WorksheetsHemato akt 21 (pt 4)
Total questions: 25
Worksheet time: 13mins
Name
Class
Date
1.
Tatalaksana Diseminated intravascular coagulation (DIC) dengan gejala dominan perdarahan adalah: (Management of Disseminated intravascular coagulation (DIC) with predominant symptoms of bleeding are)
a)
Heparin/Heparin
b)
Antiplatelet/Antiplatelet
c)
Transfusi fresh frozen plasma/Fresh frozen plasma transfusion
d)
Antithrombin/Antithrombin
e)
Kortikosteroid/Corticosteroid
2.
Seorang penderita 60 tahun datang dengan keluhan perut membesar, pada pemeriksaan sik ditemukan splenomegaly shufner 4. Pemeriksaan darah lengkap menunjukkan leukosit 200 ribu dengan dominan neutrol. Diagnosis yang anda pikirkan pada kasus tersebut adalah: (A 60-year-old patient came with complaints of enlarged abdomen, on physical examination found splenomegaly Shufner 4. Complete blood examination showed leukocytes 200 thousand with a predominance of neutrophils. The diagnosis you think of in this case is)
a)
Leukemia akut/Acute leukemia
b)
Chronic limphoyd leukemia (CLL)/Chronic limphoyd leukemia (CLL)
c)
Multiple myeloma/Multiple myeloma
d)
Chronic myeloid leukemia (CML)/Chronic myeloid leukemia (CML)
e)
Limfoma maligna/Malignant lymphoma
3.
Diagnosis limfoma maligna harus ditegakkan melalui: (The diagnosis of malignant lymphoma should be made by)
a)
CT scan Thorak dan Abdomen/CT scan of Thorak and Abdomen
b)
USG limfonodi/Lymphnodes ultrasound
c)
Biopsi limfonodi/Lympnodes biopsy
d)
Magnetik resonance imaging/Magnetik resonance imaging
e)
Chest X Ray/Chest X Ray
4.
Apakah yang dimaksud dengan istilah pleomork pada tanda-tanda anaplasia? (What is meant by the term pleomorphic in anaplasia?)
a)
Ukuran sel bervariasi/cells size varies
b)
Bentuk sel bervariasi/cells shape varies
c)
Polaritas sel terganggu/disturbed cell polarity
d)
Anak inti prominent/prominent nucleoli
e)
Inti sel berwarna gelap/dark nuclei
5.
Manakah penanda peningkatan produksi eritrosit di sumsum tulang? (Increased production of erythrocytes in the bone marrow is characterized by)
a)
Peningkatan retikulosit/ Increased reticulocyte
b)
Peningkatan red distribution width/ Increased red distribution width
c)
Penurunan zat besi/ Decrease in iron
d)
Peningkatan bilirubin/ Increased bilirubin
e)
Peningkatan ferritin/ Increase in ferritin
6.
Seorang laki-laki usia 60 tahun mengeluh berat badan menurun drastis disertai batuk lama. Dari pemeriksaan radiologi toraks didapatkan massa solid berukuran 3 cm dekat bronkus kiri, mencurigakan keganasan. Pemeriksaan sitologi sederhana dan non invasif apakah yang dapat dipilih untuk diagnosis inisial kasus ini? (A 60 year old man complained of drastic weight loss accompanied by a prolonged cough. Chest radiological examination revealed a solid mass with a size 3 cm near the left bronchus, suspicious of malignancy. What simple and non-invasive cytologic examinations can be selected for the initial diagnosis of this case?)
a)
FNA/FNA
b)
Bronchial washing/Bronchial washing
c)
Sputum/Sputum
d)
TTNA/TTNA
e)
Bronchial brushing/Bronchial brushing
7.
Obat kemoterapi golongan alkylating agent bekerja melalui mekanisme: (Obat kemoterapi golongan alkylating agent bekerja melalui mekanisme)
a)
Menghambat sintesis nukleotida dan asam nukleat/ Inhibits the synthesis of nucleotides and nucleic acids
b)
Mengaktifkan sel imun/ Activate immune cells
c)
Menyebabkan cross linking DNA/ Causes DNA cross-linking
d)
Menyebabkan DNA strand break/Causes DNA strand break
e)
Menghambat polimerisasi tubulin/ Inhibit tubulin polymerization
8.
Kondisi yang dapat ditemukan pada defisiensi asam folat/vitamin B12 adalah (Conditions that can be found in folic acid/vitamin B12 deficiency are)
a)
Glossitis/ Glossitis
b)
Stomatitis/ Stomatitis
c)
Khoilonikia/ Khoilonikia
d)
Esophagitis/ Esophagitis
e)
Atropi papil lidah/ Atrophy of the papillae of the tongue
9.
