Professional Documents
Culture Documents
1 Seorang laki2 23 tahun ke emergency departement setelah 3 jam kecelakaan, dia sakit di
right back karena terpukul oleh handle dari motor, 1 jam setelahnya dia menemukan darah di
dalam urine, lalu akan dilakukan operasi for remove the rupture organ. Which of the
following sequence the layer from outermost to innermost that protect the rupture organ?
A. Muscle - paranephric fat - renal fascia - perinephric fat- renal capsule.
B. Muscle - renal fascia- paranephric fat- renal capsule- perinephric fat.
C. Muscle- paranephric fat- perinephric fat- renal fascia- renal capsule.
D. Renal fascia- muscle-perinephric fat- renal capsule- paranephric fat
E. Paranephric fat - muscle - perinephric fat - renal capule - renal fascia
2 Soalnya lupa maafin :(
A. Leydig cell
B. Sertoli cell
C. Spermatogonium
D. Spermatoid
E. Spermatozoa
3 Referred pain for ureteric : colic radiates from the loin to the groin.
a. T1-T2
b. T2-T3
c. T4-T5
d. T6-T7
e. T11-L2
4 reabsorption of water, ion and all organic nutrient
a. bowmans capsule
b. pct
c. loop of henle
d. dct
e. collecting duct
5 Laki-laki 56 tahun memiliki CKD stage 5 dan PEM. Advice salt sodium yang tepat?
Kompensansi dari jantung untuk menghindari komplikasi ke ginjal apa? (Hormon ginjal)
-ADH
-ANP
-ALDOSTERON
-RENIN
-ANGIOTENSIN
31 Man 45 years old come to ER with dypsneu, he suffered watery diarrhea, weakness,
oligouria,. Lab Exam: pH 7.27, pCO2 27, HCO3 10, what's the best compensatory
mechanism?
a. Reduce secretion H+
b. Reduce secretion ...
c. Increase excretion phosphate
d. Dissociation of H2CO3
e. Reduce urinary excretion
32 Pasien 45 tahun datang dengan keluhan dypsnea, oliguria, weakness 4 hari yg lalu, napasnya
dalam dan cepat. Ph pco2 hco3 turun. Compensatory mechanism ?
A. Excess ph in blood
B. Release co2
C. Release excess hco3
33 Pasien 43 tahun right back pain. 3 tahun lalu urinating small stone. Sudah diobati dan
sembuh. X-ray hyperecoic dengan ecoic shadow (kalau ga salah) di right back pain at L2
vetebrae. Dimanakah lukanya?
A. Cavity ...
B. Brim pelvis. Crosses iliac artery
C. ...
D. Pelvic inlet gitu
E. End ureter sampai masuk bladder
34 Pasien 43 tahun right back pain. 3 tahun lalu urinating small stone. Sudah diobati dan
sembuh. X-ray hyperecoic dengan ecoic shadow (kalau ga salah) di right back pain at L2
vetebrae. Dimanakah lukanya?
A. Cavity ...
B. Brim pelvis. Crosses iliac artery
C. ...
D. Pelvic inlet gitu
E. End ureter sampai masuk bladder
35 Layer the surgeon must incisive to reach testicular parenchyme A. Buck fascia B. Tunica
albugenia C. Dortus fasciaD..scarpa fascia E.Tunica vaginalis B.Tunica albuginea
36 Gambar histology yg ada di modul lab act yang sel dilapisi oleh sel aslinya jawabannya
cystisis cystica
37 The cell is near seminiferous tubules...
A. Leydig cell
B. Sertoli cell
C. Spermatid
D. Spermazoa
E. Secondary sperm
38 A 7 y.o. boy is admitted to Padjajaran Teaching Hospital due to difficulty of micturition.
There was a history of consumption of jengkol bean 1 day before admission.
A. Furosemide
B. ACE-I
C. sodium bicarbonate
D.
E. Packed Red Cell Transfusion
39 Intinya culture media buat Neisseria gonorrheae
Jawab: Tayer Martin agar
40 37. Mr. Adrian dtg ke puskesmas dengan keluhan ulcer di penil shaft, dari pemeriksaan vdrl
positif, tpha reaktif. Pemeriksaan lanjutannya apa?
