1. Which of the following statements are appropriate to the external anterior abdominal area on trauma patient. a.

Superior : the line between the nipples b. Lateral : anterior axillaris line c. Inferior : inguinal ligament and pubic symphisis d. Sometimes the superior border as high as arcus costarum 2. Following an automobile accident a !" year old women is disco#ered to ha#e a abdominal blunt trauma. $he transient response at hemodynamic state occur after the first #olume replacement . F%S$ show fluid collection on &orrison pouch and splenorenal the appropriate management would be a. %rterial emboli'ation of the mesenteric #essels. b. (i#e two liters of )ristalloid c. *eliotomy and control the source of bleeding. d. +el#ic pac)ing !. $he most appropriate organ in,ured for the pre#ious patient -.o. 2/ is a. +ancreas b. Intestine c. Spleen d. 0uodenum 1. % 223year3old man suffers multiple intra abdominal in,uries after a gunshot wound 12 hours following trauma the intra #esical pressure exceeds !2mm4g. $he immediate step in managing this problem is to a. %dminister albumin intra ca#ernously b. (i#e and intra#enous diuretic c. Limit intra#enous fluid administration d. 0ecompression . 2. $he diagnostic test to determine the specific organ in,ured is a. 0iagnostic peritoneal la#age b. 5ltrasound c. *omputed $omography Scan d. *olon inloop water soluble contras 6. %bdominal free air a. &ore clearly by supine plain abdominal photo. b. +alpation at the right upper 7uadrant of the abdomen can support the diagnostic.. c. *an be diagnosed by physical examination d. %uscultation sometimes can confirm. 8. $he conditions which can not compromise the examination on abdominal trauma patient is. a. 0ecrease of consciousness b. .o permission from the patient family c. +el#ic in,ury d. %lcohol and other drugs 9. $he first priority for management of the trauma case a. %bdominal trauma with se#ere hemorrhagic shoc) b. $horacic trauma with flail chest. c. Spine trauma with airway derangement d. :xtremity trauma with pel#ic fracture

MCQ/Blok 19/JULI 2009

;. % 113year3old man suffers penetrating abdominal stab wound 1" hours before admission. <n admission =+ ;">1"mm4g +? 1"6 x>mt ?? 22x>mt. @ou are the doctor on duty in the emergency room. $he immediate step in managing this problem is a. *losed obser#ation for the hemodynamic state. b. emergency celiotomy c. Fluid resuscitation d. Inform consent for surgery. 1". $he most appropriate organ in,ured for the pre#ious patient - no ;/ is a. li#er b. Intestine c. pancreas d. 0uodenum 11. Which one of the following statement is correct according to the definition of sensorineural hearing loss: a. %ffecting both ears bilaterally b. 0ecrease of sensorineural hearing about !" d= or more c. 4appened less than se#en days d. %ffecting in high fre7uency only 12. $he most common etiology of sudden sensorineural hearing loss are: a. *ochlear ischaemi and #iral infection b. <totoxic drugs and cochlear ischaemi c. Airal infection and head trauma d. <totoxic drug and head trauma 1!. Which one of the following statement is the best management of sudden sensorineural hearing lossB a. $otal bed rest C +rednison 1x1" mg C neurotonic b. +rednison 1x1" mg C neurotonic C low salt and low cholesterol diet C #it * 1x2""mg c. %nti#iral drug C +rednison 1x1" mg C total bed rest 3 neurotonic C low salt and low cholesterol diet C <2 inhalation d. $otal bed rest C #asodilatansia C +rednison 1x1" mg 3 neurotonic C low salt and low cholesterol diet C #it * 1x2""mg C <2 inhalation C an#iral drug 11. Signs and symptoms of laryngeal obstruction are: a. :xpiratoir respiration C dispneu C aphonia C respiratory muscle retraction C hypoxia b. Stridor C disphonia C dispneu C hypoxia c. Inspiratoir stridor C disphonia C dispneu 3 respiratory muscle retraction C air hunger 3 cyanosis d. 0isphonia C aphonia C dispneu C expiratoir stridor 3 respiratory muscle retraction C air hunger 3 cyanosis 12. $he most common arterial bleeding source in posterior epistaxis is: a. %nterior ethmoidalis artery b. (reat palatine artery c. +osterior ethmoidalis artery d. Superior labial artery 16. $hird stadium of Dac)sonEs *riteria is: a. Suprasternal retraction C inspiratoir stridor C patients still calm b. Suprasternal epigastrium infracla#icula and intercostal retraction C dispneu C inspiration and expiration stidor C patient anxious c. ?espiratory muscles retraction are getting worst C patient #ery anxious frightened C cyanosis C hipercapnia C asfixia C died d. Suprasternal retraction loo)s deeper C epigastrical retraction C inspiratoir stridor sudden

MCQ/Blok 19/JULI 2009

18.

