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Total questions: 66

Worksheet time: 33mins

Name
Class
Date
1.

A 20-year age girl had her right humerus fractured after a car accident happened in last three weeks. As the fracture did not properly cured, a yellowish fluid was then developing on the skin around the spot of fracture. The X-ray showed a focus bone loss near the lower end of the humerus. A curettage biopsy was performed and its microscopic appearance is as shown here. What is the microscopic characteristic of the diagnosis?

a)

Lymphocytes cells, plasma cells, fibrotic tissue, necrosis

b)

Necrosis caseous, lymphocytes cells, fibrotic tissue

c)

Lymphocytes cells, plasma cells, fibrotic tissue

d)

Necrosis caseous, datia Langhans, fibrotic tissue

e)

Necrosis caseous, datia Langhans cells, epitheloid cells

2.

The most sensitive and specific for supporting diagnosis Rhematoid arthritis:

a)

Uric acid serum

b)

Anti Cyclic Citrillinated Peptide (anti CCP) serum

c)

Hydroxyproline Urine

d)

Osteocalcin serum

e)

Acid Phosphatase serum

3.

The anatomical structures present in the trigonum femorale from medial to lateral sequentially are:

a)

N. femoralis, a. femoralis, v. femoralis

b)

V. femoralis, n. femoralis, a. femoralis

c)

V. femoralis, a. femoralis, n. femoralis

d)

A. femoralis, v. femoralis, n. femoralis

e)

N. femoralis, v. femoralis, a. femoralis

4.

The muscle that marked by this red line is:

a)

M. adductor pollicis brevis

b)

M. adductor pollicis longus

c)

M. extensor pollicis brevis

d)

M. extensor pollicis longus

e)

M. extensor indicis

5.

SEORANG PENDERITA DATANG DENGAN KELUHAN NYERI LUTUT KANAN. PADA PEMERIKSAAN CAIRAN SENDI LUTUT DIDAPAT HASIL: Volume > 3,5 ml, Clarity: Opaque, Color: Mixed, WBC >100.00/mm3, PMN > 75 %, Gram stain: often positive. Kesimpulan dari hasil cairan sendi diatas adalah:

a)

Hemorrhagic

b)

Normal

c)

Non inflammatory

d)

Septic

e)

Inflammatory

6.

Result synovial fluid examination from laboratory: Volume: 3,7 ml, Viscosity: high, Clarity: clear, WBC: 400/ml, PMN: 20% According data what is your conclusion about this synovial fluid:

a)

Septic

b)

Inflammatory

c)

Non inflammatory

d)

Normali

e)

Hemorrhagic

7.

A 10-years old boy appears with muscular weakness. He is unable to play with other children, unable to keep up and quickly becoming tired. A muscle biopsy is performed and its microscopic appearance at low magnification is as shown here. The condition of his muscle cells are:

a)

Atrophy

b)

Dystrophy

c)

Hypertrophy

d)

Malignant tumor

e)

Neoplasma

8.

What is the function of the pointed cell?

a)

Bone resorption

b)

Maintain mineral concentration of matrix

c)

Bone formation

9.

Sulcus nervi ulnaris is located at:

a)

Bone D

b)

Bone A

c)

Bone B

d)

Bone C

10.

What is the name of the muscle that originates from the area marked with this yellow line?

a)

M. biceps brachii caput breve

b)

M. biceps brachii caput longum

c)

M. triceps brachii caput longum

d)

M. triceps brachii caput laterale

e)

M. deltoideus

11.

What is the pointed cell name?

a)

Osteoblast

b)

Osteocyte

c)

Osteoclast

12.

A -40-years old lady consulted for the exophityc mass in the interphalanx joint digiti V. The mass was excised and its microscopic appearance is as shown here. The best diagnosis is:

a)

Chondrosarcoma

b)

Osteoma

c)

Osteochondroma

d)

Chondroma

13.

What is the characteristic of this tissue?

a)

Murky/dirty matrix

b)

Chondrocytes located between collagenous fibers

c)

Many isogenic cells in clear matrix

14.

