Professional Documents
Culture Documents
1. a. b. c. d. e.
Which of the following is the sign of abnormal blood cells maturation? Large nucleus Small nucleus Secondary granule Reduction of cell volume Reduction of N : C ratio
b. c. d. e.
6. a.
Yang jadi growth factor pada .(maaf lupa tapi inisialnya PGC) IL-1 IL-3 TNF G-CSF Fit Ligand During the 1st few weeks of embryonic life, hematopoiesis begins in the mesoderm of yolk sac. Which of the following cells produced in that time? Large primitive monocyte Large primitive granulocyte Large primitive lymphoid cells Large primitive megakaryocyte Large primitive nucleated erythroid cells
2. a. b. c. d. e.
Which of the following is the sign of abnormal blood cells maturation? Myeloblast with 5 nucleoli Lymphoblast with 2 nucleoli PMN with 7 lobes of nucleus Reticulocyte with acidophilic cytoplasm Pronormoblast with basophilic cytoplasm
b. c. d. e. 7.
a. b. c. d. e.
3. a. b. c. d. e.
Sel mana yang paling immature? Myelocyte Promyelocyte Myeloblast Acidophilic myelocyte Metamyelocyte
8. a.
Which of the following organ will hematopoiesis in 7 months gestation? Lung Liver Spleen Yolk sac Bone marrow
act
in
4. a. b. c. d. e.
Which of the following cell still has a clearly seen a nucleoli? Myeloblast Promyelocyte Myelocyte Metamyelocyte PMN
b. c. d. e.
9. a. b. c. d.
5. a.
Which of the following cell marker can be found In mature B lymphocyte? Tdt
b. c. d. e.
a. b. c. d. e.
Decreased cell volume Decreased N : C ratio Increased RNA in cytoplasm Increased number of nucleoli Gradual decrease of Hb synthesis
15. A
45 years old who regularly takes aspirin since 2 years ago underwent screening hemostasis for tooth extraction. Abnormal? Bleeding time Platelet count Prothrombin time Thrombin time APTT
11. Which a. b. c. d. e.
of the following cells is the most immature in the granulocyte lineage? Myelocyte Myeloblast Promyelocyte Metamyelocyte Band neutrofil anak mengalami nose bleeding, dilakukan Bleeding Test. Apa yang mau didapatkan dilihat dari situ? Fungsi platelet Platelet count .... Intrinsic factor Extrinsic factor
a. b. c. d. e.
16. .
12. Ada
50 years old women is diagnosed as having acute myocardial infarction and treated with oral anticoagulant. To monitor... Bleeding time Platelet count PT APTT Thrombin Time
a. b. c. d. e.
a. b. c. d. e.
13. Laboratory
result a 23 years old female patient showed platelet count 100.000/mm3. Abnormal result? Bleeding time Clotting time PT APTT Thrombin
Which to be
a. b. c. d. e.
a. b. c. d. e.
14. A
18. A
11 month age with chief complain pale and lethargic. Nutrisi buruk. No fever, no bleeding. Hb
20. 9
month old, pallor since 3 month ago pale conjunctiva, mild icterus, hepatomegaly, splenomegaly, Hb 4.6 g/dL, microcytosis, hypochromia, mild anisopoikilocytosis, polychromasia. Diagnosis? Thalassemia Aplastic anemia Megaloblastic anemia IDA Anemia of chronic disease
a. b. c. d. e.
a. b. c. d. e.
33. Pasien
21. ANNISA
Eja)
22. Deficiency a. b. c. d.
clotting factor have abnormality bleeding because of : platelet are unable to form primary hemolitic plug without adequate clotting factor bone marrow can't make make adequate quantities of platelet when clotting factor are deficient blood vessel can't constric when clotting factor deficient fibrin is formed more slowly
a. b. c. d. e.
34. Which a. b. c. d. e.
35. 15
a. b. c. d. e.
