SOAL YANG 50 NOMOR

1. A 25 years old woman comes to emergency department, complaint with abdominal pain
and vomiting since 1 day. At the physical examination shows the patient looks irritable,
apatis, BP 80/50 mmHg, HR 130 x/m, RR 24 X/M, S 38.5o C. At abdominal examination,
defance muscular (+), tenderness at all field of abdomen, bowel sound (-). What is the
condition in this patient?
a. Shock obstruction.
b. Shock cardiogenic.
c. Shock neurogenic.
d. Shock hypovolemic.
e. Shock anaphylactic.

2. As the diagnosis above, the first step you must do as the emergency doctor is:
a. Antibiotic infusion
b. Strong analgesic i.v
c. Abdominal plain X-Ray
d. Crystalloid rapid infusion
e. Adrenalin s.c

3. After doing that treatment, the hemodynamic of this patient is still unstable. The Patient
still have in shock condition. What is the next step you must do?
a. Change infusion fluid with Dextrose 5%.
b. Give vasoactive dopamine drug
c. Antipiretic drug i.v
d. Immediately Laparotomy
e. Antiemetic drug i.v

4. A 25 years old male presents to emergency with suspected closed left femur fracture
after motorcycle accident. He looks confused with blood pressure 80/60 mmHg and
pulse 110 /min. The doctor splints the fracture and gives large bores rapid crystalloid
and colloid infusion but unsuccessful in stabilizing the hemodynamic. What is the most
likely cause of the failure?
a. Inadequate splinting
b. Major artery injury of the left femur
c. Underlying heart disease
d. Ongoing bleeding in other parts of the body
e. No blood transfusion

5. A 35 years old female fall from 5 meters height. She presents with acute abdomen and
multiple open fractures on thigh and leg. Emergency laparotomy and temporary external

1
 fixation is performed. After 6 days, the doctor wants to perform definitive stabilization
of the fracture. The reasons to wait until 6 days is to
a. Achieve early healing of intraabdominal wound
b. Stabilize hemodynamic
c. Control infection
d. Avoid immunosuppression period
e. Reduce inflammatory reaction

6. A 45 years old male presents with multiple injury and unstable hemodynamic after
motorcycle accident. The doctor found that the lung is clear, no abdominal defans
muscular, stable pelvic and intact extremity. Where is the likely source of the bleeding?
a. Thorax
b. Intra peritoneal
c. Retroperitoneal
d. Intracranial
e. Pelvic cavity

7. A-17-year old woman comes to your private practice with pain on the left knee in which
the pain become worse at night for 2 months. Pain is aggravating by activity. There was
a history of injury at that knee. Sometime she feels fever and night sweat. The physical
examination shows a palpable mass, tender, warm. Range of motion of the left knee is
decrease. The radiographic finding shows a “sunray appearance” on the proximal tibia.
Which of the following is the most rational step?
a. Establish osteosarcoma as diagnosis
b. Give a broad spectrum antibiotic
c. Prepare for immediate surgery
d. Pain relieve after 2 weeks of treatment as an endpoint
e. Communicate with the patient, risk and benefit of treatment option

8. A-24-year old woman consulted to you that since 3 weeks ago she felt of constant
tiredness after delivery of her second child 15 months ago. She is slightly pale, but has
normal hemoglobin. Every day she works as a secretary from 8 am to 4 pm, her first child
now 3 years old. She has now returned because the tiredness persists and a friend told
her that a vitamin injection would do her good. That is what she wants. What would be
your treatment objective in this patient?
a. Advise her not to worry, it can resolve soon
b. Advise her to reduce physical/emotional overload
c. Doing a vitamin injection as she wants
d. Gives her the other option of drugs
e. Ask her to do other laboratory examination

2
9. A 37 year old man came to Emergency & Accident Unit with feeling of apprehension,
fear and palpitation, even mounting to feeling of impending death. After being
examined by doctor, the results showed that nothing was wrong. After 3 weeks, he got
the same feelings, and he had to go to the hospital again. But this time the Emergency
staffs were busy, and he was kept to wait. Until about 15-20 minutes he had not been
attended to, but his fear and palpitation subsided and became calm by it. What would
you think about the suffering that this person had?
a. Somatization disorder
b. Generalized Anxiety Disorder (GAD)
c. Phobic anxiety disorder
d. Panic disorder
e. Neurotic disorder