A 63-year-old man go to the clinic with pain in his right distal femur. He says that it has been last 3 months. The mass was excised and its microscopic appearance is as shown here. The best diagnosis is

a)

Bursitis Benign

b)

Granuloma

c)

Ganglion cyst Berian

d)

Fibroma

e)

Giant cell tumor

15.

A 33-year-old woman presented with an 8-month history of progressive right-sided headache, ipsilateral facial pain, and hearing impairment. CT shows a large, right middle cranial fossa mass that measured 6.7 × 5.6 × 4.2 cm. A curettage biopsy was performed and its microscopic appearance is as shown here. Based upon the appearance of that microscopic-characteristics to support your diagnosis are:

a)

Lobular capillary hemangioma.

b)

Osteosarcoma

c)

Osteochondroma

d)

Ganglion cyst

e)

Bursitis

16.

What is the function of this calcification?

a)

To form bones at the base of the skull and long bones

b)

To repair damage cartilage

c)

To form the flat bones of the face, most of the cranial bones, & the clavicles

17.

A woman complaint of pain in his knee. A synovial fluid was taken for Gram staining (fig. 1) and culture on blood agar (fig. 2 and 3). What is likely identity of the organism? State the name of these organism!

a)

Streptococcus pneumoniae

b)

Streptococcus agalactiae

c)

Streptococcus pyogenes

d)

Staphylococcus epidermidis

e)

Staphylococcus aureus

18.

A 3 cm soft mass/tumor is palpable in the right shoulder of a 42-years old male. The excised mass is performed and it showed a yellow cut surface. Based on the appearance of that microscopic, your best diagnosis is

a)

Schwanoma

b)

Fibroma

c)

Lipoma

d)

Hemangioma

e)

Neurinoma

19.

A purulent fluid was taken for Gram staining (fig. 1) and culture on MacConkey Agar medium revealed round, small, smooth, rough, and mucoid colonies (fig. 2). What is likely identity of the organism? State the name of these organism!

a)

Candida albicans

b)

Klebsiella pneumoniae

c)

Escherichia coli

d)

Pseudomonas

20.

The muscle that marked by this yellow line is:

a)

M. biceps femoris caput longum

b)

M. semimembranosus

c)

M. semitendinosus

d)

M. adductor magnus

e)

M. rectus femoris

21.

The inferior margin of the Trigonum auscultationis is:

a)

M. rhomboideus minor

b)

M. levator scapulae

c)

M. trapezius

d)

M. teres minor

e)

M. latissimus dorsi

22.

A 3 cm soft mass/tumor is palpable in the right shoulder of a 42-years old male. T performed and it showed a dark brown cut surface. The most likely condition of his mass /tumor is:

a)

Malignant neoplasm of epithelial tissue

b)

Malignant neoplasm

c)

Benign neoplasma of epithelial tissue

d)

Benign neoplasm of soft tissue

23.

Myoglobin is exclusive to striated and non striated skeletal or cardiac muscle. After a myocardial infark or damage to any muscle tissue, myoglobin will start elevated in serum in

a)

1 hours after damage muscle tissue/ myocardial infark

b)

3 hours after damage muscle tissue/ myocardial infark

c)

4 hours after damage muscle tissue/ myocardial infark

d)

2 hours after damage muscle tissue/ myocardial infark

e)

Less than 1 hours after damage muscle tissue/myocardial infark

24.

Where is this tissue located in the body?

a)

Auricle

b)

Intervertebral disc

c)

Trachea

25.

What is the function of this calcification?

a)

To repair damage cartilage

b)

To form bones at the base of the skull and long bones endochandral

c)

To form the flat bones of the face, most of the cranial bones, & the clavicles

26.

What is the canal name?

a)

Interstitial canal

b)

Haversiann canal

c)

Volkmann canal.

27.

Facies poplite is located at:

a)

Anterior part of os. femur

b)

Posterior part of os. humerus

c)

Posterior part of os. femur

d)

Anterior part of os. tibia

e)

Anterior part of os. Fibula

28.

A-40-years old lady consulted for the exophityc mass in the interphalanx joint digiti V. The mass was excised and its microscopic appearance is as shown here. The most likely causative of her exophytic mass is:

a)

Ganglion cyst

b)

Infectious disease

c)

Osteomielitis

d)

Malignant neoplasm

29.