Indication of tracheotomy according to Dac)sonEs *riteria: %. !rd and 1th stadium =. 1st and 2nd stadium *. 2nd and !rd stadium 0. 1th stadium *ontraindication of cricotirotomy: %. *hildren under 12 y.o =. Supraglotic laryngeal tumour *. (lottic laryngeal tumour 0. <#er 6" y.o Spontaneous arterial bleeding in children nasal ca#ity especially from: %. .asal bone =. LittleEs area *. Inferior turbinate 0. &edial turbinate In a profuse posterior epistaxis caused by hypertension diseases as a general practitioner.. we ha#e to perform: %. +osterior nasal pac)ing =. %nterior nasal pac)ing *. (i#e anti hypertension drugs 0. +osterior nasal pac)ing followed by anterior nasal pac)ing and anti hypertension drug.

19.

1;.

2".

21. %drenaline -epinephrine/ is the drug of choice and life3sa#ing drug in the treatment of anaphylactic shoc). In this case adrenaline opposes the effects of histamine by producing #asoconstriction and bronchorelaxation. With which adrenoceptor does adrenaline act to constrict #ascular smooth muscleB %. F13adrenoceptors =. F23adrenoceptors *. G13adrenoceptors 0. G23adrenoceptors 22. %drenaline produces bronchorelaxation by acti#ating H % F13adrenoceptors =. F23adrenoceptors *. G13adrenoceptors 0. G23adrenoceptors 2!. 0opamine is used in the treatment of shoc) accompanied by poor perfusion low cardiac output and impending renal failure associated with myocardial infarction septicaemia or after cardiac surgery. 0opamine dilates renal arteries and increases diuresis by acting on H %. beta3receptor =. alpha3receptors *. 013receptors 0. &23receptors 21. 0obutamine is indicated for the short3term treatment of cardiac decompensation that may occur after a cardiac surgery or in patients with congesti#e heart failure because dobutamine increases cardiac output and stro)e #olume in such patients. 0obutamine is actually a drug with H.. %. selecti#e G13agonist acti#ity =. selecti#e G23agonist acti#ity *. selecti#e G13antagonist acti#ity 0. non3selecti#e G3antagonist acti#ity

MCQ/Blok 19/JULI 2009

22. Lidocaine is an antiarrhythmic drug that is used as a first3line drug in the treatment of cardiac arrhythmias associated with acute myocardial infarction. %s an antiarrhythmic drug lidocaine produces its effects by bloc)ing H %. calcium channels =. potassium channels *. sodium channels 0. a7ueous channels 26. For the treatment of anaphylactic shoc) due to penicillin allergy intra#enous in,ection of adrenaline is not recommended because large doses or intra#enous in,ection of adrenaline may cause H %. throbbing headache and palpitations =. cerebral haemorhage and cardiac ischaemia *. renal failure 0. thrombocytopenia 28. %naphylactic reactions such as anaphylactic shoc) due to penicillin allergy is actually an immunological reaction that is mediated by immunoglobulin H %. Ig& =. Ig( *. Ig: 0. Ig0 29. %drenaline can be categori'ed as a H %. direct3acting sympathomimetic drug =. indirect3acting sympathomimetic drug *. adrenergic bloc)ing drug 0. parasympathomimetic drug 2;. (lucocorticoids -eg. prednisolone/ are oftenly gi#en in the treatment of hypersensiti#ity reactions. In those cases glucocorticoids produce its immunosuppressi#e effects by H %. inhibiting the production of immunoglobulin antibodies =. inhibiting the production of histamine *. inhibiting the synthesis of prostaglandin 0. inhibiting degranulation of mast cells !". %ntihistamines can be used in the treatment of mild allergic reactions -eg. urticaria/ . In this case antihistamine acts by .. %. competiti#ely antagoni'ing the effects of histamine by occupying histamine3 receptors =. destroying histamine into inacti#e products *. binding to histamine molecules so that it becomes inacti#e 0. acting as a physiological antagonist to histamine. !1. 4ow many percent patients spinal cord in,uries worsen neurologilly at hospital. %. 6I =. 8 I *. ! I 0. 2 I !2. Which of the following sentences was true about burst fracture %. *ompression fracture failure of the posterior column =. *ompression fracture common in#ol#ed neurologic compromise *. *riteria unstable if failure 1>! column of spine 0. *ompession fracture always stable

