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Medical Diagnosis Quiz

Total questions: 78

Worksheet time: 39mins

Name
Class
Date
1.

A -40-year 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)

Malignant neoplasm

b)

Ganglion cyst

c)

Infectious disease

d)

Osteomielitis

2.

What is this tissue called?

a)

Brown Adipose tissue

b)

Reticular tissue

c)

White adipose tissue

3.

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

a)

Green

b)

Clear

c)

Light yellow

d)

Cloudy

e)

Bloody

4.

What is this tissue?

a)

RETICULAR FIBRE

b)

ELASTIC FIBRE

c)

COLLAGEN FIBRE

5.

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

6.

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 QUESTION: What is the most possible causative organism? State the name of this organism!

a)

Extended-spectrum beta-lactamases

b)

Methicillin-resistant Staphylococcus aureus

c)

Carbapenemase resistance Klebsiella pneumoniae

d)

Oxacilline-sensitive Staphylococcus aureus

e)

Vancomycin-resistant Enterococci

7.

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, datia Langhans cells, epitheloid cells

c)

Lymphocytes cells, plasma cells, fibrotic tissue

d)

Necrosis caseous, datia Langhans, fibrotic tissue

e)

Necrosis caseous, lymphocytes cells, fibrotic tissue

8.

This is:

a)

Os. axis

b)

Os. atlas

9.

Tuberositas pronatoria can be found in:

a)

Bone A

b)

Bone B

c)

Bone C

d)

Bone D

10.

A 10-year 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)

Hypertrophy

b)

Atrophy

c)

Neoplasma

d)

Dystrophy

e)

Malignant tumor

11.

Linea aspera can be found in:

a)

Bone A

b)

Bone B

c)

Bone C

d)

Bone D

12.

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)

Simple cyst of the bone

b)

Bursitis

c)

Ganglion cyst of the bone

d)

Synovitis

13.

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

14.

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). QUESTION: What is likely identity of the organism? State the name of these organism!

a)

Enterococcus faecium

b)

Staphylococcus aureus

c)

Streptococcus pneumoniae

d)

Streptococcus pyogenes

e)

Staphylococcus epidermidis

15.

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). QUESTION: What is likely identity of the organism? State the name of these organism!

a)

Enterococcus faecium

b)

Staphylococcus aureus

c)

Streptococcus pneumoniae

d)

Streptococcus agalactiae

e)

Staphylococcus epidermidis

16.

A 3 cm soft mass/tumor is palpable in the right shoulder of a 42 -year 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)

Lipoma

c)

Neurinoma

d)

Hemangioma

e)

Fibroma

17.

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

a)

Benign neoplasma of epithelial tissue

b)

Malignant neoplasm of epithelial tissue

c)

Malignant neoplasm

d)

Benign neoplasm of soft tissue

18.

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)

Bursitis

c)

Osteochondroma

d)

Osteosarcoma

e)

Ganglion cyst

19.

What is the function of this calcification?

a)

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

b)

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

c)

To repair damage cartilage

20.

The characteristic of this tissue are...

a)

Striated, the cell nuclei are located at the edge

b)

Thick & homogenous fiber, elongated shaped

c)

Wavy, nuclei located between collagenous fiber

21.

A purulent fluid was taken for Gram staining (fig. 1) and culture on nutrient media revealed round, raised, shiny, and white-gray colonies. These colonies are sensitive to novobiocin (fig. 2) QUESTION: 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

22.

What is the canal name?

a)

Volkmann canal

b)

Haversiann canal

c)

Interstitial canal

23.

Where is this tissue located in the body?

a)

Trachea

b)

Intervertebral disc

c)

Auricle

24.

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

a)

Giant cell tumor

b)

Ganglion cyst

c)

Granuloma

d)

Bursitis

e)

Fibroma

25.

A -40-year 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)

Osteochondroma

b)

Chondro arcoma

c)

Chondroma

d)

Osteoma

26.

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

27.

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

c)

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

d)

Glucose - less than 40 mg/dl; 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

28.

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)

Normal

d)

Non inflammatory

e)

Hemorrhagic

29.

What is the function of the pointed cell?

a)

Bone formation

b)

Bone resorption

c)

Maintain mineral concentration of matrix

30.

What is the characteristic of this tissue?

a)

Many isogenic cells in clear matrix

b)

Murky / dirty matrix

c)

Chondrocytes located between collagenous fibers

31.

What bone is this?

a)

Os. talus sinsitra

b)

Os. calcaneus sisnistra

c)

Os.calcaneus dextra

d)

Os. talus dextra

32.

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

a)

C1 – C7

b)

C5 – C2

c)

C7 – C1

d)

C2 – C7

e)

C6 – C1

33.

What is the pointed cell name?

a)

Osteoclast

b)

Osteocyte

c)

Osteoblast

34.

