You are on page 1of 9

1.

Infection that may help to differentiated condition from sinusitis is :


a. Rhinorrheas
b. Cough
c. Post nasal drip
d. Fever
e. Snoring

2. Peritonsilar abses (quincy) is a collection of pus the peritonsilar space withlies
between the capsul of tonsil and :
a. The interior constrictor muscle
b. The superior constrictor muscle
c. The medial constrictor muscle
d. The pterygoid muscle
e. The palatoglossus muscle

3. The most common infecting organism of acute tonsillitis is :
a. Haemolytic strep.
b. Strept. Pneumonia
c. Haemophylus influinzae
d. Moraxella catharralis
e. Stap. aureus

4. An accepted and important function of the paranasal sinus is :
a. Regulation intranasal space
b. Lightening of the skull
c. Humidifying inspired air
d. Increasing surface inspired air
e. Secretion of mucus

5. Increased incidence of paranasal sinus infection is usually observed when
a. Mucus viscosity increase
b. Mucus viscosity decrease
c. Mucus volume decrease
d. Mucus volume decrease
e. Mucus transport decrease

6. Woman, 60 years old referred to hospital with complain : shortness of breath, right
side chest pain, she felt more comfortable when lying to right position. The doctor
decided the problem is pleural disease. The best pulmonary pemfis do differentiate
between the air and the fluid in the pleural cavity?
a. pulse rate d. percussion
b. inspection e. auscultation
c. palpation

7. a man 37 y.o come to clinic with a chief complaint : cough for 3 weeks whity
sputum , mild fever, lost of appetite nosmoker history of past illness. Diabetes
mellitus , physical exam : BP 120/80 mmHg, pulse 92x/minute , respiratory rate 20x ,
ronchi on apex of left lung.
The most possibility diagnose for this patient ?
a. pneumonia d. chronic bronchitis
b. lung tumor e. bronchial asthma
c. tuberculosis

8. a man, 17 years old, admitted to hospital due to hemoptysis. complete
examination reveals the diagnosis of Pulmonary Tuberculosis. what is the important
data that should be collected before choosing the therapy?
1. daily habits, severity of TB
2. history of fever, result of sputum smear
3. history of bronchiale asthma, severity of TB
4. history of TB contact, result of sputum smear
5. previous anti-TB drug, result of sputum smear

9. A man 55 yo referred to hospital because of the right side hemiparise. History of
DM not routinely control, 4 days ago after admission he got fever, cough that difficult
to expectorate, the condition is going bad. The most possible diagnosis:
a. pneumonitis
b. pulmonary TB
c. hospital acquired pneumonia
d. community acquired pneumonia
e. acute axacerbation of chronic bronchitis

10. A man 57 yo come to outpatient clinic/ chief complaint of right side chest pain,
fever for 7 days, cough w/ foul smell sputum & blood streak. CXR revealed cavity
with air fluid level.
Management on this patient, include:
1. expectorane
2. anti TB
3. postural drainage
4. empirical antibiotic
5. chest tube insertion

A 70 yo man presented of SOB. This patient also complain of chronic cough but no
fever. History of heavu smoking was positive. Pemfis reveals: barrel chest, increase
of accessory muscle useage, prolonged of expiration fase & wheezing on
auscultation.
11. The diagnosis must be concern in this case:
a. lung TB
b. COPD
c. lung tumor
d. acute bronchitis
e. pneumonia

12. to diminish cough & SOB in this case above, we must give supplemental o2 and:
a. bronchodilators
b. anti piretic
c. antibiotic
d. mucolytic
d. expectorantia

13. if we suspect COPD in a patient who presented w/ chronic productive cough,
SOB, & history of cigarette smoking, we have to perform:
a. complete blood count
b. skin test
c. sputum examination
d. spirometry
e.chest x-ray

14. in late stage COPD patient, we always find a patient with barrel chest,
hypersonor & prolonged expiration on auscultation. All the condition due to
a. chronic infection e. bronchial spasm
b. allergic process
c. pulmonary hypertension
d. air tapping

