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Nama: ____________________ Tanggal: ____________
1.Mudah
What is physical dependence on a drug?
AThe drug no longer has any effect, even at much higher doses
BThe person has an allergy to the drug
CWithdrawal symptoms appear if the drug is stopped suddenly
DThe person takes the drug only when needed
2.Mudah
How does ezetimibe lower cholesterol?
AIt inhibits HMG-CoA reductase in the liver
BIt reduces the absorption of cholesterol from the intestine
CIt increases the excretion of cholesterol in the urine and bile
DIt binds bile acids in the gut
3.Mudah
Fluconazole is used to treat infections caused by:
AParasites such as malaria
BFungi such as Candida
CGram-negative bacteria
DViruses such as influenza
4.Sedang
Which assessment is most important during IV mannitol therapy?
APlatelet count and signs of bleeding
BUrine output, electrolytes and signs of fluid overload
CLiver enzymes and signs of jaundice
DBlood glucose before meals and signs of hypoglycaemia
5.Sedang
A patient with Addison's disease on hydrocortisone develops a fever with flu. What is the usual advice?
AMake no change, as illness does not affect cortisol needs
BIncrease the dose as instructed (sick-day rules) and seek help if vomiting
CHalve the hydrocortisone to reduce side effects
DStop the hydrocortisone until the fever settles, to let the body recover
6.Sedang
Pasien yang menggunakan penghambat MAO generasi lama diperingatkan tentang makanan kaya tiramin. Apa yang dapat terjadi?
AGagal ginjal mendadak
BKrisis hipertensi
CHipoglikemia berat
DRuam alergi
7.Sulit
A noradrenaline infusion is running through a peripheral cannula. The skin around the site becomes pale, cold and hard. What should the nurse do?
ALeave the infusion running and recheck in 4 hours
BIncrease the rate to improve blood flow to the area
CStop the infusion at that site and follow the extravasation protocol
DApply heat and massage the area, then continue the infusion
8.Sulit
A patient on long-term prednisolone has been vomiting for two days and could not take her tablets. She is now hypotensive and confused, with low sodium and high potassium. What is the most urgent treatment?
AIV insulin with glucose only
BIV furosemide
COral prednisolone with a glass of water
DIV hydrocortisone and IV fluids
Kunci jawaban
1. C · Withdrawal symptoms appear if the drug is stopped suddenly
2. B · It reduces the absorption of cholesterol from the intestine
3. B · Fungi such as Candida
4. B · Urine output, electrolytes and signs of fluid overload
5. B · Increase the dose as instructed (sick-day rules) and seek help if vomiting
6. B · Krisis hipertensi
7. C · Stop the infusion at that site and follow the extravasation protocol
8. D · IV hydrocortisone and IV fluids
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