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Worksheets

ICMOSPEPEPEPEEPE

Total questions: 60

Worksheet time: 30mins

Name
Class
Date
1.

Pemeriksaan Laboratorium untuk menilai integritas sel hati adalah …

a)

Cholin esterase

b)

Albumin Serum

c)

SGPT/AST

d)

PT

e)

Alkali Fosfat

2.

Patient female 56 years old, come with severe abdominal pain, tender and distended abdomen, what abnormality can be seen in this case?

a)

Paralytic Ileus

b)

Perforation or Pneumoperitoneum

c)

Colitis

d)

Small bowel dilatation

e)

Large bowel dilatation

3.

Kelainan apakah yang tampak pada gambar berikut?

a)

Infark kronik

b)

Subdural Hematom subakut

c)

Intraparenkimal Hemoragik

d)

Infark subakut

4.

Kelainan apakah yang tampak pada gambar berikut?

a)

Intraventrikular Hemoragik

b)

Subdural Hematom

c)

Subarachnoid Hemoragik

d)

Intraparenkimal Hemoragik

5.

A 45 young Man came to your Office with Urine Analysis: Glucosuria ++, what examination do you need for this Ps:

a)

HbAlc

b)

Liver function Test

c)

Oral Glucose Tolerance Test

d)

Examination Urea and Creatinine

e)

Microscopic Urinalysis

6.

Which of the following is NOT a normal oral flora?

a)

Prevotella oralis

b)

Cardiobacterium valvarum

c)

Streptococcus salivarius

d)

Neissheria bacilliformis

e)

Pseudomonas aeruginosa

7.

This Gram Staining showin typical

a)

Gram negative cocci in chain

b)

Gram positive diplococci

c)

Gram positive spirochetes

d)

Gram negative spiral shape singly

e)

Acid fast bacilli

8.

Specify interpretation of bacteria in the figure 1 according the result of gram-stain

a)

Gram negative fusiform rods

b)

Gram positive spore-forming

c)

Acid fast bacilli

d)

Gram positive cocci in pairs

e)

Gram positive cocci in cluster

9.

A60yr old woman came to the general practioner with complain paraesthesia & itching in extremity superior & inferior. she also felt general weakness & weight loss 3 kilos in a months. what is the most appropriate diagnosis?

a)

Diabetes melitus

b)

Alcoholism

c)

Hypothyroidism

d)

Vitamin B12 deficiency

e)

Entrapment Syndrome

10.

A 57-year fermale prents a lump in her left neck, fast growing. Her mother, her maternal aunt and maternal grandmother have had similar lesion. The microscopic picture of a biopsy from her lesion is depicted in here. category of her mass?

a)

non neoplastic disease

b)

malignant neoplasm

c)

benign neoplasm

d)

infectious disease

e)

autoimune disease

11.

A 57-year fermale prents a lump in her left neck, fast growing. Her mother, her maternal aunt and maternal grandmother have had similar lesion. The microscopic picture of a biopsy from her lesion is depicted in here. based on your microscopic examination, which of the followings describes ur best diagnosis

a)

hodgkin lymphoma

b)

lobular carcinoma

c)

fibrosarcoma

d)

lymphadenitis tuberculosis

e)

leiomyosarcoma

12.

An old woman was diagnosed with abscess. Pus specimen was taken for culture and Gram staining. The result of positive culture was showed on figure below. The bacteria has porcelin-white colonies. what is ur interpretation based on the result of gram staining & culture on mannitol salt agar?

a)

Cryptococcus neoformans

b)

Staphylococcus epidermidis

c)

Acinetobacter baumanii

d)

staphylococcus aureus

e)

Klebsiella pneumoniae

13.

If u are find 11 acid fast bacilli (AFB)/10 immersion fields. how are u report this result according the scale of international union against tuberculosis & lung disease (IUATLD) & WHO

a)

++

b)

++++

c)

+

d)

+++

e)

+++++

14.

