Post on 02-Jun-2018
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TIM MDE BRILLIANT 2009 DMS
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TIM MDE FK UNPAD 2009 BRILLIANT :
EKA AYU WANDIRA AZRA UMMUL - DIAN QISTHI - DWI NOVIYANTI - GALUH
ALVIANA - INDRI NURUL - ANDI IRMA EKAWATI ISNI MAULINA - LIA SAFITRIE
JOHANSYAH - LUSIANA SEPTI - METHA DIAN PRAMESTI NADYTIA K. - TRI PUJI -
MUHAMMAD REZA NOVIA RUBIANTI - SEMALINA WAHYUDI - SHINTA TRESNA -
WULAN ARDHANA - WIWIT WIDIASTUTI
Present :
SOAL UTS DMS 2011
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GAMBAR posterior view of deep layer of gluteal region
1. Tuber ischiadic
2. Sacro tuberosum ligament
3. This is foramen is used by the sciatic nerve for entering the gluteal region
4.
Piriformis muscle
5. The prominence can be palpated from lateral side of femoral region
GAMBAR upper arm
6. Injury pada nerve ini akan merusak group extensor muscle
7. This nerve gives the innervations for brachial biceps
8. This compartment was innervated by musculocutaneous nerve
9. This nerves give the innervations for flexor carpi ulnaris
10. This nerve give innervations for flexor digitorum muscle
11. tes integrity radial?
12.
nadytia13. sanditya fadli
14. A 20 years old male presents with weakness in ability to flex the knee
a. femoral nerve
b. common fibular nerve
c. tibial nerve
d. superficial fibular nerve
e. deep fibular nerve
15. Youre evaluating a radiograph of the only bony articular joint between upper limb and trunk. Which joint
youre evaluating?
a. gleno-humeral
b. acromio-clavicular
c.
.-claviculard. humero-clavicular
e. sterno-clavicular
16.
ayu
17. in standing position lumbar spine is normally in lordosis. In the erect sitting position:
a. lumbar curve increase, pelvis and sacrum rotated anterior
b. lumbar curve decrease, pelvic and sacrum rotated posterior
c. lumbar curve increase, pelvic and sacrum rotated posterior
d. lumbar curve secrease, pelvic and sacrum rotated anterior
e. lumbar curve stable, pelvic and sacrum rotated posterior
18. hanifah nurul
19. lusiana septi
20.
anis21. 21 the head of femur is connected to the shaft by the neck. According to Kapandji, the neck shaft angle
is
a. 130
b. 125
c. 120
d. 115
e. 110
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22. anggia karina
23. wenny
24. 65 Osteoarthritis suggest to do quadriceps strength exercise untuk
a. Provide bony protection to distal joint surface
b. Decrease pressure and distribute force on femur
c.
Increase distance from axis of MO (aku lupa nih ini singkatan dari apa huhu maap)d. Prevent damaging compression force on quadriceps
e. Modified sesuatu on patellar contact
25. 65 years old women suffered right knee OA. Had been underwent physiotherapy treatment. How much
force within the knee jointwhile standing in flexion position?
a. Forced increase 0.8 X BB
b. Forced increase 1.2 X BB
c. Forced increase 1.8 X BB
d. Forced increase 2.2 X BB
e. Forced increase 2.6 X BB
26. Man 32 years old pain at right leg anterior knee, for 2 week. Pain diminish but cant bend knee when
prays. Home mechanism knee joint term rotation for 200 extention. Main advantages?
a.
Enhanced quadriceps strainb. Stand without contraction on quadriceps
c. Stabilizing patellar movement by controlling quadriceps contraction
d. Minimize axial compression on tibiofemoral
e. Coordinate quadriceps and hamstring
27. 88 years old man , slowly enlarging nodule on his right eye, 0.3 cm pearly papule on the upper eyelid
near lateral limbus of the right eye. Microscopic: tumor cels composed of nest/ islands of uniforming
atypical cells within the dermis. Which of the following the tumor cells islands tend to periphery?
a.
Irregular
b. Hyperthropy
c. Palisading
d. Atropy
e.
Necrosis28. which of the following is the most likely cause of this tumor?
a.
Sun exposed
b. Chemical agent
c. Irradiation
d. Virus infection
e. Physical agent
29. 60 years old man with nodule on his left plantar blabla. PE: 1 cm, typical lesion are irregular counter and
pigmentated. Microscopic: tumor cell round polygonal showing irregular rested, pleomorphism,
hyperchromatin, mitoisis, frequently melanin pigmented in cytoplasm?
Jaw: multiple melanoma
30. cell arising squamous cell carcinoma?
a.
Basal cellb. Melanocyte
c.
