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Nama: ____________________ Tanggal: ____________
1.Mudah
Apa arti "waktu paruh" suatu obat?
AWaktu agar konsentrasi plasma turun menjadi setengahnya
BWaktu sampai obat mulai bekerja
CSetengah dari lama obat berada di tubuh
DWaktu agar setengah dosis diserap dari usus
2.Mudah
Organ mana yang mengekskresikan sebagian besar obat larut air dan metabolitnya?
AParu-paru
BGinjal
CHati
DKulit
3.Mudah
With patient-controlled analgesia (PCA), who should press the button to give a dose?
AThe nursing assistant at set times
BA family member when the patient is asleep
CAny visitor who thinks the patient is in pain
DOnly the patient
4.Sedang
Why should loperamide usually be avoided in bloody diarrhoea with fever?
ASlowing the gut may keep bacteria and toxins in the bowel longer
BLoperamide makes the bleeding worse by blocking platelets
CLoperamide is an antibiotic that causes resistance
DLoperamide causes severe hypertension when there is an infection
5.Sedang
During an amphotericin B infusion, the patient has fever, chills and shaking. What is the most likely explanation?
AA common infusion reaction to amphotericin B
BA sign that the drug has been given into an artery
CSevere hypoglycaemia caused by the drug
DA sign that the fungal infection is cured
6.Sedang
A patient with suspected sepsis has blood cultures ordered and a first antibiotic dose due. What should the nurse do?
AWait for the culture results before giving any antibiotic
BTake the blood cultures first, then give the antibiotic at once
CGive the antibiotic first, then take blood cultures the next day
DGive the antibiotic only if the temperature is above 40 °C (104 °F)
7.Sulit
Before starting rituximab, patients are tested for hepatitis B. Why?
AHepatitis B infection makes rituximab completely ineffective
BRituximab can reactivate hepatitis B and cause liver failure
CRituximab is made from the hepatitis B virus
DRituximab is a vaccine against hepatitis B
8.Sulit
A patient on simvastatin is prescribed gemfibrozil. What is the main concern?
AA much higher risk of myopathy and rhabdomyolysis
BA sharp rise in LDL cholesterol and triglycerides
CLoss of all lipid-lowering effect
DSevere hypoglycaemia
Kunci jawaban
1. A · Waktu agar konsentrasi plasma turun menjadi setengahnya
2. B · Ginjal
3. D · Only the patient
4. A · Slowing the gut may keep bacteria and toxins in the bowel longer
5. A · A common infusion reaction to amphotericin B
6. B · Take the blood cultures first, then give the antibiotic at once
7. B · Rituximab can reactivate hepatitis B and cause liver failure
8. A · A much higher risk of myopathy and rhabdomyolysis
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