36. Ada tabel. (Hb, C3, C4 ), (Urea, CRP ) ESR 87, ANA a. b. c. d. e.
1:320, Anti-sm (+). Most likely diagnosis? SLE Wegener granulomatosis Henoch-Schoenlein Purpura Thypoid fever Cryoglobulinemia is the most complication of this disease in children? Cutaneous lesion Pulmonary involvement Neurology involvement Trombocytopenia Nephritis
37. What a. b. c. d. e.
31. On
a. b. c. d. e.
a. b. c. d. e.
a. b. c. d. e.
a. b. c. d. e.
47. 12
41. 30
a. b. c. d. e.
a. b. c. d. e.
42. 27y.o
a. b. c. d. e.
Microtubule aggregation Microtubule dissociation Complement dependent reaction Fc receptor Antireceptor antibody
43. A
a. b. c. d. e.
50. 42
a. b. c. d. e.
d. e.
epiteloid,
59. which a. b. c. d. e.
51. A a. b. c. d. e.
of the following microscopically diagnostic for Hodgkin lymphoma? Hodgkin cell Lymphoblast cell Lymphocyte cell Owl eyes-like cell Plasma cell clinical stage for disease (Histopatological Lymphoma)? IA IB IIA IIB IIIA
60. WOTF a. b. c. d. e.
52. Histology thrombocyte? a. central hyalomere b. GAGs and glycoprotein di membrane untukadhesi c. Nuclear fragment d. (Terussisanyaguelupa,
pokoknyatentangstrukturnyasitrombosit)
61. 40 y.o: lump in lymph node axilla for 1 week ago. PE:
enlarged, nontender, and mobile. Biopsy: proliferated of follicle with germinal center of lymphoid with surrounding normal lymphocytes cells. Diagnosis? Lymphadenitis chronic non specific Lymphadenitis chronic specific Reactive hyperplasia of lymph node Nodular sclerosis Hodgkin lymphoma Follicular lymphoma allergen stimulates the immune response of Tcell. Which is the main cytokine that is specially relevant to TH-1 response? IL4 IL5 IL10 IL12 IL13 vascular rejection is characterized by necrosis of individual cell of graft blood vessel. Which one of the following antibody mediates process? IgA IgD IgE IgG IgM is the first step in class II MHC associated antigen presentation? Recognition of the complexes by T cells that are specific for the foreign peptide and the self MHC molecule Internalization of native protein antigen from the extracellular environment into APCs Binding of peptides to class II MHC molecules within the exocytic vesicles Processing of the antigen in acidic endosomes/
a. b. c. d. e.
62. inhalation a. b. c. d. e.
55. 27 a. b. c. d. e.
63. Acute a. b. c. d. e.
cells, coarse chromatin, several nucleoli, banyak mitosis Replacement monomorphous large lymphoid, enlarged nuclei, prominent nuclei, less mitosis sheets of small-sized lymphoid cells, coarse chromatin, several nucleoli, several mitosis Replacement .. Sheets of large-size lymphoid cells, coarse chromatin, several nucleoli, (maafgaklengkap, panjangdandudukdidepan T_T)
64. What a. b. c. d.
e.
65. Enzyme inhibited by allopurinol a. Uricase b. guanase c. Xantine oxidase d. purine phosphotilase e. adenosine deaminase 66. Methampiron. a. b. c. d. e.
Enzyme which inhibit of mediator release? Adenylate cyclase Guanylate cyclase Thymidin cyclase Uridine cyclase Cytosin cyclase yang menjaga membrane dan haemoglobin dari denaturasi oleh oksidan adalah ATP NADH NADPH glukosa 2,3 DPG
a. b. c. d. e.