MCQ/Blok 19/JULI 2009

!!. Which of the following statement were true about *hance fracture a. Four columns rupture distraction b. Fracture stable c. Seldom assc w> neurologic compromise d. +osterior column falls in tesion !1. Which of the following sentences bellow were true about Defferson fracture a. $his facture in#ol#ed cer#ical 1st b. 4igh rate of neurologic deficits is due to large breadth spinal canal c. &ore clear with normal #iew in radiologic examination d. &echanism trauma shearing compression !2. Which of the following sentences bellow were true about physical examination a. in determine sensory dermatome we must compare each opposite and 2 point discrimination for propiocepti#e. b. We must determine is any bony prominence or steps proc spinosus c. +hy exam must be complet before patient transfer to radiological depart d. In grade ! muscle power mo#ement is possible when gra#ity is excluded !6. Which of the following statement below are true a. Incomplete lesion there is some remaining function below the le#el of in,ury b. .eurologic shoc) is loss of sympathetic pathway which is #ascular hypotension with bradycardia c. We must be careful #olume replacement if any neurogenic shoc) d. %ll abo#e !8. Which of the following sentences below are false a. &anagement spinal in,ury must be life threatening first b. %irway plus cer#ical spine control c. 5sing spine board with cer#ical collar to pre#ent further spine in,ury d. *ross tablel must be done for transferred patient spinal in,ury !9. Which of the following sentences below are true a. Fran)el = is absent motor and sensory function and good prognostic b. In cer#ical x ray must include *1 untill $2 c. Swimmer position is a special #iew for determine *2 d. Log roll technic for ta)en x ray patient with spine in,ury !;. Which of the following sentences below are true about anterior cord syndrome a. %nterior cord syndrome is damaged primary in the anterior 2>! of cord and is related to #ascular insuffiency b. +atient demonstrated greater motor loss in the legs than arms c. Worst prognosis of all cord syndrome d. %ll abo#e 1". Which of the following sentences below were true about central cord syndrome a. Fre7uently ass w> extension in,ury and old patient b. (reater loss motor function to upper extremity than lower extremity c. <ften due to penetrating trauma or unilateral facet fracture or dislocation d. %ll abo#e 11. Laboratory test was not included as :mergency $est : %. *omplete blood count =. =lood glucose *. =5. -blood 5reaa .itrogen/ 0. 4=s%g

MCQ/Blok 19/JULI 2009

12. % man 19 years old brought to :mergency 0epartment with profound bleeding due to fighting. Aital sign showed shoc). $he FI?S$ medical measure has to be performed immediately : %. %=< group test =. *omplete blood count *. Loo)ing for blood donor 0. Fluid resuscitation 1!. % man 6" years old came to :mergency 0epartment with chest pain one hour ago. 4e might get myocard infarct but no abnormality was shown in resting electrocardiography. :mergency laboratorium test has to be done : %. $riglyceride =. $otal cholesterol 40L L0L *. *omplete blood count 0. $roponin 11. In :mergency case :S? -:rythrocyte Sedimentation ?ate/ was done in : %. &yocard infarct =. Stro)e *. 4epatic coma 0. %ll tests mentioned abo#e were wrong 12. % woman 26 years old came to :mergency 0epartment with se#ere pain in pel#ic area. Aital sigen was normal. .o abnormality was obser#ed in urine or feces. 4er menstruation period was delayed. :mergency laboratorium test has to be done : a. 4emoglobin b. =lood glucose c. Serum creatinine d. +regnancy test % man 26 years old was brought to :mergency 0epartment with coma. %ccording to the family the patient suffered diabetes mellitus. :mergency laboratorium test has to be done except : a. =lood sugar b. =5. c. Serum creatinine d. $otal *holesterol 40L L0L In :mergency case =lood (as %nalysis was done in : a. 4epatic coma b. 0iabetic coma c. 5remic coma d. %ll correct answers

16.

18.

