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BLOK 9 2023

Total questions: 75

Worksheet time: 40mins

Name
Class
Date
1.

What should be done after the investigation stage in diagnosing melena and hematemesis?

a)

Angiography

b)

Endoscopy

c)

Laboratory test

d)

Check bleeding from system or GI

e)

Define site of bleeding

2.

A child is brought by his mother with a suspected case of dengue fever. You are conducting further anamnesis to find data on the possibility of transmission. The data you should obtain is?

a)

Family or relatives with the same illness

b)

History of traveling outside the endemic area

c)

Medications that have been consumed

d)

Immunization history

e)

Outdoor playing habits

3.

Jono was taken to the hospital because he had a stab wound in the abdomen. He appears pale and cold, looks drowsy but responds when called. Blood pressure is 90/60 mmHg, Temp. axilla 35.5 C, pulse 110 beats/min, respiration 24 breaths/min. The rapid pulse indicates the following stimulation to Jono's heart:

a)

Adrenaline

b)

Acetylcholine

c)

Dopamine

d)

Nicotine

e)

GABA

4.

The question intends to assess the level of consciousness (QUESTION INCOMPLETE)

4 lines
5.

If in the case of Mr. Harun it is known that at base 636 (italic) there is a polymorphism substitution of Alanine (A) to Guanine (G), with the DNA sequence GACTTGTTTTCAATTGCGCTTAATT. To determine the presence of polymorphism using the RFLP method, using restriction enzyme... then the polymorphism can be recognized by the restriction enzyme.....

a)

AluI (5'-AGCT-3')

b)

EcoRI (5'-GTTTTC-3')

c)

BamHI (5'-CATTCA-3')

d)

HaeIII (5'-CAATTG-3')

e)

SmaI (5'-TTAATT-3')

6.

What is the polymorphism known as olimorfismedapatdikenaliolehenzimrestriksi?

a)

AluI(5’-AGCT-3’)

b)

EcoRI(5’-GTTTTC-3’)

c)

BamHI(5’-CATTCA-3’)

d)

HaeIII(5’-CAATTG-3’)

e)

SmaI(5’-TTAATT-3’)

7.

In a patient with hypertension receiving metoprolol, which amino acid at position 389 plays a role in the phenomenon?

a)

Arginine

b)

Glycine

c)

Alanine

d)

Tryptophan

e)

Serine

8.

If a doctor suspects polymorphism, which gene should be examined in a patient who has experienced an acute myocardial infarction?

a)

CYP2E1

b)

CYP2C9

c)

CYP2C19

d)

CYP2D6

e)

CYP2A6

9.

Which drug is a substrate for the CYP2C19 enzyme?

a)

Omeprazole

b)

Imipramine

c)

Haloperidol

d)

Amitriptyline

e)

Desipramine

10.

What is the position of the rectal probe?

a)

Lateral decubitus left

b)

Knee-chest position

11.

A 4-year and 6-month-old child is experiencing shortness of breath and fever. What is the correct statement regarding the auscultation of the lungs?

a)

Auscultation of the lungs is not necessary in cases of diarrhea

b)

Moist rhonchi due to air flowing through secretions in the airways

c)

Wheezing sounds during expiration

d)

Vesicular sounds are soft and gentle like a breeze

12.

What is the most accurate data to ask for the safety of patients with two children having the same name?

a)

Name and gender

b)

Name and dietary history

c)

Name and date of birth

d)

Name and weight

e)

Name and type of disease

13.

Which organ converts angiotensin I into angiotensin II?

a)

Lungs

b)

Kidneys

c)

Liver

d)

Stomach

e)

Brain

14.

What percentage indicates moderate malnutrition?

a)

70-90%

b)

Between <2SD–3SD

c)

>90%

d)

BB/TB:120%

e)

<70%

15.

What is found during examination in a child with a large head?

(a)  

16.

A 17-year-old male, during physical examination, does not respond to verbal stimuli and flexes when touched. What is the diagnosis?

a)

E3M4V2

b)

E3M1V2

c)

E4M2V3

d)

E2M3V4

17.

