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Nama: ____________________ Tanggal: ____________
1.Mudah
Obat yang namanya berakhiran "-olol", seperti atenolol, termasuk golongan apa?
APenghambat ACE
BStatin
CPenyekat beta
DPenyekat kanal kalsium
2.Mudah
Why is folinic acid (leucovorin) given after high-dose methotrexate?
ATo protect normal cells from methotrexate toxicity
BTo make methotrexate act faster on the tumour
CTo prevent nausea and vomiting after the methotrexate
DTo treat an allergic reaction to methotrexate
3.Mudah
On the WHO analgesic ladder, which drugs form the first step?
AStrong opioids such as morphine given intravenously
BNon-opioids such as paracetamol and NSAIDs
CWeak opioids such as codeine or tramadol, used on their own
DLocal anaesthetic nerve blocks for all patients
4.Sedang
Which antihypertensive class can raise blood glucose and uric acid levels, sometimes triggering gout?
AAlpha-1 blockers
BACE inhibitors
CAngiotensin II receptor blockers
DThiazide diuretics
5.Sedang
Besides lithium levels, which blood tests are monitored in long-term lithium treatment?
ATroponin and CK-MB
BINR and fibrinogen
CLiver enzymes, serum amylase and lipase
DKidney function and thyroid function
6.Sedang
Benzathine benzylpenicillin (penicillin G benzathine) is ordered. Which route is correct?
ASubcutaneous in the abdomen
BIntravenous infusion over 30 minutes
CDeep intramuscular only
DIntravenous push
7.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?
AThe total level is high, but the laboratory is wrong
BLow albumin speeds up phenytoin metabolism
CLow albumin makes phenytoin bind more tightly, so the drug is less active
DMore phenytoin is unbound when albumin is low, so free levels rise
8.Sulit
Suatu obat memiliki waktu paruh 6 jam. Kadar plasmanya 80 mg/L. Dengan asumsi eliminasi orde pertama dan tanpa dosis tambahan, berapa kadarnya setelah 18 jam?
A20 mg/L
B26,7 mg/L
C10 mg/L
D40 mg/L
Kunci jawaban
1. C · Penyekat beta
2. A · To protect normal cells from methotrexate toxicity
3. B · Non-opioids such as paracetamol and NSAIDs
4. D · Thiazide diuretics
5. D · Kidney function and thyroid function
6. C · Deep intramuscular only
7. D · More phenytoin is unbound when albumin is low, so free levels rise
8. C · 10 mg/L
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