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Nama: ____________________ Tarikh: ____________
1.Mudah
With patient-controlled analgesia (PCA), who should press the button to give a dose?
AA family member when the patient is asleep
BOnly the patient
CAny visitor who thinks the patient is in pain
DThe nursing assistant at set times
2.Mudah
Dextromethorphan is used as:
AAn expectorant that thins mucus
BAn antibiotic for chest infections
CA nasal decongestant
DA cough suppressant
3.Mudah
Which of these is an extrapyramidal side effect of antipsychotics?
AAgranulocytosis (a very low neutrophil count)
BWeight gain
CAkathisia (a feeling of inner restlessness)
DDry mouth
4.Sederhana
Why is directly observed therapy (DOT) often used for tuberculosis?
ATreatment lasts months, and missed doses cause resistance
BPatients with TB cannot swallow tablets
CThe drugs work only if a nurse is present
DTB drugs must always be given intravenously in hospital
5.Sederhana
After a vaccination, why is a person asked to wait for a short time before leaving?
ATo check that the vaccine has already created protective antibodies
BTo watch for anaphylaxis, which usually starts within minutes
CTo make sure the injection site does not bruise
DTo measure the person's temperature for fever
6.Sederhana
A patient with a peanut allergy is taught to use an adrenaline auto-injector. Which statement is correct?
ACall emergency services after using it, even if symptoms improve
BUse it only if the antihistamine has not worked after an hour
CKeep it at home so it is not lost
DThere is no need to see a doctor if the swelling goes down
7.Sukar
Why is the TPMT enzyme often tested before azathioprine is started?
AHigh TPMT activity causes an allergic reaction to azathioprine
BLow TPMT activity causes toxic levels and marrow suppression
CTPMT is needed to absorb azathioprine from the gut
DTPMT testing shows whether the patient has tuberculosis
8.Sukar
A drug is ordered at 5 micrograms/kg/min for an 80 kg patient. The infusion contains 1,600 micrograms per mL. What rate in mL/h is needed?
A25 mL/h
B4 mL/h
C150 mL/h
D15 mL/h
Kunci jawapan
1. B · Only the patient
2. D · A cough suppressant
3. C · Akathisia (a feeling of inner restlessness)
4. A · Treatment lasts months, and missed doses cause resistance
5. B · To watch for anaphylaxis, which usually starts within minutes
6. A · Call emergency services after using it, even if symptoms improve
7. B · Low TPMT activity causes toxic levels and marrow suppression
8. D · 15 mL/h
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