10. According to the above case, what would you do to help him?
a. Give some explanation as to the nature of his illness
b. Prescribe drug for this distress
c. Plan for psychoanalytical psychotherapy
d. Advise him to go for Yoga exercise
e. Advise him to go for refreshing

11. Again considering the above case, which of the following medication would suit him well:
a. Diazepam
b. Chlorpromazine
c. Luminal
d. Alprazolam
e. Perphenazine

12. A 45 year old man is having the custom of drinking of beer. After some months, his habit
increase into heavier drinks such as wine and then even Whiskey and Vodka. Few more
months, he was admitted to a hospital because of an accident where he banged his head
when crossing a wooden bar where he fell unconscious for few minutes. He was advised
to be hospitalized. On the third day, he began to shake in his hands and tremble the
whole body. After being put on some drugs his shaking subsided and he was discharged
after being pronounced as recovered from his ailments. What was the reason for his
shaking?
a. Dementia
b. Brain contusion
c. Delirium tremens
d. Blackouts

3
 e. Stroke

13. After his discharge from the hospital and returned to work he began to resume his
habitual drinking, his wife and family were against this habit of drinking, but he went on
disregarding the advice. Even he became irritable and shouted with abusive words
against anybody at home even he could beat his wife if she is nagging on. Some time he
would throw things and hit his children. What would you call this episode of hitting family
members?
a. Wife battering as a result of alcoholism
b. Alcohol intoxication
c. Marital discord
d. Personality disorder
e. Psychotic disorder

14. If in this family the children who used to be very dutiful at school works and compliant to
family discipline, observing father did a very bad example. The eldest son who is rather
big boy and physically robust became acting like a big boss against his schoolmates who
are smaller and weaker than him. Some time asking them to bring him candies, some
time he extorted money from them, otherwise he would threaten to hit them or refusing
to be his friends. What is the classification of this behavior Personality disorder
a. A bully
b. Bossy
c. Delinquency
d. Genetic inheritance
e. ADHD

15. A 55 year old man came to emergency with suddenly being unconscious 2 hours before
admission after complaining of severe headache and vomit. His GCS was E3M5V3, blood
pressure was 190/100 mmHg, HR 90 x/min, RR 16 x/min, temperature 36,7oC. Which of
the following examination is the most appropriate to exclude intracranial bleeding?
a. Brain MRI
b. Angiography
c. Brain CT scan
d. Carotid Ultrasound
e. Electroencephalography

16. A 56 year old man was suddenly being confused and unable to move his left extremities
7 hours ago. On examination his blood pressure was 200/100 mmHg, HR 74 x/min
irregular. He was disoriented, left hemiplegia with increased tone on left side, and
babinsky sign on left side. Lab exam: WBC 12.000/mm3, RBG 190 g/dl. His CT scan

4
 showed a large hypointense lesion in the right frontotemporoparietal lobe with
significant edema and midline shift. Which of the following is an appropriate treatment?
a. r-TPA
b. Corticosteroids
c. Mannitol
d. Antihypertension
e. Antibiotic

17. For case above, if the ECG showed atrial fibrillation, which of the following examination
would be most appropriate for the next step?
a. Brain MRI
b. Brain PET scan
c. Echocardiography
d. Transcranial Doppler
e. Electroencephalography

18. A 17 year old boy is brought to emergency following fall from 4 meters height one hour
before admission. On examination he is alert, weakness of his left leg and loss of fine
touch on the left with loss of pain and temperature sensation on the right leg at level Th-
12 below. This clinical picture is most consistent with which of the following?
a. A posterior cord syndrome
b. An anterior cord syndrome
c. A complete cord syndrome
d. A central cord syndrome
e. A hemisection syndrome

19. Which of the following management is the most appropriate to prevent further damage
of spinal cord?
a. Give high dose corticosteroid
b. Trendelenberg position
c. Give mannitol
d. Neuroprotector agent
e. Lumbar corcet

20. A 52 year old man was sent to ER caused by seizure. His wife watched that he suddenly
stop his activity, starred, got involuntary movement on his right hand and then spread to
lower and upper right arm and finally became convulsion bilaterally. He has infarct in
left capsula interna with risk factor diabetes mellitus 3 months before and never
gets seizure. In the ER, the result of blood examination in normal limit, except blood
glucose was 58 mg/dl. Which of the following is most likely diagnosis at that time?

