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Nama: ____________________ Tanggal: ____________
1.Mudah
Apa itu antagonis?
AObat yang diubah menjadi bentuk aktif
BObat yang berikatan dengan reseptor tanpa mengaktifkannya dan menghalangi agonis
CObat yang mengaktifkan reseptor sepenuhnya
DObat yang meningkatkan pelepasan ligan alami dari ujung saraf
2.Mudah
Which adverse effect of ethambutol requires vision checks?
AOptic neuritis, with blurred vision and colour blindness
BCataracts that form within a few days of starting
CPermanent dilation of the pupils
DBleeding in the back of the eye
3.Mudah
With patient-controlled analgesia (PCA), who should press the button to give a dose?
AThe nursing assistant at set times
BA family member when the patient is asleep
COnly the patient
DAny visitor who thinks the patient is in pain
4.Sedang
How is adenosine given for supraventricular tachycardia?
AAs a slow infusion over one hour
BAs a rapid IV push followed by a fast saline flush
CAs an intramuscular injection into the outer thigh muscle
DAs a tablet under the tongue
5.Sedang
A patient refuses a prescribed oral medicine. What should the nurse do?
ARecord the medicine as given, so that the chart stays complete for the next shift
BExplore the reason, respect the decision, document and inform the prescriber
CHide the tablet in the patient's food
DLeave the tablet on the bedside table for later
6.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 removes the need to shake the inhaler
DIt doubles the dose of drug released by each puff of the inhaler
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 block the absorption of furosemide completely
CNSAIDs cause salt and water retention and can worsen heart failure
DNSAIDs lower potassium, which makes digoxin and diuretics fail
8.Sulit
Mengapa penghambat ACE dapat menyebabkan cedera ginjal akut pada pasien dengan stenosis arteri renalis bilateral?
APenghambat ACE menyempitkan arteriol aferen
BPenghambat ACE bersifat toksik langsung bagi sel tubulus proksimal di ginjal
CObat mengkristal di tubulus ginjal
DLFG bergantung pada angiotensin II yang menyempitkan arteriol eferen
Kunci jawaban
1. B · Obat yang berikatan dengan reseptor tanpa mengaktifkannya dan menghalangi agonis
2. A · Optic neuritis, with blurred vision and colour blindness
3. C · Only the patient
4. B · As a rapid IV push followed by a fast saline flush
5. B · Explore the reason, respect the decision, document and inform the prescriber
6. B · More drug reaches the lungs and less stays in the mouth
7. C · NSAIDs cause salt and water retention and can worsen heart failure
8. D · LFG bergantung pada angiotensin II yang menyempitkan arteriol eferen
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