bwekk

Front

A 47-year-old Egyptian man has hematuria. A urinalysis shows many red blood cells, a few white blood cells, and oval-shaped eggs with terminal spines. Which parasite can cause this disease?

Back

Schistosoma haematobium

Answer explanation

Karena ada terminal spinesnya.

Front

A 32-year-old woman attended out-patient clinic with the complaints of uncomfortable feeling and hardened in the left upperside abdomen. She had intermittent fever every 4 days. Blood smear examination found positive Plasmodium parasite. Of the following, which parasite can cause this disease? Options: a.Plasmodium ovale, b.Plasmodium malariae, c.Plasmodium cynomolgi, d.Plasmodium vivax, e.Plasmodium falciparum

Back

Plasmodium malariae

Answer explanation

Quartana

Front

A 34 year-old male, came to a clinic with a chief complaint of 7 day-fever. His fever occurred on every 3 days. His high fever was preceded by chill, and afterward he sweat profusely. He had a vacation to the jungle of Borneo a week prior to his fever. He had taken chloroquine as prophylaxis before he went to Ujung Kulon. What is the factor contributing to his fever?

Back

Resistance of the pathogen to prophylaxis drug

Front

A 35 years old male came to Emergency Department with history of seizure a day before admission. General physical examination showed oral candidosis, neurology examination showed decrease of consciousness with GCS E3M5V3 and left hemiparesis. What is the combination of therapy recommended for parasite eradication in this patient?

Back

Clindamycine and pyrimethamine

Answer explanation

Dx: Toxoplasmosis Cerebri with HIV

Treatment: Pyrimethamine + Sulfaniazid + Folic acid (karena sulfaniazid ga masuk indo maka diganti jadi CLINDAMYCINE)

Front

What is the pathogenesis of fever in a 32-year-old woman with intermittent fever every 4 days and positive Plasmodium parasite?

Back

Merozoites discharged from schizonts enter the blood.

Answer explanation

Karena ketika merozoit lepas RBC juga lisis, banyak faktor yang picu respon inflamasi

Front

A 35 years old male came to Emergency Department with history of seizure a day before admission. General physical examination showed oral candidosis, neurology examination showed decrease of consciousness with GCS E3M5V3 and left hemiparesis. What is the most probable cause of seizure on this patient?

Back

Brain infection

Front

A 28-year-old female with a history of allergy to dust experiences difficulty breathing, described as wheezing and heaviness in her chest, after working in a shoe factory for 7 years without a mask. Her complaints were caused by which kinds of reaction? Options: a.Immediate respond, b.Acute respond, c.No reactions, d.Delayed reactions, e.Gradual reactions

Back

Immediate respond

Answer explanation

Hipersensitivitas tipe 1 [allergic reaction; IgE]

Hipersensitivitas tipe 4 [delayed reaction]

Front

A 67 year-old female was attending emergency room with a high fever, dyspneu and productive cough. She often had productive cough and consume antibiotic she bought at the pharmacy near her house for her cough. What is the factor contributing to her pneumonia?

Back

Development of resistance pathogen to drugs

Front

A 4-month-old infant boy has had a fever (38,5°C), increased frequency of cough with forceful inspiratory gasp and post-tussive vomiting (abis batuk, muntah) for a week. The most practical and rapid laboratory study to confirm the diagnosis is? Pertusis

Back

Polymerase chain reaction testing

Front

A 27-year-old male came to out-patient clinic to be evaluated for his HIV status. He was highly sexually active with multiple sexual partners, although he said that he always used protection. What is the most appropriate screening test to be used for this patient?

Back

HIV ELISA

Answer explanation

Kalau yang appropriate menurut WHO, CDC, etc itu ELISA, kalau line di indonesia 3 kali cek Rapid reactive baru lanjut make sure with ELISA