A 58yr old woman came to ur clinic w/lab result HbA1c is 6.8% what is ur conclusion for this result?

a)

pre-diabetes

b)

diabetes (blood sugar is not well controlled)

c)

normal (no diabetes)

d)

diabetes (blood sugar is well controlled)

15.

what is the advantages of performing an Aspiration biopsy (FNAB)

a)

bleeding

b)

minimally invasive

c)

can not distinguished invasive & in situ carcinoma

d)

possible false negative

e)

expensive

16.

urinalysis obstructive jaundice

a)

Bilirubin urin: -, Urobilinogen:+

b)

Bilirubin urin +, Urobilingen:-/neg

c)

Bilirubin urin: +, Urobilinogen: + lemah atau kuat

d)

Bilirubin urin: -, Urobilinogen: -

e)

Bilirubin urin: - Urobilinogen urin:+ lemah

17.

kelainan apakah yang tampak pada gambar ini?

a)

subarachoid hemoragik

b)

subdural hematom

c)

intraparenkimal hemoragik

d)

epidural hematom

18.

Microcytic if the red blood cells are smaller than normal (under 80 fl).

Microcytic anemia is often the result of

a)

Iron deficiency

b)

Anemia Perneciosa

c)

Deficiency B 12

d)

Folat deficiency

e)

Anemia Aplastic

19.

a baby diagnosed with ventriculitis. cerebrospinal spinal fluid was taken for microbiology examination, & the culture result on ChromAgar was performed on figure below. give ur answer in accordance with these result!

a)

escherichia coli

b)

staphylococcus aureus

c)

serratia marcescens

d)

candida tropicalis

e)

pseudomonas aeruginosa

20.

a young man has an open wound with purulent discharge. a specimen from that wound was taken for microbiology examination. the result of gram stain was showed on the figure below. what is ur interpretation based on the result of gram staining?

a)

streptococcus

b)

spirochatea

c)

candida

d)

mycobacteria

e)

staphylococcus

21.

lipopolysaccharide in cell walls is characteristic of?

a)

fungi

b)

algae

c)

gram-positive bacteria

d)

gram-negative bacteria

e)

acid fast baciili

22.

culture on nutrient slant agar (18h at 25C) shown production of a green pigment (siderophore). state the bacterium which has these characteristic

a)

Klebsiella pneumoniae

b)

Escherichia coli

c)

Serratia marcescens

d)

Pseudomonas aeruginosa

e)

Candida albicans

23.

Which one of the following reagent is for Gram staining?

a)

10% potassium hydroxide

b)

95% ethyl alcohol

c)

Carbol fuschin

d)

Lacto phenol

e)

Toludine blue

24.

A 63 years old female patient came to your practice and complained she was decrease her body weight 3 in one month. Laboratory result: Fasting blood glucoe: 99 mg/dL, Two hours post prandial blood glucose 210 mg/dL. What is the most possible diagnosis?

a)

Diabetes Mellitus

b)

Impaired post prandial glucose tolerance test

c)

Normal blood glucose

d)

Impaired fasting glucose tolerance test

25.

Patient 57 years old fall from high place, what is the best diagnosis for this patient?

a)

Spondylolisthesis

b)

Wedge Fracture

c)

Dislocation Fracture

d)

Burst Fracture

e)

Seat Belt Fracture

26.

Patient 65 year old man presents with acute large bowel obstruction, rectal bleeding and change in bowel habit. What is the most likely cause?

a)

Toxic Megacolon

b)

Adhesions

c)

Colonic carcinoma

d)

Volvulus

e)

Inguinal hernia

27.

what are the limitations of FNAB?

a)

Doesn't require anesthesia

b)

Cells does not allow for evaluation to the supporting tissue as well as histology does

c)

Gold standard to get the denitive diagnosis

d)

quick

e)

Non-invasive procedur

28.

Which of the following is normal oral ora?

a)

Pseudomonas aeruginosa

b)

Prevotella oralis

c)

Clostridium botulinum

d)

Aspergillus fumigatus

e)

Mycobacterium tuberculosis

29.

Kl A 45 years man 40 kg body weight came to clinic with complain; weak, pale and no energy. Lab result Hb 9.0 mg/dL (N: 13 – 15) MCV 70 (N: 80 – 100 fL)

What the most possible causes anemia of this ps:

a)

Deciency Folat

b)

Deciency B 12

c)

Deciency Protein

d)

Deciency B 12

e)

Deciency Fe

30.