The pulse is 108 beats per minute with a regular rhythm. What is the diagnosis of this condition?

a)

Tachycardia, irregular

b)

Tachycardia, regular

c)

Normal, irregular

d)

Bradycardia, irregular

e)

Bradycardia, regular

18.

If a patient can respond to questions and recount events before losing consciousness, what is the interpretation?

a)

Compos mentis

b)

Apatis

c)

Delirium

d)

Somnolent

e)

Sopor

19.

What is the name of the examination on the liver when there is pain upon inhalation?

a)

Murphy's sign

b)

Obturator sign

c)

Traube's space

d)

McBurney's point

20.

A 20-year-old male comes to the doctor's office with complaints of weight loss and a lump in the upper left abdomen. The physical examination shows vital signs within normal limits, weight 45 kg, height 167 cm. What statement below can confirm the lump from the abdominal examination?

a)

Positive Murphy's sign

b)

The lower limit of the liver is located at 1/4 medial umbilicus - left ASIS

c)

Positive Traube's space

d)

The lower limit of the liver is located at 1/5 ASIS - right umbilicus

e)

The lower limit of the liver is located at 2/4 umbilicus - right ASIS

21.

A 3-year-old child presents with a fever. What should be asked to the parents?

a)

Family history of allergies

b)

Type of fever

c)

Immunization history

d)

Type of medication taken for fever

e)

Developmental history

22.

What is the condition of a newborn found with cyanosis in the sacral region?

a)

Mongolian spot

b)

Cyanosis

c)

Vernix

23.

A male infant weighing 3000 grams is born to a primigravida mother, 17 years old, at 38 weeks of gestation. The birth weight of the infant is 1600 grams. Based on the birth weight and gestational age, what is the diagnosis for this infant?

a)

Neonate appropriate for gestational age (3000g)

b)

Neonate less than appropriate for gestational age

c)

Neonate small for gestational age

d)

Neonate appropriate but small for gestational age (1600g)

e)

Neonate more than appropriate for gestational age

24.

A 54-year-old woman presents to the clinic with complaints of small, goat-like stools for the past 6 months. The patient also reports significant weight loss over the last 3 months. The complaint is accompanied by intermittent lower abdominal pain. What is the likely organ affected by this condition?

a)

Stomach

b)

Descending colon

c)

Ascending colon

d)

Pancreas body

e)

Transverse colon

25.

A 25-year-old woman presents to the clinic with complaints of facial asymmetry. The left side of her face appears higher, and the right eyelid is not closing completely. Vital signs are normal. What is the clinical sign of the eye condition in this patient?

a)

Exophthalmos

b)

Nystagmus

c)

Mydriasis

d)

Lagophthalmos

e)

Hypotropia

26.

A 27-year-old man is brought to the clinic by his family after losing consciousness for 1 hour. He complains of fever and pain. On examination, his eyes open to sound, and he withdraws his leg in response to pain. What is the result of the general examination?

a)

E3M4V2

b)

E4M3V2

c)

E2M1V3

d)

E1M2V4

27.

What is the general condition?

a)

E3M4V2

b)

E4M3V2

c)

E2M1V3

d)

E1M2V4

28.

A child is taken to the clinic due to fever. To find and eliminate the diagnosis, what important anamnesis technique should be performed?

a)

Greeting, introducing oneself, and asking for permission to examine is important

b)

Using medical terms in anamnesis is useful so that the patient does not misunderstand

c)

Communication should be concise, just enough answers

d)

Cannot be done only with the parent

e)

Anamnesis should continue even if the child is in an emergency

29.

A child with diarrhea is brought to the clinic due to severe weakness. What data is needed to estimate fluid loss?

a)

Frequency and amount of watery stools

b)

History of bloody stools

c)

Presence of abdominal cramps or pain

d)

Presence of blood/mucus in stools

e)

History of watery stools previously

30.