Jawabannya test dark field microscopy untuk memastikan pergerakan treponema
41 Male, 65 y.o, BP: 140/90, PR: 84 bom
A month ago diagnosed stage 2 hypertension with positive decompensatio cardia, treated
with hidralazine
The basic vasodilatory mechanism of the drug is
A. Positive inotropic
B. Positive chronotrophic
C. Increase afterload
D. Increase coronary blood flow
E. Baroreflex
42 Wotf is correct arrangement of blood supply of kidney?
D. Renal a - segmental a - interlobar a - arcuate a - interlobar a - afferent a
43 A 55 y.o woman came with throbbing headache at the back and neck since 3 months ago,
especially in the morning. There is no history of head trauma or infection. Physical exam :
BMI: 30 kg/m2BP: 160/90 mmHg, PR: 72/min, RR: 18x/minCardiac left border : 3cm lateral
to the left midclavicular line Lab exam: Ureum : 35 mg/dL, Creatinine : 1.2 g/dL, Uric acid :
7 mg/dL. HDL cholesterol : 30 mm/dL, LDL cholesterol : 160 mg/dL, triglyceride : 300
mg/dL, random blood sugar : 220 mg/dL, total cholesterol : 250 mg/dLECG : left ventricular
hypertrophy What is cardiovascular risk mostly occurred?A. DM & cardiomegalyB.
Dyslipidemia & DMC. Dyslipidemia& LVHD. Hyperuricemia & obesityE. Obesity & LVH
44 42. Laki-laki 27 tahun, datang dengan keluhan mucopurulent discharge, unprotected sex, no
fever and no pain in urination. Suspect Gonorrhea, setelah diperiksa bakterinya tidak tumbuh
di blood agar and would grow in certain cell lines.
a. Chlamidiophilia pneumonia
b. Chlamidiophilia ..... (mf lupa)
c. Chlamydia trachomatis
d. N. Gonorrhaea
e. T. Pallidum
45 Diarrhea. What is the most likely cause of hyperkalemia in this patient?
A. Increased reabsorption of potassium in kidney
B. Reduced potassium filtration in kidney
C. Hemoconcentration
D. Decreased urine production
E. Activation of Na/K/ATPase
46 The scrotum appears to have slightly and wrinkled apperance. What the most likely of this
apperance?
A . Hyperkreatinized squamous epithelial
B. Tunica albuginea
C. Dortus fascia
D. Tunica vaginalis
47 Ada pasien cewe kena acute urine retention
Which one following is true about saline solution for baloon foley cathether
A. Can cause uretheral damage
B can contain urin material
C lupa
D crystal
48 23 yo collage student come to the clinic with symptoms suspected STD. Neisseria and
chlamydia are ruled out. WOTF organisms is most likely cause nongonococcal urethritis
(NGU)?
51 Massive diarrhea & vomtting since Yesterday. Ditemukan Metabolic acidosis &
hyperkalemia.
Apa penyebab Hyperkalemia pada pasien ini?
a. Haemoconcentration
b. Reduced excretion
c. Increase reabsorption
d. Decrease urine output
e. Reduced filtration
52 In clinical setting, PSA testing is used as?
A. Diagnosis
B. Patofisiologi
C.
D.
E. Choose treatment
53 53. Side effect of amlodipine?
Edema in extremities
54 A 8 year old boy came to your clinic with nephritic syndrome. From physical and and lab
examination reveal that he had edema, hypertension, hematuria, and dark cola coloured
urine.
Struktur ini memiliki primary process trus ada foot like processes sbg secondary process atau
pedicles.
struktur apa yg dimaksud?
A.Low phospate
B.Low oksalat
C.High kalsium
D.High intake sayur
E.High intage buah
69 A man always consume milk, green tea, chocolate. Seldom eat meat and fish. He likes
spinach. Never experiencing pain when urination or knee pain. No family history of stone
formation. What mechanism involve in this person?
A. Supersaturation
B. Lack stone inhibitor
C. Change in tubular ph
D. Less tubular flow
E. Tubular infection
70 Pasien datang dengan tak sadar dan kejang. BP 150/90, numerous of RBCs, proteinuria +1.
Diagnosed as APSGN
WOTF is suggestive for APSGN in the case above?
