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Nama: ____________________ Tanggal: ____________
1.Mudah
Mengapa beberapa pengobatan antibiotik harus dihabiskan sesuai resep?
AAgar antibiotik tidak merusak hati
BUntuk mengurangi kemungkinan bakteri yang tersisa menyebabkan kambuh atau resistansi
CAgar rasa antibiotik membaik seiring waktu
DKarena tubuh butuh beberapa hari untuk belajar membuat antibiotik sendiri
2.Mudah
Overdosis parasetamol terutama merusak organ apa?
AHati
BLapisan lambung
CParu-paru
DGinjal dulu, lalu jantung
3.Mudah
What does the combined oral contraceptive pill contain?
AAn oestrogen and a progestogen
BTestosterone and an oestrogen
COxytocin and a progestogen
DA progestogen only
4.Sedang
A patient given haloperidol develops a sudden painful twisting of the neck and the eyes roll upward. Which drug is usually given?
ADantrolene by mouth to relax the twisted neck muscles
BNaloxone
CA second dose of haloperidol
DAn anticholinergic such as benzatropine (benztropine)
5.Sedang
A man takes finasteride. What should be explained about handling the tablets?
AThe tablets must be stored in the fridge
BThe tablets must be crushed before swallowing
CAnyone can handle the tablets, as they contain no active drug
DPregnant women should not handle crushed or broken tablets
6.Sedang
Which blood test is commonly used to monitor a continuous infusion of unfractionated heparin?
ASerum potassium
BINR (international normalised ratio, prothrombin time)
CActivated partial thromboplastin time (aPTT)
DHaemoglobin A1c
7.Sulit
A patient taking sertraline starts St John's wort for low mood. What is the main concern?
AA hypertensive crisis from tyramine
BSerotonin syndrome from combined serotonergic effects
CSevere low blood pressure from blocked alpha receptors
DBleeding from vitamin K deficiency
8.Sulit
A patient on heparin for 7 days has a platelet count that has fallen by more than half, and a new leg vein thrombosis. What is the most likely cause and the key action?
AHeparin-induced thrombocytopenia; stop all heparin
BVitamin K deficiency; give vitamin K and continue heparin
CWarfarin skin necrosis; switch from heparin to warfarin at once
DNormal dilution of platelets; continue and recheck in a week
Kunci jawaban
1. B · Untuk mengurangi kemungkinan bakteri yang tersisa menyebabkan kambuh atau resistansi
2. A · Hati
3. A · An oestrogen and a progestogen
4. D · An anticholinergic such as benzatropine (benztropine)
5. D · Pregnant women should not handle crushed or broken tablets
6. C · Activated partial thromboplastin time (aPTT)
7. B · Serotonin syndrome from combined serotonergic effects
8. A · Heparin-induced thrombocytopenia; stop all heparin
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