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WorksheetsBLOK 9 2022
Total questions: 89
Worksheet time: 1hrs 2mins
What does 'Applications of relevant knowledge and clinical skills to the evaluation, diagnosis and management of patient problem' mean?
A climber feels short of breath and dizzy due to lack of oxygen after being at a certain altitude while climbing a mountain. What pathophysiology is the climber experiencing?
Hypoxic anoxia
Stagnant hypoxia
Toxic hypoxia
Anemic hypoxia
Asphyxia
What are the signs of spots on a baby's back?
Mongolian spot
Harlequin color
Blue skin
Cyanosis
Hemangioma
Which physical examination type is not routinely performed on a baby?
Baby's length
Baby's width
Jugular venous pressure
Skin fold thickness
One sign of oxygen deficiency in the extremities that can be observed over a long period is...
Clubbing fingers
Pitting edema
Cyanosis
In a patient with trauma, weak pulse, what plays a role in the decrease of pulse?
Decrease in CO
Decrease in HR
The doctor asks the patient to lie in a lateral position on the left decubitus, then the doctor asks for permission to perform an examination of the anus, what can be assessed from this examination?
CA Colon
Enlargement/hypertrophy of the prostate
A patient experiences prostate enlargement. What is the appropriate physical examination?
Rectal touch
Catheterization
Transillumination
A patient is experiencing prostate enlargement. What is the appropriate physical examination?
Rectal touch
Catheterization
Transillumination
The presence of metallic sound during abdominal auscultation indicates...
Obstructive ileus
Paralytic ileus
Borborigmi
Inflammation
The characteristics that can be found during liver palpation in a patient with hepatitis are...
Palpable 3cm, bumpy surface, blunt
Palpable 2cm, smooth surface, sharp
Palpable 2cm, soft, blunt
Pain on right ballotement+
Pain on right ballotement-
The disease of the lower abdomen/pubis, its region is...
A doctor should be concerned about the risk of malnutrition in a patient if...
There is significant weight loss in a short time
There is a decrease in metabolic needs
A male baby weighing 3000 grams is born spontaneously to a primigravida mother, aged 17, at 38 weeks of pregnancy. The baby is born without crying. After resuscitation at the fifth minute, the baby is found to have a strong cry, heart rate of 120 beats per minute, cyanosis at the extremities, active movement, and a strong cry during suction. What is the APGAR score at the fifth minute for this baby?
8
9
6
7
10
A patient with a BMI of 30 requests vitamins/supplements. What should a doctor do?
Advise
Assess
Agree
Assist
Arrange
DNA analysis to determine the presence of SNP CYP2C19 at nucleotide position 641 (allele*3) is performed by amplifying DNA with PCR followed by RFLP. The forward and reverse primers used can amplify a DNA segment of 324 base pairs. The presence of polymorphism will result in the formation of a recognition site for the restriction enzyme AluI, so that the amplified segment of 324 bp will be cut into 210 bp and 114 bp. If both alleles at nucleotide position 641 experience polymorphism, what will the electrophoresis image look like?
210 bp and 114 bp
324 bp and 210 bp
324 bp
324 bp, 210 bp, and 114 bp
324 bp and 114 bp
A 8-year-old child is brought to the clinic due to difficulty in gaining weight. The mother is worried that the child may fall into a state of malnutrition. At what percentage of weight-for-height does the child fall into a state of malnutrition?
Weight/Height: 120%
Between -2SD and -3SD
>90%
70-90%
<70%
The reference point for measuring JVP is...
Angulus ludovici
Trachea
Sternocleidomastoid muscle
Sternum
Clavicle
An 8-year-old child with decreased consciousness is suspected of having bacterial meningitis. What neurological examination should be performed to check for the presence of symptoms?
A child aged 8 years with decreased consciousness is suspected to have bacterial meningitis. The neurological examination to see if there are any meningeal irritation signs is...
Babinsky
Doll’s eye movement
Brudzinsky neck sign
Patellar reflex
Moro reflex
A child with weight loss and an initial weight of 70 kg needs...
The ability to resist infections attacking...
Immunity
Infection
Virulence
Pathogenesis
The system that is disrupted in a child with incomplete immunization and appears with red spots?
