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Nama: ____________________ Tanggal: ____________
1.Mudah
How does allopurinol prevent gout?
AIt blocks prostaglandins in the inflamed joint
BIt dissolves crystals already in the joint within hours
CIt inhibits xanthine oxidase, so less uric acid is made
DIt increases the kidney excretion of calcium
2.Mudah
Apa itu indeks terapeutik?
APersentase dosis oral yang mencapai sirkulasi sistemik
BRasio antara dosis toksik dan dosis efektif
CJumlah dosis per hari
DWaktu untuk mencapai keadaan tunak
3.Mudah
Oxytocin is used in obstetrics mainly to:
AMature the fetal lungs before birth
BInduce or strengthen contractions and prevent postpartum bleeding
CLower blood pressure in pre-eclampsia
DStop preterm labour by relaxing the uterine muscle
4.Sedang
Mengapa kortikosteroid oral jangka panjang tidak boleh dihentikan mendadak?
APenghentian menyebabkan kenaikan glukosa darah mendadak
BObat membentuk metabolit toksik ketika dihentikan
CKelenjar adrenal tertekan dan mungkin tidak membuat cukup kortisol
DSistem imun akan langsung menyerang hati dan kelenjar adrenal
5.Sedang
Why is propranolol usually avoided in patients with asthma?
AIt increases mucus production by blocking histamine
BIt causes tolerance to inhaled corticosteroids
CIt blocks beta-2 receptors in the airways and can cause bronchospasm
DIt stimulates alpha-1 receptors in the airways and raises blood pressure
6.Sedang
A patient takes cholestyramine. How should other oral medicines be timed?
AMix them into the cholestyramine drink so they are taken together
BTiming does not matter, as cholestyramine is not absorbed
CTake them 1 hour before or several hours after cholestyramine
DTake them all at the same time as cholestyramine
7.Sulit
How does aripiprazole differ from most other antipsychotics?
AIt is a partial agonist at dopamine D2 receptors
BIt has no effect on dopamine and acts only on histamine
CIt is a full dopamine agonist that increases dopamine activity
DIt works by blocking the reuptake of serotonin only
8.Sulit
In myxoedema coma, why is hydrocortisone often given before or with thyroid hormone?
AThyroid hormone can trigger adrenal crisis if cortisol is also low
BThyroid hormone is inactive unless hydrocortisone is given
CHydrocortisone prevents the hypoglycaemia caused by levothyroxine
DHydrocortisone makes thyroid hormone work faster
Kunci jawaban
1. C · It inhibits xanthine oxidase, so less uric acid is made
2. B · Rasio antara dosis toksik dan dosis efektif
3. B · Induce or strengthen contractions and prevent postpartum bleeding
4. C · Kelenjar adrenal tertekan dan mungkin tidak membuat cukup kortisol
5. C · It blocks beta-2 receptors in the airways and can cause bronchospasm
6. C · Take them 1 hour before or several hours after cholestyramine
7. A · It is a partial agonist at dopamine D2 receptors
8. A · Thyroid hormone can trigger adrenal crisis if cortisol is also low
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