During kidney'sremoval procedure..., which is the most anteriorly part of renal sinus:
A. Renal artery
B. Renal vein
C. Minor calyx
D. Major calyx
E. Renal pelvis
72 A 32 year old previously healthy man is hospitalized because of acute onset of dysuria,
urinary frequenct, fever, pain both loin tenderness and shaking chills. His temperature is 39
c, bp: 100/60 mmhg. Pulse is 110 bpm. Which of the followinh would be the most accurate
diagnosis of this acute illness?A. Acute glomerulonephritisB. Acute renal failureC. Acute
pyeonephritisD. Acute cystitisE. Nephrotic syndromeJawaban c
73 Bapak usia 45 tahun, datang dengan dyspnea, serta oliguria, weakness sejak 4 hari yang lalu.
ABG
PH: 7,27
PCO2: 27
PHCO3: kurang dari normal
A. Metabolism
B. Hormonal release
Sisanya lupa maafin.
Jawabanku A
75 Reversion of neisseria gonnorhoeae from a fimbriated to a non-fimbriated state will result in
which of the following?
79 81. male ckd stage 5 non HD dgn PEM. intake sodium brp disarankan?
a.
b. 500ml + urine output
c. 750ml + urine output
d. 1000ml
e. individualized
80 Struktur apa yg punya acending & descending structure, ada thin & thick
A. PCT
B. LOH
C. DCT
D. Collecting Tubule
81 Testis cancer, abis insisi scrotum, lapisan apa yg harus di insisi untuk mencapai parenkim
dari testis?
A. Buck's fascia
B. Tunica albuginea
C. Dartos fascia
D. Scarpa's fascia
E. Tunica vaginalis
82 Vitamin D related to fungsi ginjal berperan dalam apa
Electryoltye balance
Acid-base balance
Pilihan lainnya lupa maafkaaan
83 Bagian yang letaknya di anterior dari renal hilum
a. Renal pelvis
b. Major calyx
c. Minor calyx
d. Renal vena
e. Renal artery
84 Pasien 36 tahun datang keluhan hematuria. Dilakukan cystoscopy ada irregular erythematous
bladder . Dilakukan biopsy, gambaran microscopic (ada gambarnya), ............... ada
congestion capillary sama edema
If metaplasia occurs in epithelial lining, most appropriate condition of patient ?
A. Cystitis cystica
B. Cystitis glandular
C. Normal
D. Papilloma
E. ...... carcinoma
85 Old men with history alcoholism, had vomit over 2 week before. Test result shows
bicarbonate elevated (45), ph 7.62.
87 Ada pasien mengalami hipertensi, edema, dark urine color. Apa yg menyebabkan urinnya
berwarna gelap?
88 Ada pasien mengalami hipertensi, edema, dark urine color. Apa yg menyebabkan urinnya
berwarna gelap?
89 A 5 years old boy was admitted with a mas in his abdomen. Radiological examination
revealed that the mas originates form his kidney
WOTF is the most likely microscopic qppearence of his tumor?
A. Nest of Cells tumor with an undang eosinophilic cytoplasm and mitotics
B. Tumor Cells are composed by mesenchymal and blastemal cell
C, small round blue cells tumor that's rossete appearence
D. Tumor cell are composed of one kind of ephitelial Cells only
E. Tumor Cells have Clear cyplasm and much of mitotics
90 160/110 termasuk dalam kategori apa di jnc 7 dan 8? Stage 2
91 laki-laki, CKD w/o HD with PEM, diberikan suplemment vit D, fungisnys apa?
a. lupa
b. hormone ..
c. excretion
d. lupa
e. lupa
92 Vessels antara cortex dan medulla
A. Interlobar arteries and veins
B. Arcuate arteries and veins
C. Interlobular arteries and veins
D. Stellate arteries
E. Vasa recta
93 97. Tentang development kidney, pada week keberapa kidney bisa berfungsi definitive secara
fungsional?
A. 4th
B. 7th
C. 8th
D. 9th
E. 12th
94 97. Tentang development kidney, pada week keberapa kidney bisa berfungsi definitive secara
fungsional?