Keratinocyte
d. Langerhans
e. Merkell cell
31. Which of the following is the risk factor for this tumor?
a. Bacterial infection
b. UV radiation
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c. Chemical agent
d. Virus
e. Physical agent
For the following patient indicate the first priority in management. Mr K 24 y.o sustained haid injury in
aroadtraffict accident. His friend say he had been drinking alkohol most of the afternoon his initial GCSmeasurement at the scene of the accident was 12 on arival he had laboured breathing and smelt of vomit.
His arival BP was 180/110 mmHg and pulse 45 beat per minute. There was no vocalization. Central pain
caused normal flexion with the right arm but only extention with the left. There was no eyeopening. His left
pupil 5 mm and the right 3 mm, both were unreactive there was no obvious papilloedema. A had collar is
around his neck.
32. Soal mengenai embriologi pituitary. Banyak di soal-soal tahun-tahun sebelumnya. Jawabnnya: D,
Ectoderm ...
33. 32 y.o Menjalani tiroidektomi. Tampilan makroskopisnya gray-white colour, diameternya 4 cm, well
demarcated white (ada tampilan mikroskopisnya). Diagnosis?
a.
Thyroiditis lymphomatosab. Follicular adenoma
c. Graves disease
d. Hurtle cell adenoma
e. Adenomatous mass goiter
34. A 6 y.o. complains of discomfort the right upper neck it has worsened over the past 6 month. PE: 5cm
firm palpable in the right lateral neck. No painful or warm... Pathological appearance.. W/ eosinophilic
cytoplasm, numerous mitotic.. What is most likely tumor?
a. Osteosarcoma
b. Rhabdomyosarcoma
c. Squamous cell carcinoma
d. Basal cell carcinoma
e.
Malignant menaloma35. A 10 y o boy is diagnosed with miliaria rubra caused by occlusion in sweat gland duct. What is
hystological feature of disturbed organ?
a. Apocrine
b. Sebum
c. Connected to hair follicle
d. Excretory duct is lined by stratified kuboid epithelium
e. Acini consist of basal layer flattened epithelium
36. Section of bones, histologically shows normal size trabeculae that are partially calsified & have enlarge of
uncalcified osteolid. Cause is?
a. Failure of bone remodelling
b. Failure of bone mineralization
c.
Failure of osteoid formation
d. Reactive bone formation
e. Reduction in the amount of normal urine
37. OA, yg rusak?
a. perichondrium
b.
canaliculi
c. bloodvessel
d. hyaluronicacid
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e. fibrocartilage
38. Which of clinical problems where above treatment has no role?
a. hypertiroidism
b. differentiated thyroid carcinoma
c. undifferentiated thyroid carcinoma
d.
nontoxic multinodular goitere. graves disease
39. a 34 y.o man present w/ multiple large,shortly defined silver white scalu plaques on the extensor surface
of his elbow&knee&on his scalp.there is (+)auspitz sign.which of the following histological changes is
most likely be seen when examining histology section?
a. subepitelial bullae
b. degeneration of the basal layer
c. increase granular cell layer
d. Elongation of papilary ridges
e. chronic inflamation
40. Histology of endochondral ossification? Epiphysis (lele)
41. gbr tumor gituh, ada arrownya nunjukin bagian pinggir sellnya gt, ditanyain nama selnya apa??
Pilihannye palisade, spindle, trs apa lg gt lupa.. -___-" (juju)42. clinical features from 26 y.o man suffers from skin disease show salmon-coloured plaque covered by
scales that are silver-white color.microscop: show neutrophils from small aggregates within foci of
superficial epidermis & the parakeratosis stratum corneum.diagnosis?A.Psoriasis vulgaris b.condyloma
acuminata c.veruca vulgaris d.molluscum contagiosum e.epidermal cyst..
43. A 22 y.o. Woman with excessive sweating has a lesion affects underarms area. Clinical features show firm
& nodular lesion, abscesses & fistulas. What is the caused of the lesion?
a. trauma
b.
follicular occlusion
c. viral infection
d. bacterial infection
e. parasitic infection
44.
24 th man, bump back ears 0.5 cm. Pimple-like shaped, red, swollen, painful. gambar yang ditunjukpanah??
a.
Hyperkeratosis
b. Parakeratosis
c. Keratin material
d. Connective tissue
e. Palisading cell
45. Soal PA (ada gambar) cowo 12 th, ada hard lump di upper right arm. X-ray : sun-ray appearance.
Diagnosis?
a. Chronic osteomyelitis
b. TB spondylotitis
c. Osteo apa gitu, lupa
d.
Ameloblastomae. Osteogenic sarcoma
46.
Soalnya tentang vulva tissue biopsy dari ibu 35 th, terlihat gray-white to tan, flat to convex, 0.3-0.6 cm
papules, rough surfaces
a. Hyperkeratosis
b. Parakeratosis
c. Acanthosis
d. Koilocytosis
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e. Mitosis
47. Patient prescribed lovastatin (HMG CoA reductase inhibitor) to treat hyperlipidemia by his physician. The
drug is known to cause skeletal muscle damage. Which of the following would be the most appropriate
marker for confirm whether or not muscle damage has occured.
a. Alkaline phosphatase
b.
