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WorksheetsICMOSPEPEPEPEEPE
Total questions: 60
Worksheet time: 30mins
Pemeriksaan Laboratorium untuk menilai integritas sel hati adalah …
Cholin esterase
Albumin Serum
SGPT/AST
PT
Alkali Fosfat
Patient female 56 years old, come with severe abdominal pain, tender and distended abdomen, what abnormality can be seen in this case?
Paralytic Ileus
Perforation or Pneumoperitoneum
Colitis
Small bowel dilatation
Large bowel dilatation
Kelainan apakah yang tampak pada gambar berikut?
Infark kronik
Subdural Hematom subakut
Intraparenkimal Hemoragik
Infark subakut
Kelainan apakah yang tampak pada gambar berikut?
Intraventrikular Hemoragik
Subdural Hematom
Subarachnoid Hemoragik
Intraparenkimal Hemoragik
A 45 young Man came to your Office with Urine Analysis: Glucosuria ++, what examination do you need for this Ps:
HbAlc
Liver function Test
Oral Glucose Tolerance Test
Examination Urea and Creatinine
Microscopic Urinalysis
Which of the following is NOT a normal oral flora?
Prevotella oralis
Cardiobacterium valvarum
Streptococcus salivarius
Neissheria bacilliformis
Pseudomonas aeruginosa
This Gram Staining showin typical
Gram negative cocci in chain
Gram positive diplococci
Gram positive spirochetes
Gram negative spiral shape singly
Acid fast bacilli
Specify interpretation of bacteria in the figure 1 according the result of gram-stain
Gram negative fusiform rods
Gram positive spore-forming
Acid fast bacilli
Gram positive cocci in pairs
Gram positive cocci in cluster
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?
Diabetes melitus
Alcoholism
Hypothyroidism
Vitamin B12 deficiency
Entrapment Syndrome
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?
non neoplastic disease
malignant neoplasm
benign neoplasm
infectious disease
autoimune disease
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
hodgkin lymphoma
lobular carcinoma
fibrosarcoma
lymphadenitis tuberculosis
leiomyosarcoma
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?
Cryptococcus neoformans
Staphylococcus epidermidis
Acinetobacter baumanii
staphylococcus aureus
Klebsiella pneumoniae
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 58yr old woman came to ur clinic w/lab result HbA1c is 6.8% what is ur conclusion for this result?
pre-diabetes
diabetes (blood sugar is not well controlled)
normal (no diabetes)
diabetes (blood sugar is well controlled)
what is the advantages of performing an Aspiration biopsy (FNAB)
bleeding
minimally invasive
can not distinguished invasive & in situ carcinoma
possible false negative
expensive
urinalysis obstructive jaundice
Bilirubin urin: -, Urobilinogen:+
Bilirubin urin +, Urobilingen:-/neg
Bilirubin urin: +, Urobilinogen: + lemah atau kuat
Bilirubin urin: -, Urobilinogen: -
Bilirubin urin: - Urobilinogen urin:+ lemah
kelainan apakah yang tampak pada gambar ini?
subarachoid hemoragik
subdural hematom
intraparenkimal hemoragik
epidural hematom
Microcytic if the red blood cells are smaller than normal (under 80 fl).
Microcytic anemia is often the result of
Iron deficiency
Anemia Perneciosa
Deficiency B 12
Folat deficiency
Anemia Aplastic
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!
escherichia coli
staphylococcus aureus
serratia marcescens
candida tropicalis
pseudomonas aeruginosa
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?
streptococcus
spirochatea
candida
mycobacteria
staphylococcus
lipopolysaccharide in cell walls is characteristic of?
fungi
algae
gram-positive bacteria
gram-negative bacteria
acid fast baciili
culture on nutrient slant agar (18h at 25C) shown production of a green pigment (siderophore). state the bacterium which has these characteristic
Klebsiella pneumoniae
Escherichia coli
Serratia marcescens
Pseudomonas aeruginosa
Candida albicans
Which one of the following reagent is for Gram staining?
10% potassium hydroxide
95% ethyl alcohol
Carbol fuschin
Lacto phenol
Toludine blue
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?
Diabetes Mellitus
Impaired post prandial glucose tolerance test
Normal blood glucose
Impaired fasting glucose tolerance test
Patient 57 years old fall from high place, what is the best diagnosis for this patient?
Spondylolisthesis
Wedge Fracture
Dislocation Fracture
Burst Fracture
Seat Belt Fracture
Patient 65 year old man presents with acute large bowel obstruction, rectal bleeding and change in bowel habit. What is the most likely cause?
Toxic Megacolon
Adhesions
Colonic carcinoma
Volvulus
Inguinal hernia
what are the limitations of FNAB?
Doesn't require anesthesia
Cells does not allow for evaluation to the supporting tissue as well as histology does
Gold standard to get the denitive diagnosis
quick
Non-invasive procedur
Which of the following is normal oral ora?
Pseudomonas aeruginosa
Prevotella oralis
Clostridium botulinum
Aspergillus fumigatus
Mycobacterium tuberculosis
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:
Deciency Folat
Deciency B 12
Deciency Protein
Deciency B 12
Deciency Fe
Macrocytic If the red blood cells are bigger than normal (MCV more than 100 ).
