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Nama: ____________________ Tanggal: ____________
1.Mudah
Sumatriptan is used mainly to:
APrevent epileptic seizures
BRelieve nerve pain from diabetes
CTreat an acute migraine attack
DTreat high blood pressure
2.Mudah
What does the combined oral contraceptive pill contain?
AOxytocin and a progestogen
BAn oestrogen and a progestogen
CTestosterone and an oestrogen
DA progestogen only
3.Mudah
Which of these is a second-generation (atypical) antipsychotic?
AFluphenazine
BOlanzapine
CHaloperidol
DChlorpromazine
4.Sedang
Which antihypertensive class can raise blood glucose and uric acid levels, sometimes triggering gout?
AAngiotensin II receptor blockers
BAlpha-1 blockers
CThiazide diuretics
DACE inhibitors
5.Sedang
Which group of signs suggests opioid withdrawal?
ADry mouth, urinary retention, blurred vision and confusion
BPinpoint pupils, slow breathing and drowsiness
CYawning, runny nose, sweating, dilated pupils and diarrhoea
DConstipation, itching and a slow heart rate
6.Sedang
Which teaching about zolpidem is correct?
ADrive soon after waking, as the drug has no next-day effect
BTake it right before bed, only if you can sleep a full night
CTake it with alcohol to make it act faster
DTake it in the morning so that it is out of the system by night
7.Sulit
Why is pethidine (meperidine) avoided in older people and in kidney impairment?
AIt has no pain-relieving effect in older people
BIt causes severe hypoglycaemia in these groups
CIts metabolite norpethidine builds up and can cause seizures
DIt is not absorbed from the gut when kidney function is poor
8.Sulit
A patient on long-term lithium passes large amounts of dilute urine and is always thirsty. What is the most likely explanation?
ALithium causes type 1 diabetes by destroying the pancreatic beta cells
BThe patient is drinking too much and lithium is unrelated
CLithium increases ADH release from the pituitary
DLithium blocks the kidney's response to ADH (nephrogenic diabetes insipidus)
Kunci jawaban
1. C · Treat an acute migraine attack
2. B · An oestrogen and a progestogen
3. B · Olanzapine
4. C · Thiazide diuretics
5. C · Yawning, runny nose, sweating, dilated pupils and diarrhoea
6. B · Take it right before bed, only if you can sleep a full night
7. C · Its metabolite norpethidine builds up and can cause seizures
8. D · Lithium blocks the kidney's response to ADH (nephrogenic diabetes insipidus)
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