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Nama: ____________________ Tanggal: ____________
1.Mudah
Methylphenidate, used in ADHD, belongs to which class?
AAntipsychotics (dopamine blockers)
BBenzodiazepines
COpioid analgesics
DCentral nervous system stimulants
2.Mudah
Apa peran utama kortikosteroid inhalasi pada asma?
AMembunuh bakteri di saluran napas
BMengencerkan lendir agar dapat dibatukkan
CMengurangi peradangan saluran napas dan mencegah serangan
DMeredakan bronkospasme mendadak dalam beberapa menit
3.Mudah
Mengapa aspirin dosis rendah diberikan kepada sebagian penderita penyakit jantung?
AUntuk mengurangi agregasi trombosit dan mencegah bekuan
BUntuk menurunkan kadar kolesterol darah dan menstabilkan plak
CUntuk segera meredakan nyeri dada
DUntuk memperlambat denyut jantung
4.Sedang
Which group of effects would the nurse expect after a dose of an anticholinergic drug such as atropine?
AHeavy salivation, slow heart rate and small pupils
BDiarrhoea, frequent urination and sweating
CBronchial secretions, wheeze and tearing of the eyes
DDry mouth, faster heart rate and dilated pupils
5.Sedang
Why should NSAIDs be used with caution in some people with asthma?
AThey increase the clearance of salbutamol
BThey block the anti-inflammatory effect of inhaled corticosteroids
CThey can trigger bronchospasm in aspirin-sensitive asthma
DThey cause mucus plugs by drying the airways
6.Sedang
Why is hypovolaemia corrected with IV fluids before or while starting a vasopressor?
AVasopressors cause the patient to retain too much fluid
BVasopressors only work when they are diluted in large fluid volumes
CVasopressors cannot keep perfusion up if the circulation is under-filled
DFluids stop the vasopressor causing a fever
7.Sulit
A patient taking co-trimoxazole develops fever, a spreading blistering rash and painful mouth sores. What is the most likely diagnosis?
AStevens–Johnson syndrome; stop the drug and get urgent medical care
BA mild rash that will settle; continue the drug and give moisturiser
CSunburn caused by the drug; advise sunscreen only
DOral thrush; start an antifungal and continue the antibiotic
8.Sulit
A toddler swallowed many of his mother's iron tablets. He has vomiting and bloody diarrhoea. Which drug may be used to bind iron?
AActivated charcoal given by mouth
BDeferoxamine (desferrioxamine)
CAcetylcysteine
DNaloxone
Kunci jawaban
1. D · Central nervous system stimulants
2. C · Mengurangi peradangan saluran napas dan mencegah serangan
3. A · Untuk mengurangi agregasi trombosit dan mencegah bekuan
4. D · Dry mouth, faster heart rate and dilated pupils
5. C · They can trigger bronchospasm in aspirin-sensitive asthma
6. C · Vasopressors cannot keep perfusion up if the circulation is under-filled
7. A · Stevens–Johnson syndrome; stop the drug and get urgent medical care
8. B · Deferoxamine (desferrioxamine)
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