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Nama: ____________________ Tanggal: ____________
1.Mudah
Tamoxifen is used mainly to treat:
AOsteoarthritis
BOestrogen receptor-positive breast cancer
CType 2 diabetes
DProstate enlargement and prostate cancer in older men
2.Mudah
Methylphenidate, used in ADHD, belongs to which class?
AOpioid analgesics
BAntipsychotics (dopamine blockers)
CBenzodiazepines
DCentral nervous system stimulants
3.Mudah
In the United States, what is a "boxed warning" (black box warning) on a drug label?
AA sign that the drug must be stored in a dark box
BThe strongest FDA warning about a serious or life-threatening risk
CA note that the drug is available without prescription
DA label showing that the drug is a controlled substance with abuse potential
4.Sedang
Warfarin bekerja dengan:
AMenghambat agregasi trombosit melalui penghambatan ireversibel COX-1
BMenghambat sintesis faktor pembekuan yang bergantung vitamin K
CMenghambat trombin secara langsung
DMengaktifkan antitrombin
5.Sedang
Which early signs suggest systemic toxicity from a local anaesthetic?
ANumbness around the mouth, metallic taste and tinnitus
BPinpoint pupils and slow, shallow breathing
CHeavy sweating, salivation and diarrhoea
DItchy rash and swelling only at the injection site
6.Sedang
Apa yang membuat overdosis antidepresan trisiklik seperti amitriptilin sangat berbahaya?
ABatu ginjal
BGagal hati berat dalam beberapa jam
CAritmia jantung dan kejang
DGlukosa darah tinggi mendadak
7.Sulit
How does aripiprazole differ from most other antipsychotics?
AIt has no effect on dopamine and acts only on histamine
BIt works by blocking the reuptake of serotonin only
CIt is a full dopamine agonist that increases dopamine activity
DIt is a partial agonist at dopamine D2 receptors
8.Sulit
A patient with an epidural infusion of local anaesthetic becomes hypotensive. What is the most likely mechanism?
ABlockade of sympathetic nerves causes vasodilation
BThe epidural catheter has caused heavy bleeding
CThe drug increases urine output and causes dehydration
DThe local anaesthetic causes a severe allergic reaction
Kunci jawaban
1. B · Oestrogen receptor-positive breast cancer
2. D · Central nervous system stimulants
3. B · The strongest FDA warning about a serious or life-threatening risk
4. B · Menghambat sintesis faktor pembekuan yang bergantung vitamin K
5. A · Numbness around the mouth, metallic taste and tinnitus
6. C · Aritmia jantung dan kejang
7. D · It is a partial agonist at dopamine D2 receptors
8. A · Blockade of sympathetic nerves causes vasodilation
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