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Nama: ____________________ Tarikh: ____________
1.Mudah
Filgrastim, a granulocyte colony-stimulating factor (G-CSF), is given to:
ALower the white cell count in leukaemia
BIncrease the production of neutrophils
CStop bleeding from wounds
DIncrease the production of platelets
2.Mudah
Why is adrenaline (epinephrine) sometimes added to a local anaesthetic injection?
AIt constricts vessels, so the block lasts longer and less enters the blood
BIt prevents allergic reactions to the anaesthetic
CIt speeds up the removal of the anaesthetic from the tissue into the blood
DIt makes the anaesthetic act on the brain as well
3.Mudah
Celecoxib selectively inhibits which enzyme?
APhospholipase A2
BCyclo-oxygenase-1 (COX-1)
CLipoxygenase
DCyclo-oxygenase-2 (COX-2)
4.Sederhana
Which blood test is commonly used to monitor a continuous infusion of unfractionated heparin?
AActivated partial thromboplastin time (aPTT)
BHaemoglobin A1c
CSerum potassium
DINR (international normalised ratio, prothrombin time)
5.Sederhana
Pecahan ubat dalam plasma yang manakah boleh sampai ke reseptor dan menghasilkan kesan?
APecahan tidak terikat (bebas)
BPecahan tersimpan dalam sel darah merah
CPecahan terikat pada albumin
DPecahan terikat pada globulin
6.Sederhana
A patient refuses a prescribed oral medicine. What should the nurse do?
AExplore the reason, respect the decision, document and inform the prescriber
BHide the tablet in the patient's food
CLeave the tablet on the bedside table for later
DRecord the medicine as given, so that the chart stays complete for the next shift
7.Sukar
Probenesid telah digunakan untuk menaikkan paras penisilin plasma. Bagaimanakah ia melakukannya?
AIa menyekat rembesan tubul penisilin di buah pinggang
BIa merencat metabolisme hati penisilin
CIa meningkatkan penyerapan penisilin daripada usus kecil
DIa menggantikan penisilin daripada protein plasma
8.Sukar
Why are tetracyclines usually avoided in pregnancy and in young children (under 8 years in US guidance, under 12 years in the UK)?
AThey block the action of growth hormone and stunt the child's growth
BThey cause grey baby syndrome in infants
CThey cause severe hearing loss in children
DThey bind to growing teeth and bone and stain the teeth permanently
Kunci jawapan
1. B · Increase the production of neutrophils
2. A · It constricts vessels, so the block lasts longer and less enters the blood
3. D · Cyclo-oxygenase-2 (COX-2)
4. A · Activated partial thromboplastin time (aPTT)
5. A · Pecahan tidak terikat (bebas)
6. A · Explore the reason, respect the decision, document and inform the prescriber
7. A · Ia menyekat rembesan tubul penisilin di buah pinggang
8. D · They bind to growing teeth and bone and stain the teeth permanently
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