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Nama: ____________________ Tanggal: ____________
1.Mudah
Finasteride is used in benign prostatic hyperplasia because it:
AKills bacteria in the prostate
BRelaxes smooth muscle in the prostate within hours of the first dose
CInhibits 5-alpha reductase and slowly shrinks the prostate
DIncreases testosterone production
2.Mudah
Apa itu indeks terapeutik?
ARasio antara dosis toksik dan dosis efektif
BPersentase dosis oral yang mencapai sirkulasi sistemik
CJumlah dosis per hari
DWaktu untuk mencapai keadaan tunak
3.Mudah
Dobutamine is mainly used to:
ADissolve clots in the coronary arteries
BSlow the heart rate in fast atrial fibrillation with low blood pressure
CIncrease heart contractility in cardiogenic shock or acute heart failure
DTreat high blood pressure at home
4.Sedang
During an amphotericin B infusion, the patient has fever, chills and shaking. What is the most likely explanation?
ASevere hypoglycaemia caused by the drug
BA common infusion reaction to amphotericin B
CA sign that the drug has been given into an artery
DA sign that the fungal infection is cured
5.Sedang
A patient takes theophylline for COPD. Which advice is most important?
AAvoid potassium-rich foods such as bananas
BTake extra doses when short of breath
CDrink plenty of grapefruit juice each morning to improve absorption
DLimit coffee, tea and cola, because caffeine adds to the side effects
6.Sedang
A patient takes low-dose weekly methotrexate for rheumatoid arthritis. Which monitoring is needed?
ARegular blood count, liver and kidney function tests
BDaily blood glucose checks
CMonthly hearing tests
DWeekly INR checks and a monthly ECG to check the heart rhythm
7.Sulit
A patient with asthma starts timolol eye drops for glaucoma and soon becomes wheezy. What is the most likely explanation?
AThe wheeze is unrelated to the eye drops
BThe eye drops contain an allergen that causes hay fever and asthma
CTimolol activates histamine receptors in the lungs
DTimolol is absorbed and blocks beta-2 receptors in the airways
8.Sulit
Which finding most favours serotonin syndrome over neuroleptic malignant syndrome?
AA very high creatine kinase
BRecent start of an antipsychotic drug
CSlow onset over days with lead-pipe rigidity
DRapid onset with hyperreflexia and clonus
Kunci jawaban
1. C · Inhibits 5-alpha reductase and slowly shrinks the prostate
2. A · Rasio antara dosis toksik dan dosis efektif
3. C · Increase heart contractility in cardiogenic shock or acute heart failure
4. B · A common infusion reaction to amphotericin B
5. D · Limit coffee, tea and cola, because caffeine adds to the side effects
6. A · Regular blood count, liver and kidney function tests
7. D · Timolol is absorbed and blocks beta-2 receptors in the airways
8. D · Rapid onset with hyperreflexia and clonus
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