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Nama: ____________________ Tanggal: ____________
1.Mudah
Why are corticosteroids such as betamethasone given to a woman at risk of preterm birth?
ATo prevent infection in the mother
BTo speed up fetal lung maturity
CTo lower the mother's blood glucose
DTo stop contractions completely
2.Mudah
Montelukast, used in asthma, belongs to which drug class?
AAntimuscarinic bronchodilators
BInhaled corticosteroids
CLeukotriene receptor antagonists
DShort-acting beta-2 agonists
3.Mudah
Benzodiazepin seperti diazepam bekerja dengan meningkatkan efek neurotransmiter apa?
AGlutamat
BSerotonin
CGABA
DNoradrenalin
4.Sedang
A patient takes regular paracetamol (acetaminophen) at home. Which teaching point best prevents accidental overdose?
ATake paracetamol with alcohol to improve absorption
BUse paracetamol only on an empty stomach
CTake an extra dose if the first one does not work within 10 minutes
DCheck cold and flu remedies, as many also contain paracetamol
5.Sedang
Why is propranolol usually avoided in patients with asthma?
AIt blocks beta-2 receptors in the airways and can cause bronchospasm
BIt causes tolerance to inhaled corticosteroids
CIt stimulates alpha-1 receptors in the airways and raises blood pressure
DIt increases mucus production by blocking histamine
6.Sedang
Which early signs suggest systemic toxicity from a local anaesthetic?
ANumbness around the mouth, metallic taste and tinnitus
BHeavy sweating, salivation and diarrhoea
CItchy rash and swelling only at the injection site
DPinpoint pupils and slow, shallow breathing
7.Sulit
A patient with severe liver cirrhosis takes oral propranolol, a drug with a high first-pass metabolism. What effect is expected?
ALess drug is absorbed from the gut, so a higher dose is needed
BThe drug is excreted faster by the kidney, so it works for a shorter time
CThe first-pass effect increases, so the drug becomes inactive
DMore drug reaches the circulation, so a lower dose may be needed
8.Sulit
Klirens suatu obat turun menjadi separuh akibat gagal ginjal, sementara volume distribusinya tetap. Apa yang terjadi pada waktu paruhnya?
ATetap sama
BBerlipat dua
CBerkurang separuh
DNaik empat kali lipat
Kunci jawaban
1. B · To speed up fetal lung maturity
2. C · Leukotriene receptor antagonists
3. C · GABA
4. D · Check cold and flu remedies, as many also contain paracetamol
5. A · It blocks beta-2 receptors in the airways and can cause bronchospasm
6. A · Numbness around the mouth, metallic taste and tinnitus
7. D · More drug reaches the circulation, so a lower dose may be needed
8. B · Berlipat dua
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