72. In the adult, the best place to sample for cells of this a. b. c. d. e.
lineage would be the bone marrow: Sternum Fibula Humerus Tibia Scapula 8 year old girl was brought to the Pediatric Outpatient Department Hasan Sadikin Hospital General Hospital with chief complain of fever. From P.E. you found T2b-2b hyperemic tonsil. Which of following is the normal histologic appearance of the organ that is found abnormal on physical examination above? Has crypt Has cortex Has medulla Encapsulated totally Simple cuboidal epithel 35 year old woman comes to your clinic with a chief complaint of physical weakness since two months ago. She looks pale and on PE you find papilla atrophy of her tongue and spoon nails. The differential diagnosus of what you see on the patient's blood smear is: Aplastic anemia Pernicious anemia Hereditary sideroblastic anemia Chronic lymphocytic anemia Chronic myelocytic leukemia 25 year old man, comes to our clinic with chief complain of mass in left axilla and both inguinal region. He also feel weakness and fever occasionally. On PE you find: relatively good conditions except temperature 37.8oC. You are sure to palpate lymph node and enlargement in left axilla and both inguinal region. What is not inclusive in your DD? TBC of lymph nodes Acute leukemia Malignant lymphoma Mononucleosis infectiosa
73. A
67. Substansi a. b. c. d. e.
a. b. c. d. e.
74. A
68. New T lymphocyte occur in lymphatic region? a. Deep medulla b. Superficial cortex c. Thymus nodule d. Thymus corpuse e. Cortimedula junction 69. Which a. b. c. d. e.
one of the following hematopoietic cell of the red bone marrow is postmitotic? Myelocyte Basophilic erythroblasts Band cell Promyelocyte Polychromatophilic erythroblast y.o pallor, malaise, as chief complaint. No history of bleeding, also irregular eating habits. PE : conjunctivae pale, blood smear : normochrom normositer, neutropenia with giant neutrophil (giant stab cell). WOTF organ is most likely disturb that cause above condition? thymus lien kidney liver
a. b. c. d. e.
75. A
70. 30
a. b. c. d.
a. b. c. d.
76. you a. b. c. d. e.
order routine lab exam, chets x-ray,abdominal ultrasound, what other exam is not needed? fine needle aspiration biopsy of lymph node bone marrow biopsy surgical biopsy of lymph node HIV test if he is an IDU surgical biopsy of lymph node 35 year old woman come with chief complaint of physical weakness since 2 month ago. She looks pale and on physical examination you find fine papilla
77. a
a. b. c. d. e.
a. b. c. d. e.
blood smear? basophilic stippling cabot's ring auer rod howel jolly bodies acanthocytes
78. Pale,
a. b. c. d. e.
gusi berdarah, fatigue, dizzy, tidak ada pembesaran lymph, tdk ada hepatosplenomegaly. Lab: Hb, ht, wbc, platelet turun. Bone marrow smear: cellular hypoplasia. Prognosis penyakit ini ditentukan dari: Hb Ht wbc RBC platelet red dots, gum bleeding, petechiae & achymosis on extremities . Hb 12,5, WBC 4000, PLT 25.000. treatment? PLT transfusion B. corticosteroid azathioprine IV Ig splenectomy 40 years old male is referred to an internist by a surgeon for an evaluation of anemia. The patient will undergo operation for his internal hemorrhoid and the laboratory screening before operation shows that his hemoglobin level is 8 gr/dL. The internist finds that the patient's conjunctivae are pale, and there is papilla atrophy of his tongue and spoon nail. What is the most appropriate next step in making the diagnosis? digital rectal exam faecal occult bleeding exam peripheral blood smear exam bone marrow smear exam chemical blood exam 20 year old female complains of easy bruising of the arms and legs for several months. She also has recurrent bleeding from the nose and heavy menstrual bleeding since 2 weeks. PE reveals ecchymoses and petechiae on the thighs and forearm, no other obvious bleeding. Lab findings show Hb: 13 g/dL, WBC : 4,000/mL, PLT : 25,000/mL. what is the most appropriate statement about this case? most of the cases will have spontaneously remission most of the cases need splenectomy most of the cases need IV gamma globulin about half of the cases will response to corticosteroid about half of the cases will change to leukemia 38 year old man is admitted to the hospital with nose bleeding. PE reveals liver enlargement. Lab exam : Hb 5 g/dL, WBC 120,000/mL, PLT 17,000/mL. what is the most possible finding on his peripheral
79. Women, a. b. c. d. e.
a. b. c. d. e.
