sclerosis
3.Mudah
Why is methadone used to treat opioid use disorder?
AIt is a long-acting opioid that prevents withdrawal and craving
BIt is a pure opioid antagonist that blocks all opioid effects
CIt causes vomiting if other opioids are used
DIt cures the liver damage caused by opioids
4.Sedang
Which side effects are most common when starting gabapentin?
AInsomnia and agitation
BHair loss and weight loss
CDrowsiness and dizziness
DCough and runny nose
5.Sedang
How should a patient store sublingual glyceryl trinitrate (nitroglycerin) tablets?
AIn the original dark glass bottle, away from heat, light and moisture
BIn the fridge in a damp, open container to keep them fresh and cool
CLoose in a shirt pocket close to the body for quick access
DIn a plastic weekly pill box with other tablets
6.Sedang
Why is simvastatin traditionally taken in the evening?
AIt must be taken with the largest meal of the day
BIt causes too much drowsiness to be taken in the morning
CIt is short-acting, and cholesterol synthesis peaks at night
DIt is inactivated by sunlight during the day
7.Sulit
A patient with diabetic ketoacidosis is about to start an IV insulin infusion. Serum potassium is 3,1 mmol/L (mEq/L). Why is this a concern?
APotassium has no link with insulin, so the infusion is started as planned
BInsulin moves potassium into cells, so the level can fall dangerously low
CLow potassium makes insulin ineffective, so a higher dose is needed
DInsulin raises potassium further and can cause cardiac arrest, so the infusion is given faster
8.Sulit
Antagonis nonkompetitif (ireversibel) mengubah kurva dosis-respons dengan:
AMenggeser kurva ke kanan dengan maksimum yang sama
BMembuat kurva lebih curam tanpa perubahan lain
CMenurunkan respons maksimum
DMenggeser kurva ke kiri
Kunci jawaban
1. A · Inhibits 5-alpha reductase and slowly shrinks the prostate
2. D · Muscle spasticity, for example in multiple sclerosis
3. A · It is a long-acting opioid that prevents withdrawal and craving
4. C · Drowsiness and dizziness
5. A · In the original dark glass bottle, away from heat, light and moisture
6. C · It is short-acting, and cholesterol synthesis peaks at night
7. B · Insulin moves potassium into cells, so the level can fall dangerously low
8. C · Menurunkan respons maksimum
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