1. Lapisan adipose rena. Lebih tebal di anteriorb. Terdapat di bawah kapsulac. Pada ren kanan lebih tipisd. Sebagai bantalan fiksasi

2. Gejala klinis/laboratorium yang jarang tampak pada anak dengan syndrome nefrotik

a. Edema b. Hipoalbuminemiac. Hipercolesterolemiad. Hematuria makroskopik

Mrs aminah55 years old complained the edema in her legs sinceseveral days ago.She had history of hipertensi since 15 years ago and recurrent cold.he came to doctor,her doctor found the BP:170/100non pitting edema in her legs ,the fasting and post prandial blood glucose were 120/75 ,ureum 80 mg/dl ,creatinin 6,5 mg/dl and protein urine was (+++)

3. The most possible diagnosis in this case is

a. Nephritic syndrome cause by diabetes

b. Acute nephritic syndrome cause by post streptococcal infection

c. Acute kidney injury cause by oldd. Chronic kidney disease cause by

hypertensive nephropathy4. Penyebab GNAPS kebanyakan infeksi

c.staphilococcus aureus5. Electron microscopy on a renal biopsy

from 9 years old boy with nephritic syndrome reveals subepithelial electron dense dome shaped “hump”the morphologic pattern most probably demonstrable on light microscopic examination is

a. Diffuse proliferative glomerulonefritis

b. Focal glomerulonefritisc. Membranous glomerulopathyd. Henoch-schonlein disease

6. Epidemiologi ISKa. Wanita hamilb. Laki-laki >60 tahunc. Wanita >70 tahund. Wanita remaja

7. Ureter masuk ke vesika urinaria melalui8. Pathogenesis dari glomerulonefritis

metabolic a. Hipertensi glomerularb. Immune complex

9. Perkembangan urogenital pada janina. Trimester pertamab. Trimester keduac. Trimester ktigad. Bulan pertama

10. In female fetus ,testicular androgen and IMF result in

a. Wolffian ductb. Sexual determinanc. Mullerian structured. A dan c

11. The mortality risk associated with this patient’s serum creatinine is

a. Increaseb. Decreasec. High d. Low

12. Golongan loop diuretika yang juga bekerja pada tubulus distal adalah…B asam etakrinat

13. GNAPS yang disertai piodermia dan faringitis disebabkan oleh streptococcus beta hemolitikus grup a dengan tipe

a. 2b. 4c. 25d. 49e. 55

14. Junction of development vagina with urogenital sinus called

a. Mullerian tubercleb. Falopii tubesc. Hymend. Pelvic kidney

15. Bagaimana mengurangi hiperfiltrasi glomerulus

a. Diet rendah lemakb. Diet rendah karbohidratc. Diet rendah sodiumd. Diet protein

16. Rata-rata fase GNAPS menyerang faringitis

a. 7 harib. 10 haric. 15 harid. 20 hari

17. Intracellular fluid …% of bba. 40 b. 30c. 20d. 10

18. The condition in renal failurea. Respiratory acidosisb. Hyperkalemiac. Water depletiond. Metabolic alkalosis

19. Hypernatremiaa. Serum sodium level above 130

meq/Lb. Could happens when water

excretion passes beyond the sodium excretion

c. Drink a lot of sodium 3% solution

d. There is an U wave in ECG pattern

20. Cirri-ciri apparatus jukstaglomerular…mengasilkan rein

21. Characteristic sign for secondary syphilis is

a. Condilloma latab. Condyloma acuminatec. Enlargement of lymphatic

inguinald. Ulcus molle

22. Klieren adalah kemampuan ginjal untuk membersihkan dan mngeluarkan suatu bahan.jika suatu bahan nsemuanya difiltrasi di glomerulus dan direabsorpsi di tubuh,maka klirens ialah…%

a. 0b. 50c. 100d. Perlu infiltrasi lain untuk

menilai23. Circumstance in which reduced

extracellular fluid ,lack of water and sodium occurred in comparable number called

a. Hipovolemiab. Dehydrationc. Depletiond. Edema

24. Clinically manifestation of hyperkalemia is

a. Muscle crampsb. Bladder dysfunctionc. Glucose intoleranced. –

25. Penyebab terbanyak SNA pada anak adalah pasca infeksi

a. Streko pneumoniab. Kliebsiela spc. Streptococcus beta hemolitikus

Ad. Pseudomonas aeroginosa

26. Yang termasuk primer glomerulonefritisa. Amiloidosisb. SLEc. IG A nefropathyd. Good pasture syndrome

27. True about ca cervix

a. 90% associated with HPVb. Nuliparac. Normal papsmeard. Pregnant women

28. Yang berkaitan dngan vulvovaginal candidiasi

a. Dysuriab. Mucupurulet genitalc. Exacerbation 1 minggu sebelum

mensd. Fishy odor

29. Urolithiasis gonore tatalaksana lini pertamanya adalah

a. Tiamphenicolb. Cefiximc. Ofloxacind. Kanamycin

30. Peningkatan kreatinin dipengaruhi oleha. Usiab. Dietc. Masa otot

31. 71.diuretic ini meskipun bukan golongan inhibitor karbonic anhidrase,juga dapat mnyebabkan hilangnya ion bikarbonat

a. Amiloridb. Diamoxc. Spirondaktond. Bendroflumetiazid

32. Tunica muscularis vesica urinaria a. 4 lapisan saling silangb. Mengalami penebalan pada

fundus vesicac. Membentuk spinchter

externumd. Berlanjut ke stroma muscularis

prostat33. Risk factor modification to prevent

recurrent of kidney stone generate measure are

a. Adequate fluyid intake to ensure greater than 2,5 L day intake as cystinestone

b. Modest dietary ca intake ,ca supplement

c. Modest dietary ca intake but avoid ca supplement

d. None of above34. Perpindahan konsentrasi ke high solute

concentration isa. Difusib. Osmosisc. Active transportd. –

35. Factor resiko ca serviks adalaha. HPVb. Smelly vaginal dischargec. Early sexuald. A dan c benar

36. Incubation day of herpes isa. 3-30 harib. 3-7 hari

37. Dehydrationa. Is water decrease without the

electrolytesb. The level of plasma sodium is

normalc. The difference between volume

depletion and dehydration is level of potassium

d. Could caused by the use of diuretics

38. Vertical portion mullerian tubercle froma. Kidneyb. Hymenc. Endometriumd. Vagina

39. Incubation days of herpes is…daya. 3-30b. 3-7c. 3-10d. 5-10