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Nama: ____________________ Tanggal: ____________
1.Mudah
Propylthiouracil and carbimazole (or its active form methimazole, also called thiamazole) are used to treat which condition?
AHyperthyroidism
BHypothyroidism
CAdrenal insufficiency
DType 1 diabetes
2.Mudah
Apa yang digambarkan oleh "efikasi" suatu obat?
AKecepatan penyerapan obat
BEfek maksimum yang dapat dihasilkan obat
CDosis yang diperlukan untuk menghasilkan separuh efek
DBagian dosis yang terikat pada protein plasma
3.Mudah
Mannitol is an osmotic diuretic used mainly to:
APrevent blood clots
BTreat high blood pressure long term
CRaise serum potassium
DReduce raised intracranial pressure
4.Sedang
Which side effects are most common when starting gabapentin?
ACough and runny nose
BHair loss and weight loss
CInsomnia and agitation
DDrowsiness and dizziness
5.Sedang
A patient receives lactulose for hepatic encephalopathy. Which finding shows that it is working?
ANo bowel movement for three days, with less confusion than before
BBetter alertness and orientation, with two to three soft stools a day
CHigher blood ammonia with improved appetite
DTen watery stools a day and a low serum potassium
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?
AStop the oxytocin infusion
BIncrease the infusion to finish labour quickly
CGive a second oxytocin bolus
DPosition the woman flat on her back
7.Sulit
A malnourished patient with low serum albumin shows nystagmus and unsteady gait. Her total phenytoin level is within range. What is the most likely explanation?
AMore phenytoin is unbound when albumin is low, so free levels rise
BThe total level is high, but the laboratory is wrong
CLow albumin makes phenytoin bind more tightly, so the drug is less active
DLow albumin speeds up phenytoin metabolism
8.Sulit
During general anaesthesia with a volatile agent and suxamethonium (succinylcholine), a patient develops muscle rigidity, rising end-tidal CO2 and a fast-rising temperature. Which drug is the specific treatment?
ADantrolene
BParacetamol
CNeostigmine
DNaloxone
Kunci jawaban
1. A · Hyperthyroidism
2. B · Efek maksimum yang dapat dihasilkan obat
3. D · Reduce raised intracranial pressure
4. D · Drowsiness and dizziness
5. B · Better alertness and orientation, with two to three soft stools a day
6. A · Stop the oxytocin infusion
7. A · More phenytoin is unbound when albumin is low, so free levels rise
8. A · Dantrolene
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