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Nama: ____________________ Tanggal: ____________
1.Mudah
Which of these is an extrapyramidal side effect of antipsychotics?
AAgranulocytosis (a very low neutrophil count)
BDry mouth
CAkathisia (a feeling of inner restlessness)
DWeight gain
2.Mudah
Overdosis parasetamol terutama merusak organ apa?
AGinjal dulu, lalu jantung
BLapisan lambung
CHati
DParu-paru
3.Mudah
Psyllium (ispaghula husk) is which type of laxative?
ABulk-forming
BStool softener
COsmotic
DStimulant
4.Sedang
Fraksi obat mana di dalam plasma yang dapat mencapai reseptor dan menghasilkan efek?
AFraksi yang terikat albumin
BFraksi yang tersimpan di sel darah merah
CFraksi yang terikat globulin
DFraksi tidak terikat (bebas)
5.Sedang
While giving medicines, a patient says, "That pill looks different from the one I usually take." What should the nurse do?
AReassure the patient and give the pill anyway
BStop and recheck the order and the medicine before giving it
CExplain that only the staff decide which medicines are given
DGive the pill and check the chart afterwards
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 patient receiving frequent salbutamol (albuterol) nebulisers develops a fine tremor and a heart rate of 120 per minute. What is the best explanation?
AThe patient is allergic to salbutamol and needs adrenaline
BSalbutamol causes high potassium, which speeds the heart and causes muscle twitching
CAt high doses it also stimulates beta receptors in skeletal muscle and the heart
DSalbutamol blocks muscarinic receptors in the heart
8.Sulit
A patient took a large paracetamol (acetaminophen) overdose 6 hours ago and feels well. Why is treatment still urgent?
ALiver damage appears 1–3 days later, and early treatment works best
BThe drug will cause kidney stones within a few hours
CParacetamol overdose only causes harm if symptoms start in the first hour
DThe patient is at risk of immediate respiratory arrest
Kunci jawaban
1. C · Akathisia (a feeling of inner restlessness)
2. C · Hati
3. A · Bulk-forming
4. D · Fraksi tidak terikat (bebas)
5. B · Stop and recheck the order and the medicine before giving it
6. D · A patient with coronary artery disease
7. C · At high doses it also stimulates beta receptors in skeletal muscle and the heart
8. A · Liver damage appears 1–3 days later, and early treatment works best
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