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Nama: ____________________ Tanggal: ____________
1.Mudah
How does ezetimibe lower cholesterol?
AIt increases the excretion of cholesterol in the urine and bile
BIt inhibits HMG-CoA reductase in the liver
CIt reduces the absorption of cholesterol from the intestine
DIt binds bile acids in the gut
2.Mudah
Psyllium (ispaghula husk) is which type of laxative?
AStimulant
BStool softener
CBulk-forming
DOsmotic
3.Mudah
Efek samping morfin mana yang hampir tidak pernah hilang dengan penggunaan berkelanjutan?
AMual
BGatal
CKonstipasi
DMengantuk
4.Sedang
An adult patient is due to receive digoxin. The apical pulse, counted for a full minute, is 52 beats per minute. What should the nurse do?
AGive the dose and recheck the pulse in one hour
BWithhold the dose and notify the prescriber
CGive half the dose and document the pulse
DGive the dose with food to slow absorption
5.Sedang
Obat apa yang menjadi penawar overdosis opioid?
AFlumazenil
BAtropin
CAsetilsistein
DNalokson
6.Sedang
A patient is due the first dose of IV cefuroxime. Which question is most important before giving it?
A"Do you prefer the drip in your left arm or in your right arm?"
B"Have you taken paracetamol today?"
C"Have you ever had a reaction to penicillin or another antibiotic?"
D"Have you eaten anything in the last two hours?"
7.Sulit
A patient took a doxycycline tablet with a sip of water just before lying down. Now swallowing is very painful. What is the most likely cause?
APill-induced oesophagitis
BGastric ulcer caused by doxycycline
CAn allergic reaction to the tablet coating
DOral candidiasis from the antibiotic
8.Sulit
A patient taking co-trimoxazole develops fever, a spreading blistering rash and painful mouth sores. What is the most likely diagnosis?
ASunburn caused by the drug; advise sunscreen only
BOral thrush; start an antifungal and continue the antibiotic
CA mild rash that will settle; continue the drug and give moisturiser
DStevens–Johnson syndrome; stop the drug and get urgent medical care
Kunci jawaban
1. C · It reduces the absorption of cholesterol from the intestine
2. C · Bulk-forming
3. C · Konstipasi
4. B · Withhold the dose and notify the prescriber
5. D · Nalokson
6. C · "Have you ever had a reaction to penicillin or another antibiotic?"
7. A · Pill-induced oesophagitis
8. D · Stevens–Johnson syndrome; stop the drug and get urgent medical care
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