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Nama: ____________________ Tarikh: ____________
1.Mudah
Which adverse effect of ethambutol requires vision checks?
ACataracts that form within a few days of starting
BOptic neuritis, with blurred vision and colour blindness
CBleeding in the back of the eye
DPermanent dilation of the pupils
2.Mudah
Psyllium (ispaghula husk) is which type of laxative?
ABulk-forming
BStool softener
CStimulant
DOsmotic
3.Mudah
Where should an adrenaline (epinephrine) auto-injector be given?
AInto a vein in the arm
BUnder the tongue
CInto the outer thigh muscle
DInto the abdomen under the skin
4.Sederhana
Which rule applies when giving phenytoin intravenously?
AGive it in the same line as other drugs without flushing
BMix it with glucose 5% to prevent low blood sugar
CGive it as a rapid push to stop seizures faster
DMix or flush it only with normal saline and give it slowly
5.Sederhana
After several years of levodopa treatment, which problem is common?
ASevere hypoglycaemia after each dose
BComplete and permanent loss of all Parkinson's symptoms
CDyskinesias and "on–off" fluctuations in response
DPermanent hearing loss
6.Sederhana
Which teaching about zolpidem is correct?
ATake it with alcohol to make it act faster
BDrive soon after waking, as the drug has no next-day effect
CTake it right before bed, only if you can sleep a full night
DTake it in the morning so that it is out of the system by night
7.Sukar
A nurse gives 2 mg from a 4 mg ampoule of morphine. What should happen to the remaining 2 mg?
AIt is poured down the sink without telling anyone
BIt is given to the next patient who needs morphine
CIt is discarded in front of a witness, and both sign the record
DIt is kept labelled in the patient's drawer for the next dose
8.Sukar
A patient receiving a phenylephrine infusion has a rise in blood pressure and a fall in heart rate. What is the best explanation?
APhenylephrine directly blocks beta-1 receptors in the heart's conduction system
BPhenylephrine stimulates muscarinic receptors
CThe fall in heart rate shows phenylephrine toxicity of the AV node
DAlpha-1 vasoconstriction raises blood pressure and causes reflex bradycardia
Kunci jawapan
1. B · Optic neuritis, with blurred vision and colour blindness
2. A · Bulk-forming
3. C · Into the outer thigh muscle
4. D · Mix or flush it only with normal saline and give it slowly
5. C · Dyskinesias and "on–off" fluctuations in response
6. C · Take it right before bed, only if you can sleep a full night
7. C · It is discarded in front of a witness, and both sign the record
8. D · Alpha-1 vasoconstriction raises blood pressure and causes reflex bradycardia
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