84. FOR 85-86 the major blood group locus of allele in human produces type A (AA or Aa), B (ABAB or ABa), AB (AAB) or O (aa)
80. a
a. b. c. d. e.
81. a
87. ASA
a. b. c. d. e.
82. a
a. b. c. d.
88. WBC
a. b. c. d. e.
94. Most cmmon etiology of iron dfciency in child: a. Defsiensi fktr intrinsik b. upper respi tract infction c. Acute diare d. Ankylostomiasis e. Hereditary 95. A a. b. c. d. e.
most important defense body mechanism in infection of HIV is.. IgA NK-cell class A interferon cell-mediated immunity antibody-mediated immunity
89. how a. b. c. d. e.
96. characteristic HIV a. Oncogene virus genus b. Genome is negative sense c. Have ssRNA d. Genome consist of dsDNA e. Does not have envelope 97. Lymphatic
capillaries differ from blood capillaries in that : A. One is lined by endothelium, the other by mesothelium. B. The limphatic is lined by type I endothelium, the blood capillaries type II. C. The limphatic capillaries has numerous pericytes. D. The limphatic capillaries has no basal lamina. E. The blood capillaries contains smooth muscles.
90. a
a. b. c. d. e.
91. A
98. Bedanya spleen sm lymphnode? a. Spleen lbh byk filter darah b. Terdapat populasi T cell c. Ada bill cord d. Lupa maaf :( e. Pilihannya cm sampe D kok. 99. Which
there is an increased demand of blood cell, extramedullary hematopoiesis will occur. Which of the following organ will acts in this condition in adults? Spleen Yolk sac Pankreas Adrenal Thyroid In which organ are immature (undifferentiated) T lymphocyte most likely to be found? Bone marrow liver lymphnode spleen thymus A first year medical student observing sample of normal spleen at microscope. What of the following cell that can be found in splenic sinuses? B lymphocyte
a. b. c. d. e.
a. b. c. d. e.
100. a. b. c. d. e.
92. Pernicious a. b. c. d. e.
101.
93. a.
e.
Temperature
106.
Jika ada penurunan jumlah platelet, maka apa yang bemasalah? JAWAB : peningkatan bleeding time
102. a. b. c. d. e.
Which lymph node does the majority of lymph from the breast drains into? Pectoral nodes Subcapsular nodes Lateral axillary nodes Upper internal thoracic nodes Lower internal thoracic nodes
107.
The mode of action of vitamin K in production of vitamin K dependent clotting factors is thought to be Induction of protein synthesis Regulation of protein synthesis Attachment of carbohydrate moiety Attachment of lipid moiety Attachment of calcium binding site
a. b. c. d. e.
103. a. b. c. d. e.
What is the characteristic of the white pulp of the spleen? Produce lymphocyte Contains neutrophils Produce erythrocyte Is lined by endothelial cells Forms the cord of billroth
108.
A 49 y.o. female in hemodyalisis treatment for kidney failure comes with tiredness and fatigue. Temperature is 37.4oC, Hb is 10.2 g/dL, WBC 9000. The doctor asked whether she has been having her regular injection of erythropoietin. Which of the following the biological activity and importance of management of erythropoietin? It stimulate the production of active vitamin D It stimulate the activation of vitamin D by kidney It stimulate the formation of WBC It stimulate the maturation of RBC It stimulate the maturation of immature platelets
a. b. c. d.
104.
Under which of the following circumstances would you expect a decrease in concentration of circulating prothrombin? In vit K deficiency In vit B12 deficiency After ingestion of heparin In platelet deficiency An increase in which of the following would produce the greatest increase inarterial O2 content when PaO2 is 90 mmHg? 2.3 DPG PaCO2 Hb concentration Hydrogen ion concentration
e.
a. b. c. d.
