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Nama: ____________________ Tanggal: ____________
1.Mudah
Which vasopressor is usually first-line for septic shock that persists after fluids?
AIsoprenaline (isoproterenol)
BGlyceryl trinitrate
CNoradrenaline (norepinephrine)
DAdenosine
2.Mudah
Naltrexone helps in alcohol use disorder because it:
AReplaces alcohol as a sedative
BCauses vomiting and flushing whenever alcohol is drunk
CSpeeds up the liver breakdown of alcohol
DBlocks opioid receptors, reducing reward and craving
3.Mudah
After chemotherapy, what is the "nadir"?
AThe day the drug is given
BThe point when blood cell counts are at their lowest
CThe time when nausea is worst
DThe point when the tumour is at its smallest after treatment
4.Sedang
Why is hypovolaemia corrected with IV fluids before or while starting a vasopressor?
AVasopressors cannot keep perfusion up if the circulation is under-filled
BVasopressors only work when they are diluted in large fluid volumes
CFluids stop the vasopressor causing a fever
DVasopressors cause the patient to retain too much fluid
5.Sedang
Which rule applies to intravenous potassium chloride?
AIt may be given intramuscularly if there is no IV access
BIt is given as a rapid IV push to correct low levels quickly
CIt is mixed into blood products to save time
DIt must be diluted and given as an infusion, never as an IV push
6.Sedang
Vankomisin intravena umumnya digunakan untuk mengobati infeksi yang disebabkan oleh:
AEscherichia coli
BPseudomonas aeruginosa
CMRSA
DCandida albicans
7.Sulit
Seorang perempuan yang menggunakan pil kontrasepsi oral kombinasi mulai mengonsumsi karbamazepin untuk epilepsi. Apa kekhawatiran utamanya?
AToksisitas karbamazepin karena pil sangat menghambat metabolismenya
BKegagalan kontrasepsi karena hormon dimetabolisme lebih cepat
CHipoglikemia berat akibat kombinasi tersebut
DTidak ada kekhawatiran, karena kedua obat tidak berinteraksi
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 kept labelled in the patient's drawer for the next dose
DIt is given to the next patient who needs morphine
Kunci jawaban
1. C · Noradrenaline (norepinephrine)
2. D · Blocks opioid receptors, reducing reward and craving
3. B · The point when blood cell counts are at their lowest
4. A · Vasopressors cannot keep perfusion up if the circulation is under-filled
5. D · It must be diluted and given as an infusion, never as an IV push
6. C · MRSA
7. B · Kegagalan kontrasepsi karena hormon dimetabolisme lebih cepat
8. A · It is discarded in front of a witness, and both sign the record
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