19 What are not the component of the secondary sur#eyB a. 4istory b. +hysical examination head to toe c. ?esuscitation d. *omplete neurologic examination 1; What are not the component of Standard +recautions : a. $o protect the trauma team members from communicable diseases b. Sterile glo#es c. &as) d. (own

MCQ/Blok 19/JULI 2009

2" a. b. c. d.

*oncept of +rimary sur#ey $ransfer to definiti#e care 4istory *onducting a detailed head to toe e#aluation %=*0:

21 Which patients must be transfer to a higher le#el of careB a. +atient with closed fracture b. +atient with lacerated wound on the arm c. +atient with blunt trauma on the bac) d. +atients with comorbidity or age extremes 22. +ernyataan yang benar mengenai Fra)tur &ontegia adalah : %. Fra)tur dislo)asi radius ulna =. Fra)tur 5lna pro)simal disertai dengan dislo)asi radial head *. Fra)tur radius dengan dislo)asi radioulnar ,oint 0. Fra)tur radius pro)simal 2! .$he indication for <pen reduction and internal fixation is: %. 5ndisplaced fracture =. Fracture failed from conser#ati#e treatment *. &ultiple trauma 0. Incomplete fracture 21. +ernyataan yang benar mengenai dislo)asi posterior panggul adalah: %. :xtensi abdu)si serta external rotasi sendi panggul =. :xtremitas yang mengalami dislo)asi tampa) lebih pan,ang *. (ambaran radiologis head femur berada dibawah acetabulum 0. $inda)annya adalah reposisi tertutup 22.. $he most common ,oint ha#e traumatic dislocation is : %. Wrist ,oint =. Jnee ,oint *. Shoulder ,oint 0. %cromiocla#icular ,oint 26. $he statement its true for &allet Finger is : %. 4iperextension of the distal phalanx =. $inda)annya adalah imobilisasi dengan 0I+ ,oint fle)si dan +I+ ,oint extensi *. 0isebaba)an )arena force extensi 0I+ ,oint 0. ?uptur atau a#ulsi tendo extensor ,ari 28. $he statement its true for Fracture of the tibia %. 4ealing time is fast =. open fracture is rare case *. an)le stiffness is a rare case 0. Internal fixation done for unstable fracture 29 %rteriography of a patientEs left renal artery shows narrowing of the arteryEs radius by 2"I. What is the expected change in blood flow through the stenotic arteryB %. 0ecrease to K =. 0ecrease to L *. 0ecrease to 1>9 0. 0ecrease to 1>16

MCQ/Blok 19/JULI 2009

Muestions 2; and 6" In a capillary +c is !" mm4g +i is 32 mm4g Nc is 22 mm4g and Ni is 2 mm4g 2; What is the direction of fluid mo#ement and the net dri#ing forceB a. %bsorptionO 6 mm4g b. %bsorptionO ; mm4g c. FiltrationO 6mm4g d. FiltrationO ;mm4g 6" If Jf is ".2ml>min>mm4g what is the rate of water flow across the capillary wallB a. "."6 ml>min b. ".12 ml>min c. 1".2 ml>min d. ;." ml>min 61 =lood flow to which organ is .<$ controlled primarily by metabolic factors -local metabolites/B a. S)in b. Lungs c. 4eart d. =rain 62 %ll of the following parameters are increased during moderate exercise :P*:+$ a. %rterio#enous difference for <2 b. *ardiac output c. +ulse pressure d. $+? 6! $he tendency for blood flow to be turbulent is increased by a. Increased #iscosity b. Increased hematocrit c. +artial occlusion of a blood #essel d. 0ecreased #elocity of blood flow 61 % patient experiences orthostatic hypotension after a sympathectomy. $he explanation for this is.. a. %n exaggerated response of the rennin3angiotensin3aldosterone system b. % suppressed response of the rennin3angiotensin3aldosterone system c. %n exaggerated response of baroreceptor mechanism d. % suppressed response of the baroreceptor mechanism 62 $he greatest pressure drop in the circulation occurs across the arterioles because a. $hey ha#e the greatest surface area b. $hey ha#e the greatest cross3sectional area c. $he #elocity of blood flow through them is the highest d. $hey ha#e the greatest resistance 66 +ulse pressure is a. $he highest pressure measured in the arteries b. $he lowest pressure measured in the arteries c. &easured only during diastole d. 0etermined by stro)e #olume 68 %ll of following agents are released or secreted following a hemorrhage :P*:+$ a. %ldosterone b. %ngiotensin II c. %04 d. %trial natriuretic peptide

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69.

