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Nama: ____________________ Tanggal: ____________
1.Mudah
Which vasopressor is usually first-line for septic shock that persists after fluids?
AAdenosine
BGlyceryl trinitrate
CIsoprenaline (isoproterenol)
DNoradrenaline (norepinephrine)
2.Mudah
Nitrofurantoin is used mainly to treat:
AUncomplicated cystitis (lower urinary infection)
BPneumonia
CBone infections
DBacterial meningitis in adults and children
3.Mudah
Why are corticosteroids such as betamethasone given to a woman at risk of preterm birth?
ATo lower the mother's blood glucose
BTo stop contractions completely
CTo prevent infection in the mother
DTo speed up fetal lung maturity
4.Sedang
A patient with insulin-treated diabetes is found unconscious with very low blood glucose. There is no IV access. Which drug can a trained helper give?
AGlucagon by injection or nasal spray
BIntramuscular adrenaline
COral glucose gel poured into the mouth
DRapid-acting insulin under the skin
5.Sedang
What should the nurse teach a patient starting nitrofurantoin?
AStop it as soon as the burning settles
BTake it on an empty stomach with an antacid
CExpect blue urine, which shows that the drug is working well
DTake it with food, and the urine may turn dark yellow or brown
6.Sedang
A patient is starting lamotrigine. Which adverse effect should the patient report at once?
AA brief change in taste
BAny new skin rash
CMild headache on the first day
DSlight tiredness in the afternoon
7.Sulit
A patient with an epidural infusion of local anaesthetic becomes hypotensive. What is the most likely mechanism?
AThe local anaesthetic causes a severe allergic reaction
BThe epidural catheter has caused heavy bleeding
CThe drug increases urine output and causes dehydration
DBlockade of sympathetic nerves causes vasodilation
8.Sulit
In myxoedema coma, why is hydrocortisone often given before or with thyroid hormone?
AThyroid hormone is inactive unless hydrocortisone is given
BHydrocortisone makes thyroid hormone work faster
CHydrocortisone prevents the hypoglycaemia caused by levothyroxine
DThyroid hormone can trigger adrenal crisis if cortisol is also low
Kunci jawaban
1. D · Noradrenaline (norepinephrine)
2. A · Uncomplicated cystitis (lower urinary infection)
3. D · To speed up fetal lung maturity
4. A · Glucagon by injection or nasal spray
5. D · Take it with food, and the urine may turn dark yellow or brown
6. B · Any new skin rash
7. D · Blockade of sympathetic nerves causes vasodilation
8. D · Thyroid hormone can trigger adrenal crisis if cortisol is also low
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