5
 a. Symptomatic epilepsy
b. Pseudo seizures
c. Acute symptomatic seizures.
d. Idiopathic epilepsy
e. Secondary epilepsy

21. According to the case above, what is the type of his attack?
a. Partial seizure
b. Primary generalized seizure
c. Absence seizure
d. Simple partial secondarily generalized seizures
e. Complex partial secondarily generalized seizures

22. A 23 year old man was hospitalized after got head injury. His brain CT Scan showed
subdural hematoma and brain contusion in the right temporal region. On the
second days before underwent craniectomy, he suffered repeated left partial
seizures. What is your working diagnosis?
a. Symptomatic epilepsy
b. Provoked seizures
c. Reflex seizures
d. Cryptogenic epilepsy
e. Pseudoseizure

23. A –PWE(patient with epilepsy)-42 year-old-man was treated with Phenobarbital 150
mg once daily but had bad compliance. During under psychological stress in his
office, he get repeated seizures. He brought to nearest hospital and during
transportation for 20 minutes he never gain his consciousness and still convulsive.
What is your working diagnosis?
a. Status epilepticus
b. Early phase status epilepticus
c. Acute symptomatic seizures
d. Panic attack
e. Psychological episodic attack

24. A 39 year old woman suffering from breast cancer since a year ago. She has main
complaint of headache that sometimes is accompanied with vomit for three weeks.
According to her husband, she gets tonic-clonic convulsion this morning. Which is the
priority diagnostic procedure you will perform?
a. Brain CT Scan with contrast
b. Brain MRI with contrast

6
 c. EEG
d. Blood examination
e. Mammography

For Number 25-27

A 4 years old boy presents with burn wound on his stomach, hand, tight, and buttocks after
her mother accidentally spilled boiled water one hour before. Wound is felt pain, bullae(-).
He cried very loud, seems no dyspneu. Fever (-). History of immunization was unknown. The
patient never get this accident before. Alergy (-).
At physical examination, patient looks compos mentis, moderate ill. Vital sign is normal.
Weight is 12 kg. At thorax examination, chest retraction (-), syanosis at extremity (-), and
good perifer perfusion. Localis status of this patient show pink on the wound base, tepi tidak
rata, necrotic tissue (+), bullae (-), pus (-), brown/black patchy (-), abses (-). dengan luas 21%.
Laboratory examination shows anemia and mild leucocytosis.

25. What is the degree of that burn trauma on this patient?

a. 1
b. 2
c. 3a
d. 3b
e. 3c

26. What is the best thing you must do for this patient before bring him to the hospital?
a. Give tooth pasta
b. Close with sterile dressing
c. Shower with water for 15 minutes
d. Compress with ice for 15 minutes
e. Give topical antibiotic

27. What is the initial step you must give at hospital?

a. Fluid Infusion Maintenance
b. Give topical antiseptic
c. Antibiotic
d. Parlkland resuscitation infusion
e. Bulectomy

For Number 28-29

A 34-year-old woman just delivered a 4100 g boy after a 15-hour labor, including a 2,5 hour
second stage. During the repair of a midline episiotomy, there is a marked increase in the
amount of vaginal bleeding.

7
28. Which of the following is the most common cause of immediate postpartum
hemorrhage?
a. Retained placental fragments
b. Uterine atony
c. Cervical laceration
d. Vaginal laceration
e. Disseminated intravascular coagulation

29. Which of the following is the best immediate management of the probable cause of this
postpartum hemorrhage?
a. Massage and compression of the uterine fundus
b. Intravenous administration of 20 units of oxytocin
c. Abdominal hysterectomy
d. Uterine artery embolization
e. Hypogastric artery ligation

30. Dedy, 13 year old man brought to Emergency by his mother with seizures and altered
consciousness. His mother said that his seizures happen continuously since 45 minutes
ago. Two days ago, he also suffers seizure about 40 minute. Physical examination: Temp
39.5⁰C, He was lethargic, BP 120/80 mm Hg, Heart Rate 110 X/minute. Pupils were
reactive and no obvious focal deficits. Babinsky sign present bilaterally. Lab examination:
Hb 14 mg/dL, Leukocyte 11.000 /mm3, Random glucose: 70 mg/dL, Liver Function Test,
Renal function, Electrolyte: in normal limit. According to your examination which of the
following is the most likely diagnosis?
a. Febrile seizure
b. Status epilepticus
c. Cryptogenic seizure
d. Refractory epilepsy
e. Hypoglycemic seizure