Macrocytic If the red blood cells are bigger than normal (MCV more than 100 ).

Macrocytic anemia with paraesthesia and numbneesis often the result of

a)

Anemia Aplastic

b)

Iron deciency

c)

Deciency B 12

d)

Folat deciency

e)

anemia Perneciosa

31.

Kelainan apakah yang tampak pada gambar berikut?

a)

Perdarahan Subdural

b)

Perdarahan Intraparenkimal

c)

Perdarahan Epidural

d)

Perdarahan Subgaleal

32.

Pemeriksaan lab untuk menilai fungsi sintesis sel hati adalah

a)

albumin serum

b)

alkali fosfatase

c)

glucosa serum

d)

SGPT/AST

e)

SGOT/AST

33.

pada pemeriksaan carik celup (dipstick) urine, akan didapatkan "glucose positife" bila nilai glucose serum...

a)

160mg/dl

b)

130mg/dl

c)

150mg/dl

d)

170mg/dl

e)

140mg/dl

34.

Pada pemeriksaaan carik celup (dep stick) urine, akan didapatkan "blood posit". Maka

untuk memastikan hasil positf tersebut berasal dari hemoglobin atau myoglobin, maka

harus dilakukan pemeriksaaan....

a)

Electroforesa Hb

b)

Sedimen/Microscopic Urine

c)

Nilai Hb

d)

Apusan Darah Tepi

e)

Ca Darah

35.

pemeriksaan laboratorium untuk menilai cholestasis sel hati adalah

a)

SGOT/AST

b)

glucose serum

c)

SGPT/AST

d)

albumin serum

e)

alkali fosfatase

36.

A 45-year-old obese woman with cholelithiasis presents to the emergency room

complaining of nausea and vomiting for 2 days, along with severe continuous mid abdominal pain. She has a low-grade fever and the ER physician finds that she has a slightly elevated WBC count (12,000). Triglyceride 1100 What is the most likely diagnosis?

a)

Peptic ulcer disease

b)

Hepatitis

c)

Ruptured abdominal aortic aneurysm

d)

Acute pancreatitis

e)

Early phase of acute appendicitis

37.
a)

phyllodes tumor

b)

breast cyst

c)

breast lymphoma

d)

fibroadenoma

e)

breast carcinoma

38.
a)

Infectious mononucleosis

b)

Diffuse large B cell Iymphoma

c)

Peripheral T cell lymphoma

d)

Non-Hodgkin lymphoma

e)

Hodgkin lymphoma

39.

Fine needle aspiration biopsy can be very useful in many cases. However, there are certain

situations where FNAB should not be performed. What condition is being considered as a

contraindication for FNAB?

a)

Patient without a bleeding disorder

b)

Patient with palpable breast lesions

c)

Patient who is not on anticagulant therapy

d)

Skin infection on examination area

e)

Patient with mammographic abnormality

40.

A boy age 4 years presents to your office with pale since I year. There is no other complain.

His brother got blood transfusion frequently. Physical examination revealed slight hepatomegaly and splenomegaly (Schuffner II). His MCV 70 (80-100t). Blood smear reved target cell. What is most likely diagnosis?

a)

Chronic iron deficiency

b)

Aplastic anemia

c)

Acute leukemia

d)

Spherocytosis

e)

Thalassemia

41.
a)

inflammatory disorder

b)

benign stromal tumor

c)

autoimune disease

42.

for supporting diagnose this case above, we need examination

a)

Hb & WBC

b)

amilase & lipase serum

c)

endoscopy

d)

AST & ALT

e)

ureum & creatinine value

43.
a)

papiloma

b)

fibroadenoma

c)

breast abscess

d)

phyllodes tumor

e)

fibroscytic changes

44.
a)

Stromal invasion

b)

Expansile masses of cells with pushing borders

c)

High-grade proliferation associated with large central zones of necrosis

d)

Fibrosis and fluid-filled sacs or cysts

e)

solid nests of cells with pleomorphic nuclei

45.