ASTc. Creatinine kinase-MB
d. CK Total
e. LDH
48. Why is lactic acid formed when a muscle is stimulated to contract aerobically them when. It contracts
anaerobically
a. Glycolysis does not occur to any significant extent under aerobic condition
b. Under aerobic condition most of pyruvate generated as a result of glycolysis is oxidized by the
citric acid cycle rather than reduce to lactate
c. Lactic acid stored in the myocyte
d. Lactic acid generated is incorporated fat
e. Muscle is a metabolicaly less active under aerobic than anaerobic condition
49.
During practical exam a single vertebrata has a transverse processes with foramen and a bifid spinousprocess. there is a bony prominence arising perpendicular to the superior of the body of the vertebrata.
What the most likely vertebrata???
a. 30 th laki2,stab wound at gluteal region. Saraf apa yang risiko terlukanya paling besar?
b. Lateral cutaneous nerve of thigh
c. Intermediate cutaneous nerve of thigh
d. Sciatic nerve
e. Femoral branch of genitofemoral nerve
50.
While climbing stairs, flexion and extension movement of the lower limb joint occur at which of the
following axis of movement :
a. Horizontal
b. Vertical
c.
Coronald. Sagittal
e.
Paramedian
51. A student started to exercise his muscle by abduct and adducting upper limb. What is the specific type of
joint involved in mediating this movement?
a. Synovial/multiaxial
b. Condyloid/biaxial
c. Hinge/uniaxial
d. Pivot/rotatory
e. Ellipsoid/biaxial
52. Fracture di mid-shaft of humerus, nerve yg rusak dan efeknya gak bisa extensi dari wrist?
a. Axillary
b.
Medialc. Musculocutaneus
d.
Radial
e. Ulnar
53. 50
54. 51
55. 52
56. 53
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57. 54
58. 55
59. 56
60. 5 y.o. has 4 fingers in his one of his hand & two of fingers are fused. During the development of foot &
hand, fingers are formed when cell death in the apical endoderm ridge separates into 5 parts. In this
condition, which of the following is term of abnormality above?a. Amelia
b. CDH (Congenital Dislocation of Hip
c. Club Foot
d. Syndactily
e. Polidactily
61.
62.
63. Which of the following statement regarding development of the limbs is true?
a. The appendicular skeleton is derivied from ectoderm
b. Bones of the appendicular skeleton appear during the 2nd trimester as mesenchymal
ondensation.
c.
The apical ectodermal ridge promote growth of the limb budd. The development of the lower limb .... (entahlah ga kebaca) that of the upper limb
e. The scleretome is major contributor to the muscles of the limb
64. Which of the following nonsteroidalanti inflammatory drug is through to block both the cyclooxigenase
and lipooxygenase pathway of arachidonic acid metabolism:
a. Tolmetin
b. Diclovenac
c. Indomethacine
d.
Ibuprofen
e. Acetaminophen
65. Seseorang, usia 48 tahunterkena RA, diberi steroid. Diamemakainyarutinselama 18 minggu.
Komplikasiobat yang mungkinterjadi?
a.
Asthmab. Eczema
c.
Hypoglycaemia
d. Osteoporosis
66. Which of the following drugs can interfere with tooth and bone development?
a. Erythromycin
b. Doxycycline
c. Amoxicillin
d. Azithromycine
e. Clindamycine
67. A 38 y.o teacher present with pain and swelling on his left ankle for 2 days. He is a moderate drink
drinker. He explain that his joint are often painful and stiff in the morning, but this is passes of within few
minute. On examination he is moderately overweight and is febrile. He is in the severe pain. The ankle isswollen, hot and tender to move. After the acute pain has settle, he is prescribe allopurinol. What is the
MOA of allopurinol?
a. Blockade of uric acid on the synovium
b. Decreased production of uric acid
c. Increased billiary secretion of uric acid
d. Increased metabolism of uric acid
e. Increased renal excretion of
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68. ASRIANA?
69. A mother bring along 2 y.o child with 3 days history of a rash. You diagnose mild pic eczema. What is the
most likely first line of treatment?
a. Aqueous cream
b. Betamethasone ointment (betrovate)
c.
Zinc and coal tar pasted. Promethazine (phenergan) syrup
e. Hydrocortisone cream
70. 70. Pria 90 tahun. Generalized pruritus and occurring during the winter months only. Treatment?
a. Prescribe for scabies
b. Prescribe steroid cream
c. Antihistamine
d. Emollient cream
e. Blood for liver finction test
71. ina
72. which of the following is the most applied fir herpes simplex keratitis?
a. Amoxicillin
b.
Ancylovirc. Streptomycin
d. Netamycin
e. Piramycin
73. 24 yo paraplegic woman admitted w/ decubitus ulcer on buttock which is eroding down to bone.
