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Nama: ____________________ Tanggal: ____________
1.Mudah
Which intramuscular site is recommended for infants?
AVentral forearm
BDeltoid
CVastus lateralis (outer thigh)
DDorsogluteal (upper outer buttock)
2.Mudah
Donepezil, used in Alzheimer's disease, belongs to which class?
ASelective serotonin reuptake inhibitors
BDopamine agonists
CAcetylcholinesterase inhibitors
DBenzodiazepines
3.Mudah
How does tramadol relieve pain?
ABlocking COX enzymes in the periphery
BBlocking sodium channels in peripheral nerves
CAntagonising NMDA receptors in the spinal cord and blocking sodium channels
DWeak opioid agonism plus inhibiting the reuptake of serotonin and noradrenaline
4.Sedang
Makrolida seperti klaritromisin bekerja dengan:
AMengikat subunit ribosom 50S untuk menghambat sintesis protein
BMenghambat DNA girase
CMemblokir sintesis asam folat
DMenghambat sintesis dinding sel
5.Sedang
A patient takes isoniazid. Which advice is most important?
AAvoid alcohol and report jaundice, dark urine or poor appetite
BExpect the urine to turn orange
CTake it with antacids to protect the stomach from irritation
DStop the drug when the cough improves
6.Sedang
Which description fits tardive dyskinesia?
AA sudden painful spasm of the neck muscles and upward rolling of the eyes within days of the first dose
BA low white cell count with sore throat and fever
CHigh fever with lead-pipe rigidity and confusion
DInvoluntary movements of the lips, tongue and face after long-term antipsychotic use
7.Sulit
A man on long-term testosterone therapy has a rising haematocrit. Why is this important?
AA high haematocrit shows that the testosterone is not being absorbed
BIt means the testosterone dose is too low
CTestosterone raises red cell production, increasing clot risk
DIt is a sign of liver failure caused by testosterone
8.Sulit
A patient who takes clonidine stopped it suddenly two days ago. He is now agitated, has a headache and his blood pressure is very high. What is the most likely explanation?
AAn allergic reaction to clonidine
BNormal variation unrelated to the medication
CRebound hypertension from abrupt clonidine withdrawal
DClonidine toxicity due to slow excretion by the kidneys
Kunci jawaban
1. C · Vastus lateralis (outer thigh)
2. C · Acetylcholinesterase inhibitors
3. D · Weak opioid agonism plus inhibiting the reuptake of serotonin and noradrenaline
4. A · Mengikat subunit ribosom 50S untuk menghambat sintesis protein
5. A · Avoid alcohol and report jaundice, dark urine or poor appetite
6. D · Involuntary movements of the lips, tongue and face after long-term antipsychotic use
7. C · Testosterone raises red cell production, increasing clot risk
8. C · Rebound hypertension from abrupt clonidine withdrawal
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