Fine needle aspiration biopsy is indicated for patients with a mammographic abnormality or

palpable breast lesions. Among all the options below, which one is not the advantage of FNAB over other diagnostic modalities?

a)

Cost-effective

b)

Low risk of hematoma or bleeding

c)

Samples can be found to be inadequate or non diagnostic

d)

Less invasive and less painful

e)

Can be performed in the clinic or office

46.
a)

Infiltration of small eosinophils and histiocytes

b)

Effacement of nodal architecture

c)

Necrosis and microabscesses

d)

Reed stenberg cells

e)

Infiltration of small Iymphocytes and neutrophils

47.
a)

Benign epithelial lesion

b)

Inflammatory disorder

c)

Benign stromal tumor

d)

Autoimune disease

e)

Carcinoma of the breast

48.
a)

breast abscess

b)

fibroscytic change

c)

fibroadenoma

d)

invasice breast carcinoma

e)

mastitis

49.

A 16 years old boy came to your office with chief complain fever since & days prior. He also

complain headache, retroorbita pain, myalgias and nausea. I week ago his neighbour was

admitted to hospital due to dengue fever. What is the next examination you suggest for this

patient?

a)

IgM dengue

b)

Complete blood count

c)

NS-lantigen test

d)

Malaria serology

e)

Widal test

50.

patient 65yr old come to ER with chest discomfort & abdominal pain, what is ur findings that u see in this chest xray

a)

Pneumoperitoneum

b)

Ileus obstruktif

c)

Normal

d)

Pneumothorax

e)

Chilaiditi's Syndrome

51.

A 57 year old man came with nausea and severe vomiting 3 hour before admission. He is

obese, love to eat and drink since 4 years ago. There was history of diabetes and hypertension in his family. He looked mild dyspnea since 2 days ago. What is the most probable diagnosis?

a)

Functional dyspepsia

b)

Coronary artery syndrome

c)

Peptic ulcer disease

d)

Diabetic ketoacidosis

e)

Gastropathy uremicum

52.

results when A1c is being used to diagnose pre-diabetes:

a)

A1c: 5.7%-6.4%

b)

A1c: <5.7%

c)

A1c: 6-6.4%

d)

A1c: >6.5%

e)

A1c: >5.7%

53.

Thyoglycolate medium is used as :

a)

Media transport

b)

Media sensitifitas

c)

Media tanam

d)

Media diperkaya

e)

Media agar sederhana

54.

Ziehl Neelsen staining is used to examine for bacteria :

a)

Enterobacteriaceae Sp

b)

Streptococcus Sp

c)

Staphylococcus Sp

d)

Mycobacterium Sp

e)

Salmonella Sp

55.

Why do Gram Positive bacteria appear purple under a Gram stain?

a)

Pencucian dengan cairan Alkohol

b)

Lapisan peptidoglycan 90%

c)

Penyerapan zat warna Zahfranin

d)

Dibakar sehingga warna terserap

e)

Penyerapan zat warna Methylene Blue

56.

Results when Alc is being used to diagnose diabetes:

a)

A1c : > 5.7 %

b)

A1c : 5,7 - 6 %

c)

A1c : 6 - 6.4 %

d)

A1c : > 6.0 %

e)

A1c : > 6.5 %

57.
a)

Colitis

b)

Perforation or Pneumoperitoneum

c)

Large bowel dilatation

d)

Paralytic Ileus

e)

Small bowel dilatation

58.
a)

Anterolisthesis L3-L4

b)

Anterolisthesis L4-L5 with defect pars interarticularis

c)

Anterolisthesis L3-L4 with defect pars interarticularis

d)

Anterolisthesis L4-L5

e)

Retrolisthesis L3-L4

59.

a baby was diagnosed with ventriculitis. cerebrospinal fluid was taken for microbiology examination, and the culture result on chromagar was performed on figure below. give ur answer in accordance with there result

a)

Staphylococcus aureus

b)

candida tropicalis

c)

Pseudomonas aeruginosa

d)

Escherichia coli

60.

ketonuria

a)

At diabetic keto acidosis

b)

Blood glucose > 300 mg/dL

c)

Blood glucose > 200 mg/dL

d)

If you eat more lipid

e)

When glucosuria