WorksheetsBLOK 9 2020
Total questions: 57
Worksheet time: 39mins
A 54-year-old woman comes to the clinic with complaints of small bowel movements resembling goat droppings for the past 6 months. The patient also reports a drastic weight loss over the last 3 months, accompanied by intermittent pain in the right lower abdomen. Physical examination reveals vital signs within normal limits, weight 40 kg, height 158 cm. What organ is likely affected due to this condition?
Corpus pancreas
Transverse colon
Descending colon
Ascending colon
Stomach
A mother comes to the health center with her one-year-old daughter, Raissa. She is concerned about the increasing brown spots on her daughter's body, along with the appearance of small brown spots in the armpit area. The mother is worried because none of the family members have had a similar condition. What are the possible mechanisms causing this condition in Raissa despite no previous family history?
Familial mutation and somatic mutation
De novo mutation/spontaneous mutation and germline mutation
Autosomal dominant inheritance
De novo mutation and familial mutation
Somatic mutation and germline mutation
Line parasternalis
A vertical line parallel to the axillary fold at the front
A vertical line that bisects the clavicle exactly in the middle
A vertical line located exactly between the midclavicular line and the sternal line
A vertical line parallel to the right and left borders of the sternum
A vertical line that bisects the sternum exactly in the middle
A baby boy,
What is the name of the condition observed in the newborn?
Fracture of the temporal bone
Subgaleal hematoma
Intraventricular hemorrhage
Cephal hematoma
Caput succedaneum
What is the sign in the above case?
Icteric sclera
Spleen palpable at S2
Shivering
Travel history
Medication history
If the doctor plans to perform a thick blood smear, what will be sought?
Pathogenesis of the disease
Epidemiology of the disease
Etiology of the disease
Pathophysiology of the disease
Prognosis of the disease
The anamnesis in children differs from that in adults in which aspect?
Birth history
Relevant habits
Additional complaints
Number of children
Previous treatment history
How soon following a positive malnutrition screening should a patient receive a nutrition assessment?
Within 36 hours
Within 48 hours
Within 72 hours
Within 24 hours
Within 12 hours
What data is needed to estimate fluid loss in a child with diarrhea?
Presence of blood/mucus in stool
History of previous watery stools
History of bloody stools
Frequency and amount of watery stools
Presence of abdominal cramps or pain
The type of DNA sequence repetition - GATA shown in the three sample examples above can be used in DNA Fingerprinting technology. This type of DNA repetition is known as:
The DNA sequence repeat - GATA shown in the three sample examples above can be used in DNA Fingerprinting technology. What is this type of DNA repeat known as?
VNTR
Minisatellite
STR
SNP
Duplication sequence
Mr. Harun, 50 years old, experienced an acute myocardial infarction despite having received clopidogrel to prevent thrombus formation. Upon examination, the level of clopidogrel in the serum was found to be lower. If the doctor suspects polymorphism, which gene should be examined?
CYP2C9
CYP2A6
CYP2E1
CYP2D6
CYP2C19
A 35-year-old man came in with complaints of generalized seizures lasting 5-10 minutes since 1 hour ago. Before the seizure, the patient complained of stiffness and cramps in the neck, tingling in both legs, and twitching in both cheeks. The patient has a history of total thyroidectomy 1 year ago and has since been diagnosed with hypoparathyroidism. The physical examination of the face related to the patient's clinical condition is?
Swabach test
Tabes dorsalis facies
Chvostek's sign
Trousseau sign
Weber test
The main symptom that occurs in cases of hypoxia is....
Hyperthermia
Decreased GCS
Tachycardia
Hypotension
Dyspnea
A child is brought to your practice because of a fever. To search for and rule out a diagnosis, you will conduct an anamnesis. The important anamnesis techniques are as follows:
Cannot be done on a child only with parents
Greeting, introducing oneself, and asking permission to examine is important
Using medical terms in anamnesis is useful so that the patient does not misunderstand
Communication must be brief and concise, with yes or no answers
Anamnesis must continue even if the child is in an emergency
A 20-year-old man comes to the doctor's practice with complaints of weight loss accompanied by a lump in the upper left abdomen. Physical examination shows vital signs within normal limits, weight 45 kg, height 167 cm, spleen palpable S.lV. Which statement below can confirm the lump from the abdominal examination?