A. 4th
B. 7th
C. 8th
D. 9th
E. 12th
95 In the following steatment, which is the most probable BGA analysis result of severe renal
impairment
A. Increase pHCO3 in arterial blood flow
B. Increase oxygen level in renal blood flow
C. Increase oxygen saturation in renal blood flow
D. Increase oxygen level in venous blood flow
E. Base excess within normal limit
96 In the following steatment, which is the most probable BGA analysis result of severe renal
impairmentA. Increase pHCO3 in arterial blood flowB. Increase oxygen level in renal blood
flowC. Increase oxygen saturation in renal blood flowD. Increase oxygen level in venous
blood flowE. Base excess within normal limit
A. Prostate gland
B. Bulbourethral gland
C. Seminal vesicle
99 Mr. Adrian 22 yo, CC: ulcer at penile shaft since 1 week ago. HT: positive sexual contact
with girlfriend without condom. Serological exam: VDRL = 1/32 and TPHA reactive.
Characteristics of the lesion?
100 A 39 y.o man. IVP diagnosed renal calculi. The calculus component is calcium oxalate. It
increase incidence of hypophosphatemia.
Which hormone will increase renal clearence of phosphate?
A. Aldosterone
B. Parathyroid hormone
C. Norepinephrine
D. Vasopressin
E. Angiotensin
101 28 y.o man,positive sexual contact with girlfriend without condom. Giemsa staining show
multonucleated giant cell. Test to diagnose?
A. Tpha
B. Gram staining
C. KOH
D.herpes : hsv
E. Lupa
Answer : D. Herpes
102 A 39 yo woman complains hematuria and severe flank tenderness. She also had a history of
kidney stones. A CT scan depicts the abdominal portion of the ureter is lying anterior to a
muscle.
105 108. Patient with multiple myeloma develops a defect in renal bicarbonate reabsorption
which involve in proximal tube, that is, type 2 renal tubular acidosis
Which of the following struscture feature distinguishes the epithelial cell of the proximal
tubule from those of distal tubule
A. The distal tubule has a thicker basement membrane
B. The proximal tubule has a thicker basement membrane
C. The proximal tubule has more extensive brush border
D. The proximal tubule form the juxtoglomerular apparatus
E. The distal tube has fewer tight intercellular junction
106 Wanita, 60 tahun AKI. Creatinine tinggi, BGA pH rendah, HCO3 rendah.
113 116.
Patient come to nuclear medicine with chronic kidney failure.
Jawab: c
114 56 y.o man with diagnosis CKD with non HD but with PEM. Weight: 50 kg, height: 175 cm.
How much sodium should consumed by this patient?
A. Not restricted
B. 500 mL + urine output
C. 750 mL + urine output
D. 1000 mL
E. Individualized
115 Gen yg diekspresikan oleh mesenkim, berfungsi untuk inisiasi diferensiasi ginjal ?
Jawab : WT1
116 Muscle fascia of renal: psoas
117 120. Patient with flank pain & costovertebral angle tenderness, xRay radioopaque, diagnosed
as urolithiasis. The doctor adviced to restrict meat consumption. If the cause of this
symptoms was infection, what is the most probable stone formation?A. Uric acid stoneB.
Struvite (lupa tulisannya)C. Calcium oxalate D. Calcium phosphateE. Cystine
118 121. A 50-year old man was diagnosed of having kidney stones. History taking revealed that
he used to eat a lot of milk, green tea, chocolate and peanuts. He seldom eats meat or fish.
He likes spinach most. He never experiences pain in urinating or joint pain. No family
history of kidney stone. What is the most possible kind of kidney stone?
126 45 yo man, uncontrolled high BP 160/110. Medication : Amlodipine 5mg once daily &
bisoprolol fumarate 5mg once daily. 2wk ago bcs of ankle swelling, stop medication bcs
worry about heart failure symptoms. Family history : mom died bcs diabetic and was on
hemodialysis. Polyuri, polydipsi, polyphagia. Smoking 5 cigaretes/day. BW : 45kg, dulu
70kg. Treatment?
