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Nama: ____________________ Tanggal: ____________
1.Mudah
Which side effect is common with magnesium-containing antacids?
ADry cough
BConstipation
CDrowsiness
DDiarrhoea
2.Mudah
Obat mana yang merupakan pengobatan lini pertama untuk anafilaksis?
AAdrenalin intramuskular
BPrednisolon oral
CSalbutamol inhalasi
DAntihistamin oral
3.Mudah
How does ezetimibe lower cholesterol?
AIt inhibits HMG-CoA reductase in the liver
BIt reduces the absorption of cholesterol from the intestine
CIt increases the excretion of cholesterol in the urine and bile
DIt binds bile acids in the gut
4.Sedang
A patient has oral mucositis after chemotherapy. Which advice is appropriate?
AEat spicy and acidic foods to stimulate healing
BBrush hard with a firm toothbrush to remove debris
CUse an alcohol-based mouthwash several times a day to kill germs
DUse a soft toothbrush and rinse with saline or a bland mouthwash
5.Sedang
When does oseltamivir give the most benefit in influenza?
AAt any time, as the timing makes no difference
BWhen started within 48 hours of the first symptoms
COnly after a bacterial pneumonia has developed
DOnly after symptoms have lasted at least one week
6.Sedang
A patient is starting doxazosin, an alpha-1 blocker. What should the nurse advise about the first dose?
ATake it only if the urine is darker than usual
BTake it at bedtime, because it can cause dizziness and fainting
CExpect a short rise in blood pressure after the dose
DTake it in the morning with a cup of strong coffee to stay alert
7.Sulit
A noradrenaline infusion is running through a peripheral cannula. The skin around the site becomes pale, cold and hard. What should the nurse do?
AApply heat and massage the area, then continue the infusion
BIncrease the rate to improve blood flow to the area
CStop the infusion at that site and follow the extravasation protocol
DLeave the infusion running and recheck in 4 hours
8.Sulit
A patient with severe liver cirrhosis takes oral propranolol, a drug with a high first-pass metabolism. What effect is expected?
AThe drug is excreted faster by the kidney, so it works for a shorter time
BLess drug is absorbed from the gut, so a higher dose is needed
CThe first-pass effect increases, so the drug becomes inactive
DMore drug reaches the circulation, so a lower dose may be needed
Kunci jawaban
1. D · Diarrhoea
2. A · Adrenalin intramuskular
3. B · It reduces the absorption of cholesterol from the intestine
4. D · Use a soft toothbrush and rinse with saline or a bland mouthwash
5. B · When started within 48 hours of the first symptoms
6. B · Take it at bedtime, because it can cause dizziness and fainting
7. C · Stop the infusion at that site and follow the extravasation protocol
8. D · More drug reaches the circulation, so a lower dose may be needed
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