A 21 yo man came to Emergency hospital w/ complain a sudden right side chest
pain while watching tv. Other complain is SOB. He denies having cough & fever. He
smoke. Vital sign: HR 92 bpm, RR 22bpm & there is no distress noted. Radiography
findings show hyperlucens avascular over the hemithorax & right lung collapse

15. Physical exam result suitable:
1. Asymetric chest pain
2. Decreased breath sound over the right hemithorax
3. Hyper resonance to percussion
4. Retraction of intercostal space

16. What is the most appropriate management step?
1. Obtain high resulotion comuted tomography (HRCT) image of the chest
2. Administer 100% O2 and repeat chest x-ray in 2 hours
3. Refer the patient thoracoscopy and talc instillation
4. insert a small bore catheter via needle quidewire

A 32 yo woman to Kalabahi General Hospital w/ fever, breathlessness, cough and
left sided chest pain, weight loss and nighr sweats and history of prior lung TB 2
years ago. Initial evaluation reveal her to be thin and chronically ill appearing. On
pemfis HR 112 beat/min RR 24 beats/min temperature 38 . Asymetric lung
expantion CXR reveal left lower lobe consuladation and moderate size left pleural
effusion that layers on lateral decubitus views. Laboratory result Hb 10.5%, WBC
19700/mm

17. What is primary diagnostic procuders u must perform?
a. chest CT scan
b. thoracosintesis and fluid pleura analysis
c. chest USG
d. bronchoscopy
e. thoracoscopy

18. what is the diagnostic?
a. transudate pleural effusion
b. hydropneumothorax
c. giant abses
d. emphysema
e. chylothorax

A 5 months girl is bringing to hospital because difficulty of breathing since 2 days
ago. This happens for the first time, runny nose and coughing since 5 days ago. All
families suffered from common cold. On pemfis temperature 38.5 respiration 52
times/min, prolonged expiration, difuse wheezing was heard over both lungs. CXR
reveal a hyperlucent lung and flat diaphragm

19. the most diagnosis:
a. Pneumonia e. Rhinitis
b. Bronchiolitis
c. Bronchitis
d. Asthma

20. in a 5 moths old girl takipneu according to WHO if respiratory rate:
a. > 30x/min
b. > 40x/min
c. > 50x/min
d. > 60x/min
e. > 70x/min

21. Which among these respiratory disease is closely related to asthma ?
A. Pneumonia
B. Bronchiolitis
C. Laryngitis
D. Pharyngitis
E. Epiglotitis

A girl 15 yo was admitted to the hospital due to coughing and dyspnea. This
condition happened almost every month and usually spontaneously resolve. No
fever, the girl look dyspneic prolonged expiration, difuse wheezing was heard over
both lungs. She was still able to communicate to doctor with clear uninterrupted
sentences. Family history mother has atopic dermatitis, father is a heavy smoker.

22. the most likely diagnosis:
a. asthma
b. pneumonia
c. bronchitis
d. bronchiolitis
e. chronic obstructive pulmonary disease

23. Treatment for this case:
a. administration of broad spectrum antibiotic
b. Beta 2 agonis inhalation
c. IV aminofilin and corticosteroid
d. Mucolytics
e. Antitussives

24. In patient suffered asthma episodic in frequent w/ moderate attack, the trearment
is:
a. beta 2 agons inhalation
b. steroid inhalation
c. aminofilin injection
d. steroid injection
e. antibiotic injection

a boy 3 years old of age admitted to hospital w/ frequent low grade fever, decrease
body weight and appetite. He had no suffered difficulty of breathing, but sometimes
he was coughing. Mantoux test revealed a 16 mm induration BCG scar was seen.

25. the most likely diagnosis:
a. TB class 0 e. TB class IV
b. TB class I
c. TB class II
d. TB class III

26. the most likely causes of his 16 mm in duration of mantoux test:
a. primary infection of Mycobacterium TB
b. Reaction to the adjuvant of PPD
c. BCG immunitation
d. Post primary of M TB
e. humoral mediated immunity to mycobacterium

a baby, male 2 months and 10 days was admitted to the hospital due to rapid
breathing and coughing since 3 days ago, no vomiting. On pemfis revealed a body
temperature of 38.5 . respiration was 58/min, bronchovasicular, without cracles nor
chest indrawing. CXR revealed para hilar and para cardial infiltrates. His father has
allergic rhinitis.