Positive Murphy's sign
The lower border of the spleen is located at 1/4 medial umbilicus-SIAS left
Positive Traube space
The lower border of the spleen is located at 1/5 SIAS right umbilicus
The lower border of the spleen is located at 2/4 umbilicus-SIAS right
A 45-year-old man enters the emergency room with complaints of anxiety, severe shortness of breath accompanied by cough for the past 4 hours. The examining doctor diagnosed him with acute pulmonary edema. What are the symptoms of cough that occur in this case?
Cough accompanied by frothy, pink tinged sputum
Dry cough
Productive cough
Non-productive cough
Starts with dry cough then productive cough
Anto, 45 years old, a private employee with a weight of 90 kg has been diagnosed by a doctor with type II DM for 1 year. What is the possible agent of Anto's disease?
Nutritional agents
Biological agents
Physical agents
Insufficiency of a factor necessary for life
Social agents
A 34-year-old woman is brought to the emergency room with complaints of decreased consciousness for the past hour, accompanied by severe abdominal pain for the past day. The patient is known to have not menstruated for the past 2 months. Physical examination found bruising and edema in the umbilical area. What clinical signs might be found on abdominal examination in this case?
Dilation of veins in the umbilicus
Turner's sign
Discoloration around the umbilicus
Cullen's sign
Sunken umbilicus
There are several terms as guidelines for the limits of the amount of nutrients needed by the body. The amount of nutrients that meets the needs of 97-98% of healthy individuals in specific conditions based on age, sex, life stage, and certain physiological conditions is known as...
Estimated energy requirement
Tolerable upper intake level
Adequate intake
Estimated average requirement
Recommended dietary allowance
In general, there are three main functions of antibodies, namely precipitin, antitoxin, and lysin. The function of precipitin is to slow down the movement of virus cells or other pathogenic microorganisms so that they are more easily captured by the immune system through phagocytosis. The antigen-antibody reaction related to the function of precipitin for insoluble antigens is...
Neutralization of toxins
Complement activation
Opsonization
Agglutination
Precipitation
A child is brought by his mother with a suspected case of dengue fever. You are currently interviewing the mother further to find data on the possibility of transmission. The data that you should obtain is:
History of traveling to endemic areas
Medications that have been consumed
Immunization history
Family or neighbors with the same illness
Habits of playing outside
A male baby, weighing 3000 grams, was born spontaneously to a 17-year-old primi gravida mother, at 38 weeks of gestation. The baby was born but did not cry immediately. After actions were taken...
What is the APGAR score at the fifth minute for the baby?
9
7
6
10
8
What is the anterior axillary line?
A vertical line parallel to the right and left borders of the sternum
A vertical line parallel to the axillary fold at the front
A vertical line that bisects the sternum exactly in the middle
A vertical line that bisects the clavicle exactly in the middle
A vertical line that is exactly between the midclavicular line and the sternal line
What important data should be asked from the mother to investigate the possible cause of the congenital disorder?
Child's immunization history
Assistance during delivery and APGAR score
History of seizures in the child
History of delivery
History of maternal illness/medications during pregnancy
According to the guidelines, how should nutrition be fulfilled?
Seek food with the highest nutritional content
Eliminate certain food sources of nutrients
Require choosing a specific diet
Consume certain foods regularly at every meal
Choose a variety of foods every day
If the mother is pregnant, what is the percentage chance that the fetus will have the same condition as Raissa?
50%
0%
25%
75%
100%
What physical finding can you identify as a characteristic of Fragile X Syndrome?
Rounded chin
Large protruding ears
Slanted eyes
Sparse/thin eyebrows
Large front teeth
A couple brings their 2-year-old child, Niall, who is still crawling and tends to walk on tiptoes. What is the most accurate preliminary diagnosis for this case?
Huntington disease
Fragle X Syndrome
Duchenne Muscular Dystrophy
Becker Muscular Dystrophy
Neurofibromatosis Type 1
A doctor must become a behavior consultant for their patient. What does behavior consultant mean in the context of anamnesis?