Hematological and immunological system
Endocrine and metabolic system
A soldier is stationed in a desert area. The heat transfer that occurs in that soldier's area is...
Conduction
Convection
Radiation
Evaporation
The anterior axillary line is...
A line parallel to the boundary of the sternum and the left rib
A line that is exactly between the midclavicular line and the sternal line
A line parallel to the fold of the armpit at the front
The equator line
If in the case of Mr. Harun it is known that in the sequence of DNA GACTTGTTTTCAATTGCGCTTAATT, there is a polymorphism substitution of Alanine (A) to Guanine (G), to find out about the polymorphism using the RFLP method, using the restriction enzyme the polymorphism is known by the restriction enzyme...
AluI (5'-AGCT-3')
EcoRI (5'-GTTTTC-3')
BamHI (5'-CATTCA-3')
HaeIII (5'-CAATTG-3')
SmaI (5'-TTAATT-3')
The general form used for nutritional screening is...
MST
MUST
NRS2002
SNAQ
The mid-sternal line is...
A line parallel to the boundary of the sternum and the left rib
A line that is exactly between the midclavicular line and the sternal line
A line parallel to the fold of the armpit at the front
The equator line
A line that divides the sternum exactly in the middle
Which includes additional breath sounds is...
Tracheal
Bronchial
Vesicular
Wheezing
Bronchovesicular
Yang termasuk suara nafas tambahan adalah...
Trakeal
Bronchial
Vesikuler
Wheezing
Bronkovesikuler
Linea Midclavicularis adalah...
Garis yang sejajar dengan batas kanan dan kiri tulang sternum
Garis yang berada tepat di antara linea axilaris dan linea sternalis
Garis yang sejajar dengan lipatan ketiak pada bagian depan
Garis yang memotong tulang klavikula tepat di tengah
Garis yang membelah tulang sternum tepat di tengah
Pernyataan yang paling tepat untuk menggambarkan diet adalah...
Berhasil bila berat badan turun
Dapat ditujukan untuk terapi
Model yang sama berlaku untuk semua
Tn. A mengalami sakit di abdomen pada bagian bawah, regio tempat sakitnya dibatasi garis apa saja?
Midclavicularis & garis yang melewati umbilicalis
Midclavicularis & garis yang ditarik dari SIAS
Tampilan perut pada penderita malnutrisi, yaitu berbentuk...
Skopoid
Perut kodok
Pelebaran vena
Pulsasi arteri
Papan
Seorang laki-laki usia 25 tahun datang ke UGD RS dengan keluhan penurunan kesadaran dan kejang sejak 1 hari yang lalu. Pasien baru pulang dari Papua sejak 1 minggu yang lalu. Pada pemeriksaan sediaan hapus darah tepi didapatkan gambaran seperti dibawah ini. Bagaimanakah klinis demam yang terjadi pada kasus?
Cold stage diikuti sweating stage dan hot stage
Hot stage diikuti sweating stage dan cold stage
Cold stage diikuti hot stage dan sweating stage
Hot stage diikuti cold stage dan sweating stage
Sweating stage diikuti hot stage dan cold stage
Seorang anak 5 tahun dibawa berobat oleh ibunya untuk pemeriksaan rutin. Anamnesis pada anak yang berbeda dengan anamnesis pada orang dewasa adalah...
Keluhan tambahan
Kebiasaan yang relevan
Riwayat kelahiran
Jumlah anak
Riwayat pengobatan terdahulu
Seorang anak dengan diare dibawa berobat oleh ibunya karena sangat lemas. Data apa saja yang diperlukan untuk memperkirakan kehilangan cairan?
Riwayat BAB berdarah
Adanya mules atau nyeri perut
Adanya darah/lendir pada BAB
Frekuensi dan jumlah BAB cair
Riwayat BAB cair sebelumnya
Seorang wanita, 45 tahun, datang dengan keluhan badan lemas sejak 3 hari yang lalu. Pasien juga mengeluh kepala pusing. Demam tidak ada. Dari riwayat menstruasi didapatkan menstruasi pasien memanjang, lebih dari 7 hari dan pasien ganti pembalut 4 sampai 5 kali setiap kali menstruasi. Dari pemeriksaan laboratorium didapatkan Hb pasien 9,2 g/dl. Dari pemeriksaan ekstremitas atas didapatkan...