31. A 40 years old man presented in Emergency unit (ER) with unconsciousness. His wife
finds him in the bath room 2 hours ago and brings him to the hospital. Physical
examination: Unconsciousness, no trauma, BP 160/95 mm Hg. What kind of laboratory
examination is the most appropriate to find non structural causes of unconsciousness?
a. Na , K , Ureum
b. Na, K, Glucose
c. Na, Glucose, Ureum
d. Na, Cl , Glucose
e. K, Cl, Glucose

8
32. A 7 years old boy, have injury falls from bicycle and had wound and bleeding at the lower
extremity. What is the most appropriate sequent to stop bleeding :
a. Vascular spasm – Blood coagulation – Platelet plug formation
b. Vascular spasm - Platelet plug formation - Blood coagulation
c. Platelet plug formation - Blood coagulation – Vascular spasm
d. Blood coagulation - Vascular spasm - Platelet plug formation
e. Blood coagulation – Platelet plug formation – Vascular spasm

33. A 60 year old man came to emergency unit with history of chest pain 9 days ago. Which
is the most appropriate laboratory examination do you need for this patient?
a. CPK serum
b. CK MB serum
c. Troponin I and T
d. SGOT/AST
e. Myoglobin

34. A 31 year old man came to emergency depart with complaint severe pain in abdominal
area and frequent vomit since 24 hours ago. In physical examination looks severe pain,
pain pressure abdomen (+) in all area. Radio imaging: not find sign of perforation. What’s
the most important laboratory examination do you need for make diagnosis?
a. Urinalysis
b. Amylase serum
c. Lipase serum
d. Widal serology
e. Liver function test

35. A 22-year-old female college student is brought into the emergency room by the police,
who found her walking back and forth across a busy street, talking to herself. The young
woman appears to be oriented with respect to person, place, and time. Her first hospital
admission was two months ago for a similar condition. During a psychiatric interview, she
has difficulty concentrating, and seems to hear voices. A phone call to her sister provides
the additional information that the girl dropped out of school three months ago and has
been living on the street. Urine toxicology is negative. What is the most likely disorder?
a. Schizoaffective
b. Halusination
c. Bipolar delusion
d. Schizophreniform
e. Panic

9
36. A 45 year old man fell down after complaining severe headache. Vital sign was normal.
He was vomits several times after and had meningeal signs. What is the most appropriate
investigation needed?
a. Transcranial doppler
b. Laboratory
c. CT scan
d. Cranial X ray
e. Electroencephalography

37. A 20-year female presents with abdominal pain which was initially felt in the centre of
abdomen but now felt in the right iliac fossa. She denies any other symptom. Her last
menstrual period was 5 days ago. Examination reveals low fever (37.9°C) and tender right
iliac fossa. Digital rectal examination shows tenderness on 9-12 Clock direction. What is
the most likely diagnosis?
a. Acute appendicitis.
b. Mid-cycle pain (Mittelschmerz).
c. Urinary tract infection.
d. Mesenteric lymphadenitis.
e. Intestinal obstruction

38. An unconscious patient with sepsis in the intensive care unit undergoes a 2-hour period
of severe hypotension. Blood chemistries taken during the following 48 hours show rising
creatine kinase MB fraction (CK-MB), peaking at 5 times the upper limit of normal. ECG
findings are equivocal; with some degree of flat S-T segment
depression over several leads. Which of the following is the most likely diagnosis?
a. Prinzmetal angina
b. Stable angina
c. Subendochondral infarction
d. Transmural infarction
e. Unstable angina

39. A 74-year-old woman, in otherwise good health, tripped and injured her right leg 2 days
previously and has been bedridden since the accident. Two hours ago, she suddenly had
shortness of breath and became delirious. On physical examination, her blood pressure
is 120/70 mm Hg, heart rate is 110, and respiratory rate is 32 x/min. Pulse oximetry shows
an oxygen saturation of 80%. Which of the following is the most likely diagnosis?
a. Pneumonia
b. Acute cerebral infarction
c. Myocardial infarction
d. Pulmonary infarction

10
 e. Pulmonary thromboembolism

40. A 60 year old woman comes to emergency room, complaining about dyspnea, dizziness,
fatigue, lightheadedness and palpitation. After a few second, the patient collapse. ECG
shows on Lead II

What is the initial management for this patient?

a. Nitroglycerin sublingual
b. Echocardiograph
c. Heart surgery
d. Dopamin
e. Defibrilator

41. A 61 years old man comes with vomitting, dispepsia and sweating. He feels cool when
he plays tennis and fainting for a few minute. He has hypertension and diabetes, no
smoking and no hypercholesterolemia.