Macrocytic anemia with paraesthesia and numbneesis often the result of
Anemia Aplastic
Iron deciency
Deciency B 12
Folat deciency
anemia Perneciosa
Kelainan apakah yang tampak pada gambar berikut?
Perdarahan Subdural
Perdarahan Intraparenkimal
Perdarahan Epidural
Perdarahan Subgaleal
Pemeriksaan lab untuk menilai fungsi sintesis sel hati adalah
albumin serum
alkali fosfatase
glucosa serum
SGPT/AST
SGOT/AST
pada pemeriksaan carik celup (dipstick) urine, akan didapatkan "glucose positife" bila nilai glucose serum...
160mg/dl
130mg/dl
150mg/dl
170mg/dl
140mg/dl
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....
Electroforesa Hb
Sedimen/Microscopic Urine
Nilai Hb
Apusan Darah Tepi
Ca Darah
pemeriksaan laboratorium untuk menilai cholestasis sel hati adalah
SGOT/AST
glucose serum
SGPT/AST
albumin serum
alkali fosfatase
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?
Peptic ulcer disease
Hepatitis
Ruptured abdominal aortic aneurysm
Acute pancreatitis
Early phase of acute appendicitis
phyllodes tumor
breast cyst
breast lymphoma
fibroadenoma
breast carcinoma
Infectious mononucleosis
Diffuse large B cell Iymphoma
Peripheral T cell lymphoma
Non-Hodgkin lymphoma
Hodgkin lymphoma
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?
Patient without a bleeding disorder
Patient with palpable breast lesions
Patient who is not on anticagulant therapy
Skin infection on examination area
Patient with mammographic abnormality
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?
Chronic iron deficiency
Aplastic anemia
Acute leukemia
Spherocytosis
Thalassemia
inflammatory disorder
benign stromal tumor
autoimune disease
for supporting diagnose this case above, we need examination
Hb & WBC
amilase & lipase serum
endoscopy
AST & ALT
ureum & creatinine value
papiloma
fibroadenoma
breast abscess
phyllodes tumor
fibroscytic changes
Stromal invasion
Expansile masses of cells with pushing borders
High-grade proliferation associated with large central zones of necrosis
Fibrosis and fluid-filled sacs or cysts
solid nests of cells with pleomorphic nuclei
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?
Cost-effective
Low risk of hematoma or bleeding
Samples can be found to be inadequate or non diagnostic
Less invasive and less painful
Can be performed in the clinic or office
Infiltration of small eosinophils and histiocytes
Effacement of nodal architecture
Necrosis and microabscesses
Reed stenberg cells
Infiltration of small Iymphocytes and neutrophils
Benign epithelial lesion
Inflammatory disorder
Benign stromal tumor
Autoimune disease
Carcinoma of the breast
breast abscess
fibroscytic change
fibroadenoma
invasice breast carcinoma
mastitis
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?
IgM dengue
Complete blood count
NS-lantigen test
Malaria serology
Widal test
patient 65yr old come to ER with chest discomfort & abdominal pain, what is ur findings that u see in this chest xray
Pneumoperitoneum
Ileus obstruktif
Normal
Pneumothorax
Chilaiditi's Syndrome
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?
Functional dyspepsia
Coronary artery syndrome
Peptic ulcer disease
Diabetic ketoacidosis
Gastropathy uremicum
results when A1c is being used to diagnose pre-diabetes:
A1c: 5.7%-6.4%
A1c: <5.7%
A1c: 6-6.4%
A1c: >6.5%
A1c: >5.7%
Thyoglycolate medium is used as :
Media transport
Media sensitifitas
Media tanam
Media diperkaya
Media agar sederhana
Ziehl Neelsen staining is used to examine for bacteria :
Enterobacteriaceae Sp
Streptococcus Sp
Staphylococcus Sp
Mycobacterium Sp
Salmonella Sp
Why do Gram Positive bacteria appear purple under a Gram stain?
Pencucian dengan cairan Alkohol
Lapisan peptidoglycan 90%
Penyerapan zat warna Zahfranin
Dibakar sehingga warna terserap
Penyerapan zat warna Methylene Blue
Results when Alc is being used to diagnose diabetes:
A1c : > 5.7 %
A1c : 5,7 - 6 %
A1c : 6 - 6.4 %
A1c : > 6.0 %
A1c : > 6.5 %
Colitis
Perforation or Pneumoperitoneum
Large bowel dilatation
Paralytic Ileus
Small bowel dilatation
Anterolisthesis L3-L4
Anterolisthesis L4-L5 with defect pars interarticularis
Anterolisthesis L3-L4 with defect pars interarticularis
Anterolisthesis L4-L5
Retrolisthesis L3-L4
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
Staphylococcus aureus
candida tropicalis
Pseudomonas aeruginosa
Escherichia coli
ketonuria
At diabetic keto acidosis
Blood glucose > 300 mg/dL
Blood glucose > 200 mg/dL
If you eat more lipid
When glucosuria