A young man is diagnosed with osteomyelitis. The result of gram-stained is GRAM POSITIVE COCCI IN CLUSTER The result of culture is performed in fig. 1 What is the most possible causative organism? State the name of this organism!

a)

Methicillin-resistant Staphylococcus aureus

b)

Oxacillin-sensitive Staphylococcus aureus

c)

Carbapenemase resistance Klebsiella pneumoniae

d)

Extended-spectrum beta-lactamases

e)

Vancomycin-resistant Enterococci

30.

A 40 year age lady consulted for a 1 cm cystic mass in her right elbow. The X-ray showed a cystic mass in outer articular joint of the right elbow but no destruction on the bone. The enucleation of cystic mass was performed. Your best diagnosis based on the microscopic appearance is

a)

Bursitis

b)

Simple cyst of the bone

c)

Synovitis

d)

Ganglion cyst of the bone

31.

Tuberositas pronatoria is located at:

a)

Bone C

b)

Bone A

c)

Bone B

d)

Bone D

32.

Result macroscopic examination synovial fluid analysis to supporting diagnosis inflammation is:

a)

Green

b)

Clear

c)

Light yellow

d)

Cloudy

33.

This is:

a)

Os. axis

b)

Os. atlas

34.

Tuberositas pronatoria can be found in:

a)

Bone A

b)

Bone B

c)

Bone C

d)

Bone D

35.

Linea aspera can be found in:

a)

Bone A

b)

Bone B

c)

Bone C

d)

Bone D

36.

What muscle is this (Red line)?

a)

M. tibialis anterior

b)

M. extensor digitorum longus

c)

M. extensor hallucis longus

d)

M. flexor hallucis brevis

37.

A purulent fluid was taken for Gram staining (fig. 1) and culture on nutrient media revealed round, raise shiny, and white-gray colonies. These colonies are sensitive to novobiocin (fig. 2) What is likely identity of the organism? State the name of these organism!

a)

Escherichia coli

b)

Pseudomonas aeruginosa

c)

Staphylocococcus epidermidis

d)

Candida albicans

e)

Klebsiella pneumoniae

38.

What muscle is this (Red line)?

a)

M. quadratus femoris

b)

M. gemellus superior

c)

M. gemellus inferior

d)

M. obturator internus

e)

M. piriformis

39.

Pertanda adanya infeksi / inflamasi di cairan sendi bila pada pemeriksaan cairan sendi didapat hasil

a)

Glucose - less than 40 mg/dl; Protein - greater than or equal to 3 g/dl; LDH - less than 333 IU/L

b)

Glucose - less than 40 mg/dI; Protein - greater than or equal to 3 g/di; L DH - greater than 333 IU/L

c)

Glucose - greater than 40 mg/dl; P Protein - greater than or equal to 3 g/dl; DH - greater than 333 IU/L

d)

Glucose - less than 40 mg/dI; Protein - less than 3 g/dl; LDH - less than 333 IU/L

e)

Glucose - less than 40 mg/dl; Protein - less than 3 g/dl; LDH - greater than 333 IU/L

40.

What bone is this?

a)

Os. talus sinsitra

b)

Os. calcaneus sisnistra

c)

Os.calcaneus dextra

d)

Os. talus dextra

41.

A. vertebralis runs through foramen transversarium, and runs from ..... to ....

a)

Cl-C7

b)

C5- C2

c)

C7 -C1

d)

C2 - C7

e)

C6 - C1

42.

What is this tissue called?

a)

Brown Adipose tissue

b)

Reticular tissue

c)

White adipose tissue

43.

How many articulation locations are there between the two vertebrae in this picture?

a)

1

b)

3

c)

4

d)

5

e)

2

44.

What is the canal name?

a)

Interstitial canal

b)

Haversian canal

c)

Volkmann canal

45.

What kind laboratory examination do you ask for supporting diagnosis if you think she suffer rheumatoid arthritis:

a)

Uric Acid concentration

b)

Erythrocyte Sedimentation Rate

c)

Anti Cyclic Citrillinated Peptide

d)

C Reactive Protein

e)

WBC Count

46.