Pada Chronic lymphoid leukemia (CLL) dapat ditemukan kondisi: (In Chronic lymphoid leukemia (CLL) can be found conditions)
a)
Splenomegali/ Splenomegaly
b)
Semua jawaban benar/All the answers are correct
c)
Trombositopenia/ Thrombocytopenia
d)
Limfadenopati/ Lymphadenopathy
e)
Anemia/ Anemia
10.
Seorang wanita usia 50 tahun menderita tumor payudara dengan diagnosis PA invasive carcinoma, grade 1, pT1 pN0 pMx. Pernyataan manakah yang sesuai untuk kasus ini? (A 50 year old woman with breast tumor, pathologically diagnosed with invasive carcinoma, grade 1, pT1 pN0 pMx. Which statement is appropriate in this case?)
a)
Derajat diferensiasi sel buruk/poorly differentiation
b)
Tumor mesenkimal ganas/malignant mesenchymal tumor
c)
Tumor primer menembus kulit membentuk ulkus/primary tumor invade the skin with ulceration
d)
Tidak ada metastasis hematogen/Negative for hematogenous metastasis
e)
Tidak ada metastasis ke limfonodi/Negative for lymph node metastasis
11.
Seorang penderita datang dengan keluhan anemia, perdarahan, dan infeksi berulang, pada pemeriksaan fisik ditemukan hipertrofi gingiva tanpa splenomegaly. Pada pemeriksaan darah lengkap didapatkan leukositosis. Diagnosis yang mungkin pada kasus diatas adalah: (A patient came with complaints of anemia, bleeding, and recurrent infections, on physical examination found gingival hypertrophy without splenomegaly. A complete blood count revealed leukocytosis. The possible diagnoses in this case are)
a)
Chronic limphoyd leukemia (CLL)/Chronic limphoyd leukemia (CLL)
b)
Chronic myeloid leukemia (CML)/Chronic myeloid leukemia (CML)
c)
Limfoma maligna/Malignant lymphoma
d)
Multiple myeloma/Multiple myeloma
e)
Leukemia akut/Acute leukemia
12.
Seorang penderita datang dengan gagal jantung bawaan, dirujuk ke poliklinik hematology karena hemoglobin 18 gr/dL dan hematocrit 65, diagnosis anda adalah: (A patient presents with congenital heart failure, referred to the hematology polyclinic because of hemoglobin 18 g/dL and hematocrit 65, your diagnosis is)
a)
Polisitemia vera/ Polycythemia vera
b)
Leukemia akut/ Acute leukemia
c)
Hemokonsentrasi/ Hemoconcentration
d)
Diseritropoesis/ Dyserythropoiesis
e)
Polisitemia sekunder/ Secondary polycythemia
13.
Pada area paracortical paling banyak mengandung sel (In the paracortical area contains the most cells)
a)
Sel B / B cell
b)
Sel T / T cell
c)
Memori sel B / memory B cell
d)
Sel plasma / Plasma cell
e)
Limfosit / lymphocyte
14.
Manakah pernyataan yang benar tentang eritrosit? (The correct statement about erythrocytes is)
a)
Berbentuk cakram bikonvek/ Biconvec disc shaped
b)
Berfungsi dalam pembekuan darah/Function in blood clotting
c)
Pada kondisi normal diproduksi di sumsum tulang/ Under normal conditions produced in the bone marrow
d)
Berperan dalam transport nutrisi/ Plays a role in nutrient transport
e)
Lifespan 7 hari/ Life span 7 days
15.
Pemeriksaan yang anda perlukan untuk menegakkan anemia on chronic disorder adalah: (The examinations you need to establish anemia on chronic disorder are)
a)
Retikulosit/Reticulosite
b)
Pemeriksaan besi sumsum tulang/ Bone marrow iron test
c)
Hapusan darah tepi, besi serum, TIBC dan ferritin/Peripheral blood smear, serum iron, TIBC and ferritin
d)
Aspirasi dan biopsi sumsum tulang/Bone marrow aspiration and biopsy
e)
Coombs Test/Coombs Test
16.
Manakah terapi lini pertama pada limfoma maligna? (The most appropriate first-line therapy for malignant lymphoma is)
a)
Kemoterapi/ Chemotherapy
b)
Operasi pengangkatan kelenjar/Surgical removal of lymph nodes
c)
Obat imunosupresan/Immunosuppressant drugs
d)
Kortikosteroid/Corticosteroids
e)
Transplantasi sumsum tulang/ Bone marrow transplant
17.
Manakah pemeriksaan sitologi berikut ini yang termasuk sitologi non eksfoliatif? (Which of the following cytology tests is a non-exfoliative cytology?)
a)
FNA/FNA
b)
Sputum/Sputum
c)
Ascites/Ascites
d)
Pap smear/Pap smear
e)
Urine/Urine
18.
