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Nama: ____________________ Tanggal: ____________
1.Mudah
Obat yang namanya berakhiran "-olol", seperti atenolol, termasuk golongan apa?
APenyekat kanal kalsium
BPenyekat beta
CPenghambat ACE
DStatin
2.Mudah
How does allopurinol prevent gout?
AIt dissolves crystals already in the joint within hours
BIt inhibits xanthine oxidase, so less uric acid is made
CIt increases the kidney excretion of calcium
DIt blocks prostaglandins in the inflamed joint
3.Mudah
How does activated charcoal work in poisoning?
AIt neutralises acids in the blood
BIt speeds up liver metabolism of the poison
CIt makes the patient vomit the poison before it is absorbed
DIt binds (adsorbs) the poison in the gut so less is absorbed
4.Sedang
A patient given haloperidol develops a sudden painful twisting of the neck and the eyes roll upward. Which drug is usually given?
ADantrolene by mouth to relax the twisted neck muscles
BNaloxone
CA second dose of haloperidol
DAn anticholinergic such as benzatropine (benztropine)
5.Sedang
Which adverse effects are typical of donepezil?
AHair loss and skin pigmentation
BNausea, diarrhoea and a slow heart rate
CWeight gain and high blood glucose
DDry mouth, constipation and a fast heart rate
6.Sedang
Which teaching about antiepileptic drugs is most important?
ADo not stop the drug suddenly, as this can trigger severe seizures
BAlcohol has no effect on seizure control
CTake a double dose if you feel a seizure coming
DStop the drug when you have had no seizures for one whole week
7.Sulit
A man on long-term testosterone therapy has a rising haematocrit. Why is this important?
AIt means the testosterone dose is too low
BA high haematocrit shows that the testosterone is not being absorbed
CTestosterone raises red cell production, increasing clot risk
DIt is a sign of liver failure caused by testosterone
8.Sulit
Why is the TPMT enzyme often tested before azathioprine is started?
AHigh TPMT activity causes an allergic reaction to azathioprine
BTPMT is needed to absorb azathioprine from the gut
CTPMT testing shows whether the patient has tuberculosis
DLow TPMT activity causes toxic levels and marrow suppression
Kunci jawaban
1. B · Penyekat beta
2. B · It inhibits xanthine oxidase, so less uric acid is made
3. D · It binds (adsorbs) the poison in the gut so less is absorbed
4. D · An anticholinergic such as benzatropine (benztropine)
5. B · Nausea, diarrhoea and a slow heart rate
6. A · Do not stop the drug suddenly, as this can trigger severe seizures
7. C · Testosterone raises red cell production, increasing clot risk
8. D · Low TPMT activity causes toxic levels and marrow suppression
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