Requires expertise to derive meaning from the patient's medical history
The doctor must gather complaints expressed by the patient to collect as much data as possible on the status
Patients do not need assistance in their thinking as they are hindered by their knowledge limits
If the patient's response frustrates the doctor, the doctor may interrupt the conversation with the patient
Patients may be criticized when they conclude their symptoms as a certain disease
Linea midsternalis
A vertical line parallel to the axillary fold at the front
A vertical line located exactly between the midclavicular line and the sternal line
A vertical line that cuts through the sternum bone right in the middle
A vertical line that cuts through the clavicle bone right in the middle
A vertical line parallel to the right and left borders of the sternum bone
In the case of Mr. Harun, it is known that at base sequence 636 there is a polymorphism substitution of Alanine (A) to Guanine (G), with the DNA sequence GACTTGTTTTCAATTGCGCTTAATT. If to determine the polymorphism using the RFLP method, which restriction enzyme can recognize the polymorphism?
Smal (5'-TTAATT-3')
Hoell (5'- CAATTG-3')
Alul (5'-AGCT-3')
BamHl (5'-CATTCA-3')
EcoRl (5'-GTTTTC-3')
Which of the following types of older adult patients should receive a malnutrition screening?
All patients 65 years and older, excluding surgical patients
All patients 65 years and older
Just late Elderly
Patients 65 years and older with a malnutrition related index
Patients 65 years and older at high risk of malnutrition
A 20-year-old woman comes with complaints of abdominal pain all over for the past day, accompanied by continuous fever for the past 10 days and vomiting. Upon examination, the abdomen is found to be distended, bowel sounds decreased, and when pressing the abdominal wall and then suddenly releasing, the patient feels pain. What is the clinical condition of the above case?
Positive Rovsing sign
Rebound tenderness
In a convex abdomen, bowel sounds decrease and when pressing the abdominal wall and suddenly releasing, the patient feels pain. What is the clinical condition of the above case?
Positive Rovsing sign
Positive rebound tenderness
Positive Cullen's sign
Positive Turner's sign
Positive shifting dullness
What is the midclavicular line?
A vertical line parallel to the right and left borders of the sternum
A vertical line that cuts the sternum exactly in the middle
A vertical line parallel to the axillary fold at the front
A vertical line that cuts the clavicle exactly in the middle
A vertical line that is exactly between the midclavicular line and the sternal line
A 25-year-old woman comes to the clinic complaining that her face is asymmetrical on the right and left. The left side of her face appears higher and the right eyelid does not close completely. Vital signs are within normal limits. What is the clinical sign of the abnormality in the eye?
Nystagmus
Exophthalmos
Lagophthalmos
Hypotropia
Mydriasis
A 55-year-old married male farmer comes to the emergency department with complaints of a dry cough for 3 months, decreased appetite, and inability to work. The patient always appears gloomy after he can no longer work. Six hours before entering the hospital, he complained of coughing up blood accompanied by high fever. Five years ago, the patient had taken anti-tuberculosis medication for 1 month and then stopped because he felt better. The patient has been hospitalized several times in the last 2 years due to shortness of breath. He has seven unmarried children. What is the framework of the medical history in this case?
Economic problems, psychological issues do not need to be considered
The concept of illness is the same as disease
Unable to plan further examinations
A synthesis of diagnosis
Cannot determine prognosis because further examination is needed
If you, as a general practitioner, find clinical findings like in the two photos below on a 2-year-old child, what is the possible diagnosis for this patient?
Von Recklinghausen disease
Plexiform Neurofibroma
Neurofibromatosis Type 2
Suspect Neurofibromatosis Type 1 because it does not meet the criteria
Frecklings and Neurofibromas
The organ that most determines the survival of a patient experiencing an emergency case is...
Airway
Heart
Brain
Kidney
Lung parenchyma
Since 28 months ago, a 46-year-old man has suffered from diarrhea without cause and alternating constipation that has never healed. Colon biopsy results show the presence of a malignant tumor in the colon. Which of the following is the last 'hit' of multistep carcinogenesis?
Which of the following is the last 'hit' of multistep carcinogenesis that ultimately causes malignant tumors in the colon of the patient?
Homozygous loss of DCC locus on 18q
Homozygous loss of APC locus on 5q
Mutation of ras on 12p
Homozygous loss of APC locus on p21 on 11q
Homozygous loss of APC locus on p53 on 12p
In cases of trauma, which cause of death occurs the fastest?