109.
A 56 y.o female sustained major injuries from a motor vehicle accident and was being transfused blood in the Emergency Department. The medical student on duty was informed by his supervisor that the shelf life of packed red cells was a maximum of 43. The student was able to tell him that the normal life span of an erythrocyte in vivo is: 60 days 90 days 120 days 200 days 300 days
105.
a. b. c. d. e.
a. b. c. d.
c. d. e.
a. b. c. d. e.
115. a. b. c. d.
which IV fluid can be used to reduce the viscoucity of packed RBC? saline D5W(5% dextrone in water) lactat ringer d10w dextran
111. a. b. c. d. e.
Correct statement regarding p50 is the tension of O2 that produce: 100 % saturation of Hb 75 % saturation of Hb 50% saturation of Hb 27 % saturation of Hb 25 % saturation of Hb
e.
116.
35 years old male lost enough blood to reduce his Hb concentration dari 15 menjadi 10 g/dL. Would lead to decrease in... Artery PO2 Vein PO2 Afinity Hb >> Oxyde Arterial blood Hb saturation
a. b. c.
112. a. b. c. d.
d. e.
117.
Which of the following protein is involved in convertion of temporary into definitive hemostasis plug? Protein C Factor XIII Endothelin Plasminogen Factor VII
a. b. c. d. e.
113. a. b. c. d.
oxygen-Hb dissocation curve, at what partial pressure of O2 50% saturation of Hb is achieved? 21 mmHg PO2 27 mmHg PO2 38 mmHg PO2 50 mmHg PO2
118.
114. a. b.
119.
A diagnosis of megaloblastic anemia was made in an elderly patient with gastrectomy. Which substance will most likely be increase in the blood of this patient? anti intrinsic factor antibody
a.
c. d. e.
129.
120. a. b. c. d. e.
What the initiate factor of extrinsic pathway of blood clotting? Protrombin Platin Factor xii Sekresi apa yang disupress pada penderita microcytic anemia yang diberikan NSAID? Adrenaline Erythropoitin Cortisol Hepcidine thyroxin
130. yang dihasilkan oleh vascular endothelial? a. prothrombin b. fibrinogen c. vWF d. protein C e. factor VII 131.
57 years old on pre-admission clinic due to a partial thyroidectomy in 10 days time for a solitary nodule. He is generraly fit, but take aspirin 150mg daily without prescription because the paper say it picient heart attack and .... . there are no abnormalities to find on examination. The doctor advise him to stop the aspirin 7 days before his planned surgery. How will the effect of aspirin be corrected during this period? drug dissociation from Cox binding sites drug drug dissociation from thrombin binding sites regeneration of COX within platelets restoration of Ca2+ level in platelets synthesis of new platelets
121. a. b. c. d. e.
a. b. c. d. e.
132. Agranulocytosis in blood a. Mefenamic acid b. Metampyrone c. Salisilat d. Paracetamol e. Pyroxycam 133. a. b. c. d. e.
Obat antimalaria yang bikin hemolytic anemia. Obat apa itu? Chloroquinine Quinine Pyrimethamine Mefloquine Primaquine
122.
123. 124.
lupa redaksinya, tapi intinya ditanya fungsi eosinofil. An increase oxidation of lipid within the body is charactezristic of old age and is a factor associated with heigh tened tisk of vascular disease. The extent of lipid oxidationin vivo can be best assessed by measuring what in a subject blood? superoxide radicals saturated fatty acid lipofucsin MDA PT -
a. b. c. d. e.
134. Which is a platelet GpIIB/IIIa receptor inhibitor? a. Clopidogrel b. Abciximab c. Ticlopidine d. Dipyridamole e. Aspirin 135. a. b. c. d. e.
68 y.o man, BP tinggi, diabetes, OA, massive tongue swelling. No urticaria, wheezing or dizzy. WOTF mediactions responsible for tongue swelling? Clopidogrel Metformin Atenolol Perindopril Codein phosphate what characterizes the action of warfarin?
