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Kumpulan Soal OSPE 2022 (Ekstraksi Soal)

Total questions: 37

Worksheet time: 19mins

Name
Class
Date
1.

Berapakah nilai LDL yang dianggap normal pada orang dewasa (satuan mg/dL)?

a)

< 100100

b)

100100 – 129129

c)

130130 – 159159

d)

≥ 160160

2.

Berapakah batas nilai total kolesterol yang dikategorikan normal pada orang dewasa (mg/dL)?

a)

< 200200

b)

200200 – 239239

c)

240240 – 279279

d)

≥ 280280

3.

In a patient with suspected acute coronary syndrome in the emergency department, when should troponin testing be performed?

a)

Upon arrival at the emergency department and then repeated every 66 – 88 hours for the first 2424 hours

b)

Only once when the patient is discharged

c)

Only once after 4848 hours

d)

Every hour for the first 1212 hours

4.

Uji laboratorium utama untuk menilai integritas sel hati (hepatoseluler) adalah?

a)

AST/ALT (SGOT/SGPT)

b)

Alkalin fosfatase/GGT

c)

Bilirubin total/indirek

d)

Amilase/Lipase

5.

The basic laboratory examination to assess kidney function is?

a)

Urea and creatinine

b)

AST and ALT

c)

Total and direct bilirubin

d)

TSH and free T4

6.

The lateral radiograph of the head shows repeated impressions on the inner table resembling a copper beaten pattern. This finding is most consistent with?

a)

Copper beaten skull

b)

Acute epidural hematoma

c)

Depressed skull fracture

d)

Normal appearance

7.

In pregnant women, the results of the OGTT show glucose levels of 11 hour 190190 mg/dL and 22 hours 160160 mg/dL. The most accurate diagnosis is?

a)

Gestational diabetes

b)

Type 1 diabetes mellitus

c)

Type 2 diabetes mellitus

d)

Reactive hypoglycemia

8.

In the workplace, what is the most appropriate strategy for implementing drug abuse testing?

a)

Conducted suddenly using a rapid drug testing kit according to policy

b)

Scheduled well in advance so that employees can prepare

c)

Only based on employee confession without testing

d)

Conducted after working hours with overnight fasting

9.

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?

a)

Confirm with gas chromatography/mass spectrometry (GC/MS)

b)

Immediately impose termination sanctions

c)

Ignore the result because it must be wrong

d)

Repeat the test with a blood sugar examination

10.

A doctor suspects that a patient is abusing drugs. What is the most appropriate professional action?

a)

Conduct further clinical assessment, confirmatory tests, and refer to addiction services according to policy

b)

Report the patient to the police without consent or assessment

c)

Provide additional opioid medication for observation

d)

Ignore it because it is not a medical domain

11.

Lateral neck radiograph shows swelling of the epiglottis with a "thumb sign". The most likely diagnosis is?

a)

Epiglottitis

b)

Laryngotracheobronchitis (croup)

c)

Peritonsillar abscess

d)

Retropharyngeal abscess

12.

In a cervical radiograph with an open mouth in the AP projection, the main structure evaluated is?

a)

Odontoid (dens) C2

b)

Lamina C7

c)

Clavicle

d)

Hyoid bone

13.

The head radiograph shows a linear fracture line on the parietal bone. The most accurate diagnosis is?

a)

Linear parietal fracture

b)

Depressed skull fracture

c)

Epidural hematoma

d)

Normal suture

14.

The X-ray of the spine shows wedge-shaped compression on the vertebral body. The most appropriate diagnosis is?

a)

Wedge compression fracture

b)

Burst fracture

c)

Spondylolisthesis

d)

Idiopathic scoliosis

15.

In the AP open-mouth cervical radiograph where teeth are visible, what is the main target structure for evaluation?

a)

Odontoid (dens) C2

b)

Posterior arch of atlas

c)

Mandibular ramus

d)

Styloid process

16.

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?

a)

Subdural hematoma

b)

Epidural hematoma

c)

Subarachnoid hemorrhage

d)

Intraventricular hemorrhage

17.

CT scan of the head shows a large round hyperdense lesion in the ventricular system. The most appropriate diagnosis is?

a)

Intraventricular hemorrhage

b)

Epidural hemorrhage

c)

Subdural hemorrhage

d)

Acute ischemic infarction

18.