A boy is brought to the clinic with suspicion of diabetic ketoacidosis. What breathing pattern can be found in patients with ketoacidosis?

a)

Cheyne-Stokes

b)

Kussmaul

c)

No abnormality in breathing pattern

d)

Apnea

e)

Biot

31.

Someone has been experiencing fever for the past week. Upon examination, the following image is found (given a view of the plasmodium preparation). What is the clinical picture of the fever that occurs in this case?

a)

Hot stage, cool stage, sweating stage

b)

Cold stage, hot stage, sweating stage

c)

Cold stage, sweating stage, hot stage

d)

Sweating stage, hot stage, cold stage

e)

Hot stage, sweating stage, cold stage

32.

Based on the classification by the Ministry of Health, what is the weight category for a female with height 150 cm and weight 67.5 kg?

a)

Obesity

b)

Overweight

c)

Normal

33.

Which of the following are nutrition-related conditions?

a)

Micronutrient excess

b)

Sarcopenia

c)

Undernutrition

d)

Refeeding syndrome

e)

Obesity

34.

What disease is this?

a)

Cellulitis

b)

Lymphedema

35.

What deficiency is associated with this disease?

a)

Sodium

b)

Potassium

c)

Iodine

36.

What type of hypoxia occurs due to obstruction of a foreign body in the trachea?

a)

Anoxic hypoxia

b)

Stagnant hypoxia

c)

Hypovolemic hypoxia

d)

Anemic hypoxia

e)

Cytotoxic hypoxia

37.

What is the term for hypoxia caused by problems in the circulatory system?

a)

Collapse

b)

Fever

c)

Dyspnea

d)

Shock

e)

Jaundice

38.

What examination should be performed to detect ascites in a 7-year-old child with edema?

a)

Abdominal auscultation

b)

Pinching the abdominal skin

c)

Measuring abdominal circumference

d)

Ballottement

e)

Shifting dullness

39.

What should be asked to determine dyspnea d'effort in an infant with a history of heart disease?

a)

Sudden shortness of breath

b)

History of fever

c)

History of bowel movements

d)

Shortness of breath while breastfeeding

40.

What examination is not routinely performed on a healthy child brought for BCG immunization?

a)

General condition examination

b)

Skin fold thickness examination

c)

JVP examination

d)

Height measurement

e)

Temperature examination

41.

What is the normal percussion note on the thorax (excluding the heart and liver)?

a)

Hyperresonant

b)

Resonant

c)

Dull

d)

Tympanic

e)

Flat

42.

What is the most likely appearance of the abdomen in a patient with increased peristaltic movement?

a)

Bowel contour

b)

Bowel stiffness

c)

Ascites

d)

Borborygmi

e)

Venous engorgement

43.

What is the process that occurs when a patient presents with abdominal pain and has a history of eating a lot?

a)

Hypothermia due to shock

b)

Vascular constriction

c)

Hyperhidrosis

d)

Thermostat disturbance

e)

Hypothalamic damage due to hypoxia

44.

A patient is experiencing hypothermia due to shock. What could be the cause?

a)

Hypothermia due to shock

b)

Vascular vasoconstriction

c)

Hyperhidrosis

d)

Thermostat disturbance

e)

Hypothalamic damage due to hypoxia

45.

A patient was brought to the hospital due to abdominal stab wounds. He appears pale and cold, seems drowsy but responds when called. His blood pressure is 90/60 mmHg, temperature is axillary 35.5, pulse is 130 beats/min, and respiration is 24 breaths/min. What is the disturbance experienced by the patient?

a)

Anemic hypoxia

b)

Anoxic hypoxia

c)

Traumatic hypoxia

d)

Stagnant hypoxia

e)

Cytotoxic hypoxia

46.

Of the following, which physical finding is often found in a preterm infant?

a)

Instant recoil of the plantar (?) ear

b)

Minimal flexing of leg and arm at rest

c)

Lanugo over the body

d)

Excessive plantar recoil

e)

Cracked, wrinkled skin

47.