128. what is the main defect in hemophilia? a. an increase vascular fragility b. a decrease in the number of platelets
136.
a. b. c. d. e.
137.
144. a. b. c. d. e.
138.
Blocking cytokine receptor in hypothalamus Decrease activity of immune response Decreasing production of IL-1 Decreasing production of PGE2 Decreasing release of bacterial endotoxin 47 years old woman came to the outpatient clinic with pale, fatique, and dizziness. she also complain paresthesia, confusion, and loss memory. PE : there was decrease tendon reflexes. which of the following is the most appropriate drug?
a. b. c. d. e.
145.
139. a. b. c. d. e.
a. Cyanocobalamine b. folic acid c. ferro sulfat d. riboflavin e. piridoksin 146. Individual had
140. a. b. c. d. e.
a. b. c. d. e.
a homosexual contact on July 25, on september 17 of the same year he went to see his family doctor and had HIV blood test. Interpretation? Individual has not had HIV Individual does not need to practice safe sex Safe to donate blood Time from contact until blood test may be too short for seroconversion of blood test Individual may have IgG but no IgM antibodies Poxvirus used to against smallpox (vaccine)
141.
147. a. b. c. d. e.
a. b. c. d. e.
Variola major Variola minor Monkeypox virus Molluscum contangiousum Vaccinia virus Herpes lymphoma? CMV EBV varicella zooster HHV tipe 6 HSV-2 Nurse in neddle injury, immunoglobulin and vaccines is given to prevent: hepatitis A hepatitis B virus yg brhubungan dgn burkit
148. a. b. c. d. e.
142. Heparin, an injection anticoagulant: a. inhibit platelet aggregation b. competitive inhibitor for vit k c. inhibit thrombin function d. potent fibrinolysis e. treatment for hemolytic disease in newborn 143.
A 49 yo man,severe chest pain. ECG: diagnosed myocardial infarction. Opening the occluded artery of this patient through
149. a. b.
150. Adenovirus can avoid the immune system by a. Inhibiting cellular mRNA transport b. The toxic effect of its fiber c. Inhibiting protein synthesis d. Forming a dsDNA that blocks interferon e. Integrating into the chromosomal DNA & becoming
latent
a. b. c. d. e.
162.
a. b. c. d. e.
Filarial infection due to bancroftian infection cause elephantiasis. What specific methode is recommended as the diagnosis investigators ? daytime blood specimen microscopy microscopy of lymphatic fluid serological testing by enzyme assay midnight blood specimen microscopy biopsy lymph node Parasit yang bisaditransmisikanlewat transfuse darah Leishmaniatropica Brugiamalayi Dipalelonemaperstans Loa loa Trypanosomacruzi B-lymphocytes are the target cells of EBV infection. What is the effect? Produce mature virus particles B-cells are lysed B-cells are immortalized Transform to T-cell Loose their cell membrane -
163.
156. a. b. c. d. e.
a. b. c. d. e.
164.
157. a. b. c. d. e.
a. b. c. d. e.
a. b. c. d. e.
A 40 year old man presented with periodic fever, sweating chills, malaise, headache. He has just came from Cambodia one week ago. WOTF is the most relevant diagnostic test to be preformed? HIV ELISA VDRL Thick and thin blood films Blood culture Urine culture 20 y.o woman: nodular sclerosing hodgkin's disease on biopsy of a right anterior cervical lymph node. PE: palpable nodes in the right and left
167. a. b. c.
161.
168. Hemophilia (xiii), lab yg abnormal? a. PT b. TT c. Aktif thromboplastin test d. Blood clot adhesive e. Platelet coagulation 169. 170. 171. a. b. c. d. e.
