(Reuters Health) – Half of all heart patients
Problem in healing
made at least one medication-related
mistake after leaving the hospital, and
guidance from a pharmacist didn’t seem to
reduce those errors, in a new study.
Consequences of mistakes – such as
forgetting to take certain drugs or taking the
wrong dose – can range from side effects
like constipation to more serious drops in
blood pressure. Two percent of errors were
life-threatening.
Hospitals involved in the study were already
taking steps to prevent medication mistakes
in addition to the extra pharmacist
intervention, said Dr. Sunil Kripalani, the
study’s lead author from the Vanderbilt
University Medical Center in Nashville,
Tennessee.
“We were surprised to see that in spite of
these efforts that 50 percent (of patients)
were still having these medication errors,”
he told Reuters Health.
Although the pharmacist visits didn’t help
the average patient, he added, certain ones
seemed to benefit – such as patients who
were on multiple drugs or had trouble
understanding health information.
As for traditionally lower-risk patients, he
said other strategies to prevent errors may be
needed.
1.What does the text tell us about?
A. The patient’s medication errors
B. The hospital’s medical treatments
C. The doctor’s medical treatment
D. The uncontrolled medical treatment
E. The pharmacist’s medication mistakes
2.What is the effect of medication errors?
A. Bleeding on heart
B. Health information
C.
D. Life—long time
E. Life –threatening
3.“… and guidance from a pharmacist didn’t
seem to reduce those errors ….” The
“reduce” word is closest in meaning to ….
A. Improve
B. Upgrade
C. Decrease
D. Degrade
E. Increase
Choose one correct answer to fill each gap
in the passage below.
Abdominal pain is discomfort in the
abdomen (sekitar pusar). Mild abdominal
pain is common and is often due to __(4)__
alcohol intake (yang dimakan), eating
__(5)__, or an attack of diarrhea. Pain in the
lower abdomen is common during
menstruation __(6)__ is occasionally due to
a gynecological (hormon kewanitaan)
disorder such as endometriosis (radang yang
terkait dg hrmon esterogen). Cystitis (radang
kandung kemih, biasanya karena infeksi
urine) is a common cause of pain or
discomfort in the abdomen. Bladder
(kandung kemih) distension
(penggelembungan) as a result of urinary
obstruction may also cause abdominal pain.
Teks
Abdominal colic (mulas) is pain that
__(7)__ every few minutes as one of the
internal organs goes into muscular spasm
(kekejangan urat) in an attempt to overcome
an obstruction such as a stone or an area of
inflammation (peradangan). The attacks of
colic may become more severe (keras/berat)
and may be __(8)__ vomiting (muntah).
4.A. abusive D. exclusive
B. extractive E. excessive
C. extraterrestrial
5.A. wisely D. wiser
 B. Cunwisely E. wise 11. Zuly : Do you …. a kidney dish in
pharmacy?
C. unwise
Bob : Yes
6.A. although D. but
a. buy
B. however E. moreover
b. buys
C. whereas
c. buying
7.A. have occurred D. occurring
d. buyes
B. occurs E. had occurred
e. buyer
C. occurred
12. Dr. Marley is very smart. He ….. four
8.A. associated with D. similar to languages.
B. given to E. arranged for a. speak
C. regarded as b. Speaks

c. Spoken
I. Choose the correct answer by crossing d. Speaking
(x) a, b, c or d!
e. discussion
9.. Carol : Hi! Bob, nice to ….. you
again. How are you?

Bob : Hello carol, nice to see you too. I Medical care

am fine and you?
Last week, I suddenly became really sick,
Carol : Pretty good, thanks. and I was feeling a great deal of pain in my
side, so my father rushed me to the
a. look emergency room at the nearest hospital. I
b. see started feeling a strong pain in my side, and
there wasn't any sign that I was getting
c. seen better. We didn't feel that we needed to call
an ambulance because we lived so close to
d. looking for
the hospital. When we arrived, my dad
e. view helped me into the emergency room, and the
doctor on duty realized I had appendicitis. I
10. Carol : I am a nurse. I ….. care some was quickly admitted to the hospital. A
patients there. nurse took my vital signs (blood pressure,
temperature, and pulse) while my dad filled
Bob : That’s sound interesting and
out all the necessary paperwork. Soon
what ward do you work in Serulingmas
thereafter, I was prepared for emergency
Hospital?
surgery. The surgery didn't last that long, but
Carol : I work in surgical ward and I felt sore afterwards.
what about you?
13. Why they didn’t call an ambulance?
a. takes
a. Because they lived near by the
b. took hospital.

c. taking b. Because they didn’t like using an

ambulance.
d. talk
c. They didn’t have much money.
e. talks
d. They like take a walk
e. Because they have a car 19. Who has the ultimate authority over the
paramedic in the field...
14. Why the writer went to the hospital?
A. Standing orders
a. Because the writer need medicine
B. Protocols
b. Because the writer was sick
C. On-line medical control
c. Visiting a sister in hospital
D. Scene physican
d. Trip
E. Hospital owner
e. Vocation
20. Aminophylin is given...
15. What is the name of the writer sick?
A. IV Push rapidly
a. Appendicitis
B. IV Over 20-30 Minutes
b. Appendix
C.IV Over 8-10 Minutes
c. Appear
D. IV push slowly
d. Approval
E. IV Over 10-15 Minutes
e. Approach
21. which of the following is not
16. A known diabetic who is unconscious apredisposing factor to hypotermia...
pale calmmy skin, with stable vital signs is
suffering from.... A. disbetes

