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Nama: ____________________ Tanggal: ____________
1.Mudah
Which signs are typical of hypoglycaemia?
AFruity breath with deep, rapid breathing
BA slow pulse, constipation and weight gain
CThirst, frequent urination and warm, dry, flushed skin
DSweating, shakiness, a fast heart rate and confusion
2.Mudah
Obat yang namanya berakhiran "-olol", seperti atenolol, termasuk golongan apa?
APenyekat beta
BPenyekat kanal kalsium
CPenghambat ACE
DStatin
3.Mudah
Rute pemberian mana yang menghindari metabolisme lintas pertama di hati?
ALarutan oral
BSupositoria yang diletakkan tinggi di rektum
CIntravena
DTablet oral
4.Sedang
Untuk apa dosis muatan (loading dose) digunakan?
AUntuk cepat mencapai konsentrasi plasma yang ditargetkan
BUntuk memperlambat penyerapan obat
CUntuk menguji reaksi alergi
DUntuk mengurangi efek samping di awal pengobatan
5.Sedang
A patient starting niacin (nicotinic acid) complains of flushing and warmth after doses. Which advice may reduce this?
ADouble the dose to build tolerance faster
BTake the niacin with a hot drink so that it dissolves and acts faster
CTake it on an empty stomach in a hot bath
DTake aspirin 30 minutes before the niacin, if the prescriber agrees
6.Sedang
A patient refuses a prescribed oral medicine. What should the nurse do?
ARecord the medicine as given, so that the chart stays complete for the next shift
BHide the tablet in the patient's food
CExplore the reason, respect the decision, document and inform the prescriber
DLeave the tablet on the bedside table for later
7.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
BParacetamol overdose only causes harm if symptoms start in the first hour
CThe patient is at risk of immediate respiratory arrest
DThe drug will cause kidney stones within a few hours
8.Sulit
A woman with epilepsy who takes an antiepileptic drug plans to become pregnant. Which advice is standard?
ATake folic acid before conception and seek specialist review of her medication
BStop all antiepileptic drugs straight away as soon as she stops contraception
CAvoid folic acid because it lowers drug levels
DNo change is needed, as antiepileptics carry no risk in pregnancy
Kunci jawaban
1. D · Sweating, shakiness, a fast heart rate and confusion
2. A · Penyekat beta
3. C · Intravena
4. A · Untuk cepat mencapai konsentrasi plasma yang ditargetkan
5. D · Take aspirin 30 minutes before the niacin, if the prescriber agrees
6. C · Explore the reason, respect the decision, document and inform the prescriber
7. A · Liver damage appears 1–3 days later, and early treatment works best
8. A · Take folic acid before conception and seek specialist review of her medication
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