What is the most likely location of AMI?

a. Inferior
b. Posterior
c. Anterior
d. Lateral
e. Anteroseptal

For Number 42-45

11
A 60 year-old man, is brought by his friend to ED because of unconsciousness. According
to his friend, the patient is a heavy smoker and often to be hospitalized due to shortness of
breath. On physical examination, RR: 42x/m, BP: 100/80, Heart rate 120x/m. Blood gas
analysis showed pH: 7,20 ( 7,35-7,45); pO2: 50 (>80); pCO2: 82,5 (35-45); HCO3: 28 (22-
26); BE +3 (± 2); SpO2: 88% (>95). Routine blood examination: Hb: 17.8; Ht: 51; WBC:
11.000; Platelet 420.000, Natrium: 130 (135-145); Kalium 5 (3.5-4.5). The chest X-ray
showed lung hyperinflation.
42. According to those data, what is the most possible cause of the unconsciousness?
a. Severe hypoxemia
b. CO2 narcosis
c. Sepsis
d. Hypokalemia
e. Hyponatremia

43. What is the lung function test might be showed?

a. FEV1/FVC < 70
b. FEV1/FVC > 70
c. FEV1/FVC normal
d. FEV1 > 75
e. FVC > 80

44. If we measure the lung static volume, what is the most possibility result?
a. increased tidal volume
b. increased expiratory respiratory volume
c. increased residual volume
d. decreased functional residual capacity
e. decreased total lung capacity

45. What is the most inflammation cell that plays a role?

a. Macrophage
b. Eosinophil
c. Neutrophil
d. Mast cell
e. Basophil

For Number 46-47

A 32 year old man brought by his wife to mental hospital. The wife complained that since 3
days ago, her husband had disorganized behaviour and speech. In this case, the doctor gives
Haloperidol 3 x 5 mg a day. After 2 days, his wife come again and reported that he showed
shaking his hand and feet.

12
46. What does he suffered from?
a. Acute Dystonia Reaction
b. Akathisia
c. Torticolis
d. Parkinsonism
e. Tardive Diskinesia

47. According to the case above, what medicine should be given to the patient to reduce
the symptoms?
a. Metilphenidate
b. Triheksiphenidil
c. Risperidone
d. Chlorpromazine
e. Carbamazepine

For Number 48-50

A 17 year old girl attempted to suicide by drinking one cup of “Baygon”. Her mother found
her diary saying that she really wants to be dead because her boyfriend has another girl and
leaved her.

48. What is the most probably diagnosis?

a. Anxiety Disorder
b. Panic Disorder
c. PTSD
d. Schizophrenic
e. Depression

49. According to the cases above, which type of the suicide she has?
a. Suicide Attempt
b. Suicide Gesture
c. Suicide Gamble
d. Suicide Equivalent
e. Suicide Attack

50. What is the classification of suicide for the case above?

a. Euthanasia d. Attack Suicide
b. Murder Suicide e. Mass Suicide
c. Self Injury

13
SOAL 2014

1. Ada motorcycle accident trus orgnya langsung unconscious. Left hemiparesis,

matanya anisokor. Trus ditnya kenapa dia unconscious?
a. Gr2 concussion
b. Hematoma menekan brainstem
c. Hemorrhage
d. Skeletal fracture
e. Lupa
2. ditnya gmn status spinothalamicnya?
a. intact
b. ga intact
c. gabsa di cek
d. lupa
e. lupa
3. ditnya kenapa left hemiparesis. Kernohan phenomenon intinya
4. trus mau diapain firstnya? Pasang cervical collar
5. dia ceritanya metabolic acidosis trus mau alkalisasi urine. Kira2 zat apa yg bkin dia
begini? Aspirin
6. organophosphate poisoning
7. klo stemi anterior itu siapa yg memperdarahi? LAD
8. trus ada org chest pain substernal to the neck and left arm trus di ecg ga ada deviasi.
Kira2 orgnya mau diapain?
a. Suruh plg
b. Observasi smbil nunggu enzim jantung
c. Telpon buat urgent pci
d. Telpon buat angiographu
9. Psychopath
10. Ada cowo lakuin verbal sma physical abuse ke istrinya krna dissatisfaction. Dia jarang
kasih uang bulanan ke istrinya , kasih kalau diminta. Kenapa dia
a. Verbal abuse
b. Physical abuse
c. Emotional abuse
d. Economical abuse
e. Lupa
11. Ceritanya dia app akut trus peritonitis diffuse
Kenapa dia dari epigastric dlu sakitnya? apa yang harus dilakukan? Itung gcs dewasa
12. Itung degree shock hemorrhagic (2 soal)
13. Tentuin burn brp persen trus itung parklandnya