+ada into)si)a)si )arena opiate pemberian antidotum yang paling tepat adalah : %. %tropin =. =i)arbonat *. +rostigmin 0. .alo)son +enatala)sanaan dengan tinda)an atropinisasi dila)u)an pada )asus into)si)asi yang disebab)an oleh : %. Warfarin =. <piat *. <rganofosfat 0. =arbiturat Jondisi hpertensi yang disertai ter,adinya )erusa)an target organ yang bersifat a)ut disebut dengan : %. 4ipertensi 5rgensi =. 4ipertensi Fre)wensi *. 4ipertensi %)selerasi 0. 4ipertensi :mergensi Jondisi apa)ah yang dapat men,adi pencetus ter,adinya )etoasidos diabeti)a : %. %nemia =. (agal ,antung *. $umor paru 0. Infe)si (olongan obat antihipertensi yang paling bermanfaat pada #arises esofagus adalah : %. =eta blo)er =. %*: inhibitor *. Jalsium antagonis 0. 0iureti) Which one of these followings is included in media opacityB %. ?etinal detachment =. 4yphema *. 5#eitis 0. *on,uncti#itis $hese are ophthalmoscopic appearance of *entral ?etinal %rtery <cclusion except: %. inner layer of retina become opalescent =. loss of transparency of retina *. damage of choroidal circulation 0. cherry red spot +apilledema is: %. optic disc swelling due to increased intracranial pressure =. an inflammation of optic disc *. usually caused by increased intraocular pressure 0. present with episodes of diplopia $hese followings are true about glaucoma except: %. #isual field defects =. related to optic ner#e damage *. extremely loss of humor a7uous 0. in#ol#es ele#ation of I<+ -*?%</

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MCQ/Blok 19/JULI 2009

88.

What is the specific sign of macular degenerationB %. microaneurysm =. neo#asculari'ation *. drusen 0. arteriosclerotic *rystalline lens is suspended by thin filaments 'onules from the cilliary body between: %. pupil anteriorly and #itreous posteriorly =. iris anteriorly and #itreous posteriorly *. posterior chamber anteriorly and retina poteriorly 0. iris anteriorly and retina posteriorly <rbital floors deri#ed from: %. ethmoid maxilla and sphenoid bones =. 'ygomatic maxilla and ethmoid bones *. 'ygomatic and lacrimal bones 0. 'ygomatic maxillary and palatine bones Failure to recogni'e and repair a canalicular laceration will results in: %. palpebral defects =. dry eye syndrome *. epiphora 0. )eratitis Which one is the most true emergency conditionB %. %l)ali burns =. +enetrating in,uries of the globe *. %cid burns 0. 4yphema -blood in anterior chamber/ due to blunt trauma +ressure patching is needed in this condition which is: %. *hemical burns =. *on,uncti#al lacerations *. 4yphema 0. *orneal erosions > abrasions $he right for re7uesting Aisum et ?epertum : %. AictimEs relati#e =. ?eporter *. In#estigator 0. +rosecutor AictimEs relati#e ha#e the right to refuse autopsy forensic : %. Spouse of #ictim =. $raffic accidence *. &ass disaster 0. Within 19 hours %bout rigor mortis : %. <ne of the clue that can be use to confirmed manner of death =. 4appened faster at arm musclenthan the leg muscle *. 0oes not influence by en#ironment temperature 0. <ne of the signs to confirmed the caused of death 0ecreasing death body temperature happened faster : %. <bese person =. 0aytime *. Windy en#ironment 0. 0ry en#ironment
10

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MCQ/Blok 19/JULI 2009

98.