A. CVA B. old age

B. Acute C. AMI

C. Diabetic coma D. alcoholism

D. Insulin shock E. cations

E. Asthma 22. lons that carry a negative charge are...

17. Patient has high blood pressure in A. cations

pregency ....
B. anions
a. Preeclampsia
C. electrolytes
b. eclampsia
D. megahertz
c.texomia
E. old age
d. uterine inversion

e. hematuria
23. verapamil has whta effects on the
18. The most significant of the pancreas myocardium...
produce...
A. negative chronotropic
A. Tenderness
B. positive inotropic
B. Rigidity and guarding
C. negative inotropic
C. Pain
D. positive chronotropic
D. Hematuria
E. inotrovis negative
E. Asystole
24. what is the chiefextrcellularelectrolyte... E. prolapsed cord

A. sodium

B. potassium 29. in a COPD patient the respiratory drive

is triggered by...
C. hydrogen
A. hypocarbia
D. calcium
B. hypercarbia
E. anions
C. hypoxia

D. hypovolemia
25. the normal PR interval is......seconds
E. diazepam
A. 0.2-0.4
30.the waste product of anaerobic
B. 0.4-0.12 metabolism is...
C. 0.1-0.20 A. CO2 dan H2O
D. 0.12-0.20 B. HCO3
E. 0.3-0.4 C. lactic acid
26. Painful bleeding in the third trimester of D. acetylcholine
pregnancy is most likely...
E. lidocaine
A. PID
Many married and unmarried women
B. placenta previa have committed abortions in this country.
C. abruptio placenta The plan to legalize abortion means the plan
to legalize a crime.
D. mitlleschmertz
In the view of all religions, abortion
E. cricothyrotomy is an evil practice. In an abortion, a child
candidate is killed without any doing sins
before he or she breathes the fresh air of the
27. Bleeding in the third trimester of world life. This means killing to human
pregnancy without paint is most, likely ... beings. Religious people will never let
abortion be legalized.
A. spontaneous abortion
Abortion is really dangerous to the
B. placenta previa women and it is a crime. According to some
credible researches on genecology and
C. abruptio placenta
obstetrics, a woman who commits an
D. prolapsed cord abortion, legal or illegal, has a high risk to
die or suffer from serious disease. This
E. acute ML means that the practice of abortion is a kind
of crime that must be forbidden by law.

28. which drug is used as both n anti- Legal abortion definitely increases
arrythmic and an anti-convulsant... the number of abortion cases, not
overcoming the problem. Without
A. lidocaine legalization, abortion has happened in a
great number. Then, it will be worse if it is
B. phenytion
really legalized. When the number of
C. physostigmine abortion is high, there will be more

D. dazepam
problems in social life and other aspects of
human beings.
In short, we all know that many
married and unmarried women have
committed abortion in this country. They
know that it is a crime and sometimes it is
dangerous because it can make them die. It
means that legalizing abortion is the same
with legalizing a crime.
31. the main idea of paragraph is three is ...
A. many unmarried women have committed
abortion
B. abortion is a crime and dangerous to
women
C. government should not legalize abortion
D. abortion has a high risk to die
E. abortion kills human beings
32. the communicative purpose of the text is
...
A. to tellthe reader about legal abortion
B. to persuade readers that abortion is a
case
C. to describe about abortion
D. to inform readers about abortion
E. to explain about abortion
33. ”Legal abortion definitely increases the
number of abortion cases, not overcoming
the problem” (paragraph 4 line 2”. The
underlined word means ….
A. solving
B. having
C.eating
D. making
E. creating
34. “They know that it is a crime and
sometimes it is dangerous ….”. (Paragraph 5
line The word “They” refers to …
A. people
B. uman beings
C. many married women
D. ny unmarried women
E. many married and unmarried
women
35. These statements show why the writer
disagrees with abortion, EXCEPT …
A. abortion is very dangerous
b. abortion is an evil practice
c. it is good to legalize abortion
d. abortion is a kind of crime
e. legal abortion will increase the number
of abortion cases.
. The text for number 1 - 4
Align the Headset
Before placing the eartips in your ears, hold
the headset in front of you with the eartubes
pointing away .
-          Once the eartips are in your ears, they
should point forward .
-          If the fit still isn’t comfortable, and/or
acoustic performance is lacking, grasp each
of the eartubes and adjust   the headset for a
custom fit.
-          Wearing the headset improperly can
result in a poor acoustical seal and in some
cases, complete sound        blockage.
      36.  The best title for the text is...
a.       How to use headset
b.      How to use stethoscope
c.       How to use ear phone
d.      How to use complete sound
e.       Ho to use injection
        37. How many steps are there in the text
above?
a. 1                b. 2         c.3        
d. 4               e. 5
        38.    Wearing the headset is the step
number...
a. 1                b.2
 c.3         d. 4              e. 5
        39.  Thermometer use to ceck...
a.       Fever and cold
b.      Cough, cold and flu
c.       Cold, cough and headhace
d.      Sick
e.       Fever, cold and flu

40. The most significant sign of

abdominal injury is:
a. tenderness
b. rigidity & guarding
c. pain
d. hematuria
e. Ringers Lactate