Clubbing finger
Onychoschizia
Paronikia
Koilonychia
Pitting nail
What can be inferred from the image above?
(a)
A 30-year-old woman presents with red, painful, itchy, and watery eyes. She also has had a yellowish discharge, fever mainly at night, and has experienced weight loss. She has a previous diagnosis of pulmonary TB. Based on the examination, what is the condition of the eye that corresponds to the image?
Pinguecula
Xanthelasma
Flecken
Bitot's spot
Pterygium
A male infant weighing 3000 grams is born via spontaneous delivery to a primigravida mother aged 17 years, who is 38 weeks pregnant. The birth weight of the infant is 1600 grams. Based on the birth weight, what is the diagnosis for this infant?
Normal birth weight
Very low birth weight
Extremely low birth weight
Overweight
Low birth weight
Mr. Harun, aged 50, experienced an acute myocardial infarction after having received clopidogrel to prevent thrombus formation. Upon examination, the level of clopidogrel in the serum was found to be low. If there is suspicion of polymorphism, which gene should be examined?
CYP2E1
CYP2C9
CYP2C19
CYP2D6
CYP2A6
A 45-year-old man presents to the emergency department with severe anxiety, shortness of breath, and a cough that started 4 hours ago. The doctor diagnoses him with acute pulmonary edema. What type of cough is likely occurring in this case?
Dry cough
Cough with frothy, pink-tinged sputum
Non-productive cough
Initially dry cough then productive
Productive cough
A 25-year-old man presents to the emergency department with decreased consciousness and seizures for the past day. He just returned from Papua a week ago. Upon examination, a blood smear shows the following image. What is the clinical stage of the disease in this case?
Cold stage followed by sweating stage and hot stage
Hot stage followed by sweating stage and cold stage
Cold stage followed by hot stage and sweating stage
Hot stage followed by cold stage and sweating stage
Sweating stage followed by hot stage and cold stage
A 66-year-old man presents to the emergency department with complaints of weakness and after further questioning, it is revealed that he has had diarrhea more than 10 times, resembling watery stools for the past 2 days. Upon physical examination, a sunken eye is noted. What physical examination finding is most likely to be found in this patient who is experiencing severe dehydration?
Hypocratic facies
Lupus facies
Tabes Dorsalis facies
Sardonic facies
Coli facies
A 5-year-old child is brought by his mother for a routine check-up. The anamnesis in children differs from that in adults in that...
Additional complaints
Relevant habits
Birth history
Number of siblings
Previous treatment history
A 29-year-old woman presents with complaints of frequent palpitations, excessive sweating on her palms, anxiety, increased appetite but decreased weight. What could be the underlying condition?
A 29-year-old woman comes with complaints of frequent palpitations, sweating on her palms, anxiety, increased appetite but feeling weight loss. The patient often feels hot and prefers to be in a cool place. The condition of the eye related to this patient's condition is?
Exophthalmus
Lagoftalmus
Enopthalmus
Nystagmus
Bercakbiot
A 5-year-old child comes to the hospital accompanied by his parents. During the doctor’s anamnesis regarding the patient's illness, information is obtained from the child's mother that the complaints experienced by the patient have been present for 4 days. The patient is found to have red spots on the skin and feels itchy. In addition, the child's mother explains that before the child was here, they had eaten at a roadside restaurant a few days ago. The doctor then conducts additional anamnesis by asking the child's mother whether the child has had allergies to certain foods or substances, and the mother answers that the child has previously experienced allergic reactions to peanuts when the patient was 3 years old. What type of anamnesis is obtained?
Autoanamnesis with the patient's social-economic history
Autoanamnesis with the past medical history
Autoanamnesis with the current medical history
Alloanamnesis with the past medical history
Alloanamnesis with the current medical history
A 20-year-old woman comes with complaints of pain throughout her body. The patient also feels pain in her arms and legs for 30 minutes after waking up. The patient also complains of swelling in her wrists and ankles. There are no sores, hair loss is not present, and fever is not rising. The examination of the upper extremities that corresponds to the above condition is?
