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Nama: ____________________ Tanggal: ____________
1.Mudah
Oxytocin is used in obstetrics mainly to:
AMature the fetal lungs before birth
BInduce or strengthen contractions and prevent postpartum bleeding
CLower blood pressure in pre-eclampsia
DStop preterm labour by relaxing the uterine muscle
2.Mudah
Vitamin D supplements support bone health mainly by:
AIncreasing calcium absorption from the gut
BIncreasing calcium loss in the urine
CStimulating osteoclasts to break down bone
DReplacing collagen in bone
3.Mudah
What is physical dependence on a drug?
AWithdrawal symptoms appear if the drug is stopped suddenly
BThe person has an allergy to the drug
CThe drug no longer has any effect, even at much higher doses
DThe person takes the drug only when needed
4.Sedang
Antipsikotik tipikal seperti haloperidol terutama bekerja dengan memblokir:
AReseptor dopamin D2
BAsetilkolinesterase
CAmbilan kembali serotonin
DReseptor GABA-A
5.Sedang
Why is propranolol usually avoided in patients with asthma?
AIt stimulates alpha-1 receptors in the airways and raises blood pressure
BIt blocks beta-2 receptors in the airways and can cause bronchospasm
CIt increases mucus production by blocking histamine
DIt causes tolerance to inhaled corticosteroids
6.Sedang
Efek samping mana yang khas untuk metoklopramid, terutama pada orang muda?
AKonstipasi berat
BGangguan gerak ekstrapiramidal seperti distonia akut
CGlukosa darah rendah
DBatuk kering
7.Sulit
A ventilated ICU patient receives vecuronium, a neuromuscular blocker. Why must sedation and pain relief also be given?
AVecuronium stops working unless a sedative is also given
BVecuronium causes severe pain at the injection site
CNeuromuscular blockers paralyse muscles but do not cause sedation or analgesia
DSedatives are needed to prevent vecuronium from causing seizures and agitation
8.Sulit
A patient is switched from oral to intravenous morphine. Why is the IV dose lower than the oral dose?
AOral morphine has a large first-pass effect, so less reaches the blood
BIV morphine is excreted much more slowly by the kidney than oral morphine
CThe oral route causes tolerance faster than the IV route
DIV morphine is a stronger chemical form of the drug
Kunci jawaban
1. B · Induce or strengthen contractions and prevent postpartum bleeding
2. A · Increasing calcium absorption from the gut
3. A · Withdrawal symptoms appear if the drug is stopped suddenly
4. A · Reseptor dopamin D2
5. B · It blocks beta-2 receptors in the airways and can cause bronchospasm
6. B · Gangguan gerak ekstrapiramidal seperti distonia akut
7. C · Neuromuscular blockers paralyse muscles but do not cause sedation or analgesia
8. A · Oral morphine has a large first-pass effect, so less reaches the blood
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