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Nama: ____________________ Tanggal: ____________
1.Mudah
Statin seperti atorvastatin menurunkan kolesterol dengan menghambat enzim apa?
ASiklooksigenase
BLipoprotein lipase
CEnzim pengubah angiotensin
DHMG-CoA reduktase
2.Mudah
Which drug reverses the sedation of a benzodiazepine overdose?
AAtropine
BFlumazenil
CNaloxone
DProtamine sulfate
3.Mudah
Methylphenidate, used in ADHD, belongs to which class?
AOpioid analgesics
BAntipsychotics (dopamine blockers)
CBenzodiazepines
DCentral nervous system stimulants
4.Sedang
A nurse has a needlestick injury from a patient with HIV. When should post-exposure prophylaxis start?
AAs soon as possible, and within 72 hours at the latest
BOnly after the nurse's HIV test turns positive
COnly if the patient's viral load is above a set level
DAfter one week, when the risk of infection is clearer
5.Sedang
Which early signs suggest systemic toxicity from a local anaesthetic?
ANumbness around the mouth, metallic taste and tinnitus
BHeavy sweating, salivation and diarrhoea
CItchy rash and swelling only at the injection site
DPinpoint pupils and slow, shallow breathing
6.Sedang
Why is IV promethazine given with great caution?
AIt causes a severe rise in blood pressure when it is given intravenously
BIt is a strong opioid that causes addiction
CIt can cause severe tissue injury if it leaks or enters an artery
DIt causes immediate kidney failure
7.Sulit
Volume distribusi suatu obat sangat besar (misalnya 500 L pada orang dewasa). Apa artinya?
AObat banyak diambil ke dalam jaringan
BObat tidak bisa diberikan secara intravena
CObat cepat diekskresikan ginjal
DObat hampir seluruhnya tetap berada di kompartemen plasma
8.Sulit
A patient on digoxin is started on amiodarone. What change should the nurse expect?
ADigoxin levels rise, so the digoxin dose is often reduced
BAmiodarone levels fall to zero
CNo interaction is expected
DDigoxin levels fall sharply, so the digoxin dose is doubled
Kunci jawaban
1. D · HMG-CoA reduktase
2. B · Flumazenil
3. D · Central nervous system stimulants
4. A · As soon as possible, and within 72 hours at the latest
5. A · Numbness around the mouth, metallic taste and tinnitus
6. C · It can cause severe tissue injury if it leaks or enters an artery
7. A · Obat banyak diambil ke dalam jaringan
8. A · Digoxin levels rise, so the digoxin dose is often reduced
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