A male infant weighing 4200 grams was born via spontaneous delivery to a primigravida mother, aged 35 years, at 38 weeks of gestation. The infant cried immediately after birth, with an APGAR score of 8 at 1 minute and 9 at 5 minutes. During the physical examination, the following condition was found. What is the other condition that can be found?

a)

Subgaleal hematoma

b)

Cephalohematoma

c)

Caput succedaneum

d)

Temporal bone fracture

e)

Intraventricular hemorrhage

48.

A 7-year-old child comes in with decreased consciousness. What examination can simultaneously check for any disturbances in cranial nerves?

a)

Consciousness

b)

Head circumference

c)

Palpation of the head

d)

Pupil reflex

e)

Bulging eyes

49.

What organ can produce the enzyme that converts angiotensinogen into angiotensin?

a)

Stomach

b)

Kidney

c)

Brain

d)

Liver

e)

Lung

50.

An 8-year-old child with kidney disease is brought in by his mother due to severe back pain. You will check the child's blood pressure. What should be considered?

a)

Percentile data of body weight is needed to see blood pressure

b)

Examination can be done while the child is standing

c)

The cuff can only be used when warm

d)

The arm height should be level with the heart

e)

After pumping until the pulse disappears, let it rest for 15 minutes

51.

A 45-year-old man comes to the ER with complaints of severe anxiety and shortness of breath accompanied by cough for the past 4 hours. The doctor who examines him diagnoses him with acute pulmonary edema. What is the characteristic of the cough that occurs in this patient?

a)

Cough with frothy, pink-tinged sputum

b)

Dry cough

c)

B

52.

What are the symptoms of the cough that occurred in the patient?

a)

Cough with 'frothy, pink tinged sputum'

b)

Dry cough

c)

Non-productive cough

d)

Productive cough

e)

Initially dry cough then productive cough

53.

What is the medical history of the patient who has been diagnosed with tuberculosis?

a)

It is a synthesis diagnosis

b)

Has not planned further examination

c)

Cannot determine prognosis due to needing examination

d)

The concept is the same as the disease

e)

Economic issues, psychology does not need to be considered

54.

What is the shape of the microorganism that causes the disease shown in the image?

(a)  

55.

What is the factor that caused the patient to contact with COVID-19?

a)

Biological

b)

Physical

c)

Social

d)

Nutritional

56.

What should be asked in the anamnesis of the child's development?

a)

Does the child receive formula milk?

b)

Height is above average

c)

Birth history

d)

Address

e)

Ability/what can be done according to milestones

57.

What abnormal result might indicate a danger in the vital signs examination?

a)

GCS 15

b)

Pulse 140x/min

c)

Blood pressure 100/60

d)

Respiratory rate 22x/min

e)

Temperature 36º

58.

What is the reason for the drastic weight loss of the child?

a)

Hunger

b)

Infection

c)

Injury

d)

Chronic disease

59.

What is the possible agent of the disease that Anto has?

a)

Social agents

b)

Insufficiency of a factor necessary for life

c)

Physical agents

d)

Biological agents

e)

Nutritional agent

60.

What is the competency level obtained by medical students after graduating from S1 education and the medical profession?

a)

level 1

b)

level 2

c)

level 3

d)

level 4a

e)

level 4b

61.

A 30-year-old has experienced fever for the last 6 days. The fever initially was not too high but has gradually increased accompanied by chills and sweating. Anton is an employee who just returned to Palembang after a week in Papua. There is no history of taking medication. The doctor then examines Anton and finds the sclera is not icteric, the liver is palpable 2 fingers below the costal margin and the spleen is palpable 2 fingers. What is the sign in this case?

a)

History of medication

b)

Spleen palpable

c)

Sclera not icteric

d)

History of travel

e)

Chills

62.

In cases of COVID, there is often a decrease in oxygen saturation without accompanying shortness of breath. This occurs because....

a)

Decreased oxygen levels in the blood

b)

Decreased carbon dioxide levels in the blood

c)

Decreased carbon dioxide levels in the brain

d)

Decreased oxygen levels in the brain

e)

No change in the oxygen to carbon dioxide ratio

63.