Necrosis and purulent debris noted within the ulcer. Shes flushed, febrile, tachycardia,. Blood culture
gram (-) anaerobic bacilli. Which is appropriate antimicroba?
a. erythromycin
b. gantamycin
c. cefoxitin
d. clindamycin
e.
ampicillin74. krisna
75. he was born by cesar as his mother had blister in her birth canal. (ada gambarnya)What is the most likely
diagnosis?
a. Bullous impetigo
b. Erysipelas
c. Herpes
d. Popular articaria
e. Scabies
76. 40 yo lady treated with cotrimoxazole for an urinary tract infection. Two days later, she developed fever
and ulceration inside the mouth and the genitalia. What is the most likely diagnosis?
a. herpes simplex infection
b.
steven johnsons syndromec. behcets syndrome
d. SLE
e. secondary syphilis
77. Mr. Redstone came to ER RSHS with chief complain fever....red skin all over body.
PE:
BP= 125/80
T= 38 C
P=100x/menit
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R=24x/menit
Dermatologi status:
distribution: generelized
lokasi: a whole body, except palm and sole
karakteristik lesi: erythema some ill defined, confluence
tipe lesi: macule +, scales + thick and silvery white.diagnosis: erythroderma
the doctor gives him IV glukose 5%, 20 gtt/mnt and topical ointment for the skin.
the abnormality of erythroderma in this patient is
a. same with red skin
b. bacterial infection of the skin
c. psoriasis vulgaris
d. skin allergy
e. complication/ late stage
78. pasien erythroderma, alasan diberikan glucose IV 5%?
79. 34 yo woman has black mole on her back. Diagnosis: giant pigmented nevous. Melanin pigment
synthesized by melanocyte. Melanocyte derived from?a. nerve cell
b. basal cell.
c. neural crest cell
80. 35 yo man had discrete, coin shaped, erythematous patches from 20-40 mm wide in which papules and
papulovesicle and exudation occurred. The lesion were itchy and appeared on his legs. Which of the
following is the most likely diagnosis?
a. circumscribed neurodermatitis
b.
nummular dermatitis
c. seborrhoid dermatitis
d. chronic lichen simplex
e. erythroderma
81.
15 y.o perempuan complain pustule dan komedo di wajahnya, leher, upper arm dan bertambah parahsaat menstruasi. Tidak ada fever atau itching. Mekanisme nya?
a.
hyperplasia soft tissue of skin
b. inflammatory disease of pilosebaceous gland
c. chronic inflammation and hypertrophy of sebaceous gland
d. cell type mediated hypersensitivity reaction
e. conducted with food and psychological factor
82. which of the following cutaneous infection is characterized by yellowish honey colored crust?
a. cellulites
b. erysipelas
c. tuberculosis
d. impetigo
e.
leishmaniasis83. chronic thickening of epidermal with exaggeration of its normal marking
a.
excoriations
b. lichenification
c. itchyosis
d. lichenoid change
e. leishmaniasis
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84. a 70 year old Caucasian man presents with a pale pink annular node on the right side of his neck just
below the jaw. The lesion measures 15mm in diameter and is elevated 5 mm above the skin surface. It is
painless and has not caused irritation or itching. Which of the following features suggest to you that the
lesion is most likely to be SCC rather than BCC?
a. general exam of the patients skin shows severe solar damage with many solar keratoses
b.
the centre of the lesion is ulcerated and has obviously been recently bleedingc. the lesion has a pearly appearance, a well defined border, and feels thick and hard
d. the patient says he thinks the lesion has appeared and grown over the last few weeks
e. there is hard lymph gland palpable among the right superficial cervical node
85. a 55 year old obese women visited the out patient clinic with the main complaint of itching in the fold of
the infra mamma area, mainly when the weather was hot. On PE, we found erythematous patches along
the fold of the infra mamma area, surrounded with a lot of minute erythematous papules and pustules.
What is the most likely diagnosis?
a. tinea cruris
b. tinea corporis
c. candidiasis cutis
d. d pityriasis versikolor
e.
tinea capitis86. a 5 year old boy patient visited the outpatient clinic with his mother for the skin pruritic patch on his
cheek since 8 days ago. While taking the history, the mother told that he had a cat as a pet. On PE, the
doctor found thah the patient had one rounded lesion with active border consist of erythematous
papules, minute vesicles, and scales, and also somewhat clear in the middle area. What is the most likely
diagnosis for this patient?
a. tinea cruris
b. tinea corporis
c.
candidiasis cutis
d. d pityriasis versikolor
e. tinea unguium
87. a 38 year old woman present with a low impact crush fracture in T11. She has been previously well. She
is menstruating regularly (not taking oral contraceptive). Her renal and hepatic function normal. Herurine and plasma protein level are normal. What is the most useful imaging to identify?
a.
