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Nama: ____________________ Tanggal: ____________
1.Mudah
Manakah yang merupakan reaksi fase II (konjugasi) yang khas dalam metabolisme obat?
AGlukuronidasi
BHidrolisis
CReduksi
DOksidasi
2.Mudah
Giving a patient immunoglobulin after exposure to an infection provides which type of immunity?
AInnate immunity
BActive immunity
CPassive immunity
DHerd immunity
3.Mudah
Which long-term side effect of phenytoin makes good oral hygiene especially important?
ALoss of taste
BExcess saliva production
COvergrowth of the gums (gingival hyperplasia)
DBlue-grey discoloration of the teeth and gums
4.Sedang
A patient takes theophylline for COPD. Which advice is most important?
AAvoid potassium-rich foods such as bananas
BDrink plenty of grapefruit juice each morning to improve absorption
CLimit coffee, tea and cola, because caffeine adds to the side effects
DTake extra doses when short of breath
5.Sedang
Which assessment is most important before giving a dose of IV morphine?
ABowel sounds and urine colour
BRespiratory rate and level of sedation
CBlood glucose and temperature, checked before each dose
DPupil size and hearing
6.Sedang
Bethanechol may be used for non-obstructive urinary retention. How does it work?
AIt blocks muscarinic receptors and relaxes the bladder wall muscle
BIt increases urine production in the kidney
CIt stimulates muscarinic receptors and contracts the bladder muscle
DIt shrinks the prostate gland
7.Sulit
Why may omeprazole be avoided in a patient taking clopidogrel?
AIt inhibits CYP2C19, so less clopidogrel is converted to its active form
BIt increases clopidogrel absorption from the gut and causes bleeding
CIt binds clopidogrel in the stomach and makes it insoluble
DIt speeds up kidney excretion of clopidogrel
8.Sulit
A breastfeeding mother needs a mild analgesic. Which drug is generally considered compatible with breastfeeding?
AParacetamol (acetaminophen)
BCodeine (as co-codamol)
CPethidine (meperidine)
DAspirin
Kunci jawaban
1. A · Glukuronidasi
2. C · Passive immunity
3. C · Overgrowth of the gums (gingival hyperplasia)
4. C · Limit coffee, tea and cola, because caffeine adds to the side effects
5. B · Respiratory rate and level of sedation
6. C · It stimulates muscarinic receptors and contracts the bladder muscle
7. A · It inhibits CYP2C19, so less clopidogrel is converted to its active form
8. A · Paracetamol (acetaminophen)
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