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Nama: ____________________ Tanggal: ____________
1.Mudah
What is a "superinfection" during antibiotic treatment?
AA very severe form of the original infection
BA new infection because normal body flora are disturbed
CAn infection that spreads from one patient to another on the ward
DAn infection that is cured by a single antibiotic dose
2.Mudah
Fibrates such as fenofibrate mainly lower which blood lipid?
AHDL cholesterol
BBile acids
CLipoprotein(a) only
DTriglycerides
3.Mudah
Which opioid receptor is mainly responsible for the pain relief and respiratory depression of morphine?
ANicotinic receptor
BMu receptor
CDelta receptor
DKappa receptor
4.Sedang
Which signs suggest early lithium toxicity?
AVery high blood pressure and a severe headache
BDiarrhoea, vomiting, coarse tremor and drowsiness
CHair loss and dark urine only
DPinpoint pupils and slow breathing
5.Sedang
During an oxytocin infusion, contractions become very frequent and the fetal heart rate shows late decelerations. What is the nurse's first action?
AStop the oxytocin infusion
BGive a second oxytocin bolus
CIncrease the infusion to finish labour quickly
DPosition the woman flat on her back
6.Sedang
Which teaching about antiepileptic drugs is most important?
ADo not stop the drug suddenly, as this can trigger severe seizures
BStop the drug when you have had no seizures for one whole week
CTake a double dose if you feel a seizure coming
DAlcohol has no effect on seizure control
7.Sulit
A patient on methadone is also prescribed diazepam for anxiety. What is the main safety concern?
ADiazepam blocks the effect of methadone completely
BMethadone causes diazepam to be excreted very quickly
CAdditive sedation and respiratory depression
DSevere hypertension from the combination
8.Sulit
Beta-lactam antibiotics show time-dependent killing. What does this mean for administration?
ADoses should be given only when the patient has a fever
BA single very large daily dose works best
CDoses can be given at any time as long as the daily total is right
DDoses should be given on time at evenly spaced intervals
Kunci jawaban
1. B · A new infection because normal body flora are disturbed
2. D · Triglycerides
3. B · Mu receptor
4. B · Diarrhoea, vomiting, coarse tremor and drowsiness
5. A · Stop the oxytocin infusion
6. A · Do not stop the drug suddenly, as this can trigger severe seizures
7. C · Additive sedation and respiratory depression
8. D · Doses should be given on time at evenly spaced intervals
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