14
14. Anak kecil febrile seizure 3x dalam staun. Perlu maintenance ato ga? Kalau iya kasih
apa, dosisnya brp
15. Dosis max misoprostol 1200 MICROGRAM (awas salah)
16. Febrile seizure dibawah 10 bulan lakuin LP
17. N-acetylsistein antidote nya acetaminofen (cari gejala intoxication nya)
18. spinal cord injury klo dibilang ada grjala di biceps dan lateral arm itu brarti kena di
C5à kayak soal neuro 2014
19. status epilepticus obat pilihannya LORAZEPAM
20. valium itu sama kayak Diazepam
21. suicide gestureà mau diapain (psychotherapy aja)
22. ada ketusuk pisau di right upper quadrant. Mau diapain? Yg pasti jgn pilih yg cabut
pisaunya
23. trus kan di resus tp ttp unstable à emergency laparotomy
24. ada gmbar xray yg air fluid level. Orgnya ada distensi abdomen, poop berdarah,
ampulla recti prolapse, trus ada metallic sound di usus, gabsa poop dan kentut à
total obstruction et causa right colon cancer
25. trus mau diapain? NPO, NGT , kateter buat dekompresi (ini dijadiin 2 nomer)
26. ada cewe ceritanya dia minum pil kb estrogen trus dia long flight dari Europe ke
Singapore non stop, trus SOB (PE) intinya. Definitive treatmentnya apa ? LMWH
27. trus ada stroke , pas ekg ada afib , di carotid ada bruit . what next ? lakuin usg carotid
(lupa nama kerennya)
28. ada bayi dia seizure trus GCS 3/15 à mau diapain? Rectal diazepam, ato intubasi
dulu
29. ada vt à DC shock
30. ada soal pneumothorax (PF jelas bngt) à what first ? O2 ato xray ato needle decomp
31. trus ceritnya di xray bneran pneumothorax à lakuin needle decomp buat acute
tension pneumothoraxnya
32. ada org dia mulutnya penuh darah, mandibular fracture, gabsa nafas lah intinya
soalnya saturation o2 nya turun jadinya gmn? Suction dl ato ett ato mau
tracheostomy?
33. Ada soal dikasih tau , org kalau seizure 1x 2 hari yg lalu, skrg jg seizure? Ini epilepsy
ato acute symptomatic seizure (ada 2 nomer soal begini tipenya)
34. Ceritanya dia status epilepticus trus dikasih fenitoin, seizure berenti. Trus mau
diapain? Ttp kasih IV fenitoin, maintenance fenitoin/ fenobarbital (apalin dosisnya
soalnya ada dosisnya yg salah ada yg bner)
35. Head tilt test buat syncope yang mana
36. Trus ada orang berdiri lamaaa bngt trus akhirnya pingsan. Ini syncope apa
37. Trus ada org pneumoni, mau diapain (mucolitik sma reliever) à ini dijadiin 2 nomer
38. Anaphylactic shock dikasih apa ? adrenaline

15
 39. Ada orang main petasan trus meletus kena tangan leher sma muka à watch out buat
inhalation burn
40. PPH gr2 dia kembar trus lama persalinannya à uterine atony
41. Septic abortion
42. Threatened abortion à OUE ketutup (liat Williams)
43. Kalau PPH pertama2 lakuin dulu yg namanya resus. Trus nextnya massage uterine
smbil mikir ini penyebab pph nya kenapa
44. Uterine atony mau dikasih apa ? oxytocin
45. Blighted ovum (nanti dikasih USG dia ada gestasional sac tp ga ada isinya)
46. Trus ada org shock mau diapain
Gua bingung antara resus 20 ml/kg atau 2000ml large IV (gua pilih yg kedua)
47. Ada orang motorcycle accident dia paresis trus lama2 jadi hyperreflexia à spinal
shock
48. Trus kenapa ada unstable angina? Plaque rupture
49. Lucid interval itu epidural hematoma
50. Trus kalau ada hematoma gede mau diapain à diangkat hematomanya trus
prognosisnya bagus (DNGERIN PAS DOKTER YESAYA NGAJAR). APA YG
DIOMONGIN BNERAN KELUAR

