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Nama: ____________________ Tanggal: ____________
1.Mudah
Desmopressin is a synthetic analogue of which hormone?
AInsulin
BOxytocin, the hormone of labour
CAldosterone
DAntidiuretic hormone (vasopressin)
2.Mudah
Obat mana yang merupakan pengobatan lini pertama untuk anafilaksis?
ASalbutamol inhalasi
BAdrenalin intramuskular
CPrednisolon oral
DAntihistamin oral
3.Mudah
Mengapa aspirin dosis rendah diberikan kepada sebagian penderita penyakit jantung?
AUntuk memperlambat denyut jantung
BUntuk menurunkan kadar kolesterol darah dan menstabilkan plak
CUntuk segera meredakan nyeri dada
DUntuk mengurangi agregasi trombosit dan mencegah bekuan
4.Sedang
Which patient should usually not use the combined oral contraceptive pill?
AA 22-year-old non-smoker with acne
BA 38-year-old woman who smokes 20 cigarettes a day
CA 25-year-old woman with heavy periods
DA 30-year-old non-smoker with no medical problems
5.Sedang
Why should loperamide usually be avoided in bloody diarrhoea with fever?
ALoperamide is an antibiotic that causes resistance
BLoperamide makes the bleeding worse by blocking platelets
CLoperamide causes severe hypertension when there is an infection
DSlowing the gut may keep bacteria and toxins in the bowel longer
6.Sedang
Ipratropium adalah bronkodilator yang digunakan pada PPOK. Bagaimana cara kerjanya?
AIpratropium merangsang reseptor beta-2 adrenergik di saluran napas
BIpratropium mengurangi peradangan seperti kortikosteroid
CIpratropium memblokir reseptor muskarinik di otot polos saluran napas
DIpratropium memblokir reseptor leukotrien
7.Sulit
A patient taking co-trimoxazole develops fever, a spreading blistering rash and painful mouth sores. What is the most likely diagnosis?
AOral thrush; start an antifungal and continue the antibiotic
BStevens–Johnson syndrome; stop the drug and get urgent medical care
CA mild rash that will settle; continue the drug and give moisturiser
DSunburn caused by the drug; advise sunscreen only
8.Sulit
Which regimen is standard for eradicating Helicobacter pylori?
AA single dose of an antibiotic given intravenously
BAn antacid alone, taken after meals and at bedtime for six months
CAn H2 blocker taken only when pain occurs
DAcid suppression plus at least two antibiotics, often with bismuth, for 14 days
Kunci jawaban
1. D · Antidiuretic hormone (vasopressin)
2. B · Adrenalin intramuskular
3. D · Untuk mengurangi agregasi trombosit dan mencegah bekuan
4. B · A 38-year-old woman who smokes 20 cigarettes a day
5. D · Slowing the gut may keep bacteria and toxins in the bowel longer
6. C · Ipratropium memblokir reseptor muskarinik di otot polos saluran napas
7. B · Stevens–Johnson syndrome; stop the drug and get urgent medical care
8. D · Acid suppression plus at least two antibiotics, often with bismuth, for 14 days
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