Soal McQ Kesehatan

A patient with TB RO is given bedaquiline. After 2 months, he experiences heart palpitations. EKG: QTc 520 ms. What is the initial management?

• Stop all medications

• Replace bedaquiline with linezolid

• Stop bedaquiline

• Add antiarrhythmics

• Give beta blockers

A 45-year-old man has COPD. Spirometry: FEV₁/FVC <70%, FEV₁ 55%. What is the GOLD category?

• GOLD 1

• GOLD 2

• GOLD 3

• GOLD 4

• Not included in GOLD

The Bohr effect shows that low pH causes...

• Increased affinity of Hb for O₂

• Decreased affinity of Hb for O₂

• Increased saturation of Hb

• Decreased diffusion of O₂

• Pulmonary shunt

A 28-year-old man has fever, cough, and lower lobe infiltrate. Leukocytes 17,000, high CRP. What is the initial antibiotic choice?

• Rifampicin

• Amoxicillin-clavulanate

• Oseltamivir

• Fluconazole

• Azithromycin

A 35-year-old man with HIV+, active pulmonary TB, CD4 60. When to start ARV?

• Immediately

• After 6 months

• After 2 weeks of OAT

• After the advanced phase

• After BTA is negative

AGD results: pH 7.29, PaCO₂ 49 mmHg, HCO₃ 23. What disorder is occurring?

• Respiratory acidosis

• Metabolic alkalosis

• Metabolic acidosis

• Respiratory alkalosis

• Respiratory compensation

Effects of surfactant except...

• Reduces surface tension

• Produced by type II cells

• Prevents alveolar collapse

• Reduces compliance

• Involved in stabilizing small alveoli

A 67-year-old man with lung cancer has hemoptysis. Imaging shows an obstructive mass. What is the initial action?

• Radiotherapy

• Interventional bronchoscopy

• Steroids

• Open biopsy

• VATS

A child with asthma, skin prick test (+), high IgE. What is the endotype?

• Non-allergic

• Late-onset

• T2-low

• T2-high

• Eosinophilic-negative

A TB patient has a follow-up BTA still positive at 5 months of therapy. Rifampicin is sensitive. What is the next action?

• Add levofloxacin

• Change to category 2

• Stop OAT

• Repeat regimen from the start

• Add ethionamide