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Nama: ____________________ Tanggal: ____________
1.Mudah
What does pharmacokinetics describe?
AHow drugs are manufactured and packaged
BWhat the body does to a drug: absorption, distribution, metabolism and excretion
CHow the price of a drug is set
DWhat a drug does to the body: its effects, receptors and mechanisms of action
2.Mudah
Sertralin, suatu antidepresan, meningkatkan kadar neurotransmiter apa di sinaps?
AGABA
BAsetilkolin
CDopamin
DSerotonin
3.Mudah
Which signs are typical of hypoglycaemia?
AThirst, frequent urination and warm, dry, flushed skin
BSweating, shakiness, a fast heart rate and confusion
CFruity breath with deep, rapid breathing
DA slow pulse, constipation and weight gain
4.Sedang
Seorang pasien mengalami gangguan ginjal berat. Suatu obat terutama diekskresikan tanpa berubah melalui urine. Apa penyesuaian yang lazim?
AMenaikkan dosis untuk mengimbangi penyerapan yang buruk
BMenurunkan dosis atau memperpanjang interval pemberian
CMemberikan obat secara oral alih-alih intravena
DTidak perlu perubahan, karena hati mengambil alih
5.Sedang
An IV site is cool, swollen and pale, and the infusion is running slowly. What should the nurse do?
AIncrease the infusion rate to push through and clear the blockage
BFlush the cannula forcefully with saline
CApply a tight bandage over the site
DStop the infusion, remove the cannula and elevate the limb
6.Sedang
Agonis parsial diberikan bersama agonis penuh dosis tinggi. Apa yang terjadi pada responsnya?
ARespons berlipat dua, karena kedua obat mengaktifkan reseptor
BRespons tetap persis sama seperti pada dosis tinggi agonis penuh saja
CRespons naik melebihi maksimum agonis penuh
DRespons turun, karena agonis parsial bersaing memperebutkan reseptor
7.Sulit
A patient taking long-term hydroxychloroquine for lupus is advised to have regular eye examinations. Why?
AThe drug raises pressure inside the eye
BThe drug stains the cornea blue
CThe drug causes cataracts within a few weeks of starting
DThe drug can cause retinal toxicity that may be permanent
8.Sulit
A malnourished patient with low serum albumin shows nystagmus and unsteady gait. Her total phenytoin level is within range. What is the most likely explanation?
AMore phenytoin is unbound when albumin is low, so free levels rise
BLow albumin speeds up phenytoin metabolism
CThe total level is high, but the laboratory is wrong
DLow albumin makes phenytoin bind more tightly, so the drug is less active
Kunci jawaban
1. B · What the body does to a drug: absorption, distribution, metabolism and excretion
2. D · Serotonin
3. B · Sweating, shakiness, a fast heart rate and confusion
4. B · Menurunkan dosis atau memperpanjang interval pemberian
5. D · Stop the infusion, remove the cannula and elevate the limb
6. D · Respons turun, karena agonis parsial bersaing memperebutkan reseptor
7. D · The drug can cause retinal toxicity that may be permanent
8. A · More phenytoin is unbound when albumin is low, so free levels rise
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