A. Life style modification+monotherapy ACE-I
B. Life style modification+2 drugs combination
C. Life style modification+B-blocker
D. Life style modification+ACE-I & ARB
E. No need life style modification, but given CCB+ARB
127 In a patient who has testicular cancer that has metastasized to lymph nodes, which of the
following nodes is most likely affected first?
A. Lumbar nodes
B. Aorticorenal nodes
C. Inferior mesenteric nodes
D. Common iliac nodes
E. Internal iliac nodes
128 12 yo female came to the emergency department with the chief complaint of weakness. She’s
suffered from severe vomiting and massive diarrhea for the last 2 days
131. You check the orthostatic hypotension examination and result was positive. What does
this test refer to?
a. Hypotension
b. Low serum osmolality
c. Hypovolemic shock
d. Hypovolemia
e. Life threatening shock
129 40 year old male came to nuclear medicine to check renal function due to chronic kidney
failure. What is the examination:
A. Effective renal plasma flow
B. Glomerular filtration rate
C. Renal scintigraphy
D. Renal rterial renal flow
E. Conventional renography
130 133. Pasien dikasih treatment yg mengganggu reabsorpsi Na+ (Furosemid) dah, terus apa yg
terjadi dlm tubuhnya?
Jawaban :
A. Increase urine osmolarity
B. Decrease urine osmolarity
c
D.
E. Lupaaa huhu
Jawaban aku a
131 134. 27 years old male come to the clinic with mucopurulent discharge from penis setelah ke
tempat prostitusi dan tidak pakai kondom. He was afraid that he had caught the "clap".
Pasiennya no fever and no pain upon urination. The doctor suspect Neisseria gonorrhea. Lab
examination show the causative organism not grow in blood agar, but would only grow in
certain cell lines. What is probable organism? A. Chlamydophila pneumoniaB.
Chlamydophila psittaciC. Chlamydia trachomatisD. Neisseria gonnorheaE. Treponema
pallidum
132 65 years old man with chief complaint urinating retention more than a day before and lower
abdominal pain. Physical exam revealed that pelvic region tenderness upon palpation.
Diagnosis revealed urinary retention due to prostatic gland hyperplasia.
If kidney disection will performing in this patient, what is the following structure that located
most anterior?
A. Renal artery
B. Renal vein
C. Major calices
D. Minor calices
E. Renal pelvis
What is the most likely laboratory examination that can help you to establish the diagnosis?
t1-t2
t2-t3
t3-t4
t5-6
t11-L2
138 141. What it the most likely hormone deficiency will lead to polyuria in normal urin
osmolality?
A. ADH
B. Atrial natriuretic peptide
C. Calcitriol
D. Insulin
E. Norepinephrine
139 A female medical student admitted to emergency department due to symptom of severe UTI.
The escheriscia coli strain isolated from urine produced extended spectum B-lactamase.
(Gambar ada di Jawetz)In which anatomical area of E.coli would this enzyme exist?A. AB.
BC. CD. DE. E
140 143. While performing left adrenalectomy, A survival resident identified vessels that join the
left suprarenal vein before drain to the left renal vein. Wotf most likely the vessel?
A. Hemiazygos
B. Left 2nd lumbar
C. Left testicular
D. Left interior phrenic
E. Left 1st lumbar
141 Seorang dokter bedah melakukan operasi untuk melihat testicular parenchyma. Setelah
melakukan insisi pada scrotum bagian mana lagi yanb perlu di incisi untuk dapat melihat
bagian dimaksud:
A. Fascia buck
B. Tunica albuginea
C. Tunica vaginalis
D.
E.
142 145. 5 y.o boy was brought by his mother to hospital with complained mass at his abdomen.
His mother felt suddenly while she holds him. Imaging examination showed that the mass
came from his kidney.
What is the best describe of microscopic appearance for that patient?
A. Nest of cells tumor with abundant eosinophil cytoplasm and mitotics
B. Tumor cells could be composed by mesenchimal and blastemal cells
C. Small round blue cells tumor that rosset appearance
D. Tumor cells could be composed by only one kind of epithelial cells
E. Tumor cells have clear cytoplasm and much of mitotics
143 146. Cowo 57 tahun cc mass in her flank also complained blood urine since several week
ago. Biopsy dilakukan, microscopic findings are nest of tumor cells with papillary and
trabecular structure clear citoplasma, small nodule ........ And abundant of mitotic.
