soalmde-dmsjadi-angkatan2009

8/11/2019 soalmde-dmsjadi-angkatan2009

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TIM MDE BRILLIANT 2009 DMS

1 | D E R M A T O M U S C U L O S K E L E T A L

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

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