Yergason positive
Tremor test positive
Patrick test positive
Squeeze test positive
Patella tap positive
A male baby weighing 3000 grams is born spontaneously to a 17-year-old primigravida mother, 38 weeks pregnant. The baby is born and does not cry immediately. After resuscitation is performed at the fifth minute, a strong cry is obtained, heart rate 120 beats per minute, cyanosis in the extremities, active movement, and a strong cry during suction. What is the APGAR score at the fifth minute for this baby?
8
6
10
7
9
A 35-year-old man comes with complaints of seizures throughout his body for 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 is known to have a history of total thyroidectomy 1 year ago, and since then the patient has been diagnosed with hypoparathyroidism. The physical examination of the face related to this patient's clinical condition is...
Trousseau's sign
Facies tabes dorsalis
Chvostek’s sign
Weber test
Tesswabach
When on duty at the clinic, there are 2 children with the same name. For patient safety, the most appropriate data to ask so that there is no mistake in providing treatment to the patient is...
Name and dietary history
Name and gender
Name and type of disease
Name and weight
Name and date of birth
A woman, 35 years old, was brought to the emergency room after a traffic accident. The patient suffered from a fairly severe injury and had to immediately undergo surgery. When the patient arrived, the doctor immediately explained the patient's current condition to her parents in detail and used medical terms in his explanation, then immediately provided informed consent to the patient before performing the surgery. What is the doctor's inappropriate attitude in this case?
Not addressing the patient's complaints
Not maintaining patient confidentiality
Misdiagnosing the patient
Using medical language that is difficult for the layperson to understand when explaining the patient's condition
Not showing empathy and not explaining the patient's condition
A mother brings her child to the doctor because the child's weight has not increased. The mother and child come from a lower-middle-class family. She asks for the child to be given appetite-enhancing vitamins. The health center then provides her with multivitamins. What could hinder the management of this case?
The patient lacks motivation to seek treatment
The patient has socioeconomic problems
The health worker's training is inadequate
The health center did not provide treatment
Health facilities are incomplete
The influence of polymorphism on the CYP2C19 gene is known to affect the response to treatment if several drugs that are substrates of this enzyme isoform are given. Which drug is a substrate of the CYP2C19 enzyme?
Omeprazole
Imipramine
Haloperidol
Amitriptyline
Desimipramine
Using narcotic injections. From the oral inspection, the tongue appears as shown in the image below; the appearance of the tongue that corresponds to the image is...
Stomatitis
Glossitis
Hairy leukoplakia
Thyroid tongue
Atrophy of the tongue papillae
A boy is brought in with suspected diabetic ketoacidosis. The breathing pattern that can be found in patients with ketoacidosis is...
Cheyne-Stokes
Kussmaul
No abnormalities in breathing pattern
Apnea
Biot
The human body is composed of various organs that then have similar functions to form an organ system. What system functions as a regulator?
Reproductive
Cardiovascular
Endocrine
Neurosensory
Digestive
What is the additional sound in the upper respiratory tract?
(a)
Fenti has a problem with sneezing. What is the name of the organ that is likely experiencing this problem?
Esophagus
Bronchus
Maxillary sinus
Trachea
Nasal cavity
A 7-year-old child with edema. What examination should be performed to detect ascites?
Abdominal auscultation
Pinching the abdominal skin
Measuring abdominal circumference
Ballottement
Shifting dullness
Which organ converts angiotensinogen into angiotensin?
Heart
Lungs
Kidneys
Spleen
Brain
What is the most likely etiology for the patient with liver enlargement and other symptoms?
Malignancy
Liver cirrhosis
Infection
Inflammation
Congestion
What is the level of consciousness in this patient who has been unresponsive to stimuli?
E4M1V3
E2M3V1
E2M2V3
E1M3V2
E3M4V2
What is the finding of thrill in a patient after heart surgery caused by...
Ventricular dilation due to volume overload
Murmur with high heart rate (4)
Right ventricular hypertrophy
Right ventricle enlargement
Left ventricular hypertrophy
What is the normal breath sound heard at the parasternal line?