A. Willm's tumor
B. Transitional cells carcinoma
C. Adenocarcinoma
C. Clear cell carcinoma
A. Papillary carcinoma
144 Treatment syphilis adalah..
jawabannya A
145 What's the function organ regarding vitamin D?
a.Metabolism
b. Hormon release
c. Excretion
d. Electrolic regulation
e. Acid base regulation
146 A 57 years old male came with difficulty to urinate. Digital rectal examination showed
enlargement of the prostate approximately 50 gram, no nodule or tenderness. PSA was 1
mg/dL. Transurethral resection of the prostate was performed and the tissue biopsy was sent
for histopathological examination.What is the structure pointed by the white arrow in the
photomicrograph below ?a. Basal cellsb. Columnar cellsc. Corpus amylacea (jawaban)d.
Fibromuscular stromae. Spermatocytes
147 A 28 year old woman came to your clinic with dysuria, fever, chills, pain at her back and
waist. BP 100/60, RR 28, Temperature 39°c. What is your diagnosis?
A. Acute cystitis
B. Acute glomerulonephritis
C. Acute pyelonephritis
D. Acute kidney injury
E. Nephrotic syndrome
148 which of the following is the most likely characteristic of uro-calcinosis?
a. has the same definition with urolithiasis
b. has the same calcinogenesis with urolithiasis
c. found in the renal pyramid
d. found in the renal cortex
e. can cause renal obstruction
149 Characteristic of Treponema pallidum
a. Sizenya
b. Chocolate agar
c.
d.
e. Resistant to penicillin
yg terjadi di kidney?
sekresi H
153 Anak 5 tahun. Di cek lab. Yang abnormal cloudy, urobilinogen (+). Ini spesifik meriksa apa?
154 Hormon yang meningkatkan reabsorbsi sodium?
A. ADH
B. Aldosteron
C. ANP
D. Calcitriol
E. Insulin
155 What is advantage of Angiotensin Converting Enzyme Inhibitor (ACE-I) to a hypertensive
patient (160/110 mmHg, other physical and lab exam normal)?
A. Decrease proteinuria
B. Refress left ventricullar hypertrophy
C. Lowers the activitt of cenous smooth muscle cells
D. Increase the stimulus of sympathetic cardiovascular pathway
E. Also has a diuretic effect
156 WOTF prototype of vasodilator?A. LabetalolB. NitroprussideC. PrazosinD. AnlodipineE.
Diltiazem
electron micro?
Terus juga yg aku inget banyak soal ttg penis dan histologi testis. Jd dipelajari saja ya guys
173 A 5 year-old boy came to the clinic. He has genital tract edema.UrinalysisAppearance:
cloudypH: 6.0Which of the following is the most appropriate urinary examination for this
patient?A. GlucoseB. NitriteC. ProteinD. BilirubinE. Ketone
174 182. Dia prostatic hyperplasia, gabisa pipis, sakit bladdernya. Nerve apa yang berperan?
175 183. 4 years old child have whole body edema, 5 days before she had eye palpebral edema
every morning. The lab exam : protein=++++ rbc=3-4 creatinine and ureum within normal
limit. What is the diagnosis of the disease? A. Nephrotic syndrome B. AKI C. Kwashiorkor
D. CKD
176 65 tahun laki2 keluar dari kerja yang menghariskan dia terpapar oleh toaphyline. hasil PE:
kematuria dan tidak ada abdominal pain. urinalysis blodd (+), no glucose dan no ketone.
mikroskopik RBC (+), no cast dan no crystal. diagnosis adalah
a. renal cell carcinoma
b. hemorrhagic cystitis
c. tubercular cystitis
d. bladder carcinoma
e. urethra carcinoma
177 5 year old boy was admitted with a mass in his abdomen. Radiological examination revealed
that the mass originates from his kidney. Diagnosis?
194. Low acidity urine sample can be form several crystal such as ....
a. cystitis cystica
b. Cystitis glandularis
C. ?
D. ?
E. ?
Jawaban a.