What muscle that originates in this area, indicated by red line?

a)

M. biceps brachii caput longum

b)

M. biceps brachii caput brevis

c)

M. triceps brachii caput laterale

d)

M. triceps brachii caput longum

35.

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

36.

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

37.

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

38.

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

39.

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)

Normal

e)

Hemorrhagic

40.

Sulcus nervi ulnaris is located at:

a)

Bone D

b)

Bone A

c)

Bone B

d)

Bone C

41.

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

42.

What is the pointed cell name?

a)

Osteoblast

b)

Osteocyte

c)

Osteoclast

43.

What is the characteristic of this tissue?

a)

Murky/dirty matrix

b)

Chondrocytes located between collagenous fibers

c)

Many isogenic cells in clear matrix

44.

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 aeruginosa

e)

Staphylococcus epidermidis

45.

The muscle that marked by this yellow line is: (Posterior view of femoral region; M= Medial, L = Lateral)

a)

M. biceps femoris caput longum

b)

M. semimembranosus

c)

M. semitendinosus

d)

M. adductor magnus

e)

M. rectus femoris

46.

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

47.

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

48.

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

49.

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

50.

Tuberositas pronatoria is located at:

a)

Bone C

b)

Bone A

c)

Bone B

d)

Bone D

51.

What is the name of this area?

a)

Sulcus bicipitalis

b)

Linea intertrochenterica

c)

Crista intertrochanterica

d)

Linea aspera

52.

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

53.

Muscle that function to extend the hallux is

a)

2

b)

3

c)

1

54.

The antebrachial bone that directly contact with ossa carpalia is:

a)

Os. ulna

b)

Os. radius

55.

Muscle that part of the rotator cuff is:

a)

3

b)

2

c)

4

d)

1

e)

5

56.

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

57.

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)

Chondroblastoma

b)

Osteochondroma

c)

Tophus

d)

Osteosaarcoma

e)

Bursitis

58.

What muscle is this?

a)

M. Pronator teres

b)

M. flexor carpi ulnaris

c)

M. Palmaris longus

d)

M. flexor carpi radialis

e)

M. Flexor digitorum superficialis

59.

The medial border of trigonum femorale is

a)

M. adductor brevis

b)

M. adductor longus

c)

M. sartorius

d)

M. gracilis

e)

M. femoralis

60.

One of the marker bone resorption:

a)

Tartrate- Resistant Serum

b)

Procollagen type I.

c)

Alkaline phosphates/ALP

d)

Creatine kinase

e)

Osteocalcin

61.

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

a)

Benign neoplasm of soft tissue

b)

Malignant neoplasm

c)

Malignant neoplasm of epithelial tissue

d)

Benign neoplasma of epithelial tissue

62.

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

a)

1

b)

3

c)

4

d)

5

e)

2

63.

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

64.

Catalase test POSITIVE have for bacteria

a)

Staphylococcus aureus

b)

Streptococcus pneumoniae

c)

Streptococcus pyogenes

d)

Streptococcus viridans

e)

Enterococcus faecalis

65.

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

66.

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

a)

Vertebra cervicale

b)

Vertebra Lumbales

c)

Vertebra thoracicae

67.

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

68.

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

69.

Disc antibiotics to detect MRSA and MSSA are:

a)

Cefalosporin

b)

Oxacillin

c)

Floroquinolon

d)

Ampicillin sulbactam

e)

Amoxycillin

70.

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

71.

The tendons of what muscles do we find in the area marked with the red line? Select one of these three yellow muscles (A or B or C)

a)

A

b)

B

c)

C

72.

We can find the pronatorial tuberosity at os. :

a)

Ulna

b)

Scapula

c)

Radius

d)

Humerus

e)

Clavicula

73.

Laboratory examination for “marker bone formation” :

a)

Osteocalcin

b)

Acid Phosphatase

c)

Creatine kinase

d)

Hydroxyproline Urine

e)

Alkaline Phosphatase

74.

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

a)

M. biceps brachii caput longum

b)

M. triceps branchii caput laterale

c)

M. triceps brachii caput longum

d)

M. biceps branchii caput brevis

e)

M. brachialis

75.

A purulent fluid was taken for Gram staining and culture on CHROMagar. What is likely identify of the organism? State the name of these organism!

a)

Candida albicans

b)

Escherichia coli

c)

Klebsiella pneumoniae

d)

Pseudomonas aeruginosa

e)

Staphylococcus aureus

76.

Once of marker bone resorption is:

a)

Tartrate-Resistant Serum

b)

Procollagen type 1

c)

Alkaline phosphates/ALP

d)

Creatine kinase

e)

Osteocalcin

77.

Where is this tissue located in the body?

a)

Auricle

b)

Trachea

c)

Intervertebral disc

78.

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