Tracheal
Bronchial
Wheezing
Vesicular
Bronchovesicular
What is the maneuver to flex the hip and knee while lying down?
Brudzinski 1
Brudzinski 2
Kernig sign
Lasegue sign
Where is the pain located during the inspection of the urinary retention?
(a)
What is the normal percussion sound in the thorax (excluding heart and liver)?
Dull
Reduced
Sonorous
Tympanic
Hyperresonant
What are the clinical signs in a case of a 45-year-old man with abdominal pain and fever?
Rovsing's sign
Murphy's sign
Ludwig's sign
Hippocratic sign
Psoas sign
What should be considered when measuring blood pressure in an 8-year-old child with kidney disease?
The cuff can be used warm
After inflating until the pulse disappears, wait 15 minutes
The arm should be at heart level
Data percent of body weight is needed to assess blood pressure
Examination can be done while the child is standing
What organ system is affected in an 18-year-old student with jaundice?
Multisystem
Hematology
Digestive
What organ system is experiencing issues based on the main complaint of the case above according to SKDI 2012?
Multisystem
Hematology
Digestive and hepatobiliary
Sensory
Cardiovascular
What is the possible organ affected by a woman aged 54 who has been experiencing small bowel movements resembling goat feces for the past 6 months?
Stomach
Descending colon
Ascending colon
Pancreas body
Transverse colon
What important data should be asked from the mother to find the possible cause of the congenital anomaly suspected in a child with a history of red urine?
History of illness/medications during pregnancy
History of delivery
Assisting delivery and APGAR score
Child's immunization history
History of seizures in the child
What examination should be performed to determine the presence of polymorphism in a patient who has been taking clopidogrel to prevent thrombus formation?
PCR and IHK
PCR and spectrophotometry
PCR and HPLC
PCR and ELISA
PCR and RFLP
What should the doctor do to ensure an accurate diagnosis for a 30-year-old patient who has been experiencing non-healing ulcers for the past 6 months and is suspected of having diabetes mellitus?
Immediately provide medication
Conduct an anamnesis
Check vital signs
Perform physical examination, laboratory tests, and supporting examinations, then provide medication related to the established diagnosis
Directly determine the diagnosis
What is the result of the examination for a person with shortness of breath, fever, and rapid heartbeat who has consumed PTU and propranolol but did not finish the medication?
What amino acid at position 389 plays a role in the phenomenon of a hypertensive patient who does not show significant blood pressure reduction despite using metoprolol?
Arginine
Glycine
Alanine
Tryptophan
Serine
What is the Linea Sternalis?
A line parallel to the boundary of the left and right sternum
A line located exactly between the midclavicular line and the sternal line
A line parallel to the axillary fold at the front
A line that cuts the sternum exactly in the middle
A line that cuts the clavicle exactly in the middle
What is the Linea Parasternalis?
A line parallel to the boundary of the left and right sternum
A line located exactly between the midclavicular line and the sternal line
What is the Linea Parasternalis?
A line parallel to the border of the sternum
A line located between the midclavicular line and the sternal line
A line parallel to the axillary fold in the front
A line that cuts the sternum exactly in the middle
What can be assessed in a patient in a left lateral decubitus position with the right buttock elevated?
What is the diagnosis for a male infant weighing 3000 grams, born to a 17-year-old primigravida mother at 38 weeks of gestation, who is hypothermic?
Severe hypothermia
Normothermia
Moderate hypothermia
Mild hypothermia
Hyperthermia
What physical examination finding can be found in a 34-year-old male patient with fever and other symptoms?
Flikten
Xanthelasma
Icteric sclera with xerophthalmia
Pale conjunctiva
Icteric sclera with positive conjunctival injection
What caused the malnutrition in a teenager who wanted to lose weight like Lisa from Blackpink?
(a)
What is the possible diagnosis for a male infant weighing 3000 grams, with an APGAR score of 8 at 1 minute and 9 at 5 minutes, who is referred for blood in the stool?
Anal atresia
Rectal cyst
Rectal polyp
Internal hemorrhoids
Anal fissure
What should be included in the developmental history of a 2-year-old child during a routine examination?
Does the child receive formula milk?
Height and weight
Birth history
Address
Abilities/what the child can do according to milestones
