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Nama: ____________________ Tanggal: ____________
1.Mudah
Amphotericin B is used mainly for:
AInfluenza in older people
BBacterial urinary tract infections
CMild athlete's foot
DSerious systemic fungal infections
2.Mudah
How is pernicious anaemia usually treated?
AWith oral iron tablets for three months, then stopping
BWith blood transfusions every month
CWith vitamin B12 injections, usually for life
DWith folic acid alone
3.Mudah
Mengapa beberapa pengobatan antibiotik harus dihabiskan sesuai resep?
AAgar antibiotik tidak merusak hati
BUntuk mengurangi kemungkinan bakteri yang tersisa menyebabkan kambuh atau resistansi
CKarena tubuh butuh beberapa hari untuk belajar membuat antibiotik sendiri
DAgar rasa antibiotik membaik seiring waktu
4.Sedang
Mengapa OAINS seperti ibuprofen meningkatkan risiko tukak lambung?
AMenambah jumlah bakteri Helicobacter pylori di lambung
BMelarutkan lapisan lendir secara langsung
CMenurunkan prostaglandin pelindung di lapisan lambung
DMenaikkan pH asam lambung
5.Sedang
Ipratropium adalah bronkodilator yang digunakan pada PPOK. Bagaimana cara kerjanya?
AIpratropium memblokir reseptor muskarinik di otot polos saluran napas
BIpratropium merangsang reseptor beta-2 adrenergik di saluran napas
CIpratropium mengurangi peradangan seperti kortikosteroid
DIpratropium memblokir reseptor leukotrien
6.Sedang
Methylergometrine (methylergonovine) is prescribed for postpartum bleeding. Which finding would make the nurse withhold it and check with the prescriber?
ABlood pressure of 160/105 mmHg
BTemperature of 37,2 °C (99 °F)
CHeart rate of 88 per minute
DHaemoglobin slightly below normal
7.Sulit
A patient with asthma starts timolol eye drops for glaucoma and soon becomes wheezy. What is the most likely explanation?
AThe eye drops contain an allergen that causes hay fever and asthma
BThe wheeze is unrelated to the eye drops
CTimolol is absorbed and blocks beta-2 receptors in the airways
DTimolol activates histamine receptors in the lungs
8.Sulit
A patient receiving a phenylephrine infusion has a rise in blood pressure and a fall in heart rate. What is the best explanation?
AThe fall in heart rate shows phenylephrine toxicity of the AV node
BAlpha-1 vasoconstriction raises blood pressure and causes reflex bradycardia
CPhenylephrine stimulates muscarinic receptors
DPhenylephrine directly blocks beta-1 receptors in the heart's conduction system
Kunci jawaban
1. D · Serious systemic fungal infections
2. C · With vitamin B12 injections, usually for life
3. B · Untuk mengurangi kemungkinan bakteri yang tersisa menyebabkan kambuh atau resistansi
4. C · Menurunkan prostaglandin pelindung di lapisan lambung
5. A · Ipratropium memblokir reseptor muskarinik di otot polos saluran napas
6. A · Blood pressure of 160/105 mmHg
7. C · Timolol is absorbed and blocks beta-2 receptors in the airways
8. B · Alpha-1 vasoconstriction raises blood pressure and causes reflex bradycardia
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