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Nama: ____________________ Tanggal: ____________
1.Mudah
Which harmless effect of rifampicin should patients be warned about?
AGreen colouring of the stools
BWhite spots on the teeth
CBlue colouring of the fingernails and lips
DOrange-red colouring of urine, sweat and tears
2.Mudah
In Addison's disease, fludrocortisone is given to replace which hormone?
ACortisol
BAldosterone
CAdrenaline
DThyroxine
3.Mudah
After chemotherapy, what is the "nadir"?
AThe time when nausea is worst
BThe point when the tumour is at its smallest after treatment
CThe point when blood cell counts are at their lowest
DThe day the drug is given
4.Sedang
Reseptor apa yang terutama disekat oleh penyekat beta seperti metoprolol?
AReseptor muskarinik di jantung
BReseptor beta-3 di jaringan lemak
CReseptor alfa-1 di pembuluh darah
DReseptor adrenergik beta-1 di jantung
5.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
CDaily blood glucose checks
DRegular blood count, liver and kidney function tests
6.Sedang
A patient has oral mucositis after chemotherapy. Which advice is appropriate?
AUse an alcohol-based mouthwash several times a day to kill germs
BBrush hard with a firm toothbrush to remove debris
CEat spicy and acidic foods to stimulate healing
DUse a soft toothbrush and rinse with saline or a bland mouthwash
7.Sulit
A patient with myasthenia gravis took extra pyridostigmine doses. She now has increasing weakness, heavy salivation, sweating, small pupils and diarrhoea. What is the most likely cause?
AMyasthenic crisis from too little anticholinesterase drug
BCholinergic crisis from too much anticholinesterase drug
CAn allergic reaction to pyridostigmine
DA stroke unrelated to the medication
8.Sulit
A patient on long-term lithium passes large amounts of dilute urine and is always thirsty. What is the most likely explanation?
AThe patient is drinking too much and lithium is unrelated
BLithium blocks the kidney's response to ADH (nephrogenic diabetes insipidus)
CLithium increases ADH release from the pituitary
DLithium causes type 1 diabetes by destroying the pancreatic beta cells
Kunci jawaban
1. D · Orange-red colouring of urine, sweat and tears
2. B · Aldosterone
3. C · The point when blood cell counts are at their lowest
4. D · Reseptor adrenergik beta-1 di jantung
5. D · Regular blood count, liver and kidney function tests
6. D · Use a soft toothbrush and rinse with saline or a bland mouthwash
7. B · Cholinergic crisis from too much anticholinesterase drug
8. B · Lithium blocks the kidney's response to ADH (nephrogenic diabetes insipidus)
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