Free Printable COMPILE OSPE ICM 1

1.

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)

Acute pancreatitis

b)

Peptic ulcer disease

c)

Hepatitis

d)

Ruptured abdominal aortic aneurysm

e)

Early phase of acute appendicitis

2.

a)

Phyllodes tumor

b)

Breast cyst

c)

Breast lymphoma

d)

Fibroadenoma

e)

Breast carcinoma

3.

a)

Infectious mononucleosis

b)

Diffuse large B cell lymphoma

c)

Peripheral T cell lymphoma

d)

Non-Hodgkin lymphoma

e)

Hodgkin lymphoma

4.

Kelainan apakah yang tampak pada gambar berikut?

a)

Subdural Hematom subakut

b)

Intraparenkimal Hemoragik

c)

Infark kronik

d)

Infark subakut

5.

Kelainan apakah yang tampak pada gambar berikut?

a)

Intraparenkimal Hemoragik

b)

Subdural Hematom

c)

Subarachnoid Hemoragik

d)

Intraventrikular Hemoragik

6.

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)

Inguinal hernia

b)

Toxic Megacolon

c)

Volvulus

d)

Adhesions

e)

Colonic carcinoma

7.

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 FNАВ?

a)

Patient without a bleeding disorder

b)

Patient with palpable breast lesions

c)

Patient who is not on anticoagulant therapy

d)

Skin infection on examination area

e)

Patient with mammographic abnormality

8.

A boy age 4 years presents to your office with pale since 1 year. There is no other complain. His brother got blood transfusion frequently. Physical examination revealed slight hepatomegaly and splenomegaly (Schuffner II). His MCV 70 (80-100fL). Blood smear revealed target cell. What is most likely diagnosis?

a)

Chronic iron deficiency

b)

Aplastic anemia

c)

Acute leukemia

d)

Spherocytosis

e)

Thalassemia

9.

a)

Inflammatory disorder

b)

Benign stromal tumor

c)

Autoimune disease

10.

For supporting diagnose this case abrove, we need examination:

a)

a. Hb and WBC

b)

e. Ureum and creatinine value

c)

b. Amilase and lipase serum

d)

d. AST and ALT

e)

c. Endoscopy

11.

a)

Papilloma

b)

Fibroadenoma

c)

Breast abscess

d)

Fibrocystic changes

e)

Phyllodes tumor

12.

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 nondiagnostic

d)

Less invasive and less painful

e)

Can be performed in the clinic or office

13.

a)

Infiltration of small eosinophils and histiocytes

b)

Effacement of nodal architecture

c)

Necrosis and microabscesses

d)

Infiltration of small lymphocytes and neutrophils

e)

Reed stenberg cells

14.

a)

Benign epithelial lesion

b)

Inflammatory disorder

c)

Benign stromal tumor

d)

Autoimune disease

e)

Carcinoma of the breast

15.

A 16 years old boy came to your office with chief complain fever since 8 days prior. He also complain headache, retroorbita pain, myalgias and nausea. 1 week ago his neighbour was admitted to hospital due to dengue fever.What is the next examination you suggest for this patient?

a)

Complete blood count

b)

NS-1 antigen tes

c)

Malaria serology

d)

IgM dengue

e)

Widal test

16.

Patient 65 years old come to ER with chest discomfort and abdominal pain, what findings that you see in this chest x ray?

a)

lleus obstruktif

b)

Normal

c)

Pneumothorax

d)

Chilaiditi's Syndrome

e)

Pneumoperitoneum

17.

a)

Breast abscess

b)

Fibrocystic change

c)

Fibroadenoma

d)

Invasive breast carcinoma

e)

Mastitis

18.

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

19.

Kelainan apakah yang tampak pada gambar berikut?

a)

Perdarahan Subgaleal

b)

Perdarahan Intraparenkimal

c)

Perdarahan Epidural

d)

Perdarahan Subdural

20.

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

a)

b. Wedge Fracture

b)

a. Spondylolisthesis

c)

c. Seat Belt Fracture

d)

d. Burst Fracture

e)

e. Seat Belt Fracture

21.

Results when Alc 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%

22.

Thyoglycolate medium is used as:

a)

b. Media sensitifitas

b)

d. Media diperkaya

c)

c. Media tanam

d)

a. Media transport

e)

e. Media agar sederhana

23.

Ziehl Neelsen staining is used to examine for bacteria:

a)

Enterobacteriaceae Sp

b)

Streptococcus Sp

c)

Mycobacterium Sp

d)

Staphylococcus Sp

e)

Salmonella Sp

24.

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

a)

Pencucian dengan cairan Alkohol

b)

Penyerapan zat warna Zahfranin

c)

Dibakar sehingga warna terserap

d)

Penyerapan zat warna Methylene Blue

e)

Lapisan peptidoglycan 90%

25.

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%

26.

a)

Colitis

b)

Perforation

c)

Pneumoperitoneum

d)

Large bowel dilatation

e)

Paralytic lleus

27.

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

28.

