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Nama: ____________________ Tanggal: ____________
1.Mudah
Which intramuscular site is generally preferred for adults because it is far from major nerves and vessels?
ADorsogluteal
BForearm
CDeltoid for large volumes
DVentrogluteal
2.Mudah
Naltrexone helps in alcohol use disorder because it:
ABlocks opioid receptors, reducing reward and craving
BCauses vomiting and flushing whenever alcohol is drunk
CSpeeds up the liver breakdown of alcohol
DReplaces alcohol as a sedative
3.Mudah
What does "polypharmacy" mean?
AThe use of many medicines at the same time, often five or more
BTaking one drug in several different forms
CA pharmacy that stocks many different brands of the same drug
DUsing a drug at a very high dose
4.Sedang
Benzathine benzylpenicillin (penicillin G benzathine) is ordered. Which route is correct?
ASubcutaneous in the abdomen
BIntravenous push
CIntravenous infusion over 30 minutes
DDeep intramuscular only
5.Sedang
How should the nurse straighten the ear canal to give ear drops to a 2-year-old child?
ALeave the ear untouched and drop into the canal
BPull the pinna up and back
CPull the pinna down and back
DPush the pinna forward and up
6.Sedang
Why is propranolol usually avoided in patients with asthma?
AIt increases mucus production by blocking histamine
BIt blocks beta-2 receptors in the airways and can cause bronchospasm
CIt causes tolerance to inhaled corticosteroids
DIt stimulates alpha-1 receptors in the airways and raises blood pressure
7.Sulit
Sifat apa yang membuat obat lebih mungkin menembus sawar darah-otak?
AMuatan positif pada pH fisiologis
BKelarutan air tinggi dan ionisasi kuat
CBerat molekul besar dan ikatan protein kuat
DKelarutan lemak tinggi dan ukuran kecil
8.Sulit
Seorang pria berusia 80 tahun dengan pembesaran prostat mulai mengonsumsi oksibutinin untuk kandung kemih overaktif. Ia menjadi bingung dan tidak dapat berkemih. Apa penjelasan yang paling mungkin?
ASindrom serotonin
BToksisitas opioid
CReaksi alergi terhadap obat
DEfek samping antikolinergik
Kunci jawaban
1. D · Ventrogluteal
2. A · Blocks opioid receptors, reducing reward and craving
3. A · The use of many medicines at the same time, often five or more
4. D · Deep intramuscular only
5. C · Pull the pinna down and back
6. B · It blocks beta-2 receptors in the airways and can cause bronchospasm
7. D · Kelarutan lemak tinggi dan ukuran kecil
8. D · Efek samping antikolinergik
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