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Nama: ____________________ Tanggal: ____________
1.Mudah
Filgrastim, a granulocyte colony-stimulating factor (G-CSF), is given to:
AStop bleeding from wounds
BIncrease the production of neutrophils
CIncrease the production of platelets
DLower the white cell count in leukaemia
2.Mudah
What is a "broad-spectrum" antibiotic?
AOne that is taken for a long time at low dose to prevent any infection
BOne that is given only intravenously in hospital
COne that acts against many Gram-positive and Gram-negative bacteria
DOne that also treats viral and fungal infections
3.Mudah
Which effect is common and harmless with oral iron tablets?
ARed-coloured urine
BDark or black stools
CBlue tint to the lips
DYellow discoloration of the eyes
4.Sedang
Mengapa doksisiklin tidak boleh diminum bersamaan dengan susu atau antasida?
AKalsium dan ion logam lain mengikatnya dan mengurangi penyerapan
BSusu mempercepat penguraiannya di hati melalui induksi enzim
CKombinasinya menyebabkan konstipasi berat
DAntasida mengubahnya menjadi senyawa toksik
5.Sedang
Fraksi obat mana di dalam plasma yang dapat mencapai reseptor dan menghasilkan efek?
AFraksi yang tersimpan di sel darah merah
BFraksi yang terikat globulin
CFraksi tidak terikat (bebas)
DFraksi yang terikat albumin
6.Sedang
A patient with insulin-treated diabetes is found unconscious with very low blood glucose. There is no IV access. Which drug can a trained helper give?
AIntramuscular adrenaline
BOral glucose gel poured into the mouth
CRapid-acting insulin under the skin
DGlucagon by injection or nasal spray
7.Sulit
A patient with Parkinson's disease has nausea. Why should metoclopramide be avoided?
AIt blocks dopamine receptors in the brain and can worsen the parkinsonism
BIt increases dopamine levels in the brain too much and causes psychosis
CIt inhibits the absorption of all oral drugs
DIt causes severe diarrhoea in Parkinson's disease
8.Sulit
Why is pethidine (meperidine) avoided in older people and in kidney impairment?
AIt causes severe hypoglycaemia in these groups
BIt has no pain-relieving effect in older people
CIts metabolite norpethidine builds up and can cause seizures
DIt is not absorbed from the gut when kidney function is poor
Kunci jawaban
1. B · Increase the production of neutrophils
2. C · One that acts against many Gram-positive and Gram-negative bacteria
3. B · Dark or black stools
4. A · Kalsium dan ion logam lain mengikatnya dan mengurangi penyerapan
5. C · Fraksi tidak terikat (bebas)
6. D · Glucagon by injection or nasal spray
7. A · It blocks dopamine receptors in the brain and can worsen the parkinsonism
8. C · Its metabolite norpethidine builds up and can cause seizures
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