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Nama: ____________________ Tanggal: ____________
1.Mudah
What is the purpose of the Z-track technique for intramuscular injections?
ATo make the injection faster
BTo allow a larger volume to be given than with a standard injection
CTo avoid the need to clean the skin
DTo stop the drug leaking back into the subcutaneous tissue
2.Mudah
Apa itu reaksi obat yang tidak diinginkan (adverse drug reaction)?
ARespons berbahaya dan tidak diinginkan terhadap obat pada dosis normal
BSetiap efek obat yang disadari pasien
CReaksi yang hanya terjadi setelah overdosis
DEfek terapeutik obat yang diharapkan
3.Mudah
What does "PRN" mean on a medication order?
ABefore meals
BAs needed
CImmediately, once only
DEvery morning
4.Sedang
Why is IV promethazine given with great caution?
AIt causes a severe rise in blood pressure when it is given intravenously
BIt can cause severe tissue injury if it leaks or enters an artery
CIt causes immediate kidney failure
DIt is a strong opioid that causes addiction
5.Sedang
A patient takes cholestyramine. How should other oral medicines be timed?
AMix them into the cholestyramine drink so they are taken together
BTake them all at the same time as cholestyramine
CTiming does not matter, as cholestyramine is not absorbed
DTake them 1 hour before or several hours after cholestyramine
6.Sedang
A man takes finasteride. What should be explained about handling the tablets?
AAnyone can handle the tablets, as they contain no active drug
BPregnant women should not handle crushed or broken tablets
CThe tablets must be stored in the fridge
DThe tablets must be crushed before swallowing
7.Sulit
A patient taking hydralazine for several months develops joint pain, fever and a rash. Anti-histone antibodies are positive. What is the most likely diagnosis?
ADrug-induced lupus
BGout
CRheumatoid arthritis
DAn acute viral infection
8.Sulit
A patient with myasthenia gravis took extra pyridostigmine doses. She now has increasing weakness, heavy salivation, sweating, small pupils and diarrhoea. What is the most likely cause?
AAn allergic reaction to pyridostigmine
BCholinergic crisis from too much anticholinesterase drug
CMyasthenic crisis from too little anticholinesterase drug
DA stroke unrelated to the medication
Kunci jawaban
1. D · To stop the drug leaking back into the subcutaneous tissue
2. A · Respons berbahaya dan tidak diinginkan terhadap obat pada dosis normal
3. B · As needed
4. B · It can cause severe tissue injury if it leaks or enters an artery
5. D · Take them 1 hour before or several hours after cholestyramine
6. B · Pregnant women should not handle crushed or broken tablets
7. A · Drug-induced lupus
8. B · Cholinergic crisis from too much anticholinesterase drug
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