Soalnya lining masih utothelium. Kalo yg b. Cuboid atau columnar
184 Embryology kidney... Awalnya ada 10 pair apa gitu, kemudian disappear. Setelah itu akan
masuk fase apa?
a. Pronephros
b. Mesonephros
c. Metanephros
d. Collecting system
e. Lupa
185 Macula densa secrete..
186 195. 50 years old man has a history of chronic alcoholism had been vomitting constantly for
the last 2 weeks. You order to perform BGA with the result HCO3 45 mEq/L and blood pH
7.62.
Jawaban: B kayaknya
Kalo kata katzung halaman 202, "In the presence of overt heart failure, all calcium channel
blockers can cause further worsening of failure as a result of their negative inotropic effect."
1. Soal cerita panjang, ada HT, PE, dan LE. Serum kalium tinggi. EKGnya gimana?
Jawaban: tall and peak T wave
188 5 yo boy complained mass at his abdomen. His mother felt suddenly while she holds him.
Imaging examination showed that the mass came from his kidney. Diagnosis for this patient?
A. Neuroblastoma B. NephroblastomaC. RhabdomyosarcomaD. MedulloblastomaE.
Retinoblastoma
189 198. Mr. Joni was diagnosed as hypertension and was given antihypertensive agent, but he
become coughing after took that drugs. Which of the following drug was given to him?
A. Captopril
B. Propranolol
C. Clonidine
D. Amlodipine
E. Verapamil
190 50 years old man have type 2 DM with stage 2 hypertension but normal renal function
Appropriate drug?
a. ACE-I
b. diuretic
c. Nifedipine
d.
e.
191 Pokoknya ada pasien indikasi sifilis (painless ulcer) nah nama lain penyakitnya apa
Durum ulcer
192 Autosomal dominant (adult) polycystic kidney disease is a hereditary disorder characterized
by multiple expanding cysts of both kidney that ultimately destroy the renal parenchyma and
cause renal failure.
Which of the best microscopic appearance for this condition?
Jawaban ; B
194 What is the correct order to approach the kidney from the back?
a. Muscle fascia – perirenal fat – renal fascia – pararenal fat – capsule
b. Muscle fascia – pararenal fat – renal fascia – perirenal fat – capsule
c. Renal fascia – pararenal fat – muscle fascia - perirenal fat – capsule
d. Muscle fascia – perirenal fat – capsule – pararenal fat – renal fascia
e. Renal fascia – perirenal fat – capsule – pararenal fat – renal fascia
195 50. A patient suffered diarrhea lasting for the past seven days.
Which of the following process occured in this patient?
a. The filtered load of HCO3¬
b. The production of ammonia by proximal tubule
c. H+ secretion by distal nephron
d. Increased anion gap
e. The production of new bicarbonate by the distal nephron (answer)
196 Endothelial capillary, glomerular basement membrane, epithelial disebut sebagai?Jawaban :
filtration membrane
197 neisseria and chlamydia are ruled out. what caused nongonococcal urethritis?
a. mycoplasma fermentans
b. mycoplasma homynis
c. mycoplasma mycoides
d. mycoplasma pneumoniae
e. ureaplasma urealyticum
198 which virulence factor of Neisseria gonorrheae responsible for fever and chills?
A. Capsule
B. Lipooligosaccharide
C. Pili
D. Exotoxin
E. Lupa sori..
199 1. Gen yang menginisiasi differensiasi ginjal (embriologi)?
5. Urutan yang benar antara renal arteri/vena/pelvis dari anterior ke posterior di renal hilum?
7. [Gambar bagian dari bakteri] Di bagian manakah terdapat enzim beta laktamase?
9. Jika fimbriated gonore berubah menjadi nonfimbriated, apa yang akan terjadi?
a. kapsul resisten
b. tidak bisa di stain
c. sisanya lupa
15. Buat melihat parenkim testis yang harus dibuka otot apa?
A. Changing intratubular pH
B. Hypersaturation
C. lack stone inhibitors
D.
E. Tubular infection
206 1.what are the vessels between renal cortex and medulla
207 5. Which of the following statements is correct for hypospadia?