Yang berperan dalam pathogenesis terbentuknya thrombus arteri adalah: (Factors that play a role in the pathogenesis of arterial thrombus formation is)
a)
Stasis aliran darah/Stasis of blood flow
b)
Aktivasi berlebih faktor koagulasi/Overactivation of coagulation factor
c)
Imobilisasi/Imobilisation
d)
Kondisi hipoksia/ Hypoxic conditions
e)
Kerusakan pembuluh darah/Damage of blood vessels
19.
Pada anemia hemolitik berat dapat terjadi dekompensasi kardiak akibat anemia, terapi yang harus diberikan adalah: (In severe hemolytic anemia, cardiac decompensation may occur due to anemia, the therapy that should be given is)
a)
Transfusi plasma/Plasma transfusion
b)
Transfusi PRC/ PRC transfusion
c)
Kortikosteroid dosis rendah/ Low dose corticosteroid
d)
Transplantasi sumsum tulang/ Bone marrow transplant
e)
Immunosupresan seperti siklosporin/ Immunosuppressants such as cyclosporine
20.
Laki-laki umur 65 tahun dengan keluhan perut membesar. Pada pemeriksaan fisik dijumpai sklera mata berwarna kuning, teraba ascites dan hati membesar, berdungkul, konsistensi padat. Tumor marker yang dipilih untuk mendukung kecurigaan keganasan primer pada organ ini adalah: (A 65 years old male patient complaint having abdominal enlargement. Physical examination revealed yellowish sclera and ascites. On palpation, the liver was enlarged, with irregular contour and hard in consistency. Tumor marker that useful to support suspicion of primary cancer in this organ is)
a)
CEA (Carcino Embryonic Antigen)/CEA (Carcino Embryonic Antigen)
b)
PSA (Prostate Specific Antigen)/PSA (Prostate Specific Antigen)
c)
CA-125/CA-125
d)
A HCG (Beta-Human Chorionic Gonadotrophin)// HCG (Beta-Human Chorionic Gonadotrophin)
e)
AFP (Alfa Feto Protein)/AFP (Alfa Feto Protein)
21.
Terapi paling tepat yang anda berikan pada kasus anemia oleh karena defisiensi asam folat adalah: (The most appropriate therapy that you give in cases of anemia due to folic acid deficiency is)
a)
Folic acid 1 mg intramuscular/Folic acid 1 mg intramuscularly
b)
Folic acid 1 mg intravena/Folic acid 1 mg intravenously
c)
Kombinasi asam folat dan zat besi/Combination of folic acid and iron
d)
Transfusi darah segera/Immediate blood transfusion
e)
Folic acid 1 mg per oral/Folic acid 1 mg orally
22.
Yang termasuk reaksi transfusi akut adalah: (Which is an acute transfusion reactions are)
a)
Penularan HIV/Transmision of HIV
b)
Hemoglobinuria/Hemoglobinuria
c)
Reaksi Hemolitik lambat/Delayed haemolytic reaction
d)
Graft versus host disease/Graft versus host disease
e)
Hemosiderosis/Hemosiderosis
23.
Modalitas pilihan untuk mengevaluasi adanya pembesaran kelenjar atau metastase kanker ke kelenjar getah bening adalah:(The modalities of choice for evaluating the presence of enlarged glands or cancer metastases to the lymph nodes are:)
a)
USG/Ultrasound
b)
CT scan/CT scan
c)
Mamografi/Mammography
d)
Tomografi/Tomography
e)
MRI/MRI
24.
Pemeriksaan yang perlu dilakukan jika terdapat kecurigaan adanya tumor otak adalah: (The tests that need to be done if there is a suspicion of a brain tumor are)
a)
Floroskopi/Floroscopy
b)
CT scan dengan kontras/CT scan with contras
c)
X-Ray vertebrae/X-Ray of the vertebrae
d)
MRI dengan kontras/MRI with contrast (bukan ini)
e)
USG/Ultrasound
25.
Seorang wanita berusia 47 tahun dirujuk ke dokter spesialis Penyakit Dalam konsultan Hematologi karena anemia berulang. Hasil pemeriksaan laboratorium, WBC 6,5 x 103/μl, RBC 2,1 x 106/μl, hemoglobin 9,0 g/dl, hematokrit 30%, MCV 85 fL, MCH 27 pg, Morfologi eritosit pada pasien tersebut adalah? (A 47-year-old woman was referred to a specialist in Internal Medicine Consultant Hematology because of recurrent anemia. The results of laboratory tests, WBC 6.5 x 103/μl, RBC 2.1 x 106/μl, hemoglobin 9.0 g/dl, hematocrit 30%, MCV 85 fL, MCH 27 pg, erythrocyte morphology in these patients are)
a)
Normokromik mikrositer/Normochromic micrositer
b)
Hipokromik mikrositer/Hypochromic micrositer
c)
Hiperkromik makrositer/Hyperchromic macrociter
d)
Normokromik normositer/Normochromic normositer
e)
Hipokromik normositer/Hypochromic normocytes
100 %
