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Nama: ____________________ Tarikh: ____________
1.Mudah
Mengapakah aspirin dos rendah diberi kepada sesetengah orang dengan penyakit jantung?
AUntuk mengurangkan agregasi platelet dan mencegah bekuan
BUntuk menurunkan paras kolesterol darah dan menstabilkan plak
CUntuk melegakan sakit dada serta-merta
DUntuk memperlahankan kadar jantung
2.Mudah
Organ manakah yang terutamanya bertanggungjawab memetabolismekan kebanyakan ubat?
ABuah pinggang
BParu-paru
CHati
DLimpa
3.Mudah
Celecoxib selectively inhibits which enzyme?
ALipoxygenase
BCyclo-oxygenase-2 (COX-2)
CCyclo-oxygenase-1 (COX-1)
DPhospholipase A2
4.Sederhana
Which antihypertensive class can raise blood glucose and uric acid levels, sometimes triggering gout?
AAlpha-1 blockers
BThiazide diuretics
CACE inhibitors
DAngiotensin II receptor blockers
5.Sederhana
A patient takes theophylline for COPD. Which advice is most important?
ALimit coffee, tea and cola, because caffeine adds to the side effects
BAvoid potassium-rich foods such as bananas
CTake extra doses when short of breath
DDrink plenty of grapefruit juice each morning to improve absorption
6.Sederhana
Apakah kesan buruk paling penting sulfonilurea seperti gliklazid?
AAsidosis laktik
BBatuk kering
CHiperkalemia
DHipoglisemia
7.Sukar
A malnourished patient with low serum albumin shows nystagmus and unsteady gait. Her total phenytoin level is within range. What is the most likely explanation?
ALow albumin makes phenytoin bind more tightly, so the drug is less active
BLow albumin speeds up phenytoin metabolism
CThe total level is high, but the laboratory is wrong
DMore phenytoin is unbound when albumin is low, so free levels rise
8.Sukar
A man on long-term testosterone therapy has a rising haematocrit. Why is this important?
ATestosterone raises red cell production, increasing clot risk
BA high haematocrit shows that the testosterone is not being absorbed
CIt means the testosterone dose is too low
DIt is a sign of liver failure caused by testosterone
Kunci jawapan
1. A · Untuk mengurangkan agregasi platelet dan mencegah bekuan
2. C · Hati
3. B · Cyclo-oxygenase-2 (COX-2)
4. B · Thiazide diuretics
5. A · Limit coffee, tea and cola, because caffeine adds to the side effects
6. D · Hipoglisemia
7. D · More phenytoin is unbound when albumin is low, so free levels rise
8. A · Testosterone raises red cell production, increasing clot risk
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