A baby was diagnosed with ventriculitis. Cerebro Spinal Fluid was taken for microbiology examination, and the culture result on ChromAgar was performed on figure below.

Give your answer in accordance with these results!

a)

Staphylococcus aureus

b)

Candida tropicalis

c)

Pseudomonas aeruginosa

d)

Escherichia coli

29.

A 60 years old woman came to General Practitioner with complain paraesthesia and itching in extremity superior and inferior. Frequent diuresis. She also felt general weakness and weight loss 3 kilos in a month. What is the most appropriate diagnosis?

a)

Entrapment syndrome

b)

Diabetes Mellitus

c)

Vitamin B12 deficiency

d)

Hypothyroidism

e)

Alcoholism

30.

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

31.

a)

d. Fibrosis and fluid-filled sacs or cysts

b)

b. Expansile masses of cells with pushing borders

c)

e. Solid nests of cells with pleomorphic nuclei

d)

c. High-grade proliferation associated with large central zones of necrosis

e)

a. Stromal invasion

32.

Kelainan apakah yang tampak pada gambar berikut?

a)

d. Subdural Hematom

b)

b. Subarachnoid Hemoragik

c)

c. Epidural Hematom

d)

a. Intraparenkimal Hemoragik

33.

If you are find 11 Acid Fast Bacilli (AFB) per-100 immersion fields. How are you report this result according the scale of International Union Against Tuberculosis and Lung Disease (IUATLD) and World Health Organization (WHO).

a)

+

b)

++++

c)

+++

d)

+++++

e)

++

34.

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

a)

Liver function Test

b)

Examination Urea and Creatinine

c)

Oral Glucose Tolerance Test

d)

Microscopic Urinalysis

e)

HbA1c

35.

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

a)

Diabetes Mellitus

b)

Impaired Fasting glucose Tolerance Test

c)

Normal blood glucose

d)

Impaired post prandial glucose tolerance test

36.

Specify your interpretation of bacteria in figure 1 according to the result of Gram-stain!

a)

Gram positive cocci in cluster

b)

Gram positive spore-forming

c)

Gram negative fusiform rods

d)

Acid fast bacilli

e)

Gram positive cocci in pairs

37.

Which of the following is normal oral flora?

a)

Pseudomonas aeruginosa

b)

Clostridium botulinum

c)

Aspergillus fumigatus

d)

Mycobacterium tuberculosis

e)

Prevotella oralis

38.

Urinalysis Obstuktive jaundice:

a)

e. Bilirubin urin +, Urobilinogen: - /neg

b)

d. Bilirubin urin: +, Urobilinogen: + lemah atau kuat

c)

c. Bilirubin urin: -, Urobilinogen urin: + lemah

d)

b. Bilirubin urin: -, Urobilinogen: +

e)

a. Bilirubin urin: -, Urobilinogen: -

39.

A 58 years old woman, came to your clinic with Laboratory result: Hb A1c is 6.8 %. What is your conclusion for this result?

a)

Diabetes (blood sugar is not well controlled)

b)

Pre-diabete

c)

Diabetes (blood sugar is well controlled)

d)

Normal (no diabetes)

40.

Microcytic If the red blood cells are smaller than normal (under 80 fl). Microcytic anemia is often the result of

a)

Iron deficiency

b)

Deficiency B 12

c)

Anemia Perneciosa

d)

Anemia Aplastic

e)

Folat deficiency

41.

A 57-year female presents 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 your best diagnosis?

a)

Lobular Carcinoma

b)

Hodgkin Lymphoma

c)

Leiomyosarcoma

d)

Lymphadenitis tuberculosis

e)

Fibrosarcoma

42.

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 definitive diagnosis

d)

Quick

e)

Non-invasive procedur

43.

This Gram stain showing typical

a)

Acid fast bacilli

b)

Gram positive spirochetes

c)

Gram positive diplococci

d)

Gram negative spiral shape singly

e)

Gram negative cocci in chain

44.

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 fl (N: 80 – 100 fL) What the most possible causes anemia of this

a)

Deficiency Folat

b)

Deficiency B 12

c)

Deficiency Fe

d)

Deficiency Protein

45.

Macrocytic If the red blood cells are bigger than normal (MCV more than 100 fl). Macrocytic anemia with paraesthesia and numbneesis often the result of

a)

Anemia Aplastic

b)

Iron deficiency

c)

Folat deficiency

d)

Anemia Perneciosa

e)

Deficiency B 12

46.

What is the advantages of performing an Aspiration Biopsy (FNAB)?

a)

Can not distinguished invasive and in situ carcinoma

b)

Expensive

c)

Bleeding

d)

Minimally invasive

e)

Possible false negative

47.

92-year old patient presented with minor dysphagia-related symptoms. An observed ulcerating and granulating nasopharyngeal lesion, there is a mass in nasopharyngeal region. The mass was excised and its microscopic appearance is as shown here. What is the origin cells of the tumor?

a)

Lymphocyte

b)

Mecenchymal cells

c)

Lymphoid cells

d)

Epithelial cells

e)

Erythrocyte

48.

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

49.

