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Nama: ____________________ Tanggal: ____________
1.Mudah
Why is HIV treated with a combination of antiretroviral drugs?
ABecause one drug alone causes no side effects
BBecause each single drug cures only part of the infection
CTo make the treatment shorter, usually a few weeks
DTo suppress the virus and prevent drug resistance
2.Mudah
After chemotherapy, what is the "nadir"?
AThe time when nausea is worst
BThe point when the tumour is at its smallest after treatment
CThe day the drug is given
DThe point when blood cell counts are at their lowest
3.Mudah
How does ezetimibe lower cholesterol?
AIt binds bile acids in the gut
BIt increases the excretion of cholesterol in the urine and bile
CIt reduces the absorption of cholesterol from the intestine
DIt inhibits HMG-CoA reductase in the liver
4.Sedang
A nurse realises that a patient has been given the wrong dose of a medicine. What is the first action?
ACorrect the chart so it shows the right dose
BWait to see whether the patient notices
CComplete the incident report before anything else
DAssess the patient for effects of the error
5.Sedang
How should a patient take oral alendronate?
ACrushed into yoghurt with calcium supplements
BWith breakfast and coffee to protect the stomach
CWith plain water on an empty stomach, staying upright for 30 minutes
DWith milk at bedtime, then lying down straight away to aid absorption
6.Sedang
A woman taking the combined pill should seek care urgently for which symptom?
ALight spotting between periods early on
BSlight nausea in the first few weeks
CMild breast tenderness in the first month
DA painful, swollen calf or sudden chest pain
7.Sulit
A nurse calculates a child's dose and finds it is ten times higher than the usual range in the drug reference. What should the nurse do?
AWithhold it, recheck the calculation and clarify with the prescriber
BGive the dose, because the prescriber is responsible for the order
CGive one tenth of the dose without telling anyone
DGive half the dose as a compromise
8.Sulit
On admission, a patient's home medicine list includes warfarin for atrial fibrillation, but warfarin is not on the admission orders. What should the nurse do?
AAssume the omission is intended and do nothing
BClarify the omission with the prescriber (medication reconciliation)
CGive the patient's own warfarin brought from home without an order
DTell the patient to stop warfarin permanently
Kunci jawaban
1. D · To suppress the virus and prevent drug resistance
2. D · The point when blood cell counts are at their lowest
3. C · It reduces the absorption of cholesterol from the intestine
4. D · Assess the patient for effects of the error
5. C · With plain water on an empty stomach, staying upright for 30 minutes
6. D · A painful, swollen calf or sudden chest pain
7. A · Withhold it, recheck the calculation and clarify with the prescriber
8. B · Clarify the omission with the prescriber (medication reconciliation)
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