$he first important part in describing wound in forensic examination : %. 0egree of the wound =. Si'e of the wound *. Jind of the wound 0. Location of the wound %bout bruise in forensic examination : %. Intra#itality sign =. $he shape of bruise always the same as the impacted ob,ect. *. $he colour ne#er change 0. $he blood located intra#ascular if we cut the bruise $he most important part at Aisum et ?epertum : %. +ro,ustitia =. :xamination *. *onclusion 0. +reliminary 0octor responsibility to help in#estigator : %. J54+ 1!!. =. J54+ 1!1. *. J54%+ 1!!. 0. J54%+ 1!1. %ccording to J54%+ 1!! which doctor do you thin) are competent handling rape cases : %. <bstetric gynecologist =. (eneral +ractitioner *. Forensic pathologist 0. 0entist $he information mentioned here are needed to estimate time of death : %. :n#ironmental temperature =. =ody weight *. 0isease of the #ictim 0. +utrefaction It is not include in the motoric hyperacti#ity group : %. %gitation. =. 0rug addiction. *. %nxiety. 0. %ttemted suicide %nxiety with agitation and panic usually : %. +robably psychotic prepsychotic or neurotic =. .eurotic *. +repsychotic or neurotic 0. +repsychotic $he most probable cause of attempted suicide is : %. +ersonality disorder especially psychopathic. =. .eurotic *. %ffecti#e psychotic with depression. 0. +aranoid psychosis $he most critical period> high ris) for suicide is : %. 0uring the acute phase =. 0uring the worst phase of depression *. 0uring the presence of suicidal ideation 0. 0uring the maintenance period before six month after hospitali'ation
11

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MCQ/Blok 19/JULI 2009

;8.

It is not so important in anticipation of mild cases of attempted suicide : %. +re#ention. =. Limited drug prescription. *. %ntidepresant. 0. .euroleptic with antidepressi#e acti#ity. In the para suicide cases the most probable cause is O %. +ersonality disorder especially antisocial personality. =. +ersonality disorder with impulsi#e tendency. *. +aranoid personality. 0. &alancholic personality. $he best drug amongst the ben'odia'epine for panic attac) for a short time only is: %. 0ia'epam. =. *hlordia'epoxide. *. %lpra'olam 0. =roma'epam. $he best drug for the patient with assaulti#e beha#ior is : %. 0ia'epam in,ection. =. *hlorproma'ine in,ection. *. <ral neuroleptic. 0. <ral ben'odia'epine. $he best drug for the patient with agitation and panic in emergency room is : %. *loba'am tablet. =. 0ia'epam tablet. *. *hordia'epoxide tablet 0. 0ia'epam in,ection. QJesurupanR for the first time as an acute cases usually are not sent to the emergency facility but if the attac)s are fre7uent probably entry to the mental hospital and the underlying cause is : %. Schi'ophrenic disorder. =. +aranoid disorder *. %ffecti#e disorder 0. +ersonality disorder It is not recommended for long time use for anxiety with panic : %. 0ia'epam =. %lpra'olam. *. Lora'epam. 0. .itra'epam. +atient which need immediate help for hospitali'ation: %. 0rug withdrawal =. %nxiety neurosia. *. .eurotic depression. 0. Impulsi#e personality Fa)tor risi)o dibawah ini berperan pada rea)si simpang obat (adverse drug reaction)... . %. +asien asthma mendapat obat beta bloc)er =. =ayi *. +asien mendapat obat topi)al )orti)osteroid 0. +asien dengan )andidosis )utis

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MCQ/Blok 19/JULI 2009

12

1"6. $inda)an pertama yang harus dila)u)an pada pasien dengan SDS>$:.... . %. perawatan )ulit lu)a ba)ar =. perbai)an>pemberian cairan dan ele)trolit *. pemberian %ntibioti)a 0. perbai)i )eadaan umum 1"8. <bat yang mempunyai fa)tor risi)o menyebab)an SDS>$:.... . %. eritromisin =. )eto)ona'ol *. carbama'epine 0. parasetamol 1"9. 0iagnosis banding SDS... . %. Impetigo #esi)obulosa =. generali'ed bullous fixed drug eruption *. dermatitis herpetiformis 0. )andidosis )utis generalisata 1";.. +atogenesis $:. %. pening)atan apoptosis )arena peranan Fas dan FasL =. rea)si hipersensitifitas tipe lambat *. rea)si hipersensitifitas tipe cepat 0. rea)si imun )omple) 11". 0alam menentu)an prognosis sistem S*<?$:. menilai... . %.&enderita asthma =. &enyerang perempuan *. Laboratorium serum urea bicarbonate glu)osa 0. &enderita lupus eritematosus sistemi) 111. +engobatan spesifi) SDS>$:. sebagai antiapoptosis... . %. Jorti)osteroid sistemi) =. thalidomide *. *yclosporin % 0. Intra#enous Immunoglobulin -IAI(/ 112. &anagement penurunan risi)o infe)si pada SDS>$:. %. Jultur ba)teri ,amur dari )ulit dan darah secara )ontinyu =. 0ebridement epidermis ne)rosis *. +emberian antibioti)a profila)sis 0. +emberian nutrisi optimal Jompli)asi SDS>$:. paling sering... . %. Sepsis =. Stri)tura anal *. dyspareuni vagina 0. post-traumatic stress +encegahan paling penting pasien SDS>$:.... . %. +rofila)sis antibioti)a topi)al =. &encegah pa,anan sinar matahari *. &embuat alergy card 0. +emberian #itamin

11!.

