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Nama: ____________________ Tanggal: ____________
1.Mudah
Nicotine replacement therapy is used to:
AReduce withdrawal and cravings when stopping smoking
BBlock nicotine receptors completely
CRepair the lung damage caused by years of smoking
DMake cigarettes taste unpleasant
2.Mudah
Desmopressin is a synthetic analogue of which hormone?
AOxytocin, the hormone of labour
BInsulin
CAldosterone
DAntidiuretic hormone (vasopressin)
3.Mudah
Mengapa insulin diberikan melalui suntikan, bukan dalam bentuk tablet?
ATablet akan melepaskannya terlalu lambat
BInsulin hanya bekerja jika langsung mencapai otot rangka
CInsulin terlalu toksik bagi lapisan lambung
DInsulin adalah protein yang akan tercerna di saluran cerna
4.Sedang
A patient is starting lisinopril. Which rare but serious adverse effect should the nurse teach the patient to report immediately?
AAn increase in appetite in the evening
BSwelling of the lips, tongue or face
CA harmless rash on the palms of the hands
DDarker skin after exposure to sunlight
5.Sedang
Which early signs suggest systemic toxicity from a local anaesthetic?
APinpoint pupils and slow, shallow breathing
BNumbness around the mouth, metallic taste and tinnitus
CItchy rash and swelling only at the injection site
DHeavy sweating, salivation and diarrhoea
6.Sedang
A patient takes isoniazid. Which advice is most important?
AStop the drug when the cough improves
BTake it with antacids to protect the stomach from irritation
CExpect the urine to turn orange
DAvoid alcohol and report jaundice, dark urine or poor appetite
7.Sulit
An older patient with coronary artery disease is starting levothyroxine for hypothyroidism. Why is a low starting dose used?
AHigh starting doses cause permanent hypothyroidism
BLevothyroxine causes severe hypoglycaemia in older patients
COlder patients absorb levothyroxine much better, so small doses are all they need
DFast replacement raises cardiac oxygen demand and can cause angina
8.Sulit
An older patient on amlodipine develops ankle swelling and is prescribed furosemide. She then becomes dizzy and falls. What does this sequence illustrate?
AA prescribing cascade
BDrug tolerance
CEnzyme induction
DA type B allergic reaction
Kunci jawaban
1. A · Reduce withdrawal and cravings when stopping smoking
2. D · Antidiuretic hormone (vasopressin)
3. D · Insulin adalah protein yang akan tercerna di saluran cerna
4. B · Swelling of the lips, tongue or face
5. B · Numbness around the mouth, metallic taste and tinnitus
6. D · Avoid alcohol and report jaundice, dark urine or poor appetite
7. D · Fast replacement raises cardiac oxygen demand and can cause angina
8. A · A prescribing cascade
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