92-year old patient presented with minor dysphagia-related symptoms. An observed ulcerating and granulating nasopharyngeal lesion, there is a mass in nasopharyngeal region. The mass was excised and its microscopic appearance is as shown here.

What is the origin cells of the tumor?

a)

Lymphoid cells

b)

Erythrocyte

c)

Lymphocyte

d)

Mecenchymal cells

e)

Epithelial cells

50.

A 57-year female presents 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

The category of her mass is

a)

Non neoplastic disease

b)

Malignant neoplasm

c)

Benign neoplasm

d)

Infectious disease

e)

Autoimune disease

51.

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 your interpretation based on the result of Gram staining and culture on Mannitol Salt Agar?

a)

Staphylococcus epidermidis

b)

Cryptococcus neoformans

c)

Acinetobacter baumanii

d)

Sigphylococcus aureus

e)

Klebsiella pneumoniae

52.

If you are find 11 Acid Fast Bacilli (AFB)/10 immersion fields. How are you report this result according the scale of

(IUATLD) and World Health Organization (WHO).

(International Union Against TB and Lung Diseases )

a)

+++++

b)

+

c)

++++

d)

++++++

e)

+++

53.

A 60-year old female has a mass arising in the latero-inferior lobe of her right breast for the past months and it has been slowly enlarging. The FNA/B examination reveals no malignant cells. The mass is then excised and its microscopic is as shown here.

The specific microscopic features of the diagnosis are:

a)

Necrosis liquefactive, granulation tissue and prolerate PMN cells

b)

Necrosis coagulative, proliferates MN cells, proliferates fibroblastic cells

c)

Datia langhans, epithelioid cells, caseosa necrosis

d)

Fibrosis, necrosis coagulative and proliferate MN cells

e)

Lymphocyte, histiocyte, erithrocyte

54.

A 60-year old female has a mass arising in the latero-inferior lobe of her right breast for the past months and it has been slowly enlarging. The FNA/B examination reveals no malignant cells. The mass is then excised and its microscopic is as shown here.

Based on your microscopic examination, your best diagnosis is:

a)

Chronic lymphadenitis non specific

b)

Hodgkin Lymphoma

c)

Hodgkin Lymphoma

d)

Undifferentiated carcinoma

e)

Lymphadenitis tuberculosis

55.

92-year old patient presented with minor dysphagia-related symptoms. An observed ulcerating and granulating nasopharyngeal lesion, there is a mass in nasopharyngeal region. The mass was excised and its microscopic appearance is as shown here.

The best diagnosis is:

a)

Basal cell carcinoma

b)

Fibrosarcoma

c)

Hodgkin Lymphoma

d)

Non Hodgkin Lymphoma

e)

Undifferentiated carcinoma

56.

A young man has an open wound with purulent discharge. A specimen from that wound was taken for microbiology examination. The results of Gram stain was showed on the figure below.

What is your interpretation based on the result of Gram staining?

a)

Streptococcus

b)

Spirochatea

c)

Candida

d)

Mycobacteria

e)

Staphylococcus

57.

Lipopolysaccharide in cell walls is characteristic of?

a)

Fungi

b)

Gram-positive bacteria

c)

Algae

d)

Acid fast bacili

e)

Gram-negative bacteria

58.

Culture on nutrient slant agar (18 h at 25°C) shown production of a green pigment (siderophore)

State the bacterium which has these characteristics?

a)

Klebsiella pneumoniae

b)

Escherichia coli

c)

Serratia marcescens

d)

Candida albicans

e)

Pseudomonas aeruginosa

59.

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

60.

Pemeriksaan Laboratorium untuk menilai integritas sel hati adalah …

a)

c. SGPT/AST

b)

e. Alkali Fosfatase

c)

d. PT

d)

a. Cholin Esterase

e)

b. Albumin Serum

61.

Pemeriksaan Laboratorium untuk menilai fungsi sintesis sel hati adalah ….

a)

Albumin Serum

b)

Alkali Fosfatase

c)

Glucosa Serum

d)

SGPT/AST

e)

SGOT/AST

62.

Pada pemeriksaaan carik celup (dep stick) urine, akan didapatkan “glucose positif” bila nilai glucose serum ….

a)

160 mg/dl

b)

130 mg/dl

c)

150 mg/dl

d)

170 mg/dl

e)

140 mg/dl

63.

Pada pemeriksaaan carik celup (dep stick) urine, akan didapatkan “blood positif”. Maka untuk memastikan hasil positif tersebut berasal dari hemoglobin atau myoglobin, maka harus dilakukan pemeriksaaan….

a)

Electroforesa

b)

Nilai Hb

c)

Sedimen/Microscopic Urine

d)

Apusan Darah Tepi

e)

Ca Darah

64.

Pemeriksaan Laboratorium untuk menilai cholestasis sel hati adalah ….

a)

SGOT/AST

b)

Glucosa Serum

c)

SGPT/AST

d)

Albumin Serum

e)

Alkali Fosfatase

COMPILE OSPE ICM 1

Total questions: 64

Worksheet time: 32mins

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