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Nama: ____________________ Tanggal: ____________
1.Mudah
Apa itu toleransi obat?
ARespons yang makin kuat setiap kali obat dikonsumsi
BRespons yang berkurang setelah penggunaan berulang, sehingga diperlukan dosis lebih tinggi
CKemampuan mengonsumsi obat tanpa mengalami efek samping apa pun
DReaksi alergi terhadap obat
2.Mudah
In the United States, what is a "boxed warning" (black box warning) on a drug label?
AThe strongest FDA warning about a serious or life-threatening risk
BA note that the drug is available without prescription
CA sign that the drug must be stored in a dark box
DA label showing that the drug is a controlled substance with abuse potential
3.Mudah
Oseltamivir is used to treat or prevent which infection?
AHerpes simplex
BInfluenza
CHIV
DTuberculosis
4.Sedang
Which assessments are most important during a magnesium sulfate infusion?
ATemperature and skin colour only
BBowel sounds and appetite
CDeep tendon reflexes, respiratory rate and urine output
DBlood glucose, pupil size and pupil reaction to light
5.Sedang
Mengapa OAINS seperti ibuprofen meningkatkan risiko tukak lambung?
AMenaikkan pH asam lambung
BMenurunkan prostaglandin pelindung di lapisan lambung
CMenambah jumlah bakteri Helicobacter pylori di lambung
DMelarutkan lapisan lendir secara langsung
6.Sedang
Why is a spacer recommended with a metered-dose inhaler?
AIt doubles the dose of drug released by each puff of the inhaler
BIt turns the inhaler into a nebuliser
CIt removes the need to shake the inhaler
DMore drug reaches the lungs and less stays in the mouth
7.Sulit
Five days after starting clindamycin, a patient has frequent watery diarrhoea, abdominal cramps and a fever. What should the nurse suspect and do?
AAn allergy to clindamycin; give an antihistamine and continue the antibiotic
BFood poisoning; encourage a high-fibre diet and plenty of milk products
CC. difficile infection; send stool, use contact precautions, avoid antidiarrhoeals
DA normal side effect; give loperamide and continue as usual
8.Sulit
A woman with chronic hypertension who takes lisinopril is now pregnant. What is the key concern?
ALisinopril works better in pregnancy, so the dose should be increased
BLisinopril has no known fetal effects and should be continued
CAll antihypertensives must be stopped in pregnancy
DACE inhibitors harm fetal kidneys, so a safer drug is used
Kunci jawaban
1. B · Respons yang berkurang setelah penggunaan berulang, sehingga diperlukan dosis lebih tinggi
2. A · The strongest FDA warning about a serious or life-threatening risk
3. B · Influenza
4. C · Deep tendon reflexes, respiratory rate and urine output
5. B · Menurunkan prostaglandin pelindung di lapisan lambung
6. D · More drug reaches the lungs and less stays in the mouth
7. C · C. difficile infection; send stool, use contact precautions, avoid antidiarrhoeals
8. D · ACE inhibitors harm fetal kidneys, so a safer drug is used
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