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Nama: ____________________ Tanggal: ____________
1.Mudah
Which long-term side effect of phenytoin makes good oral hygiene especially important?
ABlue-grey discoloration of the teeth and gums
BLoss of taste
CExcess saliva production
DOvergrowth of the gums (gingival hyperplasia)
2.Mudah
Where should an adrenaline (epinephrine) auto-injector be given?
AInto a vein in the arm
BInto the abdomen under the skin
CUnder the tongue
DInto the outer thigh muscle
3.Mudah
How is pernicious anaemia usually treated?
AWith folic acid alone
BWith oral iron tablets for three months, then stopping
CWith vitamin B12 injections, usually for life
DWith blood transfusions every month
4.Sedang
After a vaccination, why is a person asked to wait for a short time before leaving?
ATo measure the person's temperature for fever
BTo check that the vaccine has already created protective antibodies
CTo make sure the injection site does not bruise
DTo watch for anaphylaxis, which usually starts within minutes
5.Sedang
A patient with difficulty swallowing is prescribed several tablets. Which one should not be crushed?
AA tablet that the pharmacist says may be crushed
BA plain paracetamol tablet
CA modified-release (extended-release) tablet
DA plain aspirin dispersible tablet
6.Sedang
After instilling eye drops, why should the patient press gently on the inner corner of the eye for a minute or two?
ATo spread the drop evenly over the eyelid
BTo stop the eye from producing tears for about an hour
CTo reduce drainage into the nose and absorption into blood
DTo make the pupil dilate faster
7.Sulit
Mengapa penghambat ACE dapat menyebabkan cedera ginjal akut pada pasien dengan stenosis arteri renalis bilateral?
ALFG bergantung pada angiotensin II yang menyempitkan arteriol eferen
BObat mengkristal di tubulus ginjal
CPenghambat ACE menyempitkan arteriol aferen
DPenghambat ACE bersifat toksik langsung bagi sel tubulus proksimal di ginjal
8.Sulit
A man on long-term testosterone therapy has a rising haematocrit. Why is this important?
ATestosterone raises red cell production, increasing clot risk
BIt means the testosterone dose is too low
CIt is a sign of liver failure caused by testosterone
DA high haematocrit shows that the testosterone is not being absorbed
Kunci jawaban
1. D · Overgrowth of the gums (gingival hyperplasia)
2. D · Into the outer thigh muscle
3. C · With vitamin B12 injections, usually for life
4. D · To watch for anaphylaxis, which usually starts within minutes
5. C · A modified-release (extended-release) tablet
6. C · To reduce drainage into the nose and absorption into blood
7. A · LFG bergantung pada angiotensin II yang menyempitkan arteriol eferen
8. A · Testosterone raises red cell production, increasing clot risk
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