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Nama: ____________________ Tanggal: ____________
1.Mudah
Which side effect is common with magnesium-containing antacids?
ADiarrhoea
BDry cough
CDrowsiness
DConstipation
2.Mudah
In the United States, what is a "boxed warning" (black box warning) on a drug label?
AThe strongest FDA warning about a serious or life-threatening risk
BA sign that the drug must be stored in a dark box
CA label showing that the drug is a controlled substance with abuse potential
DA note that the drug is available without prescription
3.Mudah
Why is adrenaline (epinephrine) sometimes added to a local anaesthetic injection?
AIt makes the anaesthetic act on the brain as well
BIt speeds up the removal of the anaesthetic from the tissue into the blood
CIt prevents allergic reactions to the anaesthetic
DIt constricts vessels, so the block lasts longer and less enters the blood
4.Sedang
A patient with insulin-treated diabetes is found unconscious with very low blood glucose. There is no IV access. Which drug can a trained helper give?
AOral glucose gel poured into the mouth
BIntramuscular adrenaline
CRapid-acting insulin under the skin
DGlucagon by injection or nasal spray
5.Sedang
Why should a patient rinse the mouth after using an inhaled corticosteroid?
ATo stop the drug being absorbed too quickly into the blood
BTo reduce the risk of oral thrush (candidiasis) and hoarseness
CTo prevent a fall in blood glucose
DTo make the drug work faster in the lungs
6.Sedang
A patient with a peanut allergy is taught to use an adrenaline auto-injector. Which statement is correct?
AKeep it at home so it is not lost
BCall emergency services after using it, even if symptoms improve
CUse it only if the antihistamine has not worked after an hour
DThere is no need to see a doctor if the swelling goes down
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?
ASalbutamol causes high potassium, which speeds the heart and causes muscle twitching
BAt high doses it also stimulates beta receptors in skeletal muscle and the heart
CThe patient is allergic to salbutamol and needs adrenaline
DSalbutamol blocks muscarinic receptors in the heart
8.Sulit
Seorang pasien yang baru mulai mengonsumsi haloperidol mengalami demam tinggi, kekakuan otot "lead-pipe", kebingungan, dan kreatin kinase yang sangat tinggi. Apa diagnosis yang paling mungkin?
AHipertermia maligna akibat anestesi
BDistonia akut
CSindrom serotonin
DSindrom neuroleptik maligna
Kunci jawaban
1. A · Diarrhoea
2. A · The strongest FDA warning about a serious or life-threatening risk
3. D · It constricts vessels, so the block lasts longer and less enters the blood
4. D · Glucagon by injection or nasal spray
5. B · To reduce the risk of oral thrush (candidiasis) and hoarseness
6. B · Call emergency services after using it, even if symptoms improve
7. B · At high doses it also stimulates beta receptors in skeletal muscle and the heart
8. D · Sindrom neuroleptik maligna
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