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Nama: ____________________ Tanggal: ____________
1.Mudah
Oxytocin is used in obstetrics mainly to:
AInduce or strengthen contractions and prevent postpartum bleeding
BMature the fetal lungs before birth
CStop preterm labour by relaxing the uterine muscle
DLower blood pressure in pre-eclampsia
2.Mudah
What is the most common side effect of first-generation antihistamines such as diphenhydramine?
ADrowsiness
BDiarrhoea
CInsomnia
DRaised blood pressure
3.Mudah
Zolpidem is mainly prescribed for:
ATreatment of Parkinson's disease
BLong-term treatment of depression
CPrevention of migraine
DShort-term treatment of insomnia
4.Sedang
Which side effects are most common when starting gabapentin?
AInsomnia and agitation
BCough and runny nose
CHair loss and weight loss
DDrowsiness and dizziness
5.Sedang
Why should loperamide usually be avoided in bloody diarrhoea with fever?
ALoperamide makes the bleeding worse by blocking platelets
BLoperamide causes severe hypertension when there is an infection
CSlowing the gut may keep bacteria and toxins in the bowel longer
DLoperamide is an antibiotic that causes resistance
6.Sedang
A patient receives lactulose for hepatic encephalopathy. Which finding shows that it is working?
AHigher blood ammonia with improved appetite
BNo bowel movement for three days, with less confusion than before
CBetter alertness and orientation, with two to three soft stools a day
DTen watery stools a day and a low serum potassium
7.Sulit
A patient taking co-trimoxazole develops fever, a spreading blistering rash and painful mouth sores. What is the most likely diagnosis?
AStevens–Johnson syndrome; stop the drug and get urgent medical care
BA mild rash that will settle; continue the drug and give moisturiser
COral thrush; start an antifungal and continue the antibiotic
DSunburn caused by the drug; advise sunscreen only
8.Sulit
A woman with chronic hypertension who takes lisinopril is now pregnant. What is the key concern?
AACE inhibitors harm fetal kidneys, so a safer drug is used
BAll antihypertensives must be stopped in pregnancy
CLisinopril works better in pregnancy, so the dose should be increased
DLisinopril has no known fetal effects and should be continued
Kunci jawaban
1. A · Induce or strengthen contractions and prevent postpartum bleeding
2. A · Drowsiness
3. D · Short-term treatment of insomnia
4. D · Drowsiness and dizziness
5. C · Slowing the gut may keep bacteria and toxins in the bowel longer
6. C · Better alertness and orientation, with two to three soft stools a day
7. A · Stevens–Johnson syndrome; stop the drug and get urgent medical care
8. A · ACE inhibitors harm fetal kidneys, so a safer drug is used
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