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Nama: ____________________ Tarikh: ____________
1.Mudah
How does ezetimibe lower cholesterol?
AIt inhibits HMG-CoA reductase in the liver
BIt binds bile acids in the gut
CIt reduces the absorption of cholesterol from the intestine
DIt increases the excretion of cholesterol in the urine and bile
2.Mudah
Why is adrenaline (epinephrine) sometimes added to a local anaesthetic injection?
AIt makes the anaesthetic act on the brain as well
BIt speeds up the removal of the anaesthetic from the tissue into the blood
CIt prevents allergic reactions to the anaesthetic
DIt constricts vessels, so the block lasts longer and less enters the blood
3.Mudah
Which intramuscular site is recommended for infants?
ADeltoid
BVastus lateralis (outer thigh)
CDorsogluteal (upper outer buttock)
DVentral forearm
4.Sederhana
A nurse has a needlestick injury from a patient with HIV. When should post-exposure prophylaxis start?
AAs soon as possible, and within 72 hours at the latest
BAfter one week, when the risk of infection is clearer
COnly after the nurse's HIV test turns positive
DOnly if the patient's viral load is above a set level
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
Pecahan ubat dalam plasma yang manakah boleh sampai ke reseptor dan menghasilkan kesan?
APecahan terikat pada albumin
BPecahan terikat pada globulin
CPecahan tersimpan dalam sel darah merah
DPecahan tidak terikat (bebas)
7.Sukar
A heparin infusion contains 25,000 units in 500 mL. The order is 1,000 units per hour. What rate should be set on the pump?
A10 mL/h
B20 mL/h
C50 mL/h
D25 mL/h
8.Sukar
A patient taking metoprolol is also started on verapamil. Which adverse effect is most likely?
AHypoglycaemia and weight gain
BRebound tachycardia and hypertension
CSevere bradycardia and heart block
DHyperkalaemia and muscle weakness
Kunci jawapan
1. C · It reduces the absorption of cholesterol from the intestine
2. D · It constricts vessels, so the block lasts longer and less enters the blood
3. B · Vastus lateralis (outer thigh)
4. A · As soon as possible, and within 72 hours at the latest
5. D · Weigh daily at the same time on the same scales
6. D · Pecahan tidak terikat (bebas)
7. B · 20 mL/h
8. C · Severe bradycardia and heart block
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