C. (Lupa..maaf :( )
A. It is transparent
B. Cannot be stain by any stain
C. Wavelength of light too long
D. Its diameter is <0.2mm
E. Rapid movement
215 You want to examine the renal hilum of the right kidney during a surgery. Which part of
organ you should retract? a) Stomach b) Ascending colon c) Adrenal gland d) Liver e)
Duodenum
216 Maaf ga ingat list jawapannya tapi ini soal nya.
Which one is the result of blood gas analysis in severe renal impairment?
217 Maaf ga ingat list jawapannya tapi ini soal nya.
Which one is the result of blood gas analysis in severe renal impairment?
218 The correct arrangement blood supply in kidney
A. Renal artery - interlobar artery - interlobular artery-arcuate artery - afferent arteriole
B. Renal artery - lobar artery - lobular artery - segmental artery-arcuate artery - efferent
arteriole
C. Renal artery -lobar artery -segmental artery-arcuate artery -lobular artery-afferent arteriole
D. RENAL ARTERY- SEGMENTAL ARTERY-INTERLOBAR ARTERY -ARCUATE
ARTERY -INTERLOBULAR ARTERY-AFFERENT ARTERIOLE
219 Innervation of the bladder.
A) Captopril (answer)
231 1. 50 y/o Male, controlled T2DM, Stage 2 Essential Hypertension with normal renal function
(no microalbuminuria)
What med is used?
A. ACE-Inhibitor
B. Beta-Blocker
C. Dialtezam
D. Diuretics
E. Nifidepine
232 Drugs is often use in conjunction with a thiazide and loop diuretics to prevent K+ excretion
is :
A. Manitol
B. Spironolactone
C. Acetazolamide
D. Urea
E. Indapamide
233 1. A 4 years old boy was brought to clinic because of whole body edema. Before that, the
boy had edema in the eyelids for 5 days everyday in the morning,......PE:Alert, whole body
edema, the rest in normal limit.LE:.............Serum Cr: 0.6 mg/dLWhat is the diagnosis of this
patient?A. Nephrotic syndromeB. Acute kidney injuryC. Acute on chronic kidney diseaseD.
Acute Nephritic syndrome (jawabannya)E.......A 56 years old man diagnosed with Chronic
Kidney Disease Stage 5 non HD with PEM. His body weight is 50kg and height is
175cm2.2. What is the recommended Na intake for this patient?A. Not restricted B. 500ml +
urine outputC. 750 ml + urine outputD. 1000 mlE. Individualized (kayaknya soal sama
jawabannya beda tapi saya pilih ini)3. If the partient is hemodialized, what is the
recommended protein intake for the patient?A. 0.6 g/kgBW/dayB. 0.75g/kgBW/dayC.
1g/kgBW/dayD. 1.1g/kgBW/dayE. 1.5g/kgBW/day4. What is the recommended protein
intake for this patient?A. 40gB. 50gC. 60gD. 70gE. 80g
234 1) 13 years old male,dark urine,history of bacteria infection on skin about 3 weeks
ago.pe:somnolent,seizure,,bp150/90,swelling of both eyelid.what is the most common
complication
A.pleural effusion,
B.cong.heart disease
C.myocarditis
D.pericardial effusion
E.cardiac arrhythmia
235 A 20 year old man was admitted in the hospital due to acute urinary retention. Why is saline
used to fill the catheter balloon
A. It causes the balloon to float on top of urine causing poor drainage
B. It contains impurities and bacteria
C. To fill the balloon of Foley catheter
D. It damages the material of the catheter
E. Crystallization occurs
236 1. Something about rule out chlamydia and...
I'm so sorry. I forgot
237 The patient breaths heavily and rapidly. We assume that his body attempting to
a. Retain carbon dioxide.
b. get rid carbon dioxide excess.
c. improve buffering ability of bicarbonate
d. meet the body's need of oxygen.
e. decrease the blood ph.
238 Laki laki usia 2 tahun. Mengalami gangguan di bagian penile shaft. Yaitu gangguan di
preputial ring.Apa nama penyakit infeksi yang sering terjadi pada keadaan tersebut?A.
BalanoposthitisB. UrethritisC.D.