SEKIAN GUYS GUA CMN APAL SEGINI L

16
GAB 01 SOAL

1. Thirty-eight-old man came to clinic with pruritic in hand, face and neck. Morphology
was lychenified plaques, thick, and dry. He has personal family history of asthma and
rhinitis allergy and relaps chronically. What is your clinical suspicion?
a. tinea corporis
b. nummular dermatitis
c. atopic dermatitis
d. contact dermatitis
e. Lichen Simplex Chronica

2. Which of the following laboratory examination result is most likely to be found?

a. increase of IgG level
b. decrease of IgG level
c. increase of IgE level
d. increase of IgM level
e. increase of IgG and IgM level

3. A thirty-year-old baby sitter came to clinic with pruritic lesions in hand since 2 weeks
ago. Every day she bathed the baby with warm water and telon oil. In physical
examination, we found erythema, scalling, fissuring, lichenification, and poor
dermacation. Which of the following is the most likely diagnostic?
a. seborrheic dermatitis
b. irritant contact dermatitis
c. allergic contact dermatitis
d. atopic dermatitis
e. tinea manus

4. A fresh fish export company ask you as company doctor to make a screening for new
labours that will wear rubber gloves every time they work. Which of the test that you
will do to the new labours?
a. prick test
b. patch test
c. scrub test
d. IgE level
e. EgG level

5. A fifty-years-old man came to clinic with pruritic in dorsum pedis region since 2 years
ago. In physical examination we found lichenification plaques, hyperpigmentation.

17
 The patient also complaint that he can’t sleep well and has some problems in works.
What is your clinical suspicion?
a. Pompholyx (vesiculobullous)
b. Lichen simplex chronicus
c. Atopic dermatitis
d. Contact dermatitis
e. Seborrheic dermatitis

6. Five days after going on nature walk, a ten-years-old boy developed well
demarcated, erythematous plaques and vesicles over his arm and face. The plaques
are arranged in linear fashion and are crusting. The boy has some fascial edema. He
has no history of fever or chills but complains of pruritus. Which of the following is
the most likely diagnosis?
a. Rubeola
b. Atopic dermatitis
c. Acute contact dermatitis
d. Impetigo
e. Erythema infectiosum

7. A fifty-nine-old man patient with high bilirubin level, jaundice, ascites and
splenomegaly in physical examination and mild elevation of gamma globulin fraction.
He was an alcoholic addicted since 30 years ago. Which following dermatologycal
sign will be found in this patient?
a. Butterfly skin rash (lupus)
b. Spider naevy (krn sirosis)
c. Exanthema
d. Gumma (syphilis)
e. Skin errotion

8. A sixty-five-old lady came to your clinic with laboratory random plasma glucose
concentration was 378 mg/dl. Physical diagnostic with distal lower extremities
sensory loss, hyperesthesia, and neuropathy syndrome. Which following skin
manifestation that you might found on this patient?
a. Diabetic foot ulcer
b. Achantosis nigricans
c. Granuloma annulare
d. Scleroderma
e. Butterfly skin rash

18
9. A thirty-year-old young lady came to your clinic with butterfly skin rash in her face,
photophobic, arthritis, nefropathy, hemolytic anemia. Which following test are
helpful for diagnostic?
a. pathology anatomy examination
b. prick test
c. patch test
d. IgM test
e. Scrub test

10. A gravid 34 weeks primipara 30-year-old woman came to your clinic with pruritic
complains in abdominal region. Lessions found with hyperpigmentation. Which
following is most likely diagnostic?
a. hyperemesis gravidarum
b. striae gravidarum
c. caput medusae
d. preeclamsia syndrome
e. spider naevy

