WorksheetsKumpulan Soal OSPE 2022 (Ekstraksi Soal)
Total questions: 37
Worksheet time: 19mins
Berapakah nilai LDL yang dianggap normal pada orang dewasa (satuan mg/dL)?
< 100
100 – 129
130 – 159
≥ 160
Berapakah batas nilai total kolesterol yang dikategorikan normal pada orang dewasa (mg/dL)?
< 200
200 – 239
240 – 279
≥ 280
In a patient with suspected acute coronary syndrome in the emergency department, when should troponin testing be performed?
Upon arrival at the emergency department and then repeated every 6 – 8 hours for the first 24 hours
Only once when the patient is discharged
Only once after 48 hours
Every hour for the first 12 hours
Uji laboratorium utama untuk menilai integritas sel hati (hepatoseluler) adalah?
AST/ALT (SGOT/SGPT)
Alkalin fosfatase/GGT
Bilirubin total/indirek
Amilase/Lipase
The basic laboratory examination to assess kidney function is?
Urea and creatinine
AST and ALT
Total and direct bilirubin
TSH and free T4
The lateral radiograph of the head shows repeated impressions on the inner table resembling a copper beaten pattern. This finding is most consistent with?
Copper beaten skull
Acute epidural hematoma
Depressed skull fracture
Normal appearance
In pregnant women, the results of the OGTT show glucose levels of 1 hour 190 mg/dL and 2 hours 160 mg/dL. The most accurate diagnosis is?
Gestational diabetes
Type 1 diabetes mellitus
Type 2 diabetes mellitus
Reactive hypoglycemia
In the workplace, what is the most appropriate strategy for implementing drug abuse testing?
Conducted suddenly using a rapid drug testing kit according to policy
Scheduled well in advance so that employees can prepare
Only based on employee confession without testing
Conducted after working hours with overnight fasting
The urine screening result for illegal drugs is positive for a worker who just took cough medicine. What is the most appropriate follow-up action?
Confirm with gas chromatography/mass spectrometry (GC/MS)
Immediately impose termination sanctions
Ignore the result because it must be wrong
Repeat the test with a blood sugar examination
A doctor suspects that a patient is abusing drugs. What is the most appropriate professional action?
Conduct further clinical assessment, confirmatory tests, and refer to addiction services according to policy
Report the patient to the police without consent or assessment
Provide additional opioid medication for observation
Ignore it because it is not a medical domain
Lateral neck radiograph shows swelling of the epiglottis with a "thumb sign". The most likely diagnosis is?
Epiglottitis
Laryngotracheobronchitis (croup)
Peritonsillar abscess
Retropharyngeal abscess
In a cervical radiograph with an open mouth in the AP projection, the main structure evaluated is?
Odontoid (dens) C2
Lamina C7
Clavicle
Hyoid bone
The head radiograph shows a linear fracture line on the parietal bone. The most accurate diagnosis is?
Linear parietal fracture
Depressed skull fracture
Epidural hematoma
Normal suture
The X-ray of the spine shows wedge-shaped compression on the vertebral body. The most appropriate diagnosis is?
Wedge compression fracture
Burst fracture
Spondylolisthesis
Idiopathic scoliosis
In the AP open-mouth cervical radiograph where teeth are visible, what is the main target structure for evaluation?
Odontoid (dens) C2
Posterior arch of atlas
Mandibular ramus
Styloid process
CT scan of the head shows a crescent-shaped collection in the frontal region following the contour of the dura mater. The most likely diagnosis is?
Subdural hematoma
Epidural hematoma
Subarachnoid hemorrhage
Intraventricular hemorrhage
CT scan of the head shows a large round hyperdense lesion in the ventricular system. The most appropriate diagnosis is?
Intraventricular hemorrhage
Epidural hemorrhage
Subdural hemorrhage
Acute ischemic infarction
A 35-year-old woman with lower back pain; lateral lumbar radiograph shows anterior displacement of the L4 vertebral body relative to L5 with signs of spondylolysis of the pars interarticularis. The most accurate diagnosis is?
