Bedah 2

Question 1

Klasifikasi osteomelitis (akut, subakut, kronis)

Answer 1

Akut< 2mg, periosteal rx
Sub akut 2mg- 3bln, brodie abscess
Kronik >3 bln, sequaestrum, involucrum, cloaca keluar pus

Question 2

Tx osteomyelitis

Answer 2

Ab cefazolin 1g/6 jam
debridement
suportif

Question 3

CXR dislok gleno humeral anterior dan posterior

Answer 3

Anterior: half moon sign, teraba caput, akromion prominen, sulcus sign +
Posterior: light bulb sign, bahu lebih flat

Armsling, analgetik, reduksi

Question 4

tx fraktur dan sprain/strain

Answer 4

Fraktur 4R
Sprain PRICE (2 hari ptm)
Protection
Rest
Ice
Compression
Elevation
Boleh kasih NSAID di hari ke 3, KI steroid

Question 5

Cedera ACL, pmx yg +?

Answer 5

Lachman
Pivot
Ant drawer

Question 6

Cedera PCL, pmx?

Answer 6

PCL sag test
Post drawer

Question 7

LCL dan MCL

Answer 7

Varus (LCL)
Valgus (MCL)

Question 8

Meniscus tear
Lateral
medial

Answer 8

Lateral: fleksi max, endorotasi
Medial: fleksi max, eksorotasi
adabunyi klik/pop

Appley grind +
Thesally +

Question 9

Ruptur achiles

Answer 9

Thompson simmond (-)

Question 10

Depersonalisasi

Answer 10

Merasa diri gaada

Question 11

Derealisasi

Answer 11

Merasa lingkungan ga nyata

Question 12

Bentuj pikir derealistik

Answer 12

Masih mungkin tjd

Question 13

Bentuk pikir dereistik

Answer 13

Tidak mungkin tjd

Question 14

Tx delirium

Answer 14

Haldol hcl 5 mg IM

Question 15

Golongan depresan

Answer 15

Alkohol
Opioid
Benzo

Question 16

Gol stinulan

Answer 16

Amfetamin
Kokain
Ganja
Nikotin
Kafein

Question 17

Halusinogen

Answer 17

Lsd
Pcp
Magic mushroom
Kanabis

Question 18

Intox alkohol

Answer 18

Metanol, tx etanol
Etanol tx fomepizol

Question 19

Withdrawal alkohol

Answer 19

Benzo

Question 20

Intox opioid
Ttv down, miosis

Answer 20

Nalokson

Question 21

Withdrawal opioid

Answer 21

Metadon

Question 22

Intox benzo

Answer 22

Flumazenil

Question 23

Withdrawal benzo

Answer 23

Kasih benzo tp beda obat

Question 24

Withdrawal stimulan

Answer 24

Bromokriptin

Question 25

Tx waham induksi

Answer 25

Manipulasi lingkungan( psikotx)

Question 26

Bipolar tipe 1

Answer 26

Depresi mayor dg manik

Question 27

Bipolar tipe 2

Answer 27

Depresi mayor dg hipomanik(adl aman)

Question 28

Tx bipllar eps kini depresi

Answer 28

Mood stab llus antidepresan Atau mood stab saja

Question 29

Tx serangan panik

Answer 29

Alprazolam(short act bzd)

Question 30

Tx ggan cemas kecuali OCD dan PTSD

Answer 30

Bzd: clobazam 10 mg atau diazepam 2-10mg Link 2 SSRI OFCORS CBT dan tx relaksasi

Question 31

Tx ggan panik lebih dr 1 bulan

Answer 31

Ssri

Question 32

Tx ocd dan ptsd

Answer 32

Ssri

Question 33

Tx rx stres akut dan ggan penyesuaian

Answer 33

Bzd Ssri

Question 34

Tx ggan konversi, malingering ,factitious

Answer 34

Cbt

Question 35

Tx retardasi mental

Answer 35

Rehab

Question 36

Triad autism dan tx

Answer 36

Ggan sosial, komunikasi dn stereotipik Tx risperidone/ssri Autisme masa kanak trias terpenuhi Sindrom ret normal sd 5 bulan trs kehilangan kemampuan Ggan disintegrasi masa kanak normal sd 2 th trs regresj Asperger shaun murphy

Question 37

Tx adhd

Answer 37

Stimulan eg metilfenidat Minimal laporam 2 tempat berbeda

Question 38

Tx ggan tic

Answer 38

Risperidone

Question 39

Tx ggan makan

Answer 39

Cbt dan ssri kalo ada gjl depresi

Question 40

Tx insom

Answer 40

Early: triazolam Middle: clobazam/diazepam Late: amitriptilin

Question 41

Tx insom

Answer 41

Early: triazolam Middle: clobazam/diazepam Late: amitriptilin Sleep hygiene, relaksasi, cbt

Question 42

Tx hipersomnia dan narkolepsi

Answer 42

Stimulan eg modafinil, metilfenidat

Question 43

Ggan jadwal tidur jaga( min 1bulan) Somnabulisme Sleepnteror Nightmare

Answer 43

Cbt sleep hygiene, tx relaksasi