bone scan
b. DEXA
c. heel ultrasound
d. skeletal survey
e. whole body CT with bone mass estimate
88. the usual presenting x-ray og an ewings sarcoma is most commonly a problem of differential diagnosis
with
a. osteolytic osteosarcoma
b. metastatic lesion (secondary bone tumor)
c. chondrosarcoma
d.
fibrosarcomae. osteomyelitis
89.
what is the most possible diagnosis for multiple osteolitic lesions (punch out lesion) in a plain x-ray photo
pf a skull?
a. ewings tumour
b. osteosarcoma
c. osteochondroma
d. multiple myeloma
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e. ewings tumour
90. sun-ray or sunburn appearance of periosteal reaction is found in :
a. chondrosarcoma
b. ewings sarcoma
c. osteogenic sarcoma
d.
fibrosarcomae. rhabdomyosarcoma
91. what is the best radiologic investigation for fractures pars inter-articularis?
a. Plain x-ray AP view
b. Plain X-ray lateral view
c. Plain X-ray oblique view
d. MRI
e. ultrasound
92. pria pemain bola pro lutut kirinya sakit kalo dipake jalan. Makin parah 18 bulan yang lalu. Gbr x-ray
a. A.b.c.d. osteophyte
b. e. synovial cyst
93. 80 tahun sakit pinggang ga bisa menahan berat dan jatuh xray normal test hip fracture?
a.
Nuclear medicine bone scanb. cT scan
c. repeat x-ray
d. dexa
e. MRI
94. picture.
a. Fractures of radius
b. Fractures of ulnar
c.
Fractures of metacarpal
d. Fractures of piriform
e. Fractures of humerus
95. right wrist injury. Dorsal swelling. Fracture : distal end radius. Bagian yg fraktur?
a.
Head of radiusb. Scaphoid
c.
Triquetrum
d. Styloid process of ulna
e. Lunate
96. 21 year old male present to A&E department with left wrist pain which injured 1 week ago when play
soccer. X-ray showed no fracture & was sent home with instruction to rest & ice the wrist. He fell on the
outstrech left & has had persistent wrist pain since injury. Exam show full range motion out marked
tenderness over the anatomical snuff box & swelling over dorsal aspect wrist. Next step management?
a. Continue to treat as for aspirin including using forearm splint
b. Aspirate wrist joint for synovial fluid sample
c. Repeat x-ray & apply plaster cast of result
d.
Repeat x-ray & apply cast only if F. Visiblee. Fisiotherapy
97.
fadli
98. arin
99. 32 y.o. male present with back pain since 3-4 years ago. It present particularly on walking but effective
ketika dia menjadi (bekerja sebagai) car machiner. Untuk mengatasi painnya, dia mengonsumsi
acetaminophen dan aspirin. Sekarang dia mengalami painful red, sore eye. Untuk diagnosis pemeriksaan
apa yang dilakukan selanjutnya?
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a. HLA B-27
b. Xray lateral side spine
c. Ct scan
d.
e.
100.
A 30 y.o man comes to the hospital because of an motorcycle accident. pain @ right tight, leg, andforearm. X-ray result: discontinuation of medial radius-ulna, distal tibia-fibula. What is most like
diagnosis?
a. rupture of the spinal nerve
b. compartment syndrome
c. inferior aorta rupture
d. neurogenic shock
e. muscle rupture
101. 34 years old man has chief complain of purulent discharge at upper right leg sejak 6 bulan yang
lalu. Past history terdapat fracture di right proximal tibia. Lalu dilakukan treatment implant di
tulangnya dan tidak dilepas. Ada fever, lab : leukocytosis, elevated ESR, quantitative CRP. Ada ,,
dan new growth of tibia. Diagnosis?
102.
muthi103. windi
104. What would be the most common secondary disability?
a. Isolation from the community
b. Insomnia
c. Osteoporosis
d. Contracture of the knee
e. Inability to manage the house hold
105.
An 18 years old footballer presents to the emergency department after falling on his outstretched
right hand during a game. On exam there is no deformity or bruising on the right wrist, however he
complains of tenderness and swelling in his anatomical snuffbox. Which one of the following
condition is the most likely cause a late complication if his injury is not recognized?
a.
Malunionb. Delayed union
c.
Nonunion
d. Avascular necrosis
106. Gangguan lutut pada laki laki usia 42 tahun yang paling sering adalah *jwb: gout+
107. taya
108. A 76 years old female with osteoporosis trips in her backyard and sustain a closed displaced
interthorachentric fracture of the right femur. Which of the following is the most appropriate
management?
a. Bed rest with skeletal traction
b. Bed rest with skin traction
c. Closed reduction & application of external fixator
d.
