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Nama: ____________________ Tanggal: ____________
1.Mudah
Benzodiazepin seperti diazepam bekerja dengan meningkatkan efek neurotransmiter apa?
AGABA
BNoradrenalin
CGlutamat
DSerotonin
2.Mudah
Adenosine is used mainly to:
ARaise blood pressure in shock
BTerminate supraventricular tachycardia
CTreat ventricular fibrillation
DPrevent blood clots in atrial fibrillation
3.Mudah
Which drug reverses the sedation of a benzodiazepine overdose?
AAtropine
BProtamine sulfate
CFlumazenil
DNaloxone
4.Sedang
Why are patients taking simvastatin often advised to avoid large amounts of grapefruit juice?
AGrapefruit makes the tablet dissolve in the mouth
BGrapefruit speeds up simvastatin breakdown in the liver, so the drug stops working
CGrapefruit inhibits CYP3A4 in the gut, raising simvastatin levels and myopathy risk
DGrapefruit blocks cholesterol absorption and causes low cholesterol
5.Sedang
Which patient should usually not receive a live vaccine?
AA patient receiving chemotherapy for leukaemia
BA patient with mild seasonal allergies
CA healthy 1-year-old child
DA healthy adult nurse who works on a children's ward
6.Sedang
A patient with suspected sepsis has blood cultures ordered and a first antibiotic dose due. What should the nurse do?
ATake the blood cultures first, then give the antibiotic at once
BGive the antibiotic first, then take blood cultures the next day
CWait for the culture results before giving any antibiotic
DGive the antibiotic only if the temperature is above 40 °C (104 °F)
7.Sulit
Five days after starting clindamycin, a patient has frequent watery diarrhoea, abdominal cramps and a fever. What should the nurse suspect and do?
AAn allergy to clindamycin; give an antihistamine and continue the antibiotic
BFood poisoning; encourage a high-fibre diet and plenty of milk products
CC. difficile infection; send stool, use contact precautions, avoid antidiarrhoeals
DA normal side effect; give loperamide and continue as usual
8.Sulit
During general anaesthesia with a volatile agent and suxamethonium (succinylcholine), a patient develops muscle rigidity, rising end-tidal CO2 and a fast-rising temperature. Which drug is the specific treatment?
ANaloxone
BDantrolene
CNeostigmine
DParacetamol
Kunci jawaban
1. A · GABA
2. B · Terminate supraventricular tachycardia
3. C · Flumazenil
4. C · Grapefruit inhibits CYP3A4 in the gut, raising simvastatin levels and myopathy risk
5. A · A patient receiving chemotherapy for leukaemia
6. A · Take the blood cultures first, then give the antibiotic at once
7. C · C. difficile infection; send stool, use contact precautions, avoid antidiarrhoeals
8. B · Dantrolene
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