Anterolisthesis of L4–L5 with spondylolysis
Herniated nucleus pulposus of L4–L5
Wedge compression fracture of the lumbar spine
Ankylosing spondylitis
What type of hepatitis has a high potential to cause cirrhosis?
Hepatitis A
Hepatitis B
Hepatitis C
Hepatitis E
Look at the anteroposterior abdominal X-ray image. What is the most appropriate radiological diagnosis?
Sigmoid volvulus
Normal
Ascites
Small bowel obstruction
Pneumoperitoneum
Look at the abdominal X-ray image. What is the cause of the abnormal calcification in this image?
Calcified gallstones
Calcification of mesenteric lymph nodes
Calcification of the pancreas
Malignant calcification
Calcified uterine fibroid
History of abdominal surgery 7 years ago. Presented with a 24 hour history of severe abdominal pain and vomiting. What is the radiological diagnosis?
Small bowel obstruction
Post-operative ileus
Normal
Observe the chest X-ray. Which finding is present in this image?
Normal chest X-ray
Sail sign
Meniscus sign
Pneumothorax
Observe the chest X-ray. What physical examination sign is most expected during this imaging?
Bronchial breath sounds on the left side
Tracheal deviation
Hyperresonant right chest on percussion
Normal examination findings
Clubbing of fingers
What is the most likely cause of chest pain in this close-up chest X-ray?
Infection
Cancer
Trauma
Fibrosis
Sarcoidosis
In toxicology testing, how long can amphetamines be detected in urine after use?
1–2 days
3–6 days
7–10 days
>14 days
In drug screening, the initial test result is positive and still presumptive. What confirmation test should be performed next?
Repeat the same immunoassay
Thin layer chromatography (TLC)
Gas chromatography–mass spectrometry (GC–MS)
Urine culture
Western blot
X-ray image of the face in OM projection with the "teardrop" sign and air-fluid level is most consistent with which diagnosis?
Orbital floor fracture
Zygomatic arch fracture
Nasal bone fracture
Mandibular angle fracture
What is the most common type of anemia found in Indonesia?
Iron deficiency
Megaloblastic anemia due to vitamin B12 deficiency
Aplastic anemia
Autoimmune hemolytic anemia
The dipstick urine test result shows positive glucose. What condition does this finding indicate?
Glucosuria
Hematuria
Ketonuria
Proteinuria
Taking a blood sugar sample from a vein close to the infusion line compared to a peripheral capillary can give incorrect results mainly due to what?
Hemolysis of the sample
Contamination from the infusion fluid
Evaporation during storage
Difference in measurement temperature
In the Allen test to assess hand perfusion, which artery is primarily evaluated for collateral flow?
Ulnar artery
Radial artery
Brachial artery
Anterior interosseous artery
In a non-contrast CT scan of the head, what is the characteristic shape of an acute subdural hematoma?
Crescent shape adhering to the surface of the brain
Lentiform/biconcave localized
Hyperdensity in the basal cistern
Star-shaped bleeding in the subarachnoid space
Based on this gallbladder ultrasound image, what is the most likely diagnosis?
Acute cholecystitis with multiple cholelithiasis
Acute pancreatitis
Acute appendicitis
Hydronephrosis
What clinical condition is most characteristic of fruity breath?
Diabetic ketoacidosis
Severe uremia
Fulminant liver failure
Organophosphate poisoning
In a CT scan of the head, what is the characteristic shape of an epidural hematoma?
Crescent shape (crescent) spreading
Lentiform/biconcave localized
Diffuse bleeding without borders
Bleeding in the cortical sulcus
In the context of drug abuse testing, if the cocaine (coc) test result is positive, what administrative step should be taken next?
Handing over the patient to the family without follow-up
Reporting to the police according to procedures
Immediately performing emergency hemodialysis
Administering prophylactic vaccination
