3. 2 years old boy, 10 kg, visit emergency departement. History : 4 day high fever,spontaneous ptechiae, without vomiting. Lab Platelet 88.000/ml Ht 36%; further examination platelet 66.000/ml Ht 48%. Management?A. Orally since there is no vomitB. 750 cc/24h parenteral and adjust when neededC. 1000cc/24h parenteral and adjust when neededD. 1250cc/24h parenteral and adjust when neededE. 1500cc/24h parenteral and adjust when needed

4. Diagnosis of typhoid fever is confirmed by culturing salmonella strain. WOTF is correct statement?A. (+) blood culture in 40-60% patient during 2nd week of illnessB. most stool culture (+) during 1st week of illnessC. most urine culture (+) during 1st week of illnessD. bone marrow culture is less sensitiveE. bone marrow culture is the most sensitive since it less influenced by prior antimicrobial therapy

9. A girl with lobar pneumonia with high fever for 3 days. remission of fever < 1 CA. ContinuousB. Saddle-backC. IntermittentD. remittentE. Relapsing

14. soalnya lupa, pokoknya mendiskripsikan penyakit DBD, pertanyaan : causative agent nya?a.lupab.lupac.lupad.lupae.single stranded RNA positive --> ini kayaknya jawabannya

19. 9 months old infant, bodyweight 7 kg, receive corticosteroid, sudah dapat vaksinasi BCG waktu umur 1 bulan. dikasih imunisasi apa sekarang ?A. Measles, DTPB. Measles, DTaPC. Measles, hepatitisD. DTP, OPVE. DTP, hepatitis B

22. Lesi kulit dipunggung, hypopigmentation. Diagnosis?Ans : tinea versicolor

25. pasien usia 38 tahun kena leprosy. nerve di elbow medial terhadap epycondile mengalami perbesaran. apa yang terjadi? a. drop wristb. claw thumb

c. claw handd. drop hande. claw finger

29. 31 year old woman comes with her daughter. complant : discrete papular itchy lesion with pinpoint blue color on its top, located at neck and axilla. diagnosis ?A. Pediculosis capitisB. Pediculosis corporisC. Pediculosis pubisD. ScabiesE. Insect bite

For questions 38 and 394 months old baby boy comes with skin patch at neck, ibunya juga memiliki skin lesion yang sama di breast. PE : numular eritropapulosquamous patches with active borders, clear area at middle. di rumah pelihara kucing

38. Gambaran mikroskopis skin scrapingnya seperti apa ?A. Epithel, long septate-branched hyphae, round sporesB. Epithel, long septate-branched hyphae, arthrosporesC. Epithel, short hyphae, round sometimes oval sporesD. Epithel, budding cells, round spores, germ tubesE. Epithel, short hyphae, arthrospores, germ tubes

39. tipe funginya ?A. zoophilicB. GeophilicC. AnthropophilicD. HydrophilicE. Keratinophilic

42. Trichrome stain indicated the presence of intestinal pathogenic protozoa.WOTF statement is correct for lifecycle of all intestinan pathogenic protozoaA. Infective stage occured in soilB. Encystation in lower ileumC. The most frequent primary sites are caecum and rectosigmoidE. Cysts and trophozoites may be found in liquid feces

Options for 47-50A. Entamoeba disparB. Entamoeba coliC. Giardia lambliaD. Trichomonas hominisE. Entamoeba histolytica

47. amoeboid trophozoite with cytoplasmic pseudopodia and fine granular cytoplasm48. eccentric karyosome49. ellipsoidal cyst

For question number 51 until 53, refer to this option:A. NegativeB. Primary InfectionC. Secondary InfectionD. InvalidE. Primary and secondary infection

51. C-Line and M-Line are pink color52. C-Line, M-Line, and G-Line are pink color53. C-Line, M-Line, and G-Line are white color

58. A 14 y.o. girl typhoid fever. Salmonella antigen harus meningkat berapa kali dari acute sera ke convalescence sera?A. 1/2xB. 1xC. 2xD. 3xE. 4x61. The doctor in charge gives her chloramphenicol. WOTF is the adverse effect of the drug?A. Aplastic anemiaB. HypotensionC. WeaknessD. MalaiseE. Dizziness

71. Which statement is TRUE about cerebrospinal fluid?A. Lumbar puncture may be drawn at L3-L4 intervertebrae levelB. CSF is formed at choroid plexus within the ventricleC. Choroid plexus only occur along the inferior horn of the lateral ventricleD. CSF flows through the ventricle and enter arachnoid spaceE. CSF drains into the venous system when the venous pressure greater than CSF pressure

72. jenis epitel yang melapisi sisi dalam dari lapisan meningen terluar adalah..(pokoknya optionnya ada yang simple squamous, simple cuboidal, simple columnar, truz gw lupa apa lagi:)))

88. Pasien datang ke RS dengan demam tiba2 mencapai 39 derajat C, sakit kepala dan jaundice 3 hari yang lalu. Memiliki riwayat pekerjaan bekerja di gudang yang banyak tikus.

