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Nama: ____________________ Tanggal: ____________
1.Mudah
Psyllium (ispaghula husk) is which type of laxative?
ABulk-forming
BStimulant
CStool softener
DOsmotic
2.Mudah
Which drug is the antidote for paracetamol (acetaminophen) overdose?
AFlumazenil
BAcetylcysteine
CVitamin K
DNaloxone
3.Mudah
Which description fits insulin glargine?
AAn intermediate-acting cloudy insulin with a clear peak
BA rapid-acting insulin given with each meal
CA long-acting basal insulin with no marked peak
DAn oral tablet that makes the pancreas release insulin
4.Sedang
Which approach is usually recommended to prevent constipation in a patient on regular opioids?
ANo laxative until the patient has not opened the bowels for a week
BBulk-forming fibre alone, with fluid intake restricted
CA stimulant laxative such as senna, often with a stool softener
DAn antidiarrhoeal drug at night to slow the gut
5.Sedang
When should a patient take a once-daily proton pump inhibitor such as omeprazole?
AOnly when heartburn is severe
BAbout 30–60 minutes before the first meal of the day
CWith a glass of milk at bedtime, when acid output is highest
DStraight after a large evening meal
6.Sedang
Jenis diuretik apa yang bekerja di lengkung asendens tebal ansa Henle?
ADiuretik tiazid
BDiuretik hemat kalium
CDiuretik kuat (loop) seperti furosemid
DDiuretik osmotik
7.Sulit
A patient who used heroin a few hours ago is given a first dose of buprenorphine and quickly develops severe withdrawal. Why?
ABuprenorphine is a pure antagonist like naloxone with no agonist effect
BBuprenorphine causes an allergic reaction in heroin users
CBuprenorphine has no effect at opioid receptors
DBuprenorphine is a high-affinity partial agonist that displaces heroin
8.Sulit
Pada overdosis aspirin, urine dapat dibuat basa dengan natrium bikarbonat. Mengapa hal ini meningkatkan ekskresi salisilat?
ALebih banyak salisilat terionisasi di tubulus, sehingga lebih sedikit yang direabsorpsi
BUrine basa meningkatkan filtrasi glomerulus
CBikarbonat mempercepat metabolisme salisilat di hati menjadi bentuk tidak aktif
DBikarbonat mengikat salisilat dan membuatnya tidak aktif
Kunci jawaban
1. A · Bulk-forming
2. B · Acetylcysteine
3. C · A long-acting basal insulin with no marked peak
4. C · A stimulant laxative such as senna, often with a stool softener
5. B · About 30–60 minutes before the first meal of the day
6. C · Diuretik kuat (loop) seperti furosemid
7. D · Buprenorphine is a high-affinity partial agonist that displaces heroin
8. A · Lebih banyak salisilat terionisasi di tubulus, sehingga lebih sedikit yang direabsorpsi
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