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Nama: ____________________ Tarikh: ____________
1.Mudah
How do second-generation antihistamines such as cetirizine and loratadine differ from older ones?
AThey cause much less drowsiness
BThey are given only by injection
CThey block H2 receptors in the stomach
DThey work only on the skin
2.Mudah
In hepatic encephalopathy, lactulose is given mainly to:
AReduce fluid in the abdomen
BLower the blood ammonia level
CStop bleeding from varices
DRaise the blood glucose level
3.Mudah
Mesalazine (mesalamine) is used mainly to treat:
AIrritable bowel syndrome with constipation
BGallstones
CPeptic ulcer
DUlcerative colitis
4.Sederhana
Bethanechol may be used for non-obstructive urinary retention. How does it work?
AIt increases urine production in the kidney
BIt blocks muscarinic receptors and relaxes the bladder wall muscle
CIt stimulates muscarinic receptors and contracts the bladder muscle
DIt shrinks the prostate gland
5.Sederhana
Mengapakah pesakit yang mengambil klozapin memerlukan kiraan darah berkala?
AIa menaikkan kiraan platelet dengan berbahaya
BIa mengubah kumpulan darah
CIa boleh menyebabkan agranulositosis
DIa sering menyebabkan anemia kekurangan zat besi
6.Sederhana
A woman taking tamoxifen should report which symptom promptly?
AMild hot flushes, especially at night, in the first months
BUnusual vaginal bleeding or a painful swollen leg
CMild tiredness in the afternoon
DSlightly dry skin
7.Sukar
A patient on warfarin is taught about diet. Which statement shows a need for further teaching?
A"I will use a soft toothbrush and an electric razor."
B"I will stop eating all green vegetables from now on."
C"I will tell my dentist that I take warfarin."
D"I will keep the amount of green leafy vegetables I eat about the same each week."
8.Sukar
Why is pethidine (meperidine) avoided in older people and in kidney impairment?
AIt causes severe hypoglycaemia in these groups
BIt has no pain-relieving effect in older people
CIts metabolite norpethidine builds up and can cause seizures
DIt is not absorbed from the gut when kidney function is poor
Kunci jawapan
1. A · They cause much less drowsiness
2. B · Lower the blood ammonia level
3. D · Ulcerative colitis
4. C · It stimulates muscarinic receptors and contracts the bladder muscle
5. C · Ia boleh menyebabkan agranulositosis
6. B · Unusual vaginal bleeding or a painful swollen leg
7. B · "I will stop eating all green vegetables from now on."
8. C · Its metabolite norpethidine builds up and can cause seizures
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