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Nama: ____________________ Tanggal: ____________
1.Mudah
Sumatriptan is used mainly to:
ATreat high blood pressure
BPrevent epileptic seizures
CTreat an acute migraine attack
DRelieve nerve pain from diabetes
2.Mudah
Which drug is used as an antidote for cyanide poisoning?
ADeferoxamine
BHydroxocobalamin
CVitamin K
DProtamine sulfate
3.Mudah
How do local anaesthetics such as lidocaine block pain?
AThey block prostaglandin synthesis at the injury site
BThey activate opioid receptors in the spinal cord
CThey enhance the action of GABA in the brain and spinal cord
DThey block voltage-gated sodium channels in nerve membranes
4.Sedang
Besides lithium levels, which blood tests are monitored in long-term lithium treatment?
ALiver enzymes, serum amylase and lipase
BKidney function and thyroid function
CTroponin and CK-MB
DINR and fibrinogen
5.Sedang
How should a topical corticosteroid cream usually be applied?
AUnder a tight plastic dressing every night without advice
BAs a thin layer to the affected area only, as directed
CAs a thick layer over the whole body
DOn broken, infected skin to speed healing
6.Sedang
Tanda mana yang khas untuk toksisitas opioid?
ASuhu tubuh tinggi
BNapas cepat dan dalam
CPupil pinpoint
DPupil sangat melebar
7.Sulit
A patient taking co-trimoxazole develops fever, a spreading blistering rash and painful mouth sores. What is the most likely diagnosis?
AStevens–Johnson syndrome; stop the drug and get urgent medical care
BA mild rash that will settle; continue the drug and give moisturiser
COral thrush; start an antifungal and continue the antibiotic
DSunburn caused by the drug; advise sunscreen only
8.Sulit
A ventilated ICU patient receives vecuronium, a neuromuscular blocker. Why must sedation and pain relief also be given?
AVecuronium causes severe pain at the injection site
BNeuromuscular blockers paralyse muscles but do not cause sedation or analgesia
CSedatives are needed to prevent vecuronium from causing seizures and agitation
DVecuronium stops working unless a sedative is also given
Kunci jawaban
1. C · Treat an acute migraine attack
2. B · Hydroxocobalamin
3. D · They block voltage-gated sodium channels in nerve membranes
4. B · Kidney function and thyroid function
5. B · As a thin layer to the affected area only, as directed
6. C · Pupil pinpoint
7. A · Stevens–Johnson syndrome; stop the drug and get urgent medical care
8. B · Neuromuscular blockers paralyse muscles but do not cause sedation or analgesia
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