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Nama: ____________________ Tarikh: ____________
1.Mudah
Which vasopressor is usually first-line for septic shock that persists after fluids?
AGlyceryl trinitrate
BAdenosine
CNoradrenaline (norepinephrine)
DIsoprenaline (isoproterenol)
2.Mudah
Antibiotik berkesan terhadap:
ATindak balas alergi
BVirus
CSemua mikroorganisma sama rata
DBakteria
3.Mudah
Oxytocin is used in obstetrics mainly to:
AMature the fetal lungs before birth
BLower blood pressure in pre-eclampsia
CInduce or strengthen contractions and prevent postpartum bleeding
DStop preterm labour by relaxing the uterine muscle
4.Sederhana
A patient with a peanut allergy is taught to use an adrenaline auto-injector. Which statement is correct?
AKeep it at home so it is not lost
BCall emergency services after using it, even if symptoms improve
CThere is no need to see a doctor if the swelling goes down
DUse it only if the antihistamine has not worked after an hour
5.Sederhana
A patient with suspected sepsis has blood cultures ordered and a first antibiotic dose due. What should the nurse do?
AGive the antibiotic first, then take blood cultures the next day
BGive the antibiotic only if the temperature is above 40 °C (104 °F)
CWait for the culture results before giving any antibiotic
DTake the blood cultures first, then give the antibiotic at once
6.Sederhana
After naloxone reverses an opioid overdose, why must the patient be watched closely?
ANaloxone may wear off before the opioid does, so breathing can slow again
BNaloxone itself causes respiratory depression at high doses
CNaloxone makes the opioid stay longer in the body
DNaloxone often causes severe low blood glucose a few hours after the dose
7.Sukar
How does aripiprazole differ from most other antipsychotics?
AIt works by blocking the reuptake of serotonin only
BIt is a partial agonist at dopamine D2 receptors
CIt is a full dopamine agonist that increases dopamine activity
DIt has no effect on dopamine and acts only on histamine
8.Sukar
A patient with severe liver cirrhosis needs a benzodiazepine for alcohol withdrawal. Why is lorazepam often chosen instead of diazepam?
ALorazepam is cleared by simple conjugation and has no active metabolites
BLorazepam is a stronger anticonvulsant than all other benzodiazepines
CLorazepam does not cause sedation in liver disease
DLorazepam is excreted unchanged in the urine without any metabolism
Kunci jawapan
1. C · Noradrenaline (norepinephrine)
2. D · Bakteria
3. C · Induce or strengthen contractions and prevent postpartum bleeding
4. B · Call emergency services after using it, even if symptoms improve
5. D · Take the blood cultures first, then give the antibiotic at once
6. A · Naloxone may wear off before the opioid does, so breathing can slow again
7. B · It is a partial agonist at dopamine D2 receptors
8. A · Lorazepam is cleared by simple conjugation and has no active metabolites
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