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Nama: ____________________ Tanggal: ____________
1.Mudah
Obat mana yang membalikkan efek heparin?
AVitamin K
BFlumazenil
CProtamin sulfat
DNalokson
2.Mudah
Organ mana yang terutama memetabolisme sebagian besar obat?
AHati
BLimpa
CParu-paru
DGinjal
3.Mudah
Why is anti-D immunoglobulin given to an Rh-negative mother?
ATo treat anaemia in the newborn
BTo speed up labour
CTo stop her forming anti-D antibodies against Rh-positive fetal cells
DTo make her own blood group Rh-positive before the next pregnancy
4.Sedang
Mengapa OAINS seperti ibuprofen meningkatkan risiko tukak lambung?
AMenambah jumlah bakteri Helicobacter pylori di lambung
BMenurunkan prostaglandin pelindung di lapisan lambung
CMelarutkan lapisan lendir secara langsung
DMenaikkan pH asam lambung
5.Sedang
A patient with a fentanyl patch is given home-care advice. Which instruction is correct?
AAvoid heating pads, hot baths and saunas over or near the patch
BApply each new patch over the same skin area
CCut the patch in half if the pain is mild
DThrow used patches loose into the household bin with the packaging
6.Sedang
A malnourished patient with alcohol dependence needs IV glucose. Which vitamin should be given before or with it?
AVitamin C
BVitamin D
CVitamin K (phytomenadione)
DThiamine (vitamin B1)
7.Sulit
A patient develops a dry cough on an ACE inhibitor and is switched to losartan. Why is losartan less likely to cause cough?
AIt is excreted faster by the kidney
BIt blocks histamine receptors in the airways
CIt does not block the breakdown of bradykinin
DIt also acts as a bronchodilator
8.Sulit
A patient taking digoxin has nausea, yellow-green vision and a dangerous arrhythmia. Which specific treatment can bind the drug?
AFlumazenil
BProtamine sulfate
CDigoxin immune Fab (antibody fragments)
DIntravenous vitamin K (phytomenadione) given slowly
Kunci jawaban
1. C · Protamin sulfat
2. A · Hati
3. C · To stop her forming anti-D antibodies against Rh-positive fetal cells
4. B · Menurunkan prostaglandin pelindung di lapisan lambung
5. A · Avoid heating pads, hot baths and saunas over or near the patch
6. D · Thiamine (vitamin B1)
7. C · It does not block the breakdown of bradykinin
8. C · Digoxin immune Fab (antibody fragments)
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