A 5-year-old child is brought by his mother for a routine check-up. The anamnesis in children that differs from anamnesis in adults is?

a)

Additional complaints

b)

Relevant habits

c)

Birth history

d)

Number of children

e)

Previous treatment history

64.

The doctor must become a consultant behavior for his patients. Consultant behavior in the context of anamnesis has the meaning of

a)

Requires skills to interpret the patient's medical history

b)

The doctor needs to gather all complaints expressed by the patient as completely as possible

c)

The patient does not need to be assisted in their thinking as they are constrained by their knowledge limits

d)

The patient's response can frustrate the doctor, allowing the doctor to interrupt the conversation

e)

Patients can be criticized when they summarize their symptoms as a certain disease

65.

A male baby weighing 3000 grams is born spontaneously. A 17-year-old primigravida mother, 38 weeks pregnant. The baby cries immediately, with an APGAR score of 8 at 1 minute and 9 at 5 minutes. On the first day, the baby is referred to the midwife due to complaints of BAB accompanied by a little fresh blood. From the midwife's information at birth, a temperature check was done via rectal. On physical examination, the baby appears active and cries strongly. The abdomen appears slightly distended. Around the anus, there is redness. What is the possible diagnosis for this baby?

a)

Anal atresia

b)

Rectal cyst

c)

Polyp

66.

What is the possible diagnosis for the baby?

a)

Atresia ani

b)

Kista recti

c)

Polyp recti

d)

Hemorrhoid interna

e)

Fissura ani

67.

Which statement is correct regarding diagnosis?

a)

Etiological diagnostics can be determined through anamnesis and good examination without needing supporting tests.

b)

The predictive value of a symptom must be calculated based on how much further examination is needed.

c)

Supporting tests are always performed to establish a diagnosis.

d)

Supportive measures should be taken for patient satisfaction.

e)

Supporting tests can be performed or not depending on the patient's financial situation.

68.

In pathophysiology, who is affected, symptoms, duration of symptoms included...

a)

Hospital script

b)

Case script

c)

Patient script

d)

Illness script

69.

Slow, explicit, deliberate, purposeful effort to solve a problem is... reasoning

a)

Analytic

b)

Non-analytic

c)

Comprehensive

d)

Deductive

e)

Collaborative

70.

What is the cause of edema in patient X who has decreased albumin in the blood?

a)

Increased hydrostatic pressure

b)

Decreased hydrostatic pressure

c)

Increased oncotic pressure

d)

Decreased oncotic pressure

e)

Increased intracranial pressure

71.

A patient has a blood pressure of 180/100 mmHg. A systolic pressure of 180 indicates the patient (according to JNC7)...

a)

Hypertension grade 2

b)

Hypertension grade 1

c)

Hypertension grade 3

d)

Prehypertension

e)

Normal

72.

There is Anto, a 5-year-old child experiencing high fever. The fever occurred suddenly after lunch 3 days ago. The fever does not subside even after being compressed by his mother. Which organ system is experiencing problems according to SKDI 2012?

a)

Cardiovascular

b)

Immunology

c)

Hematology

d)

Urinary and body fluids

e)

Multisystem

73.

When the nurse puts a diaper on the baby, the baby's genitalia looks abnormal. The nurse then calls the doctor to identify it. In essence: when trying to put on the diaper, the mother said the baby's genitalia has not formed perfectly, what is the condition?

a)

Hypospadias

b)

Epispadias

c)

Micropenis

74.

What is the condition of the baby who suddenly has red spots in his right eye after being taken home from the hospital?

a)

Retinoblastoma

b)

Conjunctivitis

c)

Congenital cataract

75.

The frequency of pulse beats that is smaller than the heart rate and usually occurs in atrial fibrillation is...

a)

Pulsus selen

b)

Pulsus tardus

c)

Pulsus bigeminus

d)

Pu

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