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Nama: ____________________ Tanggal: ____________
1.Mudah
Why is folinic acid (leucovorin) given after high-dose methotrexate?
ATo make methotrexate act faster on the tumour
BTo protect normal cells from methotrexate toxicity
CTo prevent nausea and vomiting after the methotrexate
DTo treat an allergic reaction to methotrexate
2.Mudah
In the United States, what does a Schedule II controlled substance mean?
AA drug available freely over the counter
BA drug with almost no risk of abuse
CA drug with no accepted medical use and a high potential for abuse
DA drug with accepted medical use but a high risk of abuse
3.Mudah
Desmopressin is a synthetic analogue of which hormone?
AOxytocin, the hormone of labour
BAldosterone
CAntidiuretic hormone (vasopressin)
DInsulin
4.Sedang
Efek samping statin yang serius tetapi jarang manakah yang harus segera dilaporkan pasien?
ARasa logam di mulut
BBatuk kering
CPembengkakan pergelangan kaki
DNyeri atau kelemahan otot yang tidak dapat dijelaskan
5.Sedang
Bagaimana penghambat SGLT2 seperti empagliflozin menurunkan glukosa darah?
AObat ini merangsang pelepasan insulin dari sel beta
BObat ini memperlambat pengosongan lambung
CObat ini membuat hati menyimpan lebih banyak glikogen
DObat ini meningkatkan pengeluaran glukosa melalui urine
6.Sedang
Mengapa OAINS seperti ibuprofen meningkatkan risiko tukak lambung?
AMenurunkan prostaglandin pelindung di lapisan lambung
BMenambah jumlah bakteri Helicobacter pylori di lambung
CMelarutkan lapisan lendir secara langsung
DMenaikkan pH asam lambung
7.Sulit
Which finding most favours serotonin syndrome over neuroleptic malignant syndrome?
ARecent start of an antipsychotic drug
BA very high creatine kinase
CRapid onset with hyperreflexia and clonus
DSlow onset over days with lead-pipe rigidity
8.Sulit
A patient with asthma starts timolol eye drops for glaucoma and soon becomes wheezy. What is the most likely explanation?
AThe wheeze is unrelated to the eye drops
BThe eye drops contain an allergen that causes hay fever and asthma
CTimolol activates histamine receptors in the lungs
DTimolol is absorbed and blocks beta-2 receptors in the airways
Kunci jawaban
1. B · To protect normal cells from methotrexate toxicity
2. D · A drug with accepted medical use but a high risk of abuse
3. C · Antidiuretic hormone (vasopressin)
4. D · Nyeri atau kelemahan otot yang tidak dapat dijelaskan
5. D · Obat ini meningkatkan pengeluaran glukosa melalui urine
6. A · Menurunkan prostaglandin pelindung di lapisan lambung
7. C · Rapid onset with hyperreflexia and clonus
8. D · Timolol is absorbed and blocks beta-2 receptors in the airways
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