27. the most likely diagnosis:
a. pneumonia
b. bronchiolitis
c. mild asthma, first attack
d. nasal obstruction due to acute respiratory infection
e. primary TB primer, during incubation period

28. which infectious etiologic agent is found relatively rare in this age group ( 2
months):
a. mycoplasma pneumonia
b. E coli
c. streptoccous pneumoni
d. hemophillus influenza B
e. respiratory synctitian virus

29. If the blood analysis is perform to the baby, the most relatively rare (among
others) blood gases disturbance will be:
a. respiratory alkalosis
b. hypoxemia
c. hypercarbia
d. respiratory acidosis
e. metabolic alkalosis

30. Choking and continues coughing where observe in a new born infant. The
pediatrican was enable to pass a catheter through the esophagus in to the stomach.
What congenital anomalies would be suspected
1. pyloric stenosis
2. bronchial atresia
3. esophageal inflammation
4. esophageal atresia
5. upper respiratory tract inflammation

31. Seorang bayi baru lahir dengan atresia esophagus mengalami sesak nafas dan
mengalami cyanosis segera setalah lahir. Pada pemeriksaan radiologis ditemukan
adanya udara dalam gaster. Diagnosis yg paling mungkin:
a. pyloric stenosis d. esophangeal inflammation
b. bronchial atresia e. bronchial asthma
c. tracheoesophangeal fistula

32. what other problem may result in to infant with . Fairly common type of
congenital abnormality resulting from aspiration of oral .. .. of the lung.
a. d. laryngitis
b. oesophagitis e. pharyngitis
c. pneumonitis

33. 62 y.o male patient that his voice has change over the preceding months.
Imaging reveals a growth located within aortic arc. Adjson to the left pulmonary artery
which neural structure is most likely being compress to cause the change in the
patient voice
a. left phrenic nerve d. left vagus nerve
b. oesophagial plexus e. left symphatic trunk
c. left recurrent laryngeal nerve

34. 17 years old girl. having severe dyspnea, asthma, bronchospasm. which of the
following nerve that innervation the broncho smooth muscle cell?
a. greater thoraxic splenic
b. phlenic
c. vagus
d. intercostal
e. lasser thoracic splenic

Following the diagnosis of breast cancer in 40 y.o woman. Underwent a total
mastectomy including excision of the axillary tail (of Spence) post operatively the
patient complaints of

38. soal yang kemasukan kacang ijo di sal napas. Segmen thoracal mana yang
kemasukan tersebut.
a. carina dari trachea d. bronchus principalis sinistra
b. bronchus lobaris sinistra e. bronchus segmentalis sinistra
c. bronchus principalis dextra

42. a man enter the ER with main complain SOB, pemfis:
a. inspeksi simetris dada d.
b. perkusi dull kanan kiri e.
c.



47. a 1,8 meters tall, 70kg, 20 year old male was watching tv when he felt pain in his
shoulder, SOB, and fatigue. chest x-ray revealed a 55% pneumothorax of the right
lung due to rupture of a bleb on the surface of the lung. which of the following is true?
a. the intrapleural pressure is the affected area in equal to atmosphere pressure
b. the chest wall on the affected side recoils inward
c. there is hyperinflation of the affected lung
d.the V/Q ratio on the affected side is higher than normal
e. the mediastinum shifts further to the right with each inspiration

49.which of following will increase of cholinergic blablablaa....
a.lung compliance d
b.airways diameter e
c

53. the above acid base imbalance condition was must probably caused by:
a. narcotic overdose resulted in hypoventilation increased co2 plasm
b. narcotic overdose increased HCO3- excretion
c. narcotic overdose breathing pressure resulted in higher CO2 plasm
d. narcotic overdose stimulated carbonate antihidrate activity resulted in lower PH
e. narcotic overdose increased HCO3- absorption resulted in higher CO2 plasm


