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Nama: ____________________ Tanggal: ____________
1.Mudah
Which harmless effect of rifampicin should patients be warned about?
AWhite spots on the teeth
BGreen colouring of the stools
COrange-red colouring of urine, sweat and tears
DBlue colouring of the fingernails and lips
2.Mudah
Which drug reverses the sedation of a benzodiazepine overdose?
AAtropine
BFlumazenil
CProtamine sulfate
DNaloxone
3.Mudah
Finasteride is used in benign prostatic hyperplasia because it:
AKills bacteria in the prostate
BIncreases testosterone production
CInhibits 5-alpha reductase and slowly shrinks the prostate
DRelaxes smooth muscle in the prostate within hours of the first dose
4.Sedang
How should a patient store sublingual glyceryl trinitrate (nitroglycerin) tablets?
AIn the original dark glass bottle, away from heat, light and moisture
BIn a plastic weekly pill box with other tablets
CLoose in a shirt pocket close to the body for quick access
DIn the fridge in a damp, open container to keep them fresh and cool
5.Sedang
Vankomisin intravena umumnya digunakan untuk mengobati infeksi yang disebabkan oleh:
AMRSA
BCandida albicans
CEscherichia coli
DPseudomonas aeruginosa
6.Sedang
Sumatriptan is contraindicated in which patient?
AA patient with a recent ankle sprain
BA patient with iron deficiency anaemia
CA patient with mild asthma
DA patient with coronary artery disease
7.Sulit
A baby born to a mother on methadone becomes irritable on day 2, with a high-pitched cry, tremors, sneezing and poor feeding. What is the most likely cause?
ANormal newborn behaviour
BVitamin K deficiency bleeding
CNeonatal opioid withdrawal syndrome
DNeonatal hypoglycaemia from maternal diabetes
8.Sulit
A patient with severe chronic hyponatraemia receives hypertonic saline. Why is the rate of correction strictly limited?
AFast correction causes immediate kidney failure
BRaising sodium too fast can cause osmotic demyelination in the brain
CRaising sodium too fast causes severe hypokalaemia and cardiac arrest
DHypertonic saline is toxic to the liver at high rates
Kunci jawaban
1. C · Orange-red colouring of urine, sweat and tears
2. B · Flumazenil
3. C · Inhibits 5-alpha reductase and slowly shrinks the prostate
4. A · In the original dark glass bottle, away from heat, light and moisture
5. A · MRSA
6. D · A patient with coronary artery disease
7. C · Neonatal opioid withdrawal syndrome
8. B · Raising sodium too fast can cause osmotic demyelination in the brain
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