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MCQ/Blok 19/JULI 2009

13

112.

+enderita la)i 3la)i muda ber)endaraan motor dan ter,atuh dada terbentur stir motor dan )eluhan nyeri dada pada pemeri)saan yang dila)u)an oleh do)ter ,aga emergensi ditemu)an )repitasi pada hemitora) )anan #esi)uler )anan terdengar lebih rendah dari yang )iri )emung)inan penderita ini cedera a. ?uptur tra)ea b. ?uptur bron)us c. ?obe)an pleura #iseral d. ?obe)an pleura parietal +ada fra)tur sternum a)ibat trauma tumpul tora)s dapat dilihat dari pemeri)saan foto yang mana O a. Foto tora)s %+ b. Foto tora)s Lateral c. Foto tora)s +% d. Foto sternum %+ +ada )asus trauma tumpul yang mencederai ,antung ma)a yang tampa) pada pemeri)saan fisi) dila)u)an oleh do)ter adalah : a. %da ,e,as ditemu)an tanda3tanda obstru)si ,alan nafas b. %da ,e,as dengan suara ,antung men,auh hipotensi DA+ mening)at c. $a) ada ,e,as disertai dengan fra)tur iga dan sternum d. %da fra)tur iga mutiple dan disertai dengan tanda3tanda $?I%S =ec) +ada per)elahian antara pela,ar ditemu)an )orban yang cu)up banya) sebagai do)ter ,aga emergensi saudara memberi)an pertolongan semua penderita yang datang )e emergensi. Si)ap saudara sebagai do)ter ,aga emergensi anda mela)u)an a. &emeri)sa semua penderita yang datang )e emergensi b. &eninggal)an penderita yang bisa bicara dengan teman yang ada disebelahnya c. &elayani penderita yang mengeluh )esa)itan dan berteria)3teria) mintang ditolong prioritas diobati d. &emberi)an pertolongan )epada penderita patah tulang tung)ai bawah Lu)a tusu) dada yang datang berobat )e emergensi dengan sesa) nafas dan tampa) lu)a terbu)a didada )anan sepan,ang 1" cm anda a)an mela)u)an a. &engetahui me)anisme tusu)an serta organ yang ter)ena ,uga sign dan simptum yang ditimbul)an dan )emudian bersi)ap b. &ela)u)an tinda)an langsung c. &ewancarai )eluarga yang mengantar dan )emudian mela)u)an pemeri)saan foto tora)s d. Langsung mela)u)an foto tora)s dan )emudian memasang WS0 $he most important initial step to managing the comatose patient cause by head in,ury is : a. Secure the airway b. S)ull x3ray c. *$ scan of the head d. 0etermine of (*S

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$he most common cause of +rimary Spontaneus +neumothora)s is : a. +ulmonary $= b. *<+0 c. Lung cancer d. .o underlying disease 0efinition of massi#e 4emoptisis is : a. =lood lost S 6"" ml>day b. =lood lost S 22 ml>day 4b S 1"gI and 4emoptisis still continue in 21 hours c. =lood lost T 22" ml>day 4b T 1"gI and 4emoptisis still continue in 21 hours
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d. =lood lost T 22" ml>day 4b T 1; gI and 4emoptisis still continue in 21 hours 12!. Symptom of se#ere acute asthma is : a. 0ispneu when tal)ing b. 5sing of %ccessory muscle c. ?espiratory rate S !" times>minute d. +ulse rate 1""312" times>minute %cute coronary syndrome includes : a. S$ ele#ation myocard infarct and .on S$ ele#ation myocard infarct b. S$ ele#ation myocard infarct and Stable angina c. .on S$ ele#ation myocard infarct and Stable %ngina d. Stable %ngina and 5nstable %ngina In +hysical :xamination of +neumothorax we can find : a. Fremitus increased in palpation b. 4ypersonor in percussion c. Increase of #esi#uler sound d. 0ullness in percusion

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