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Nama: ____________________ Tanggal: ____________
1.Mudah
Apa yang dijelaskan oleh "bioavailabilitas"?
ASeberapa cepat obat diekskresikan
BBagian dosis yang mencapai sirkulasi sistemik tanpa berubah
CBagian dosis yang terikat pada protein plasma dalam sirkulasi
DSeberapa kuat obat berikatan dengan reseptornya
2.Mudah
Naltrexone helps in alcohol use disorder because it:
ASpeeds up the liver breakdown of alcohol
BBlocks opioid receptors, reducing reward and craving
CCauses vomiting and flushing whenever alcohol is drunk
DReplaces alcohol as a sedative
3.Mudah
What is enzyme induction?
AA drug causes an allergic reaction to enzymes
BA drug speeds up liver enzymes, so other drugs are broken down faster
CA drug is converted into an enzyme in the body
DA drug blocks liver enzymes, so other drugs build up in the blood
4.Sedang
A patient taking levodopa finds that the drug works poorly after large meals. Which advice is most appropriate?
ATake the drug only at bedtime
BTake every dose with a large glass of milk and a protein snack
CDouble the dose after each meal
DAvoid taking doses at the same time as high-protein meals
5.Sedang
What should the nurse teach a patient starting nitrofurantoin?
ATake it with food, and the urine may turn dark yellow or brown
BTake it on an empty stomach with an antacid
CStop it as soon as the burning settles
DExpect blue urine, which shows that the drug is working well
6.Sedang
Which assessment is most important before giving a dose of IV morphine?
ARespiratory rate and level of sedation
BBlood glucose and temperature, checked before each dose
CPupil size and hearing
DBowel sounds and urine colour
7.Sulit
Why is glibenclamide (glyburide) generally avoided in older adults?
AIt causes severe weight loss and muscle wasting in older people
BIt is not absorbed in people over 65
CIt is long-acting and can cause prolonged, severe hypoglycaemia
DIt causes high blood glucose in older adults
8.Sulit
Apa mekanisme kerja utama penghambat pompa proton seperti omeprazol?
APenyekatan kompetitif reseptor histamin H2 di sel parietal
BMelapisi tukak untuk melindunginya
CMenetralkan asam di lambung
DPenghambatan ireversibel H⁺/K⁺-ATPase di sel parietal
Kunci jawaban
1. B · Bagian dosis yang mencapai sirkulasi sistemik tanpa berubah
2. B · Blocks opioid receptors, reducing reward and craving
3. B · A drug speeds up liver enzymes, so other drugs are broken down faster
4. D · Avoid taking doses at the same time as high-protein meals
5. A · Take it with food, and the urine may turn dark yellow or brown
6. A · Respiratory rate and level of sedation
7. C · It is long-acting and can cause prolonged, severe hypoglycaemia
8. D · Penghambatan ireversibel H⁺/K⁺-ATPase di sel parietal
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