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Nama: ____________________ Tanggal: ____________
1.Mudah
Golongan obat apa yang dipakai untuk meredakan serangan asma akut?
APenghambat ACE
BPenyekat beta
CAgonis beta-2 kerja singkat
DAntihistamin
2.Mudah
What is a "high-alert medication"?
AAny drug that is given by the intravenous or intramuscular route
BA drug that causes more serious harm when used in error
CA drug that is expensive and must be kept in a locked cupboard
DA new drug during its first year on the market
3.Mudah
Baclofen is used mainly to treat:
ABacterial infections of the skin
BMuscle spasticity, for example in multiple sclerosis
CAcid reflux and heartburn
DHigh blood pressure in pregnancy and pre-eclampsia
4.Sedang
A patient takes low-dose weekly methotrexate for rheumatoid arthritis. Which monitoring is needed?
ARegular blood count, liver and kidney function tests
BMonthly hearing tests
CDaily blood glucose checks
DWeekly INR checks and a monthly ECG to check the heart rhythm
5.Sedang
Mengapa kortikosteroid oral jangka panjang tidak boleh dihentikan mendadak?
AKelenjar adrenal tertekan dan mungkin tidak membuat cukup kortisol
BObat membentuk metabolit toksik ketika dihentikan
CPenghentian menyebabkan kenaikan glukosa darah mendadak
DSistem imun akan langsung menyerang hati dan kelenjar adrenal
6.Sedang
Why is propranolol usually avoided in patients with asthma?
AIt increases mucus production by blocking histamine
BIt stimulates alpha-1 receptors in the airways and raises blood pressure
CIt blocks beta-2 receptors in the airways and can cause bronchospasm
DIt causes tolerance to inhaled corticosteroids
7.Sulit
A patient who used cocaine has chest pain, agitation, a high temperature, sweating, tachycardia and dilated pupils. Which drug class is commonly first-line for the agitation and sympathetic overactivity?
AAnticholinergic drugs
BBenzodiazepines
COpioid antagonists
DAntihistamines
8.Sulit
A patient taking sertraline starts St John's wort for low mood. What is the main concern?
ABleeding from vitamin K deficiency
BA hypertensive crisis from tyramine
CSerotonin syndrome from combined serotonergic effects
DSevere low blood pressure from blocked alpha receptors
Kunci jawaban
1. C · Agonis beta-2 kerja singkat
2. B · A drug that causes more serious harm when used in error
3. B · Muscle spasticity, for example in multiple sclerosis
4. A · Regular blood count, liver and kidney function tests
5. A · Kelenjar adrenal tertekan dan mungkin tidak membuat cukup kortisol
6. C · It blocks beta-2 receptors in the airways and can cause bronchospasm
7. B · Benzodiazepines
8. C · Serotonin syndrome from combined serotonergic effects
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