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Nama: ____________________ Tanggal: ____________
1.Mudah
How do local anaesthetics such as lidocaine block pain?
AThey block prostaglandin synthesis at the injury site
BThey activate opioid receptors in the spinal cord
CThey block voltage-gated sodium channels in nerve membranes
DThey enhance the action of GABA in the brain and spinal cord
2.Mudah
What does the combined oral contraceptive pill contain?
AAn oestrogen and a progestogen
BA progestogen only
COxytocin and a progestogen
DTestosterone and an oestrogen
3.Mudah
Oseltamivir is used to treat or prevent which infection?
AHIV
BHerpes simplex
CInfluenza
DTuberculosis
4.Sedang
Which group of signs suggests opioid withdrawal?
AConstipation, itching and a slow heart rate
BYawning, runny nose, sweating, dilated pupils and diarrhoea
CDry mouth, urinary retention, blurred vision and confusion
DPinpoint pupils, slow breathing and drowsiness
5.Sedang
Mengapa OAINS seperti ibuprofen meningkatkan risiko tukak lambung?
AMenurunkan prostaglandin pelindung di lapisan lambung
BMenambah jumlah bakteri Helicobacter pylori di lambung
CMelarutkan lapisan lendir secara langsung
DMenaikkan pH asam lambung
6.Sedang
Manakah efek samping yang dikenal luas dari kortikosteroid oral jangka panjang?
AHipoglikemia
BPenurunan berat badan
COsteoporosis
DTekanan darah rendah
7.Sulit
Why may omeprazole be avoided in a patient taking clopidogrel?
AIt increases clopidogrel absorption from the gut and causes bleeding
BIt inhibits CYP2C19, so less clopidogrel is converted to its active form
CIt binds clopidogrel in the stomach and makes it insoluble
DIt speeds up kidney excretion of clopidogrel
8.Sulit
Metotreksat untuk artritis reumatoid diminum sekali seminggu. Seorang pasien keliru meminum dosis yang sama setiap hari. Apa bahaya utamanya?
AHipertensi berat akibat retensi cairan
BSupresi sumsum tulang dan mukositis akibat toksisitas metotreksat
CArtritis memburuk karena toleransi obat
DHipoglikemia karena metotreksat sangat merangsang pelepasan insulin
Kunci jawaban
1. C · They block voltage-gated sodium channels in nerve membranes
2. A · An oestrogen and a progestogen
3. C · Influenza
4. B · Yawning, runny nose, sweating, dilated pupils and diarrhoea
5. A · Menurunkan prostaglandin pelindung di lapisan lambung
6. C · Osteoporosis
7. B · It inhibits CYP2C19, so less clopidogrel is converted to its active form
8. B · Supresi sumsum tulang dan mukositis akibat toksisitas metotreksat
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