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Nama: ____________________ Tarikh: ____________
1.Mudah
Terlebih dos parasetamol (acetaminophen) terutamanya merosakkan organ yang mana?
ALapisan perut
BParu-paru
CBuah pinggang dahulu, kemudian jantung
DHati
2.Mudah
Mengapakah aspirin dos rendah diberi kepada sesetengah orang dengan penyakit jantung?
AUntuk memperlahankan kadar jantung
BUntuk mengurangkan agregasi platelet dan mencegah bekuan
CUntuk menurunkan paras kolesterol darah dan menstabilkan plak
DUntuk melegakan sakit dada serta-merta
3.Mudah
Apakah maksud "separuh hayat" (half-life) sesuatu ubat?
AMasa sehingga ubat mula bertindak
BSeparuh daripada masa ubat kekal dalam badan
CMasa untuk separuh dos diserap daripada usus
DMasa untuk kepekatan plasma jatuh separuh
4.Sederhana
A nurse has a needlestick injury from a patient with HIV. When should post-exposure prophylaxis start?
AOnly after the nurse's HIV test turns positive
BAfter one week, when the risk of infection is clearer
CAs soon as possible, and within 72 hours at the latest
DOnly if the patient's viral load is above a set level
5.Sederhana
Which signs suggest early lithium toxicity?
ADiarrhoea, vomiting, coarse tremor and drowsiness
BHair loss and dark urine only
CPinpoint pupils and slow breathing
DVery high blood pressure and a severe headache
6.Sederhana
Which statement about allopurinol is correct?
AIt lowers uric acid over time and does not relieve the pain of an acute attack
BIt is taken only during an acute attack and stopped as soon as the pain settles
CIt works within an hour to relieve joint pain
DIt increases uric acid production to flush out crystals
7.Sukar
Pesakit yang baru mula mengambil haloperidol mengalami demam tinggi, kekejangan otot "paip plumbum", kekeliruan dan kreatin kinase yang sangat tinggi. Apakah diagnosis yang paling mungkin?
ASindrom neuroleptik malignan
BHipertermia malignan akibat anestesia
CSindrom serotonin
DDistonia akut
8.Sukar
A patient's record shows anaphylaxis to penicillin. Amoxicillin has been prescribed. What should the nurse do?
AGive the amoxicillin, as it belongs to a different antibiotic group
BWithhold it and contact the prescriber, as amoxicillin is a penicillin
CGive the amoxicillin with an antihistamine to prevent a reaction
DGive half the dose and observe for a reaction
Kunci jawapan
1. D · Hati
2. B · Untuk mengurangkan agregasi platelet dan mencegah bekuan
3. D · Masa untuk kepekatan plasma jatuh separuh
4. C · As soon as possible, and within 72 hours at the latest
5. A · Diarrhoea, vomiting, coarse tremor and drowsiness
6. A · It lowers uric acid over time and does not relieve the pain of an acute attack
7. A · Sindrom neuroleptik malignan
8. B · Withhold it and contact the prescriber, as amoxicillin is a penicillin
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