11. A patient with amoxicillin history. Generally febris, malaise, head ache, pharingitis. In
physical examination finding is skin erotion, oral mucose disorder, conjunctivitis
catarallis and Nicolsky sign (-). Which following complication are related with this
disease?
a. Bronchopneumonia
b. Granuloma submucosum
c. Ginggivitis
d. Tonsillitis
e. TEN

12. If we found that Nicholsky sign (+), what is the diagnose of this disease?
a. Staphylococcus Scalded Skin Syndrome
b. Toxic Epidermal Necrolysis
c. Lupus Erythematosus Syndrome
d. Lymphoma Venereum
e. Skin tuberculose

13. Which following diagnostic relevant to a 3-year-old patient with fever, erythema
whole body completely in 24 hours, emerge bullaes after 48 hours, then Nicholsky
sign (+)?
a. Pemfigus vulgaris
b. Lupus Erythematosus Syndrome

19
 c. Erysipelas
d. Erythema nodusum
e. Staphylococcus Scalded Skin Syndrome

14. What is main treatment for this disease?

a. Antibiotic
b. Mycostatic
c. Topical Corticosteroid
d. Adrenergic
e. Moisturizer cream

15. A forty-six-year-old patient came to your clinic with bad general status, lesions on
oral mucose, conjunctiva, genitouretra, crusta in whole body that remain longer,
Nicolsky sign (+) with achantolysis. As a doctor, which differential diagnosis you may
think about this disease?
a. Herpetiform dermatitis
b. Furuncle
c. Venenata dermatitis
d. Staphylococcus Scalded Skin Syndrome
e. Erysipelas

20
Soal ujian Dermatology (IMS)

1. A 45 years old man come to DV clinic, because he complained dysuria since 4 days ago.
He felt burning sensation when he urinated. He excreated purulent uretral discharge 2
days ago. His wife had same problem with him. He had contact sexual with prostitute
women 1 week ago. Physical examination shows purulent uretral discharge, no ulcer.
The external genitalia were normal. Laboratorium test, gram stain show
polymorphonuclear leukocytes(+), erythrocite (-), gram negative intracellular
diplococci. KOH10% examination shows spora (+), pseudohipha (-), hipha (-).
What is the best treatment for this patient:
a. Doxycylclin 2 x 100 mg, 5 days
b. Ofloxaxin 400 mg SD
c. Itraconazole 2X400 mg one day
d. Metronidazole 2 x 500 mg, 7 days
e. Benzatin Penisilin G 2,4 million unit SD

2. What is the complication for his wife, if she untreated :

a. Pelvic inflamatory disease
b. Ca Cervix
c. Ovarium Cyst
d. No complication
e. Skin iritation

3. A 43 year old women, come to DV clinic because she complained vesicles on genital,
and pain, for the first time. Her husband had same problem 2 days ago,but it was
cured. She was difficult to walk because of pain on her genital and mild fever. Clinical
manifestation were many vesicle on labia mayora and minora, shallow ulcer. What is
the diagnose of this patients?
a. Lymphogranuloma venerum
b. Herpes genitalis
c. Granuloma Inguinal
d. Ulcus Molle
e. Scabies

4. Nita, 27 years old girl, come to DV clinic because she had creamy discharge “cottage
chesses”, white, vaginal itching. Clinical manifestation showed vaginal covered with
thick, white, crumbly discharge. Infection spread onto the thighs and inguinal,
showed red skin surface with discrete pustulle.
What is the laboratory test result to establish the diagnosis?
a. Clue cell > 20%

21
 b. Trichomonas (+)
c. Chlamydia trachomatis (+)
d. Brown agar culture (+)
e. pseudohyphae (+)

5. Erick, 38 years old, come to dermatovenereology clinic, because he had wound in his
penis 2 days ago . He had contact sexual with prostitute women 1 week ago. Clinical
examination were deep, painfull ulcers. Base of ulcer is purulent, yellow-gray
exudate. Laboratory test showed parallel gram negative cocobacilli (school of fish).
He had low grade fever. There was lymphadenopathy.
What is the diagnosis?
a. Herpes genitalis
b. Syphilis
c. Ulcus Molle
d. Granuloma Inguinale
e. Limphogranuloma venerum

6. what is the treatment for patient above:

a. Azitromisin 1 gm SD
b. Doxiciclin 2 x 100 mg , 7 days
c. Ofloxacin 400 mg
d. Trimethoprim sulfamethoxazole double strength
e. Gentamicin 1 mg/kg iv

22