Hb trn, mcv naik, wbc turun, diagnosis? Bentuk simpanan iron dalam tubuh??
b. c. d. e.
transferrin fibrinogen X albumin myoglobin & Hb use heme asa prosthetic group in the binding of oxygen. Which statement are true> Myoglobin has sigmoid oxygen adsorption isotherm fetal Hb bind O2 more tightly than adult Hb has hyperbolic O2 adsorption isotherm 2,3 BPG bind to the oxygenated form of Hb concentration CO2 has no effect on O2 release by Hb. biliverdin production during heme metabolism occur in the spleen bone marrow liver gut kidney -
179. a. b. c. d. e.
Why does oxyhemoglobin in RBCs release oxygen more easily than purified oxyhemoglobin? release of O2 requires ATP, absent in the purified Hb oxygen release requires NADH as a cofactor 2,3 BPG binds the conformation of HB high (K+) in the RBCs facilitates the release of O2 the biconcave shape of RBCs facilitates O2 release. -
180. a. b. c. d. e.
172. 173.
a. b. c. d. e.
6 y.o girl complain loss of consciousness, hypotensi after antibiotic injection. Doctor give aqueous epinephrine. What mast cell mediator in early phase? prostaglandin leukotrin PAF tryptase IL4 -
limfosit : berperan penting dalam sistem imun dan dalam pembentukan antibodi -
187. 188.
growing of low
what hemoglobin can precipitate extended filament..under condition oxygen HbA2 Hb bast HbC Hb H Hb S
a. b. karena ada NADH c. karena ada BPG (1,2 biphosphoglycerate) d. karena ada K+ e. karena RBC berbentuk bikonkaf 189. 190. a. b. c. d. e.
mengapa oxyhemoglobin di RBC lebih mudah merilis O2 daripada purified oxyhemoglobin? karena ada ATP
177. a. b. c. d. e.
How does the binding of 2,3 bisphosphoglycerate to Hb after the carriage of oxygen in human erythrocyte? it competes with oxygen in binding heme groups. It prevents oxygen binding by dissociation Hb dimer from oxygen dimer it decreases Hb oxygen binding xapacity by 50% it lowers oxygen affinity by stabilizing the deoxy conformation. it increases total oxygen by releasing heme prosthetic groups from globin polypeptides.
coagulation factor VIII is extremely labile. what substance can "protect" factor VIII from degradation protein C thromboxane tissue factor VWF HMWK Which of the following substances released by cytotoxic T lymphocytes kill infected cells? Antibodies specific for the infectious agent Complement C-reactive protein Perforin
191. a. b. c. d.
192.
Effect of ibuprofen that exarcebates bleeding (heavy mens, epstaxis since chldhood, parents got epstxis too)...
a. b. c. d. e.
The antiinflmtion property of it its efek on sintesis fktr koagulan Asosiated w/ hipoprotrombinemia Its antiplatelet efek Anti angiogenic efek epigastric pain, fatigue, sesak nafas. PE : pucat, pulse cepat, stool sample:black. Peripheral blood smear-nya? ukuran RBC uniform Hct 45% jmlh RBC 5 juta Hb 6g/dL normal hb/red cell ratio -
195. a. b. c. d. e.
196.
197. The most likely cell type to be increased in an acute bacterial infection is ? A. Limfosit. B. Neutrofil. C. Eosinofil. D. Monosit. E. Red blood cells.
197. Platelet jmlhnya ttp byk,jd harus dikasih apa? a. Interferon b. Inferferon+aspirin c. Hydroxyurea d. Hydroxyurea+aspirin e. Hydroxyurea+interferon 198. a. b. c. d. e.
all lymphoid tissues have efferent lymphatics, Which of the following has afferent lymphatics? Lymph nodes Thymus Lymph nodules Spleen Lymph node and spleen 35 y.o female is presented to ER with epistaxis & gum bleeding,headache & dizziness. Ecchymoses on her legs. Spleen enlargement (schuffner 1), no liver enlargement. WBC 125.000/mm3. Hb 6,2 g/dL. Platelet 7000/mm3. Most possible finding on PE: brittle hair gum hyperthrophy clubbing fingers papilla atrophy of tongue koilonychia
199.
a. b. c. d. e.