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Nama: ____________________ Tanggal: ____________
1.Mudah
In hepatic encephalopathy, lactulose is given mainly to:
AReduce fluid in the abdomen
BRaise the blood glucose level
CLower the blood ammonia level
DStop bleeding from varices
2.Mudah
Rute pemberian mana yang menghindari metabolisme lintas pertama di hati?
ALarutan oral
BTablet oral
CIntravena
DSupositoria yang diletakkan tinggi di rektum
3.Mudah
Which drug is used as an antidote for cyanide poisoning?
AProtamine sulfate
BVitamin K
CHydroxocobalamin
DDeferoxamine
4.Sedang
Which adverse effect of doxorubicin requires monitoring of heart function?
ASevere hypertension during the infusion itself
BCumulative heart muscle damage leading to heart failure
CPericarditis caused by infection
DRapid rise in cholesterol
5.Sedang
Reseptor apa yang terutama disekat oleh penyekat beta seperti metoprolol?
AReseptor muskarinik di jantung
BReseptor beta-3 di jaringan lemak
CReseptor alfa-1 di pembuluh darah
DReseptor adrenergik beta-1 di jantung
6.Sedang
A patient starting niacin (nicotinic acid) complains of flushing and warmth after doses. Which advice may reduce this?
ATake it on an empty stomach in a hot bath
BTake aspirin 30 minutes before the niacin, if the prescriber agrees
CDouble the dose to build tolerance faster
DTake the niacin with a hot drink so that it dissolves and acts faster
7.Sulit
A patient with latent tuberculosis feels well and is not infectious. Why is treatment such as isoniazid still offered?
ATo cure an active lung infection
BTo stop the patient spreading TB at the moment
CTo produce a negative skin test quickly
DTo prevent progression to active TB later
8.Sulit
A nurse gives 2 mg from a 4 mg ampoule of morphine. What should happen to the remaining 2 mg?
AIt is discarded in front of a witness, and both sign the record
BIt is poured down the sink without telling anyone
CIt is given to the next patient who needs morphine
DIt is kept labelled in the patient's drawer for the next dose
Kunci jawaban
1. C · Lower the blood ammonia level
2. C · Intravena
3. C · Hydroxocobalamin
4. B · Cumulative heart muscle damage leading to heart failure
5. D · Reseptor adrenergik beta-1 di jantung
6. B · Take aspirin 30 minutes before the niacin, if the prescriber agrees
7. D · To prevent progression to active TB later
8. A · It is discarded in front of a witness, and both sign the record
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