Closed reduction & application of plaster of paris caste. Open reduction & a blade plate fixation
109.
yudri
110. putri pupu
111. 78 thn jatuh di kamar mandi danga bisa jalan karena sakit di hip. Diag : hip fracture
a. full length leg plester 6 week
b. internal fixation
c. bed rest and traction
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d. external fixation
112. sabrina
113. an adult male comes to ER 2 hours after burn injury due to flame. He burned part of his face and
neck, the whole right arm, chest, abdomen, and groin. After a thorough PE, doctor gives him
oxygen and infuse.Infusion given according to Baxter/Parkland formula:
a.
Ringer lactateb. colloid
c. normal saline
d. glucose 5%
e. glucose 10%
114. the burn wound in his right arm can heal within
a. a week
b. 2-3 weeks
c. more then 3 weeks
d. more than 3 month
e. ten weeks
115. in his right arm you see a burn wound that erythematous, bulae (), pin prick (). Its classified to
burn wound:a. grade I
b. grade IIA
c. grade IIB
d. grade III
e. grade IV
116. which of the following is the most possible burn extent estimation in this patient?
a. burn grade I-II 35%
b.
burn grade II 39%
c. burn grade II-III 36%
d. burn grade II-III 36%
e. burn grade III 29%
117.
after the patient is debridement, which of the following is the most appropriate pointment for hisburn?
a.
chloramphenicol ointment
b. silver sulfodiazine
c. penicillin
d. betadine
e. levertraan
118. Which function of the skin that will be preserved in superficial dermal (2nd
degree) burn?
a. Barrier against fluid loss
b. Barrier against UV radiation
c. Immune function
d. Melanin formation
e. Vibration sense
119. silmi
120. arif maulana
121. ara
122.
a 50 yo male presented with an abcess in the neck which had extended onto the skin surface, for
last one month. Sinus tracts to the skin surface were evident. Showing purulent discharge, the pus
was carefully examined and yellow granules was observed. An acid fast smear revealed no acid fast
bacilli. The patient most likely has
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a. actinomycosis
b. anaerobic abcess
c. nocardiosis
d. staphylococcal abcess
e. tuberculous lymph adentis
123.
123. A child presented with warts (verucca) on his finger. What is the most likely causative virus ofwarts?
a. Parvovirus
b. Herpes simplex
c. Hep B
d. Papilloma
e. Polio
124. 124. microorganism responsible for production of erysipelas?
a. Staphylococcus aureus
b. Pneumonococcus
c. Meningococcus
d. Streptococcus viridans
e.
Beta hemolytic streptococus125. tiara ayu
126. sufia
127. ponti - intan
128. a 14 y.o boy came to a clinic with chief complaint prolonged coughing, since six months ago. He
also complained about decreasing of body weight (about 7 kg) as well as night sweat. Chest x ray
revealed a discrete opaque shadow at both of the his lung. Tuberculin test is positive. The doctor
ask for ziehl- neelsen sputum examination . what is the most likely bacterial appearance on sputum
examination?
a. Acid fast, gram negative rod bacteria
b. Acid fast, gram positive coccus bacteria
c. Acid fast, gram positive rod bacteria
d.
Non-acid fast, gram positive rod bacteriae. Non-acid fast, gram negative rod bacteria
129.
which organism is most likely to become active as an opportunistic pathogen during prolonged
treatment with broad antibiotic?
a. streptococcus pneumonia
b. haemophillus influenza
c. candida albican
d. actinomycetes israeli
e. streptococcus viridans
130. 50 y.o. man shuts his finger in the car door, which splits the skin down the side of his nail. After 10
menit the area is red, throbbing, and hot to the touch. Mekanisme producing vasodilatation?
a. Lymphocyte activation
b.
Endogen chemical mediatorc. Local autonomic discharge
d.
Platelet activation
e. T lympocyte activation
131. A 60 yr old male came to the hospital with reddish colored skin over his entire body with thick
scaling. This patient complains of thirst and lack of urination. Which of the following alterations of
the skin function is most likely in this patient? A. Bacterial protection, b. UV, c. Evaporation, d.
trauma, e. heat.
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132. Sebaceous gland activity is most strongly influenced by..
a. Androgenic hormone
b. Osteogenic h
c. Adrenergic stimulation
d. Cholinergic s
e.
Diets high in fat content133. In the skeletal muscle, where is protein troponin located?
a. Thin myoepithelium
b. Thick myoepithelium
c. Z line
d. Sarcoplasmic reticulum
e. Sarcolema
134. Isotonic exercise result mainly in an increase in the
a. Number of motor neuron
b.
Number of muscle fiberc. Number of myofilament
d.
