Professional Documents
Culture Documents
1. The p53 tumor suppressor gene plays a crucial role in which of the following processes ?
a. Apoptosis
b. Angiogenesis
c. DNA replication
d. Mismatch repair
e. Signal transduction
2. Which paraneoplastic syndrome associated with renal cell carcinoma can often be managed palliated medically ?
a. Polycythemia
b. Stauffers syndrome
c. Neuropathy
d. Hypercalcemia
e. Cachexia
7. In patients with pure seminoma, combination cisplatin- based chemotherapy is appropiate treatment for wich of
the clinical stage?
a. T1N0M0
b. T2N0M0
c. T1N2M0
d. T1N3M0
e. T2N1M0
8. the majority of penile cancer are which of the following histologic types ?
a. Melanomabowenoid papulosis
b. Squamous cell carcinoma
c. Epidemic kaposi sarcoma
d. Verrucous carcinoma
9. The finding of pathologic perineural invasion of cancer (PNI) on a prostatspecimen suggests
a. Organ-confined disease
b. 20% likelihood of capsular penetration
c. 75% likelihood of capsular penetration
d. Pelvic lymph node involvement
e. A bilateral nerve-sparing prostatectomy should not be considered
10. when the dorsal vein complex is devided anteriorly, what is the most..structure that can be damaged, and what is the
most common adverse..
a. Aberrant pudenda arteries impotence
b. Neurovascular bundle impotence
c. Striated urethra spincter incontinence
d. Levator ani mucculature incontinence
11. Pusat supra spinal untuk ereksi penis adalah :
a. Korteks serebri
b. Amila gladia
c. Preoptik lateral
d. Nucleus para ventral hipotalamus
e. Area frontal
a. early reconstruction
b. bladder subtitutior
c. pubic bone reconstruction
d. bladder neck reconstruction
e. epispadia reconstruction
39. Neonates circumcision should not performed at, except :
a. small penis
b. webbed penis
c. dorsal hood deformity
d. large hydrocele
e. all true
40. Micropenis is a normally formed penis that is at least :
a. Fluidoverload as a result of hypertonic saline infusion should be treated witha loop diuretic such as
furosemide
b. Too rapid correction can lead to a cerebral demyelination syndrome
c. Anggressive therapy should be discontinued when the serum sodium concentration is raised 10 % or
sypmtoms subside
d. Intranasal desmopressin is a usefull adjuvant therapy
e. For acute severe hyponatremia with symptoms, a typical infusion rate of hypertonic saline would be 1 ml/kg/h
42. Which of the following statements regarding renal blood flow (RBF) is TRUE?
a. 5 ml/min, 10 mg/dl
b. 10 ml/min, 8 mg/dl
c. 15 mlmin, 6 mg/dl
d. 20 ml/min, 5 mg/dl
e. 20 ml/min, 4 mg/dl
45. ..
46. the best solution for preservation af all abdominal organs is:
a. EuroCollins
b. Collins 2
c. Sacks solution
d. University of Wisconsin (UW) solution
e. Lactated Ringers solution with heparin
47. The initial goals of resuscitation of the brain dead cadaver donor.pressure of what level
and urinary output exceeding how many mililiter hour?
a. renal angiography
b. CT scan with intravenous
c. Renal scan
d. Immmediate surgical exploration
e. MRI
a. Preemptive transplantation
b. Stabilization with hemodialysis for 1 year, then transplant
c. Stabilization with peritoneal dialysis for 1 year, then transplant.
d. Home hemodialysis
e. Peritoneal dialysis with an automated cycler
51. Which of the following is TRUE regar Jing cystography for diagnosis of bladder injury?
a. If the patient is already undergoing CT for evaluation of associated injuries, CT cystography should be
performed via anterograde filling of the bladder after intravenous administration of radiographic contrast
material and clamping the foley catheter
b. If plain film cystogram are obtained, oblique films are also obtained
c. CT cystogram is best performed withdiluted contrast
d. An absolute indication for immediate cystography is the presence of pelvic fracture and microhematuria
e. None of the above
52. Which of the following is true about blunt bladder rupture injuries?
a. Orthopedic injury
b. Vaginal injury
c. Urethral injury
d. Rectal injury
e. All of the above
54. Three month after a urethral distraction injury, a patients develop a 2-cm
posterior.urethral obliterative stricture. Which of the following is true about the
repair?
a. Retrograde urethrography
b. CT of abdomen and pelvis
c. Filforms and followers
d. Bladder sonogram
e. None of the above
56. The high mortality rate associated with perinephric abscess is primarily attributed to:
a. Bacterial hemolysis
b. Diabetes mellitus
c. Delay in diagnosis
d. Inappropiate antimicrobial theraphy
e. Inadequate drainage
57. Most patients with chronic pyelonephritis present with :
a. Hypertension
b. Renal failure
c. Chronic infection
d. Flank pain
e. No symptoms
58. The most effective measure for reducing catheter-associated UTI is :
a. Closed drainage
b. Antimicrobial prophylaxis
c. Catheter irrigation
d. Intermittent catheteration
e. Daily meatal care
59. In spinal cord-injured patients, the bladder drainage technique with the.complication rate
is:
a. Pain
b. discharge
c. Crepitation
d. Erythema
e. Swelling
61. TURP merupakan modalitas aterapi PPJ yang dianggap sebagai baku emas. Namun dari
segi efektifitas dan durabilitas dianggap masih dibawah:
a. HOLEP
b. Prostatektomi terbuka
c. Prostatektomi simple
d. Prostatektomi retropubik
e. Semua diatas benar
62. Alasan utama merekomendasikan tindakan TURP pada pasien dengan PPJ adalah:
a. Azotemia
b. Hematuriainfeksi saluran kemih rekurenresidu urin lebih dari 100ml
c. A dan C benar
64. Jenis-jenis -blocker yang pernah dipakai untuk pengobatan PPJ dalah:
a. Indoramin
b. Terazosin
c. Afifuzosin
d. Fenoksibenzamin
e. Semua diatas benar
65. Pengobatan PPJ dwengan tujuan mengecilkan prostat juga dapat dicapai dengansupresi
androgen dengan menggunakan obat:
a. Finasteride + 5-reduktase
b. Tamsulosin + 5-blocker
c. 5-reduktase inhibitor+ alfa2-blocker
d. Alfa2-blocker + 5-reduktase inhibitor
e. Semua diatas benar
67. Gejala gangguan berkemih (LUTS) pada penderita PPJ terutama disebabkan oleh:
a. Penurunan 50% total jumlah sel epitel prostat dan penurunan 50% jumlah stroma prostat
b. Penurunan 20% total jumlah sel epitel prostat dan penurunan 30% jumlah stroma prostat
c. Penurunan 90% total jumlah sel epitel prostat dan penurunan 40% jumlah stroma
d. Penurunan 100% total jumlah sel epitel prostat dan penurunan 90% jumlah stroma
e. Bukan salah satu diatas
69. PSA (prostate spesific antigen) merupakan suatu protease serine dan asterase..yang
mempunyai nama lain:
a. Human kalikrein 1
b. Human kalikrein 2
c. Human kalikrein 3
d. Human kalikrein 11
e. Bukan salah satu diatas
70. Berat molekul PSA:
a. 33 kilo dalton
b. 33,000 kilo dalton
c. 33 nanogram
d. 33 mikrogram
e. Bukan salah satu diatas