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Nama: ____________________ Tanggal: ____________
1.Mudah
Finasteride is used in benign prostatic hyperplasia because it:
AKills bacteria in the prostate
BIncreases testosterone production
CRelaxes smooth muscle in the prostate within hours of the first dose
DInhibits 5-alpha reductase and slowly shrinks the prostate
2.Mudah
How does tamsulosin improve urine flow in benign prostatic hyperplasia?
AIt increases urine production in the kidney
BIt blocks alpha-1 receptors and relaxes prostate smooth muscle
CIt contracts the bladder muscle
DIt shrinks the prostate gland over months by blocking testosterone
3.Mudah
Levodopa terutama digunakan untuk mengobati penyakit apa?
APenyakit Alzheimer
BSklerosis multipel
CEpilepsi
DPenyakit Parkinson
4.Sedang
Why is simvastatin traditionally taken in the evening?
AIt is short-acting, and cholesterol synthesis peaks at night
BIt is inactivated by sunlight during the day
CIt must be taken with the largest meal of the day
DIt causes too much drowsiness to be taken in the morning
5.Sedang
Apa yang membuat overdosis antidepresan trisiklik seperti amitriptilin sangat berbahaya?
ABatu ginjal
BAritmia jantung dan kejang
CGagal hati berat dalam beberapa jam
DGlukosa darah tinggi mendadak
6.Sedang
During an oxytocin infusion, contractions become very frequent and the fetal heart rate shows late decelerations. What is the nurse's first action?
AIncrease the infusion to finish labour quickly
BPosition the woman flat on her back
CStop the oxytocin infusion
DGive a second oxytocin bolus
7.Sulit
Apa mekanisme kerja utama penghambat pompa proton seperti omeprazol?
AMelapisi tukak untuk melindunginya
BMenetralkan asam di lambung
CPenghambatan ireversibel H⁺/K⁺-ATPase di sel parietal
DPenyekatan kompetitif reseptor histamin H2 di sel parietal
8.Sulit
Mengapa pasien yang menggunakan nitrat kerja panjang disarankan memiliki periode bebas nitrat selama beberapa jam setiap hari?
AUntuk menghindari akumulasi nitrat di jaringan lemak
BUntuk mengurangi risiko perdarahan
CUntuk mencegah toleransi terhadap nitrat
DUntuk membiarkan hati pulih dari toksisitas
Kunci jawaban
1. D · Inhibits 5-alpha reductase and slowly shrinks the prostate
2. B · It blocks alpha-1 receptors and relaxes prostate smooth muscle
3. D · Penyakit Parkinson
4. A · It is short-acting, and cholesterol synthesis peaks at night
5. B · Aritmia jantung dan kejang
6. C · Stop the oxytocin infusion
7. C · Penghambatan ireversibel H⁺/K⁺-ATPase di sel parietal
8. C · Untuk mencegah toleransi terhadap nitrat
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