Obstruction in the pharynx
Intracranial hemorrhage
Musculoskeletal fracture
Lung collapse
Severe bleeding
The following substance can inhibit oxidative processes within the cell...
Glucose-6-Phosphate Dehydrogenase
Carbon monoxide
Carbon dioxide
Cyanide
Lactic acid
Based on what does the on-call doctor make a diagnosis in this case?
Alloanamnesis, physical examination, and supporting examination
Alloanamnesis and laboratory examination
Autoanamnesis and alloanamnesis
Alloanamnesis and supporting examination
Alloanamnesis and physical examination
A 25-year-old woman comes to the emergency department with complaints of weakness for the past month accompanied by shortness of breath. For the past 6 months, the patient has frequently experienced intermittent fever, joint pain, and easy fatigue. Physical examination reveals blood pressure 160/90 mmHg, pulse rate 90x/min, respiratory rate 24x/min, temperature 38°C, malar rash, pale conjunctiva, jaundiced sclera, splenomegaly, and left heart border enlargement. The patient must be referred to a referral hospital because she needs supporting examinations to determine the cause. The importance of supporting examinations in this case is...
Required because bedside clinical examination differs now and before
Needed for handling with advanced facilities
Required because the disease is severe
Required because anamnesis cannot establish a diagnosis
Required to assess the prediction of a symptom
Morphologically, the structure of antibodies consists of a variable region and a constant region. The characteristic of the variable region is...
Able to recognize various types of antigens
Functions as a crystallizable fragment
Has two light chain fragments with a molecular weight of 25,000 daltons
Has two heavy chain fragments with a molecular weight of 50,000 - 70,000 daltons
Has two types of fragments simultaneously, namely kappa and lambda
One of the current therapeutic approaches based on nutritional genomics. This branch of science believes in individual differences. Nutritional genomics studies the interaction between...
Nutrients and genomics
Nutrients and supplements
Nutrients and deficiencies
Nutrients and health
What is the difference at the individual level according to nutritional genomics?
Nutrients and genomics
Nutrients and supplements
Nutrients and deficiencies
Nutrients and bioactives
Nutrients and diseases
A 66-year-old man comes to the emergency department with complaints of weakness and further alloanamnesis with the patient's child states that the patient has experienced watery stools more than 10 times, like rice washing for the past 2 days. What physical examination is most likely found in this patient who is experiencing severe dehydration?
Facies hipocrates
Facies tabes dorsalis
Facies coli
Facies sardonicus
Facies leonina
DNA fingerprinting technology utilizes short repeating DNA sequences found inside or outside genes called:
Multiple Nucleat Elements
Multi-copies Elements
Tandem Repeat Elements
Micro Molecul Elements
Duplication Repeat Elements
In general, there are two functions of antigens, namely as immunogens and as haptens. If someone experiences an allergic reaction due to food, the source of food that causes the allergic reaction is usually the nutritional content...
Carbohydrates and lipids
Lipids and proteins
Carbohydrates and proteins
Lipids and nucleic acids
Proteins and nucleic acids
A man with Achondroplasia comes to consult with you as his family doctor. The man states that he will marry next month. However, he is worried about the possibility of having a child who also suffers from achondroplasia like himself. What is the probability that the man will have a child who also suffers from achondroplasia like himself?
25%
100%
50%
75%
0%
Which of the following is not a recommended type of data to inform whether a patient is diagnosed as malnourished?
Serum albumin level
Gastrointestinal symptoms
Body mass index
Dietary intake
Functional capacity
A baby boy, weighing 3000 grams, was born spontaneously to a 17-year-old primigravida mother, at 38 weeks of gestation. The baby cried immediately after birth, with an APGAR score of 8 at 1 minute and 9 at 5 minutes. At one day old, the baby was referred by the midwife due to complaints of stools accompanied by a little fresh blood. From the midwife's information at birth, a rectal temperature examination was performed. On physical examination, the baby appeared active and cried strongly. The abdomen appeared slightly distended. Around the anus, redness was found. What is the possible diagnosis for this baby?
Internal hemorrhoids
Anal atresia
Anal fissure
Rectal cyst
Rectal polyp
