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Nama: ____________________ Tanggal: ____________
1.Mudah
How does tamsulosin improve urine flow in benign prostatic hyperplasia?
AIt contracts the bladder muscle
BIt increases urine production in the kidney
CIt shrinks the prostate gland over months by blocking testosterone
DIt blocks alpha-1 receptors and relaxes prostate smooth muscle
2.Mudah
Which of these is one of the classic "rights" of medication administration?
ARight pharmacy
BRight route
CRight brand
DRight price
3.Mudah
Which of these is an extrapyramidal side effect of antipsychotics?
AWeight gain
BAkathisia (a feeling of inner restlessness)
CDry mouth
DAgranulocytosis (a very low neutrophil count)
4.Sedang
Why is IV promethazine given with great caution?
AIt causes immediate kidney failure
BIt is a strong opioid that causes addiction
CIt causes a severe rise in blood pressure when it is given intravenously
DIt can cause severe tissue injury if it leaks or enters an artery
5.Sedang
Ipratropium adalah bronkodilator yang digunakan pada PPOK. Bagaimana cara kerjanya?
AIpratropium mengurangi peradangan seperti kortikosteroid
BIpratropium merangsang reseptor beta-2 adrenergik di saluran napas
CIpratropium memblokir reseptor leukotrien
DIpratropium memblokir reseptor muskarinik di otot polos saluran napas
6.Sedang
Besides lithium levels, which blood tests are monitored in long-term lithium treatment?
ALiver enzymes, serum amylase and lipase
BINR and fibrinogen
CKidney function and thyroid function
DTroponin and CK-MB
7.Sulit
A patient with asthma starts timolol eye drops for glaucoma and soon becomes wheezy. What is the most likely explanation?
ATimolol activates histamine receptors in the lungs
BThe eye drops contain an allergen that causes hay fever and asthma
CThe wheeze is unrelated to the eye drops
DTimolol is absorbed and blocks beta-2 receptors in the airways
8.Sulit
Why is pethidine (meperidine) avoided in older people and in kidney impairment?
AIt has no pain-relieving effect in older people
BIt causes severe hypoglycaemia in these groups
CIt is not absorbed from the gut when kidney function is poor
DIts metabolite norpethidine builds up and can cause seizures
Kunci jawaban
1. D · It blocks alpha-1 receptors and relaxes prostate smooth muscle
2. B · Right route
3. B · Akathisia (a feeling of inner restlessness)
4. D · It can cause severe tissue injury if it leaks or enters an artery
5. D · Ipratropium memblokir reseptor muskarinik di otot polos saluran napas
6. C · Kidney function and thyroid function
7. D · Timolol is absorbed and blocks beta-2 receptors in the airways
8. D · Its metabolite norpethidine builds up and can cause seizures
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