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Nama: ____________________ Tarikh: ____________
1.Mudah
Which harmless effect of rifampicin should patients be warned about?
AWhite spots on the teeth
BOrange-red colouring of urine, sweat and tears
CBlue colouring of the fingernails and lips
DGreen colouring of the stools
2.Mudah
Which of these drugs has a narrow therapeutic index?
ALoratadine
BAmoxicillin
CLithium
DOmeprazole
3.Mudah
Dextromethorphan is used as:
AAn antibiotic for chest infections
BAn expectorant that thins mucus
CA cough suppressant
DA nasal decongestant
4.Sederhana
Bethanechol may be used for non-obstructive urinary retention. How does it work?
AIt blocks muscarinic receptors and relaxes the bladder wall muscle
BIt stimulates muscarinic receptors and contracts the bladder muscle
AMenyekat penukaran angiotensin I kepada angiotensin II
BMeningkatkan penyerapan semula natrium di buah pinggang
CMenyekat saluran kalsium jenis-L dalam sel otot licin vaskular
DMenyekat reseptor beta-1 di jantung
6.Sederhana
How should the nurse straighten the ear canal to give ear drops to a 2-year-old child?
APush the pinna forward and up
BPull the pinna up and back
CPull the pinna down and back
DLeave the ear untouched and drop into the canal
7.Sukar
A woman has received a high-dose oxytocin infusion with large volumes of hypotonic fluid for many hours. She now has a headache, confusion and a low serum sodium. What is the most likely cause?
AWater intoxication from the antidiuretic effect of oxytocin
BAn allergic reaction to oxytocin causing brain swelling
CExcessive salt in the infusion fluid
DNormal tiredness after a long labour
8.Sukar
A patient with heart failure on furosemide is also given metolazone, a thiazide-like diuretic. Which risk increases most?
AHypoglycaemia and weight gain
BHyperkalaemia and fluid overload
CSevere hypertension, tachycardia and fluid retention
DSevere hypokalaemia, hyponatraemia and dehydration
Kunci jawapan
1. B · Orange-red colouring of urine, sweat and tears
2. C · Lithium
3. C · A cough suppressant
4. B · It stimulates muscarinic receptors and contracts the bladder muscle
5. A · Menyekat penukaran angiotensin I kepada angiotensin II
6. C · Pull the pinna down and back
7. A · Water intoxication from the antidiuretic effect of oxytocin
8. D · Severe hypokalaemia, hyponatraemia and dehydration
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