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Nama: ____________________ Tarikh: ____________
1.Mudah
How do local anaesthetics such as lidocaine block pain?
AThey enhance the action of GABA in the brain and spinal cord
BThey block voltage-gated sodium channels in nerve membranes
CThey block prostaglandin synthesis at the injury site
DThey activate opioid receptors in the spinal cord
2.Mudah
What is the purpose of the Z-track technique for intramuscular injections?
ATo make the injection faster
BTo avoid the need to clean the skin
CTo stop the drug leaking back into the subcutaneous tissue
DTo allow a larger volume to be given than with a standard injection
3.Mudah
Why are corticosteroids such as betamethasone given to a woman at risk of preterm birth?
ATo speed up fetal lung maturity
BTo lower the mother's blood glucose
CTo prevent infection in the mother
DTo stop contractions completely
4.Sederhana
A patient uses two different eye drops at the same time of day. What should the nurse advise?
AWait at least 5 minutes between the two drops
BPut both drops in at exactly the same moment
CMix the drops in one bottle first
DUse only one of them each day
5.Sederhana
A patient is starting lamotrigine. Which adverse effect should the patient report at once?
AAny new skin rash
BMild headache on the first day
CSlight tiredness in the afternoon
DA brief change in taste
6.Sederhana
When does oseltamivir give the most benefit in influenza?
AAt any time, as the timing makes no difference
BOnly after symptoms have lasted at least one week
COnly after a bacterial pneumonia has developed
DWhen started within 48 hours of the first symptoms
7.Sukar
A patient taking furosemide has a serum potassium of 2.9 mmol/L (mEq/L). Which ECG change is typical of this level?
ATall, peaked T waves
BFlattened T waves and prominent U waves
CA short QT interval with high R waves
DWidened QRS with a sine-wave pattern
8.Sukar
How does levonorgestrel emergency contraception mainly work?
AIt causes an immediate period
BIt ends an established pregnancy
CIt delays or prevents ovulation
DIt kills sperm in the vagina
Kunci jawapan
1. B · They block voltage-gated sodium channels in nerve membranes
2. C · To stop the drug leaking back into the subcutaneous tissue
3. A · To speed up fetal lung maturity
4. A · Wait at least 5 minutes between the two drops
5. A · Any new skin rash
6. D · When started within 48 hours of the first symptoms
7. B · Flattened T waves and prominent U waves
8. C · It delays or prevents ovulation
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