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Nama: ____________________ Tanggal: ____________
1.Mudah
What is a "superinfection" during antibiotic treatment?
AA very severe form of the original infection
BAn infection that spreads from one patient to another on the ward
CA new infection because normal body flora are disturbed
DAn infection that is cured by a single antibiotic dose
2.Mudah
Which of these insulins is rapid-acting?
AInsulin detemir
BInsulin glargine
CInsulin lispro
DNPH (isophane) insulin
3.Mudah
What is the normal serum sodium range in adults?
A3,5–5,0 mmol/L
B95–105 mmol/L
C150–165 mmol/L
D135–145 mmol/L
4.Sedang
A patient with diabetes is sweaty and shaky. Blood glucose is 3,0 mmol/L (54 mg/dL). The patient is awake and can swallow. What should the nurse do first?
AGive 15–20 g of fast-acting carbohydrate, such as juice
BGive intramuscular glucagon at once
CGive a large meal high in fat and protein to keep glucose up for longer
DGive the next scheduled dose of insulin
5.Sedang
Before starting a TNF-alpha inhibitor such as adalimumab, which test is required?
AAn echocardiogram in every patient
BA bone density scan
CScreening for latent tuberculosis
DA glucose tolerance test
6.Sedang
Why is IV promethazine given with great caution?
AIt can cause severe tissue injury if it leaks or enters an artery
BIt causes a severe rise in blood pressure when it is given intravenously
CIt causes immediate kidney failure
DIt is a strong opioid that causes addiction
7.Sulit
Suatu obat dengan waktu paruh pendek diberikan dengan interval dosis yang jauh lebih panjang daripada waktu paruhnya. Apa hasilnya pada keadaan tunak?
AFluktuasi besar antara kadar puncak dan kadar lembah
BKeadaan tunak tidak pernah tercapai
CKadar sangat stabil hampir tanpa fluktuasi
DAkumulasi bertahap hingga kadar toksik
8.Sulit
Antagonis nonkompetitif (ireversibel) mengubah kurva dosis-respons dengan:
AMembuat kurva lebih curam tanpa perubahan lain
BMenggeser kurva ke kiri
CMenggeser kurva ke kanan dengan maksimum yang sama
DMenurunkan respons maksimum
Kunci jawaban
1. C · A new infection because normal body flora are disturbed
2. C · Insulin lispro
3. D · 135–145 mmol/L
4. A · Give 15–20 g of fast-acting carbohydrate, such as juice
5. C · Screening for latent tuberculosis
6. A · It can cause severe tissue injury if it leaks or enters an artery
7. A · Fluktuasi besar antara kadar puncak dan kadar lembah
8. D · Menurunkan respons maksimum
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