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Nama: ____________________ Tanggal: ____________
1.Mudah
Which signs are typical of hypoglycaemia?
AA slow pulse, constipation and weight gain
BThirst, frequent urination and warm, dry, flushed skin
CFruity breath with deep, rapid breathing
DSweating, shakiness, a fast heart rate and confusion
2.Mudah
Which drug is the antidote for paracetamol (acetaminophen) overdose?
AFlumazenil
BAcetylcysteine
CVitamin K
DNaloxone
3.Mudah
How does tamsulosin improve urine flow in benign prostatic hyperplasia?
AIt blocks alpha-1 receptors and relaxes prostate smooth muscle
BIt shrinks the prostate gland over months by blocking testosterone
CIt contracts the bladder muscle
DIt increases urine production in the kidney
4.Sedang
A transplant patient takes tacrolimus. Which monitoring is most important?
APeak expiratory flow
BBlood drug levels and kidney function
CThyroid function and bone density
DSerum amylase
5.Sedang
A patient uses a salbutamol (albuterol) inhaler and a corticosteroid inhaler at the same time of day. Which order is usually taught?
AThe order does not matter and no waiting is needed
BUse the steroid first, then the salbutamol right after without any gap
CUse both in the same breath to save time
DUse the salbutamol first, wait a few minutes, then use the steroid
6.Sedang
A woman taking tamoxifen should report which symptom promptly?
AMild hot flushes, especially at night, in the first months
BSlightly dry skin
CMild tiredness in the afternoon
DUnusual vaginal bleeding or a painful swollen leg
7.Sulit
Why do infants absorb more of a topical corticosteroid than adults?
ATheir liver changes the cream into a much stronger form
BInfants do not absorb topical drugs at all
CThey have more skin area per kilogram and thinner skin
DTheir skin contains no blood vessels
8.Sulit
A patient has SIADH with mild hyponatraemia and no neurological symptoms. What is usually the first-line treatment?
ALarge volumes of IV glucose 5%
BFluid restriction
CA rapid bolus of hypertonic saline
DDesmopressin
Kunci jawaban
1. D · Sweating, shakiness, a fast heart rate and confusion
2. B · Acetylcysteine
3. A · It blocks alpha-1 receptors and relaxes prostate smooth muscle
4. B · Blood drug levels and kidney function
5. D · Use the salbutamol first, wait a few minutes, then use the steroid
6. D · Unusual vaginal bleeding or a painful swollen leg
7. C · They have more skin area per kilogram and thinner skin
8. B · Fluid restriction
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