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Nama: ____________________ Tarikh: ____________
1.Mudah
Why is adrenaline (epinephrine) sometimes added to a local anaesthetic injection?
AIt speeds up the removal of the anaesthetic from the tissue into the blood
BIt constricts vessels, so the block lasts longer and less enters the blood
CIt makes the anaesthetic act on the brain as well
DIt prevents allergic reactions to the anaesthetic
2.Mudah
Permethrin is used to treat:
AFungal nail infections
BPsoriasis
CAcne
DScabies and head lice
3.Mudah
Famotidine belongs to which drug class?
AProton pump inhibitors
BProstaglandin analogues
CAntacids
DH2 receptor antagonists
4.Sederhana
Which adverse effect of doxorubicin requires monitoring of heart function?
ASevere hypertension during the infusion itself
BPericarditis caused by infection
CRapid rise in cholesterol
DCumulative heart muscle damage leading to heart failure
5.Sederhana
A patient with heart failure starts furosemide. Which self-monitoring instruction is most useful?
AMeasure the temperature twice a day and record it in a diary
BCount the respiratory rate each evening
CCheck the blood glucose before every meal
DWeigh daily at the same time on the same scales
6.Sederhana
Why is propranolol usually avoided in patients with asthma?
AIt causes tolerance to inhaled corticosteroids
BIt blocks beta-2 receptors in the airways and can cause bronchospasm
CIt increases mucus production by blocking histamine
DIt stimulates alpha-1 receptors in the airways and raises blood pressure
7.Sukar
Bayi baru lahir yang diberi kloramfenikol boleh mendapat "sindrom bayi kelabu". Apakah sebab utamanya?
AKloramfenikol ditukar kepada vitamin K pada neonat
BBayi baru lahir menghasilkan antibodi terhadap ubat
CBuah pinggang bayi merembeskan ubat terlalu cepat, jadi dos yang lebih tinggi diberikan
DGlukuronidasi yang belum matang dalam hati membolehkan ubat terkumpul
8.Sukar
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
BOral prednisolone with a glass of water
CIV furosemide
DIV hydrocortisone and IV fluids
Kunci jawapan
1. B · It constricts vessels, so the block lasts longer and less enters the blood
2. D · Scabies and head lice
3. D · H2 receptor antagonists
4. D · Cumulative heart muscle damage leading to heart failure
5. D · Weigh daily at the same time on the same scales
6. B · It blocks beta-2 receptors in the airways and can cause bronchospasm
7. D · Glukuronidasi yang belum matang dalam hati membolehkan ubat terkumpul
8. D · IV hydrocortisone and IV fluids
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