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Nama: ____________________ Tanggal: ____________
1.Mudah
What is the normal serum sodium range in adults?
A135–145 mmol/L
B95–105 mmol/L
C150–165 mmol/L
D3,5–5,0 mmol/L
2.Mudah
Which of these drugs has a narrow therapeutic index?
AAmoxicillin
BLoratadine
COmeprazole
DLithium
3.Mudah
Mannitol is an osmotic diuretic used mainly to:
ARaise serum potassium
BTreat high blood pressure long term
CReduce raised intracranial pressure
DPrevent blood clots
4.Sedang
Why should loperamide usually be avoided in bloody diarrhoea with fever?
ASlowing the gut may keep bacteria and toxins in the bowel longer
BLoperamide is an antibiotic that causes resistance
CLoperamide makes the bleeding worse by blocking platelets
DLoperamide causes severe hypertension when there is an infection
5.Sedang
Efek samping statin yang serius tetapi jarang manakah yang harus segera dilaporkan pasien?
APembengkakan pergelangan kaki
BBatuk kering
CRasa logam di mulut
DNyeri atau kelemahan otot yang tidak dapat dijelaskan
6.Sedang
A patient with heart failure starts furosemide. Which self-monitoring instruction is most useful?
AMeasure the temperature twice a day and record it in a diary
BCheck the blood glucose before every meal
CWeigh daily at the same time on the same scales
DCount the respiratory rate each evening
7.Sulit
Seorang perempuan lansia yang mulai mengonsumsi SSRI dua minggu lalu kini bingung, dan natrium plasmanya rendah. Apa mekanisme yang paling mungkin?
ASekresi ADH yang tidak sesuai akibat SSRI yang menyebabkan retensi air
BPeningkatan sekresi aldosteron
CKehilangan natrium melalui diare berat akibat SSRI
DKerusakan langsung pada kelenjar adrenal
8.Sulit
During general anaesthesia with a volatile agent and suxamethonium (succinylcholine), a patient develops muscle rigidity, rising end-tidal CO2 and a fast-rising temperature. Which drug is the specific treatment?
ANeostigmine
BParacetamol
CDantrolene
DNaloxone
Kunci jawaban
1. A · 135–145 mmol/L
2. D · Lithium
3. C · Reduce raised intracranial pressure
4. A · Slowing the gut may keep bacteria and toxins in the bowel longer
5. D · Nyeri atau kelemahan otot yang tidak dapat dijelaskan
6. C · Weigh daily at the same time on the same scales
7. A · Sekresi ADH yang tidak sesuai akibat SSRI yang menyebabkan retensi air
8. C · Dantrolene
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