62. Mucolliary clearance,except:
A. Is inhibited in smoking
B. Allows foreign material to be trapped in a sticky mucus film within the bronchi and
bronchioles and then transported to the trachea and larynx
C. Covered by a layer of mucus secreted by goblet cells and submucosal glands
D. Forms part of the cough reflex
E. The cilia beat synchronously

63. dittrich plug caseosa and yellowish mass which can be found in patient with
a. along standing TB
b. TB early phase
c. pulmonary edema
d. bronchiectasis
e. severe pneumonia

65. (soalnya ira) pneumocystic pneumoniae,except:
a.fungal infection d.prognostic guarde
b.oppur... infection e
c.....

69. In an AP film of the chest, there can be magnification and blurring of:
A. The sinus
B. The diaphragm
C. Heart
D. Lungs
E. Bony structure

70. In chest X-Ray of patient with tension pneumothorax of the right lungs field, there
will be :
1. Heart enlargement
2. Hyperlucency with avascular region in the right hemithorax
3. No mediastinal shift is noted
4. The diaphragm of the affected side is elevated
5. The contralateral lung will show dense opacity


71. The distance of the focal spot in X-Ray tube to the object in making a chest x-
ray?
A. 0.75 meter
B. 0.90 meter
C. 1.25 meter
D. 1.5 meter
E. 1.8 meter

72.(soalnya eva) radiologic features of patient with primary TB in cxr are:
1. patchy infiltrates
2. fibrotic stands in the lung field
3. regional/hilaar lymphonodes enlargements
4. atelectasis of lung segment

75. Lobar pneumonia;
a) the border of hte lungs is indistinc
b) the lesion appear inhomegenously
c) it does not cause shift to the nearby structure...
d) the sinuses is blunted
e) the diaphgram at the affected side is elevated

case: A man 35 yrs old, come to the hospital with cough, a little narrow, night sweats,
fever and had been taking antibiotic. In thorax photo, we found picture cloudy and
white patches at upper lung. Routine blood examonation found increase LED.

76. In this case, the rapid method for diagnose of this patient will be;
a) microscope
b) blood culture
c) sputum cluture
d) ELISA
e) EIA

77. In this case, the most important specimen should be collected;
a) Blood
b) LCS
c) Feces
d) Urine
e) Sputum

90. short term effect of malnutrition for respiration
a. decrease on cell mediated immunity
b. altered immune respon
c. catabolism of respiratory muscle mass
d. decrease of surfactant product
e. decrease of ability repair

94. In a region of Puskesmas XX there are 200 new pulmonary TB patients with
smear positive. Pukesmas treats to those patients on the DOTS strategy. What is the
minimum number of patients who are expected to recover so that the Puskesmas get
the target of success rate?
A. 100 people
B. 120 people
C. 140 people
D. 150 people
E. 170 people

A man 45 years, smokers, diagnose with since a month ago. patients living with the
family, the wife of 35 years who are pregnant, first child 17 years old male, second
child 15 years male, female 12 years III and IV girls 8 years old.

98) what is the most appropriate preventative action performed on these patient?
A) health promotion
B) specific protection
C) Early diagnosis and prompt treatment
D) Disability limitation
E) Rehabilitation

99) what is the most appropriate action done to the baby that will be born?
A) health promotion
B) specific protection
C) Early diagnosis and prompt treatment
D) Disability limitation
E) Rehabilitation

100) a 30 years old women came to the clinic with coughing up with bloody sputum.
the doctor diagnosed she got pulmonary TB disease.Based on ICD X, this disease is
included in what classification?
A) Communicable disease
B) Infectious diseases and parasites
C) Respiratory system diseases
D) The diseases is not contagious
E) Diseases virus infection


HITAM

66. cigarette smoking has many major effects:
a. impairs ciliary movement
b. causes mucus gland hypertrophy
c.alters the structyre and function of alveolar macrophage
d. productive cough

67.top lordotic projection X ray
a. heart d.upper lung
b.aortic arch e.diaphragm
c.lower lung

You might also like