Oxidative capacity of muscle fiber
e. Safety factor in neuromuscular transmission
135. which remain constant when muscle shortened?
a. Aa band
b. Bi band
c. Ch zone
d. Ddistance between Zline
136. why do muscle fibers go into tetanic contraction at high frequency of stimulation?
a. the stores of ATP are rapidly increase
b. All aCh receptors on the muscle membrane become occupied
c.
all the myosin head can bind to actin molecules
d. enough ca2+ is available in the cytoplasmic bind to troponin molecules
e. atp is bound to all myosin molecules
137. Apa persamaan smooth m dan skeletal m? (ada d soal taun lalu) sm2 ada actin n myosin (lele)
138. By which mechanism do ca2+ ion enter sarcoplasmic reticulum in muscle cell... A) simple diffusion B
) faciilitated transport C) primary active transport D) secondary active transport E) unknown
mechanism
139. An athlete completed 400m race in 45,3 sec.his skeletal muscle would show a number of
biochemical changes on immediate completion of the race in comparison to just prior to the start
of the race.identify the most likely biochemical changes in his skeletal muscle at the end of the
race? A.muscle glycogen stores inc b.muscle creatinin phosphate inc c.mitochondrial oxygen inc
d.cytoplasma lactate dec e.glucose 6 phosphate inc
140.
Which of the following is the most important mechanism in increasing the contractile force of
skeletal muscle?
a. an increase in size of the action potential
b. an increase in the number of activated motoneurons
c. an increase in the number of motor unit recruitments
d. an increase in the extracellular calcium concentration
e. An increase in acetylcholinesterase activity
141. ANDIKA - desbas
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142. Strength training dengan relative high loads & brief repetition. Hasilnyaapa?
a. Increase number of muscle fibers bkin primarily aerobic metabolism for their source of
energy
b. Massive proliferation of connective tissue in muscle bikin bulky appearance kayak
bodybuilder
c.
Growth in size of Type II muscle fibersd. Oversupply of lactic acid which stimulate production of more muscle fiber
e. Conversion of slow oxidative muscle (type I) to fast glycolytic (type II) fiber
143. Gambarttgneuro muscular junction (NMJ). 1ygeksitasi, 2elektronmasuk, 3elektronkeluar. 1,
2, 3?
a. Ach, Na, Cl
b. Ach, Na, K
c. Ach, K, Na
d. Norepinephrine, Na, Cl
e. Norepinephrine, Na, K
144.
NADIA - desi145. SYUHADA- kevin
146. FERRY - rika
147. What brings muscle contraction to stop
a. Pumping Ca back into SR
b. Voltage dependent move of Ca back into SR
c. Transport Na-K by Na-K pump
d. Opening K channel in SR membrane
e. Closing Na channel in SR membrane
148. SYIFA - nova
149. AMEL - yoseph
150. JANNATIN ALIYA - urwah
151.
ilmahanny rosyida152.Compared to type 2 (fast,white) fibres, type 1 (slow,red) fibres, have which one of the following?
a. Larger diameters
b. Faster myosin ATPase activity
c. More negative resting membrane potentials
d. Shorter twitch duration
e. More resistence to fatique
153. Thomas - reyhan
154. endi - nabhan
155. riris - syahla
156. ditto - galuh
157.A 1 mo old child w red patches/blatches and area of scaling, in distribution shown. This become
redder wheb the baby cries or get hot in places158.A young adult with a rash consisting of red lesion some with silvery scaling in this distribution.the
rash is worse in winter.itching is not a feature and there have been no lesion on the face : ....
159.35 y.o. Previously healthy man with 6 weeks history of intense itchy, elevated, flat-topped
violaceous lesions on extremities and trunk, ALL LESS than 4mm in size, plus fine white linear
streaks on the buccal mucosa
160.27 y.o male with history of multiple partner presents with nail pitting, moist scalry, red papules on
glands penis, & scally plaque on the elbows.
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161.Seorangpasienlukabakarmengalamiinfeksi green coloured pus. Organisme yang
menyebabkaninfeksi:
a. Streptococcus pyogenes
b. Staphylococcus aureus
c. Pseudomonas aeruginosa
d.
Neisseria gonorrhoeae. Chlamydia trachomatis
f. Influenza virus
g. Rotavirus
h. Epstein barr virus
i. Salmonella enteritis
162.Seorangtelahdilakuakan renal transplant. Setelahitumengalami sore mouth, buchal mucosa
inflamasidengan white eksudat. Infeksiterjadikarena??
163.PRATAMI , friska
164.Mr. X have extraction of 3rd
molar, slight temperature increase, swelling bilateral submandible,
elevated tongue, dyspnea paroxysms, respiratory paralysis. Which of the following spaces is
involved in this case?a. Sublingual, submandibular
b. Sublingual, submental
c. Sublingual, submandibular, submental
d. Submandibular, submental
e. Sublingual
165.GUFI , shinta
166.CENDY. cia
167.
For carries to occur, the following factor must exist:
a. Susceptible host and microorganism
b. Susceptible host, microorganism and time
c. Susceptible host, microorganism, time and substrate
d.
Susceptible host, microorganism, time, substrate and salivae. Susceptible host, microorganism and demineralization of tooth structure
168.
ASRIANA?