Penyebab organisme?A. Acromonas hydrophilaB. Mycobacterium marinumC. Streptococcus pyogenesD. Leptospira interrogansE. Vibrio Vuilnifiens

89. Which of the following is the characteristic of this microorganism? (Leptospira)A. Rods with microgranular formB. Spirochetes gram negativeC. Rods gram positiveD. Cocci gram positiveE. Spirochetes with hooked ends

A. P. falciparumB. P. vivaxC. P ovaleD. P. malariae95. Schuffner stipple on routine blood examinationB

102. Pemeriksaan mikroskopis pada pasien malaria menunjukkan adanya sel darah merah dengan ukuran normal, "no stippling", "multiple ring-form", dan pada beberapa sel darah merah terdapat trofozoit yang berkembang yang berbentuk "band". Etiologi apa yang paling mungkin?A. Plasmodium malariaeB. Plasmodium vivaxC. Plasmodium falciparumD. Mixed infection (Plasmodium malariae & Plasmodium vivax)E. Mixed infection (Plasmodium falciparum & Plasmodium malariae)

108. Classification of patient with sepsisA. Hospitalized in ICU and undergo mechanic ventilationB. Fever with core temperature more than 38.8'CC. Hypothermia with core temperature less than 36'C and tachypneaD. Increase circulating imflamatory mediatorsE. Combination of infection with Systemic Inflamatory Response Syndrome

109. Correct statement about plasmodium ?A. agent does not develop or multiply inside vectorB. agent multiply inside vectorC. agent grow and multiply inside vectorD. agent develop but not multiply inside vectorE. agent grow inside vector

115. Drug nteraction chlorapenicol and phenytoin?Chloramphenicol Menurunkan metabolisme

phenytoin sehingga bioavailabilitas Phenytoin di darah meningkatA. half life phenytoin increaseB. serum concentration phenytoin increaseC. half life phenytoin decreaseD. chlorampenicol doesn’t inhibit hepatic microsomal enzymeE. serum concentration of both increase

118. WOTF characteristic of Dapson?A. it inhibits protein synthesisB. resistance can emerge if very high doses are givenC. the combination of dapsone, rifampin and clofazimine is not iniatially recomendedD. Dapsone is well toleratedE. Dapsone can not be given to renal failure patient

122. Indikasi pemberian clofazimin?

125. Side effect permethrinA. unpleasant odorB. stainingC. pruritusD. itchingE. nonirritating

129. MOA acyclovir?Inhibisi DNA polymerase sehingga mengganggu replikasi DNAMaaf jawabnnya lupa T___________T

130. Pharmakokinetic spesification of acyclovir:a. biovailability is affected by foodb. it is cleared by glomerular filtrationc. it is not cleared by tubular secretiond. it is not cleared by hemolysise. it is cleared by peritoneal hemolysis

136. Manakah diantara obat di bawah ini yg menghambat sistesis ergosterol?a. Allylamineb. Polyenec. triazoled. Inidazole

142. A 40 year old woman came to the doctor due to high grade intermittent fever for a week. Typically it was started by chills, followed by high fever and sweating. She also had headachen myalgia, nausea, and vomiting. The patient has just come back from the P.falciparum endemic area.Which of the most appropriate combination antimalaria should be added to amodiaquine?A. QuinineB. MefloquineC. Artesunate

D. DoxicyclineE. Chloroquine

148. Scaling patch di punggungA. seborrheic dermatitisB. pityriasis versicolorC. pityriasis roseaD. psoriasisE. lepra

157. Clue that suggests anaerobic infection:A. + in facultative anaerobic cultureB. Special cotton swabC. Foul-smelling dischargeD. Infect mucosal areaE. Grow on McConkey agar

For question 161-162A 60 year old female complains about red patches, papules, and blisters on a red base at the right side of her face, neck, and upper chest since 3 days ago. She also feels discomfort, pain, numbness, and varies from superficial itching, tingling, and burning sensation in the involved area.161. What is the source of her infection?A. Aerosolized droplets of the causative agentB. Contaminated food or waterC. Sexual activityD. Puncture with contaminated needleE. Endogenous reactivation of an earlier infection

163. Diagnosis : diphtheria. Stain?A. gram stainB. Ziehl-NeelsenC. NeisserD. Burr-ginsE. negative staining…164. Viruses can be isolated in the embryonated egg into appropriate region. Which part of the embrionated egg for incubation of herpes virus?a. Amniotic cavityb. Allantoic cavityc. yolk sacd. intraembryonale. chorioallantoic membrane

168. A 26 year old obese female presents to the clinic with scaly erythematous patches on the grain. Skin scrapping in taken from the lesion, for microscopic examination.TINEA CRURISHow is morphologic pattern of the etiologic agent of that case when you observe using KOH solution?A. Spaghetti & meatballs appearance--> Malassezia furfurB. Long branches septate hyphae & arthrospore--> Dermatophytes

C. PseudohyphaeD. Long branches non septate hyphaeE. Yeast cells with budding

171. 27 years old athletic male. White patch of skin mainly on axilla, back, trunk. No itching. Multiple hypopigmented macules covered by fine scales. Woods lamp : positive yellow fluorescence. Diagnosis : tinea versicolor.WOTF fungus cause disease?A. Microsporum canisB. Malassezia furfurC. Trichophyton beigeliiD. Epidermophyton werneckiiE. Epidermophyton floccosum

178. A 27 y.o. businessman experienced high fever, serius retroorbital headache, severe joint and back pain for 5 days. Rash appear on his palm and sole that lasted for 2 days. At the same time, his 5 y.o. son experienced mild flu like symptom, collapse after 2-5 days. There were petechiae on his forhead, ecchymosis elsewhere. What is the structure of the virus that aused this disease?A. double stranded RNAB. double stranded DNAC. positive sense single stranded RNAD. negative sense single stranded RNAE. single stranded RNA

A. Biologic controlB. Environmental controlC. Vector controlD. Vector surveyE.195. Alteration in breeding site of vectr

Itraconazole adalah?A. phenylallaminesB. triazoleC. imidazoleD. allyaminesE. beta-3-glucose synthase inhibitor