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Nama: ____________________ Tanggal: ____________
1.Mudah
Why is HIV treated with a combination of antiretroviral drugs?
ABecause each single drug cures only part of the infection
BTo suppress the virus and prevent drug resistance
CTo make the treatment shorter, usually a few weeks
DBecause one drug alone causes no side effects
2.Mudah
Organ mana yang mengekskresikan sebagian besar obat larut air dan metabolitnya?
AKulit
BGinjal
CHati
DParu-paru
3.Mudah
What is a "high-alert medication"?
AA new drug during its first year on the market
BA drug that is expensive and must be kept in a locked cupboard
CAny drug that is given by the intravenous or intramuscular route
DA drug that causes more serious harm when used in error
4.Sedang
Efek samping mana yang khas untuk metoklopramid, terutama pada orang muda?
ABatuk kering
BKonstipasi berat
CGangguan gerak ekstrapiramidal seperti distonia akut
DGlukosa darah rendah
5.Sedang
A patient has oral mucositis after chemotherapy. Which advice is appropriate?
ABrush hard with a firm toothbrush to remove debris
BUse an alcohol-based mouthwash several times a day to kill germs
CUse a soft toothbrush and rinse with saline or a bland mouthwash
DEat spicy and acidic foods to stimulate healing
6.Sedang
A nurse realises that a patient has been given the wrong dose of a medicine. What is the first action?
AAssess the patient for effects of the error
BComplete the incident report before anything else
CWait to see whether the patient notices
DCorrect the chart so it shows the right dose
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
BOlder patients absorb levothyroxine much better, so small doses are all they need
CLevothyroxine causes severe hypoglycaemia in older patients
DFast replacement raises cardiac oxygen demand and can cause angina
8.Sulit
Klirens suatu obat turun menjadi separuh akibat gagal ginjal, sementara volume distribusinya tetap. Apa yang terjadi pada waktu paruhnya?
ABerlipat dua
BNaik empat kali lipat
CTetap sama
DBerkurang separuh
Kunci jawaban
1. B · To suppress the virus and prevent drug resistance
2. B · Ginjal
3. D · A drug that causes more serious harm when used in error
4. C · Gangguan gerak ekstrapiramidal seperti distonia akut
5. C · Use a soft toothbrush and rinse with saline or a bland mouthwash
6. A · Assess the patient for effects of the error
7. D · Fast replacement raises cardiac oxygen demand and can cause angina
8. A · Berlipat dua
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