169.A parent who lost a child sent a passport picture of the child to hospital. WOTF is the most likely
identification method that can be conducted?
a. Facial reconstruction
b. Superimposition via the recent x-ray image of the victim
c. The victims photograph
d. Matching is not possible
e. An older x-ray image should be also used
170.170. Ada mayat yang ditemukan. Kulitwajahdanperutnya dark green. Di dekat situ adadarah,
laludiperiksa. Benzidinedansatulagiakulupanamanya, hasilnya negative. Tapites phenolphthalein
nyapositif. Ituberartidarahsiapa?171.Ina
172.
a corpse is found with lividity that is disappeared when pressed and cadaveric rigidity on facial
muscle. When is the most likely time of death?
a. 8 h
d. > 12 h
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e. Cannot determined
173.Airplane crash carrying capt black, mr. whie, mr.blue, mr yellow. Skeleton covered w/ soft tissue.
Dibawa ke RS & family bring biological sample. Mrs. Black bring picture of captain, mrs white
brought her daughter, mrs blue brought her son. Mrs yellow didnt bring anything. How to identify
mr. white?
a.
blood groupb. x cromosom
c. y cromosom
d.
nuclear DNA
e. mitokondria
174.krisna
175.
which of one the followings is the most appropriate initial to support the diagnose?
a. lumbar puncture
b. x ray of the thoracic spine
c. myelography
d. electromyography
e. spine ct scan
176.
aweng177.28 yo woman came to out patient department w/ pain in her tooth. from oral exam she suffered
caries dentist. before taking further treatment, the doctor gave her nsaid to reduce the inflamation
and pain. he was also know that the patient are 6 months old pregnant.
a. Salicylate
b. Metampyrone
c. mefenamic acid
d. paracetamol
e. ibuprofen
178.Pasien adenocarcinoma. Diberikan florouracil, terus resisten. Kenapa obatnya bisa jadi resisten,
proses resistennya?
179.red+erythematous. Earlier she went to the dentist and given local anesthetic. There is previous
history of allergic. What is the drug that almost likely used?a. coccain
b. lidocain
c. bupivicaine
d. procain
180.52 yo woman with history of eczema and heavy alcohol use begins taking ibuproven to control hips
and knee pain due to OA over the course of 6 month, as pain worsen, she increase her dosage to a
high level ( 600 mg 4x/day) what toxicity is most likely occurring in this patient?
a.
abnormal heart rhythm
b. necrotizing fasciitis
c. gastric ulceration
d. confusion and ataxia
e.
blurred vision181.mamet
182.erina
183.local anastetic interfere with movement of which ion as a fundamental basis for action
a. oxygen
b. hydrogen
c. potassium
d. sodium
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e. calcium
184.kiki
185.indri
186. 19 y.o female suffered from fracture of her distal radius. The doctor immobilized her forearm with a
plaster cast for a 4-week. After that the doctor replaces the cast with a removable splint. This change of
immobilization is allowed because of the callus formation in fracture healing.Which of the following step is the next process of fracture healing?
a. Hematoma
b. Inflamation
c. Granulation
d. Consolidation
e. Remodeling
187.what is the term for a muscle producing peak tension during rapid cycle of contraction relaxation?
a. twitch
b. summation
c. treppe
d. incomplete tetanus
e.
tetany188.tentang EMG, anak 17 tahun gak bisa extensi wrist, hasil EMG?
a. Pilihan jawabannya : velocity dan duration nya gimana, naik atau turun?
189.-
190.during the process of relaxation, actin will release from myosin after which of the following
condition
a. ca binding to troponin
b. atp binding to troponin
c.
atp binding to actin
d. ca binding to troponin
e. atp binding to myosin
191.which of the following is an important component of excitation-contraction coupling in both
smooth & skeletal musclea. The inward flow of calcium across muscle membrane
b.
The binding of myosin cross bridges to actin filament
c. The binding of calcium to troponin
d. The phosphorylation of myosin
e. Depolarization of the muscle membrane
192.the shape of the length-active tension curve of the skeletal & cardiac muscle is primarily
determined
a. Max velocity of muscle shortening
b. Relative degree of overlap between thick and thin filament
c. Elastic component of muscle
d. Measurement made of isotonic contraction
e.
Shape of the length-passive tension curve193.Sweat gland untuk remove waste dan regulasi body temperature
a.
Holocrine
b. Apocrine
c. Eccrine
d. Exocrine
194.5 y.o. suspect abnormal skull (craniostenosis). The correct statement?
a. Deformation of suture
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b. Premature closure of suture
c. Sutures remain open
d. Brain tissue herniation
e. Skull fails to expand
195.2 successful vertebral missing, definisi?
a.
Scoliosisb. Syndactyly
c. Spina bifida
d. Acromegaly
e. Achondroplasia
196.dinar
197.fadli
198.arin
199.lia nazlah
200.Yang terjadi pada soal 199 (common acne)....
a. over-keratinization
b. immature keratinization
c.
keratinization of skin glandd. keratinization of inner layer
e. keratinization of outer layer