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Nama: ____________________ Tanggal: ____________
1.Mudah
Celecoxib selectively inhibits which enzyme?
ACyclo-oxygenase-2 (COX-2)
BCyclo-oxygenase-1 (COX-1)
CPhospholipase A2
DLipoxygenase
2.Mudah
Mannitol is an osmotic diuretic used mainly to:
APrevent blood clots
BRaise serum potassium
CReduce raised intracranial pressure
DTreat high blood pressure long term
3.Mudah
What is the normal serum potassium range in adults?
A135–145 mmol/L
B6,0–7,5 mmol/L
C3,5–5,0 mmol/L
D1,5–2,5 mmol/L
4.Sedang
A patient is starting olanzapine. Which monitoring is most important over the following months?
AHearing tests and vision tests every month
BPeak expiratory flow
CINR and platelet count
DWeight, blood glucose and blood lipids
5.Sedang
A 19-year-old starts an SSRI for depression. Which is most important for the nurse to monitor during the first weeks?
ABlood glucose before every meal and at bedtime
BNew or worsening suicidal thoughts or agitation
CDaily bowel movements only
DHearing loss and tinnitus
6.Sedang
A patient given haloperidol develops a sudden painful twisting of the neck and the eyes roll upward. Which drug is usually given?
ADantrolene by mouth to relax the twisted neck muscles
BAn anticholinergic such as benzatropine (benztropine)
CA second dose of haloperidol
DNaloxone
7.Sulit
A patient taking long-term hydroxychloroquine for lupus is advised to have regular eye examinations. Why?
AThe drug stains the cornea blue
BThe drug can cause retinal toxicity that may be permanent
CThe drug raises pressure inside the eye
DThe drug causes cataracts within a few weeks of starting
8.Sulit
A patient with severe chronic hyponatraemia receives hypertonic saline. Why is the rate of correction strictly limited?
AHypertonic saline is toxic to the liver at high rates
BRaising sodium too fast causes severe hypokalaemia and cardiac arrest
CFast correction causes immediate kidney failure
DRaising sodium too fast can cause osmotic demyelination in the brain
Kunci jawaban
1. A · Cyclo-oxygenase-2 (COX-2)
2. C · Reduce raised intracranial pressure
3. C · 3,5–5,0 mmol/L
4. D · Weight, blood glucose and blood lipids
5. B · New or worsening suicidal thoughts or agitation
6. B · An anticholinergic such as benzatropine (benztropine)
7. B · The drug can cause retinal toxicity that may be permanent
8. D · Raising sodium too fast can cause osmotic demyelination in the brain
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