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?

a)

Anterolisthesis of L4–L5 with spondylolysis

b)

Herniated nucleus pulposus of L4–L5

c)

Wedge compression fracture of the lumbar spine

d)

Ankylosing spondylitis

19.

What type of hepatitis has a high potential to cause cirrhosis?

a)

Hepatitis A

b)

Hepatitis B

c)

Hepatitis C

d)

Hepatitis E

20.

Look at the anteroposterior abdominal X-ray image. What is the most appropriate radiological diagnosis?

a)

Sigmoid volvulus

b)

Normal

c)

Ascites

d)

Small bowel obstruction

e)

Pneumoperitoneum

21.

Look at the abdominal X-ray image. What is the cause of the abnormal calcification in this image?

a)

Calcified gallstones

b)

Calcification of mesenteric lymph nodes

c)

Calcification of the pancreas

d)

Malignant calcification

e)

Calcified uterine fibroid

22.

History of abdominal surgery 7 years ago. Presented with a 24 hour history of severe abdominal pain and vomiting. What is the radiological diagnosis?

a)

Small bowel obstruction

b)

Post-operative ileus

c)

Normal

23.

Observe the chest X-ray. Which finding is present in this image?

a)

Normal chest X-ray

b)

Sail sign

c)

Meniscus sign

d)

Pneumothorax

24.

Observe the chest X-ray. What physical examination sign is most expected during this imaging?

a)

Bronchial breath sounds on the left side

b)

Tracheal deviation

c)

Hyperresonant right chest on percussion

d)

Normal examination findings

e)

Clubbing of fingers

25.

What is the most likely cause of chest pain in this close-up chest X-ray?

a)

Infection

b)

Cancer

c)

Trauma

d)

Fibrosis

e)

Sarcoidosis

26.

In toxicology testing, how long can amphetamines be detected in urine after use?

a)

1–2 days

b)

3–6 days

c)

7–10 days

d)

>14 days

27.

In drug screening, the initial test result is positive and still presumptive. What confirmation test should be performed next?

a)

Repeat the same immunoassay

b)

Thin layer chromatography (TLC)

c)

Gas chromatography–mass spectrometry (GC–MS)

d)

Urine culture

e)

Western blot

28.

X-ray image of the face in OM projection with the "teardrop" sign and air-fluid level is most consistent with which diagnosis?

a)

Orbital floor fracture

b)

Zygomatic arch fracture

c)

Nasal bone fracture

d)

Mandibular angle fracture

29.

What is the most common type of anemia found in Indonesia?

a)

Iron deficiency

b)

Megaloblastic anemia due to vitamin B12 deficiency

c)

Aplastic anemia

d)

Autoimmune hemolytic anemia

30.

The dipstick urine test result shows positive glucose. What condition does this finding indicate?

a)

Glucosuria

b)

Hematuria

c)

Ketonuria

d)

Proteinuria

31.

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?

a)

Hemolysis of the sample

b)

Contamination from the infusion fluid

c)

Evaporation during storage

d)

Difference in measurement temperature

32.

In the Allen test to assess hand perfusion, which artery is primarily evaluated for collateral flow?

a)

Ulnar artery

b)

Radial artery

c)

Brachial artery

d)

Anterior interosseous artery

33.

In a non-contrast CT scan of the head, what is the characteristic shape of an acute subdural hematoma?

a)

Crescent shape adhering to the surface of the brain

b)

Lentiform/biconcave localized

c)

Hyperdensity in the basal cistern

d)

Star-shaped bleeding in the subarachnoid space

34.

Based on this gallbladder ultrasound image, what is the most likely diagnosis?

a)

Acute cholecystitis with multiple cholelithiasis

b)

Acute pancreatitis

c)

Acute appendicitis

d)

Hydronephrosis

35.

What clinical condition is most characteristic of fruity breath?

a)

Diabetic ketoacidosis

b)

Severe uremia

c)

Fulminant liver failure

d)

Organophosphate poisoning

36.

In a CT scan of the head, what is the characteristic shape of an epidural hematoma?

a)

Crescent shape (crescent) spreading

b)

Lentiform/biconcave localized

c)

Diffuse bleeding without borders

d)

Bleeding in the cortical sulcus

37.

In the context of drug abuse testing, if the cocaine (coc) test result is positive, what administrative step should be taken next?

a)

Handing over the patient to the family without follow-up

b)

Reporting to the police according to procedures

c)

Immediately performing emergency hemodialysis

d)

Administering prophylactic vaccination