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Nama: ____________________ Tanggal: ____________
1.Mudah
How is pernicious anaemia usually treated?
AWith oral iron tablets for three months, then stopping
BWith vitamin B12 injections, usually for life
CWith blood transfusions every month
DWith folic acid alone
2.Mudah
Which harmless effect of rifampicin should patients be warned about?
AWhite spots on the teeth
BOrange-red colouring of urine, sweat and tears
CGreen colouring of the stools
DBlue colouring of the fingernails and lips
3.Mudah
Which vasopressor is usually first-line for septic shock that persists after fluids?
ANoradrenaline (norepinephrine)
BIsoprenaline (isoproterenol)
CAdenosine
DGlyceryl trinitrate
4.Sedang
Why are patients taking simvastatin often advised to avoid large amounts of grapefruit juice?
AGrapefruit makes the tablet dissolve in the mouth
BGrapefruit blocks cholesterol absorption and causes low cholesterol
CGrapefruit inhibits CYP3A4 in the gut, raising simvastatin levels and myopathy risk
DGrapefruit speeds up simvastatin breakdown in the liver, so the drug stops working
5.Sedang
Why is testing for HLA-B*15:02 recommended before carbamazepine in people of some Asian ancestries?
AIt greatly raises the risk of Stevens–Johnson syndrome
BThis gene variant causes carbamazepine to raise blood glucose
CThis gene variant speeds up the kidney excretion of carbamazepine
DThis gene variant makes carbamazepine ineffective
6.Sedang
A patient starting sulfasalazine should be told about which harmless effect?
AWhite spots on the nails
BOrange-yellow colouring of the urine
CGreen colouring of the sweat
DBlue colouring of the tongue and gums
7.Sulit
A toddler swallowed many of his mother's iron tablets. He has vomiting and bloody diarrhoea. Which drug may be used to bind iron?
ADeferoxamine (desferrioxamine)
BAcetylcysteine
CNaloxone
DActivated charcoal given by mouth
8.Sulit
Probenesid pernah digunakan untuk menaikkan kadar penisilin plasma. Bagaimana caranya?
AProbenesid menghambat metabolisme penisilin di hati
BProbenesid menggeser penisilin dari protein plasma
CProbenesid meningkatkan penyerapan penisilin dari usus halus
DProbenesid memblokir sekresi tubulus penisilin di ginjal
Kunci jawaban
1. B · With vitamin B12 injections, usually for life
2. B · Orange-red colouring of urine, sweat and tears
3. A · Noradrenaline (norepinephrine)
4. C · Grapefruit inhibits CYP3A4 in the gut, raising simvastatin levels and myopathy risk
5. A · It greatly raises the risk of Stevens–Johnson syndrome
6. B · Orange-yellow colouring of the urine
7. A · Deferoxamine (desferrioxamine)
8. D · Probenesid memblokir sekresi tubulus penisilin di ginjal
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