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Nama: ____________________ Tarikh: ____________
1.Mudah
Apakah tindak balas ubat yang buruk (adverse drug reaction)?
AKesan terapeutik yang dimaksudkan bagi sesuatu ubat
BTindak balas berbahaya yang tidak diingini terhadap ubat pada dos normal
CTindak balas yang berlaku hanya selepas terlebih dos
DSebarang kesan ubat yang disedari pesakit
2.Mudah
What is the purpose of "Tall Man" lettering, such as hydrOXYzine and hydrALAZINE?
ATo reduce confusion between look-alike drug names
BTo show which drugs are high-alert medications
CTo show the brand name of the drug
DTo show which drugs are for children
3.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 makes the anaesthetic act on the brain as well
CIt constricts vessels, so the block lasts longer and less enters the blood
DIt prevents allergic reactions to the anaesthetic
4.Sederhana
A woman taking the combined pill should seek care urgently for which symptom?
AA painful, swollen calf or sudden chest pain
BLight spotting between periods early on
CMild breast tenderness in the first month
DSlight nausea in the first few weeks
5.Sederhana
A patient has oral mucositis after chemotherapy. Which advice is appropriate?
AUse an alcohol-based mouthwash several times a day to kill germs
BUse a soft toothbrush and rinse with saline or a bland mouthwash
CEat spicy and acidic foods to stimulate healing
DBrush hard with a firm toothbrush to remove debris
6.Sederhana
Methylergometrine (methylergonovine) is prescribed for postpartum bleeding. Which finding would make the nurse withhold it and check with the prescriber?
ATemperature of 37.2 °C (99 °F)
BBlood pressure of 160/105 mmHg
CHaemoglobin slightly below normal
DHeart rate of 88 per minute
7.Sukar
Kodeina ditukar kepada morfin oleh CYP2D6. Apakah yang berlaku pada pesakit yang merupakan pemetabolisme ultra-pantas CYP2D6?
AKodeina dirembeskan tanpa berubah dalam air kencing
BKodeina memberi hampir tiada kelegaan sakit kerana sedikit morfin terbentuk
CLebih banyak morfin terbentuk, meningkatkan risiko ketoksikan opioid
DKodeina hanya ditukar kepada sebatian tidak aktif
8.Sukar
Bayi baru lahir yang diberi kloramfenikol boleh mendapat "sindrom bayi kelabu". Apakah sebab utamanya?
ABayi baru lahir menghasilkan antibodi terhadap ubat
BBuah pinggang bayi merembeskan ubat terlalu cepat, jadi dos yang lebih tinggi diberikan
CKloramfenikol ditukar kepada vitamin K pada neonat
DGlukuronidasi yang belum matang dalam hati membolehkan ubat terkumpul
Kunci jawapan
1. B · Tindak balas berbahaya yang tidak diingini terhadap ubat pada dos normal
2. A · To reduce confusion between look-alike drug names
3. C · It constricts vessels, so the block lasts longer and less enters the blood
4. A · A painful, swollen calf or sudden chest pain
5. B · Use a soft toothbrush and rinse with saline or a bland mouthwash
6. B · Blood pressure of 160/105 mmHg
7. C · Lebih banyak morfin terbentuk, meningkatkan risiko ketoksikan opioid
8. D · Glukuronidasi yang belum matang dalam hati membolehkan ubat terkumpul
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