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Nama: ____________________ Tarikh: ____________
1.Mudah
Nitrofurantoin is used mainly to treat:
ABacterial meningitis in adults and children
BBone infections
CPneumonia
DUncomplicated cystitis (lower urinary infection)
2.Mudah
What is a prodrug?
AA drug that has passed all clinical trials
BA drug that is inactive until the body converts it into its active form
CA drug that prevents or reverses the effect of another drug in the body
DA drug that is given before surgery
3.Mudah
How do second-generation antihistamines such as cetirizine and loratadine differ from older ones?
AThey block H2 receptors in the stomach
BThey are given only by injection
CThey work only on the skin
DThey cause much less drowsiness
4.Sederhana
A patient with suspected sepsis has blood cultures ordered and a first antibiotic dose due. What should the nurse do?
ATake the blood cultures first, then give the antibiotic at once
BWait for the culture results before giving any antibiotic
CGive the antibiotic only if the temperature is above 40 °C (104 °F)
DGive the antibiotic first, then take blood cultures the next day
5.Sederhana
Which signs suggest early lithium toxicity?
ADiarrhoea, vomiting, coarse tremor and drowsiness
BVery high blood pressure and a severe headache
CPinpoint pupils and slow breathing
DHair loss and dark urine only
6.Sederhana
Digoxin 0.25 mg is ordered. The tablets available are 0.125 mg. How many tablets should be given?
A0.5 tablet
B2 tablets
C1 tablet
D4 tablets
7.Sukar
A patient taking long-term morphine for cancer pain becomes very sedated with slow breathing. Why is naloxone given in small, diluted doses?
ABecause naloxone is toxic to the liver in large doses
BTo make the effect of naloxone last longer than morphine
CTo restore breathing without causing severe withdrawal and pain
DBecause naloxone is much more potent and toxic in patients with cancer
8.Sukar
Which statement about raloxifene for postmenopausal osteoporosis is correct?
AIt is a bisphosphonate taken weekly with water
BIt acts like oestrogen in all tissues, including the breast, and relieves hot flushes
CIt acts like oestrogen on bone but blocks oestrogen in the breast, and raises clot risk
DIt has no effect on the risk of blood clots
Kunci jawapan
1. D · Uncomplicated cystitis (lower urinary infection)
2. B · A drug that is inactive until the body converts it into its active form
3. D · They cause much less drowsiness
4. A · Take the blood cultures first, then give the antibiotic at once
5. A · Diarrhoea, vomiting, coarse tremor and drowsiness
6. B · 2 tablets
7. C · To restore breathing without causing severe withdrawal and pain
8. C · It acts like oestrogen on bone but blocks oestrogen in the breast, and raises clot risk
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