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Nama: ____________________ Tanggal: ____________
1.Mudah
Dobutamine is mainly used to:
ADissolve clots in the coronary arteries
BIncrease heart contractility in cardiogenic shock or acute heart failure
CTreat high blood pressure at home
DSlow the heart rate in fast atrial fibrillation with low blood pressure
2.Mudah
Which adverse effect of ethambutol requires vision checks?
AOptic neuritis, with blurred vision and colour blindness
BBleeding in the back of the eye
CPermanent dilation of the pupils
DCataracts that form within a few days of starting
3.Mudah
What is the most common side effect of first-generation antihistamines such as diphenhydramine?
ARaised blood pressure
BDiarrhoea
CInsomnia
DDrowsiness
4.Sedang
A patient takes low-dose weekly methotrexate for rheumatoid arthritis. Which monitoring is needed?
AWeekly INR checks and a monthly ECG to check the heart rhythm
BMonthly hearing tests
CRegular blood count, liver and kidney function tests
DDaily blood glucose checks
5.Sedang
Mengapa OAINS seperti ibuprofen meningkatkan risiko tukak lambung?
AMelarutkan lapisan lendir secara langsung
BMenaikkan pH asam lambung
CMenambah jumlah bakteri Helicobacter pylori di lambung
DMenurunkan prostaglandin pelindung di lapisan lambung
6.Sedang
A patient must mix regular (soluble) insulin and NPH (isophane) insulin in one syringe. What is the correct order?
ADraw up the cloudy NPH insulin first, then the clear regular insulin
BShake both vials hard, then draw them up in any order
CDraw them up in separate syringes, then mix them in a cup
DDraw up the clear regular insulin first, then the cloudy NPH insulin
7.Sulit
Seorang perempuan lansia yang mulai mengonsumsi SSRI dua minggu lalu kini bingung, dan natrium plasmanya rendah. Apa mekanisme yang paling mungkin?
AKehilangan natrium melalui diare berat akibat SSRI
BKerusakan langsung pada kelenjar adrenal
CSekresi ADH yang tidak sesuai akibat SSRI yang menyebabkan retensi air
DPeningkatan sekresi aldosteron
8.Sulit
A patient with latent tuberculosis feels well and is not infectious. Why is treatment such as isoniazid still offered?
ATo prevent progression to active TB later
BTo stop the patient spreading TB at the moment
CTo cure an active lung infection
DTo produce a negative skin test quickly
Kunci jawaban
1. B · Increase heart contractility in cardiogenic shock or acute heart failure
2. A · Optic neuritis, with blurred vision and colour blindness
3. D · Drowsiness
4. C · Regular blood count, liver and kidney function tests
5. D · Menurunkan prostaglandin pelindung di lapisan lambung
6. D · Draw up the clear regular insulin first, then the cloudy NPH insulin
7. C · Sekresi ADH yang tidak sesuai akibat SSRI yang menyebabkan retensi air
8. A · To prevent progression to active TB later
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