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Nama: ____________________ Tarikh: ____________
1.Mudah
Which intramuscular site is generally preferred for adults because it is far from major nerves and vessels?
ADorsogluteal
BDeltoid for large volumes
CForearm
DVentrogluteal
2.Mudah
Celecoxib selectively inhibits which enzyme?
APhospholipase A2
BCyclo-oxygenase-1 (COX-1)
CCyclo-oxygenase-2 (COX-2)
DLipoxygenase
3.Mudah
Which long-term side effect of phenytoin makes good oral hygiene especially important?
AExcess saliva production
BOvergrowth of the gums (gingival hyperplasia)
CLoss of taste
DBlue-grey discoloration of the teeth and gums
4.Sederhana
Satu ubat merencat enzim hati CYP3A4. Apakah yang boleh berlaku pada ubat kedua yang terutamanya dimetabolismekan oleh CYP3A4?
AParas plasmanya meningkat, menambah risiko kesan sampingan
BIa dirembeskan lebih cepat oleh buah pinggang
CParas plasmanya jatuh, jadi ia mungkin berhenti berfungsi pada dos biasa
DTiada apa-apa, kerana enzim tidak menjejaskan ubat lain
5.Sederhana
A nurse has a needlestick injury from a patient with HIV. When should post-exposure prophylaxis start?
AAs soon as possible, and within 72 hours at the latest
BOnly after the nurse's HIV test turns positive
COnly if the patient's viral load is above a set level
DAfter one week, when the risk of infection is clearer
6.Sederhana
When does oseltamivir give the most benefit in influenza?
AWhen started within 48 hours of the first symptoms
BOnly after symptoms have lasted at least one week
CAt any time, as the timing makes no difference
DOnly after a bacterial pneumonia has developed
7.Sukar
A patient's record shows anaphylaxis to penicillin. Amoxicillin has been prescribed. What should the nurse do?
AGive the amoxicillin, as it belongs to a different antibiotic group
BGive the amoxicillin with an antihistamine to prevent a reaction
CWithhold it and contact the prescriber, as amoxicillin is a penicillin
DGive half the dose and observe for a reaction
8.Sukar
A baby born to a mother on methadone becomes irritable on day 2, with a high-pitched cry, tremors, sneezing and poor feeding. What is the most likely cause?
AVitamin K deficiency bleeding
BNeonatal hypoglycaemia from maternal diabetes
CNeonatal opioid withdrawal syndrome
DNormal newborn behaviour
Kunci jawapan
1. D · Ventrogluteal
2. C · Cyclo-oxygenase-2 (COX-2)
3. B · Overgrowth of the gums (gingival hyperplasia)
4. A · Paras plasmanya meningkat, menambah risiko kesan sampingan
5. A · As soon as possible, and within 72 hours at the latest
6. A · When started within 48 hours of the first symptoms
7. C · Withhold it and contact the prescriber, as amoxicillin is a penicillin
8. C · Neonatal opioid withdrawal syndrome
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