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Nama: ____________________ Tanggal: ____________
1.Mudah
Giving a patient immunoglobulin after exposure to an infection provides which type of immunity?
AHerd immunity
BActive immunity
CPassive immunity
DInnate immunity
2.Mudah
What is a "broad-spectrum" antibiotic?
AOne that acts against many Gram-positive and Gram-negative bacteria
BOne that is given only intravenously in hospital
COne that also treats viral and fungal infections
DOne that is taken for a long time at low dose to prevent any infection
3.Mudah
Infliximab and adalimumab are biological drugs that block:
AHistamine H1 receptors in the skin and airways
BVitamin K recycling
CInsulin receptors
DTumour necrosis factor-alpha (TNF-alpha)
4.Sedang
Which patient should usually not receive a live vaccine?
AA healthy 1-year-old child
BA patient receiving chemotherapy for leukaemia
CA patient with mild seasonal allergies
DA healthy adult nurse who works on a children's ward
5.Sedang
A patient takes isoniazid. Which advice is most important?
ATake it with antacids to protect the stomach from irritation
BStop the drug when the cough improves
CExpect the urine to turn orange
DAvoid alcohol and report jaundice, dark urine or poor appetite
6.Sedang
A patient takes low-dose weekly methotrexate for rheumatoid arthritis. Which monitoring is needed?
ADaily blood glucose checks
BRegular blood count, liver and kidney function tests
CMonthly hearing tests
DWeekly INR checks and a monthly ECG to check the heart rhythm
7.Sulit
A patient with diabetic ketoacidosis is about to start an IV insulin infusion. Serum potassium is 3,1 mmol/L (mEq/L). Why is this a concern?
AInsulin moves potassium into cells, so the level can fall dangerously low
BInsulin raises potassium further and can cause cardiac arrest, so the infusion is given faster
CLow potassium makes insulin ineffective, so a higher dose is needed
DPotassium has no link with insulin, so the infusion is started as planned
8.Sulit
A patient with severe liver cirrhosis needs a benzodiazepine for alcohol withdrawal. Why is lorazepam often chosen instead of diazepam?
ALorazepam does not cause sedation in liver disease
BLorazepam is excreted unchanged in the urine without any metabolism
CLorazepam is a stronger anticonvulsant than all other benzodiazepines
DLorazepam is cleared by simple conjugation and has no active metabolites
Kunci jawaban
1. C · Passive immunity
2. A · One that acts against many Gram-positive and Gram-negative bacteria
3. D · Tumour necrosis factor-alpha (TNF-alpha)
4. B · A patient receiving chemotherapy for leukaemia
5. D · Avoid alcohol and report jaundice, dark urine or poor appetite
6. B · Regular blood count, liver and kidney function tests
7. A · Insulin moves potassium into cells, so the level can fall dangerously low
8. D · Lorazepam is cleared by simple conjugation and has no active metabolites
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