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Nama: ____________________ Tanggal: ____________
1.Mudah
Vitamin D supplements support bone health mainly by:
AStimulating osteoclasts to break down bone
BIncreasing calcium loss in the urine
CIncreasing calcium absorption from the gut
DReplacing collagen in bone
2.Mudah
A patient taking furosemide is advised to eat potassium-rich foods. Which food is a good choice?
ABananas
BEgg whites
CButter
DWhite rice
3.Mudah
Why is vitamin K given to newborn babies?
ATo prevent neonatal jaundice in the first week
BTo prevent vitamin K deficiency bleeding
CTo protect against hepatitis B
DTo improve weight gain
4.Sedang
Berapa lama kira-kira obat yang diberikan dengan interval teratur mencapai keadaan tunak?
A1 waktu paruh
BHanya bergantung pada besarnya dosis
C10 waktu paruh
D4 sampai 5 waktu paruh
5.Sedang
Why is testing for HLA-B*15:02 recommended before carbamazepine in people of some Asian ancestries?
AThis gene variant causes carbamazepine to raise blood glucose
BThis gene variant speeds up the kidney excretion of carbamazepine
CIt greatly raises the risk of Stevens–Johnson syndrome
DThis gene variant makes carbamazepine ineffective
6.Sedang
A patient is starting lisinopril. Which rare but serious adverse effect should the nurse teach the patient to report immediately?
AAn increase in appetite in the evening
BSwelling of the lips, tongue or face
CDarker skin after exposure to sunlight
DA harmless rash on the palms of the hands
7.Sulit
Bayi baru lahir yang diberi kloramfenikol dapat mengalami "grey baby syndrome". Apa alasan utamanya?
ABayi baru lahir membentuk antibodi terhadap obat
BKloramfenikol diubah menjadi vitamin K pada neonatus
CGlukuronidasi di hati yang belum matang membuat obat terakumulasi
DGinjal bayi baru lahir mengekskresikan obat terlalu cepat, sehingga diberikan dosis lebih tinggi
8.Sulit
A patient with angina is taught to use sublingual glyceryl trinitrate (nitroglycerin). Which statement shows a need for further teaching?
A"I will replace my tablets before the expiry date."
B"I may get a headache after taking it."
C"I will sit down before I take the tablet, because it can make me feel faint or dizzy."
D"If the pain is no better after one tablet, I will wait an hour before calling for help."
Kunci jawaban
1. C · Increasing calcium absorption from the gut
2. A · Bananas
3. B · To prevent vitamin K deficiency bleeding
4. D · 4 sampai 5 waktu paruh
5. C · It greatly raises the risk of Stevens–Johnson syndrome
6. B · Swelling of the lips, tongue or face
7. C · Glukuronidasi di hati yang belum matang membuat obat terakumulasi
8. D · "If the pain is no better after one tablet, I will wait an hour before calling for help."
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