Woman 25 year old , in the ICU with a ventilator for 1 month. The doctor suggested culturing the ventilator tube. The results of the bacteria growing look like the following:

a)

Candida albicans

b)

Pseudomonas aeruginosa

c)

Escherichia coli

d)

Klebsiella pneumoniae

e)

Serratia marcescens

47.

Where is this tissue located in the body? 

a)

Auricle

b)

Trachea

c)

Intervertebral disc

48.

What is this tissue?

a)

ELASTIC FIBRE

b)

COLLAGEN FIBRE

c)

RETICULAR FIBRE

49.

Catalase test POSITIVE have for bacteria :

a)

Staphylococcus aureus

b)

Streptococcus pneumoniae

c)

Streptococcus pyogenes

d)

Streptococcus viridans

e)

Enterococcus faecalis

50.

The characteristic of this tissue are...

a)

Striated, the cell nuclei are located at the edge

b)

Wavy, nuclei located between collagenous fiber

c)

Thick & homogenous fiber, elongated shaped

51.

Image of the inferior extremity, seen from the posterior side. The muscle highlighted in yellow, if it becomes paralyzed, the person will have difficulty performing :

a)

Plantarfleksi

b)

Dorsifleksi

52.

From the following picture, what is the name of this vertebra?

a)

Vertebra cervicale

b)

Vertebra Lumbales

c)

Vertebra thoracicae

53.

What is the name of the muscle highlighted in yellow?

a)

M.obturator externus

b)

M.quadriceps femoris

c)

M.quadratus femoris

d)

M.obturator internus

e)

M.piriformis

54.

What is the name of the muscle highlighted in yellow?

a)

M.teres mayor

b)

M.latissimus dorsi

c)

M.teres minor

d)

M.trapezius

e)

M.serratus anterior

55.

What is the pointed cell name?

a)

Osteocyte

b)

Osteoblast

c)

Osteoclast

56.

Disc antibiotics to detect MRSA and MSSA are:

a)

Cefalosporin

b)

Oxacillin

c)

Floroquinolon

d)

Ampicillin sulbactam

e)

Amoxycillin

57.

Man, 35 years old , a construction worker, came to the Regional Hospital with a complaint that his leg bones showed a lump that he had been suffering from for a long time. Then the doctor recommended tissue culture, the microscopic results are shown in the image below. What media needed ?

a)

MacConkey

b)

Agar Darah

c)

Lowenstein Jensen

d)

Nutrient Agar

e)

Manitol Salt Agar

58.

What is the function of this calcification?

a)

To repair damage cartilage

b)

To form bones at the base of the skull and long bones

c)

To form the flat bones of the face, most of the cranial bones, & the clavicles

59.

The tendons of what muscles do we find in the area marked with the red line?

a)

Muscle A

b)

Muscle B

c)

Muscle C

60.

We can find the pronatorial tuberosity at os. :

a)

Ulna

b)

Scapula

c)

Radius

d)

Humerus

e)

Clavicula

61.

Laboratory examination for “marker bone formation” :

a)

Osteocalcin

b)

Acid Phosphatase

c)

Creatine kinase

d)

Hydroxyproline Urine

e)

Alkaline Phosphatase

62.

What is the characteristic of this tissue?

a)

Murky / dirty matrix

b)

Many isogenic cells in clear matrix

c)

Chondrocytes located between collagenous fibers

63.

The tendons of what muscle can we find in the area indicated by the black line?

a)

M. biceps branchii caput longum

b)

M. triceps branchii caput laterale

c)

M. triceps branchii caput longum

d)

M. biceps branchii caput brevis

e)

M. brachialis

64.

A 63-year-old man go to the clinic with acute pain in his right great toe. He says that it has been excruciatingly tender to touch for the last 2 days. The mass was excised and its microscopic appearance is as shown here.

The best diagnosis is?

a)

gout

b)

bursitis

c)

ganglion cyst

d)

fibroma

e)

granuloma

65.

Muscle that function to extend the hallux is:

a)

2

b)

3

c)

1

66.

What bone is this?

The surface you see is the rough surface?

a)

  • Os clavicula dextra

b)

  • Os costae 1 dextra

c)

  • Os costae 1 sinistra

d)

  • Os clavicula sinistra

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