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Midterm BHP VI 2013

1. WOTF is the CORRECT basic science to learn about herbal pharmacology?a. Pharmacognosy

b. Phytochemistryc. Phytofarmacad. Phytomedicinee.

Pharmacotherapy

2. WOTF is CORRECT concerning the use of herbal medicine to support health maintenance?a. Promotion

b. Rehabilitationc. Preventiond. Treatmente. Relieve pain

3. WOTF has almost equal to the drug (herbal medicine)?a. Jamu

b. Traditional medicinec. Phytomedicined. Chemical substancese. Standardized herbs

4. WOTF is the difficulty to use herbal medicine?a. Dosage

b. Agec. Age of herbal plantsd. Type of herbal plantse. Administration

5. WOTH ethical use of herbal medicine by doctor is CORRECT?a. Jamu

b. Phytofarmacac. Traditional medicined. Standardized herbale.

Empirical use

6. Jamu/herbal plants for diarrhea?a. Garlic (Allium sativum)

b. Jambu batu (Psidium guajava)c. Kumis kucing (Orthosiphon grandiflorus)d. Mengkudu (Morinda Citrifolia)e. Kunyit (Curcuma domestica Val.)

7. A doctor who received commission from a pharmaceutical industry will be influenced in:a. Diagnosis

b. Treatmentc. Anamnesisd. Psychological

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e. Physical8. Doctors have responsibilities to make sure their work is not influenced. That is why the doctors must

write a prescription by:

a. Branded nameb. Patent drugsc. Generic named. Name of pharmaceutical industrye. Chemical name

9. Pharmaceutical company is possible to give an ethical sponsorship. WOTF is CORRECT?a. Not possible

b. Possiblec. Prohibitd. No chance more closer to the doctors (ini maksudnya apa ya)e. The doctors cant receive a gift

10.A doctor has a hospital. WOTF is CORRECT?a. Impossible

b. Possiblec. Not ethicald. Prohibitede. There are no rules

11.Which goal in the Millennium Developments Goals (MDGs) that closely related to communitynutrition?a. Goal 1: Eradicate extreme poverty and hunger

b. Goal 2: Achieve universal primary educationc. Goal 3: Promote gender equality and empower womend. Goal 4: Reduce child mortalitye. Goal 5: Improve maternal health

12.How to measure hunger according to MDG!a. The proportion of family based workers

b. The level of poorest quintile in national consumptionsc. By the calculating the poverty gap ratio incidence X depth of povertyd. The proportion of people living on less than $1 a daye. The prevalence of underweight children under 5 years old

13.Which of the following aspect of MDGs goal 1 (Eradicate extreme poverty and hunger) which haverelation to goal 5 (improve maternal health)?

a. Malnutrition often haven in womenb. Healthy women can work to get better incomec. Healthy women can prevent malnutrition in childrend. Carrier women often haven malnutrition in childrene. Malnutrition is the common cause of death in women

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14.What is the duty for doctors to support this target of MDGs Goal 1 (Eradicate extreme poverty andhunger)?

a. To halve the proportion of people living on less than $1 a dayb. To achieve decent employment for women, men, and young peoplec. To halve the prevalence of underweight children under 5 yearsd. To share the poorest quintile in national consumptione. To halve poverty gap ratio (incidence X depth poverty)

15.What is doctor can do to achieve the MDGs target to halve the proportion of population belowminimum level of dietary energy consumption?

a. Accurate diagnosis of malnutrition childrenb. Educate the society on high energy dietc. prevent hospital malnutritiond. Provide food for malnutrition childrene. Get a course on healthy diet for patient

16.What is a human right which is basic in the effort to right against malnutrition?a. The right to dignity

b. The right to equalityc. The right to be free from violenced. The right to tolerance and solidaritye. The right to basic standard of living

17.What is the contextual feature of the patient should be able by a doctor to manage an elderly withmalnutrition?

a.

Ageb. Genderc. Underlying diseased. Family relationshipe. Anthropometric status

18.What is the malnutrition position for the doctor in the hospital teamwork?a. Subordinate

b. Supervisorc. Assistantd. Superiore. Partner

19.Who is the responsibility to plan the type of nutrition best for a hospitalized patient?a. The nurse

b. The doctorc. The nutritionistd. The pharmaciste. The hospital management

For question number 20 to 24, refer to scenario below:

Mrs. T, a 45-years-old female presents to your clinic with complain fatigue and sometimes with

headache since 5 months ago. She reports that she has been feeling gradually more tired and staying up late

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at night because she cant sleep. She doesnt feel that she is doing as well in her occupation as a teacher and

that she has a trouble remembering things.

She went to doctor 6 times but she not satisfied because she still felt uncomforting. Since 4 months

ago she used jamu user in the form of capsule. She didnt know the ingredient of the capsule. Every month

regularly she comes to the healer in Banten to take the capsule and the healer will message her in some area

of her body and give the traditional drink as Obat Kuat before going home. She said aftertake that capsule

she feel better because of her appetite become well but she still cant sleep. Since 5 days ago, she complaints

that her face become fat.

After examination, you diagnose her have a psychological problem and explain the side effect from

the used of traditional drug. You give the advice to Mrs. T to stop the use of jamu because of the negative

side effect because of the use of jamu in long period. Mrs. T refuses to stop the use of jamu although

she understands your explanation. You refer Mrs. T to the psychologist for the best management advice.

There are four basic principles in bioethics. The principles are:

A. Beneficence

B. Non-maleficence

C. AutonomyD. Justice

Which of the correct principle of bioethics for the sentence below!

20. You give advice to Mrs. T to stop the use of jamu because of the negative side effect.21. You give the information to Mrs. T about jamu?22. Mrs. T refused to stop the use of capsule?23. Mrs. T went to doctor and traditional healer?24. You refer Mrs. T to the psychologist for the best further management advice?25.

To be marketed a product of jamu should be first :a. Converted into a medical drug

b. Prescribed by doctorsc. Advertised as a jamud. Labeled as a jamue. Audited for safety

26. The advantages of jamu compared to modern drugs due to the characteristis ofa. Does not cause side effect

b. Cultural backgroundc. Accuracy of dosed. History of safetye. Natural sources

27. What ethical issue rose when a medical doctors becomes a model in jamu advertisement?a. Altruism

b. Excellencec. Confidentialityd. Public health issuee. Decision making issue

28. On what condition a medical doctor may prescribe a jamu?a. There is no known side effect

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b. It is produced in a modernized factoryc. Other medical doctors use it for patientsd. History shows people use the jamu safelye. It has been standardized into a phytopharma

29. So far, why there is only few Indonesian traditional medicines studied by researchers?a. Researchers must concentrate more on modern drugs

b. The research should be conducted abroac. Traditional medicine cannot be prescribed by doctorsd. The cost for drug development is very highe. It does not need to be studied further as modern drugs do

30. What ethical issue rose when a pharmaceutical company gives free drug samples to a mediacal doctors?a. Public health issue

b. Profesionalism issuec. Decision making issued. Informed consent issuee. Conflict of interest issue