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CBT > CBT > Flashcards

CBT Flashcards

1
Q

Urethritis Gonorrhea

1st and 2nd line

A

1st
Sefixime 400 mg PO SD

2nd
Kanamisin 2g IM SD
Seftriaxone 250mg IM SD

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2
Q

Urethritis Gonorrhea

gram

A

gram - diploccoci

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3
Q

Urethritis nonGO

A

Azitromicin 1gr PO SD

Doksisiklin 2x100 mg PO (7days)

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4
Q

Trichomoniasis tx

A

Metronidazol 2gr PO SD

Metronidazol 2x500 mg PO (7 days)

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5
Q

Bacterial Vaginosis

1st and second line

A

Metronixdazol 2gr PO SD
Metronidazol 2x500 mg PO (7days)
Klindamisin 2x300 mg PO (7days)

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6
Q

Kandidiasis Vulvovaginalis

1st line

A

Mikonazol/klotrimazol 1x200 mg InVag 3 days

Klotrimazol 1x500 mg InVa SD

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7
Q

Kandidiasis vilvovaginalis

2nd line

A

Nistatin 100.000 IU InVa 7 days
Flukonazol 1x150mg PO SD
Itrakonazol 1x200 mg PO SD

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8
Q

Sifilis

patogen?

A

troponema pallidum

spiroceta gram -

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9
Q

sifilis sign?

A

cancre, ulcus durum

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10
Q

sifilis 1st line

A

Benzathin penizilin 2.4 jt MU IM SD

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11
Q

sifilis 2nd line

A

Penicilin prokain 600k U IM 10 days
Doksisiklin 2x100 mg PO 30 days
Eritromisin 4x500 mg PO 30 days

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12
Q

Ulcus mole

nama lain?

A

chancroid

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13
Q

ulcus mole

patogen

A

haemophylus ducreyi
kokobasil gr -
KISSING ULCER, school of fishh

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14
Q

Ulcus mole

1st line

A

cipro 2x500 mg PO 3 days
Eritro 4x500 mg PO 7 days
Azitromicin 1 gr PO SD

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15
Q

ulcus mole 2nd line

A

seftriaxone 250 mg IM SD

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16
Q

Herpes genital 2nd line

A

valaciclovir 2x500 mg PO 7 days

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17
Q

Limfogranuloma venerum

etiologi

A

chlamidia trachomatis
serovar L1, L2, L3
(kokobasil intracell -)

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18
Q

limfogranuloma venerum

sign?

A

groove sign, pain

giemsa gamma favre bodies at macrophage

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19
Q

Limfogranuloma venemum

1st line

A

Doksisiklin 2x`100 mg PO 14 days

Eritromisin 4x500 mg PO 14 days

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20
Q

Granuloma inguinale

other name?

A

donovanosis

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21
Q

Granuloma inguinale

etiologi?

A 
klebsiella granilomatis 
(basil intracell gram -)
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22
Q

granuloma inguinale

1st line

A

azitromicin 1gr/minggu PO 3 minggu
azitromicin 500mg/day PO 3 minggu
Doksisiklin 2x100mg/day PO 3 minggu

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23
Q

Ascaris lumbrocoides

stadium infektif

A

fertilized egg

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24
Q

ascaris lumbricoides diagnostik?

A

telur

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25
Q

Ascaris lumbricoides

tx?

A

alb 400 mg PO SD
Meben 500 mg PO SD / 2x100 3 days
Pirantel pamoat 10 mg/kg SD

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26
Q

Nekator amerikanus & ankylostoma duodenale

Infektif

A

larva filariform

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27
Q

Nekator amerikanus & ankylostoma duodenale

diagnostik

A

telur

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28
Q

Nekator amerikanus & ankylostoma duodenale

tx?

A

alb 400 mg PO SD
Meben 500 mg PO SD / 2x100 3 days
Pirantel pamoat 10 mg/kg SD

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29
Q

Nekator amerikanus & ankylostoma duodenale

ciri” telur

A

berdinding tipis berinti banyak

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30
Q

Ascaris lumbricoides

ciri” telur

A

dinding 3 lapis

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31
Q

trichuris trichiura

infektif

A

telur (embryonated)

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32
Q

trichuris trichiura

diagnostik

A

telur (unembryonated)

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33
Q

trichuris trichiura

tx?

A

albendazol 1x400 mg 3 days
mebendazol 500 mg PO SD
or 2x100 3 days

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34
Q

strongiloides stercoralis /cacing benang
strongiloides

infektif?

A

larva filariform

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35
Q

strongiloides stercoralis /cacing benang
strongiloides

diagnostik

A

larva rhabditiform

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36
Q

strongiloides stercoralis /cacing benang
strongiloides

tx?

A

albendazol 1x400 mg 3 days

meben 3x100 2-4 weeks

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37
Q

enterobiasis/cacing kremi
exyuris vermicularis a/ enteroius vermicularis

infektif

A

telur embryonated

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38
Q

enterobiasis/cacing kremi
exyuris vermicularis a/ enteroius vermicularis

diagnostik

A

telur/cacing dewasa

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39
Q

enterobiasis/cacing kremi
exyuris vermicularis a/ enteroius vermicularis

Signs?

A

gatal perianal

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40
Q

enterobiasis/cacing kremi
exyuris vermicularis a/ enteroius vermicularis

telur?

A

asimetris, berdinding pipih di salah satu sisi

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41
Q

enterobiasis/cacing kremi
exyuris vermicularis a/ enteroius vermicularis

tx?

A

albendazol 400 mg SD , dapat diulang dala 2 minggu
mebendazol 100 mg PO –> efektif seluruh stadium

piperazin 1x2.25-3gr 7days
pirantel pamoat 10mg/kgbb –> tidak efektif stadium telur

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42
Q

schistosomiasis
S. japonicum
ciri telur

A

telur dengan duri
RUDIMENTER (kecil/sulit terlihat)
“bulat”

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43
Q

schistosomiasis
S. mansoni
ciri telur

A

telur dengan duri di LATERAL

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44
Q

schistosomiasis

S. haematobium

A

telur dengan duri di TERMINAL

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45
Q

schistosomiasis

Tx S. japonicum

A

Prazikuantel 60mg/kg dibagi 4 dosis

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46
Q

schistosomiasis

TX S. hae dan man

A

Prazikuantel 40 mg/kg bagi 2 dosis

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47
Q

Taeniasis

infektif

A

onkosfer

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48
Q

taeniasis

diagnosistik

A

telur atau proglotid

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49
Q

taeniasis

telur

A

bulat, dinding tebal, struktur radial, berisi embrio onkosfer

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50
Q

Amebiasis

tx

A

Metro 3x500-750 mg pO 5-10 days

Tinidazol 1x2 gr 3 days

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51
Q

sistitis nonkomplikata

tx

A

cotri 2x960mg 3 days*
cipro 2x250 mg 3 days*
* males: 10-14 days (komplikata)

nitrofurantoin 2x100 mg 7 days –> CI preggy
co-amox 2x625 7 days

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52
Q

sistitis akur rekuren wanita

A

nitrofurantoin 50mg/day

cotri 1x240 mg/day

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53
Q

Pyeloneftitis

A

IV 14 days
Levo 1x500
sipro 2x400 mg
ceftri 1x1gr

rawat jalan
cipro 7 days
cotri 10-14 days

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54
Q

hypertensive retinopathy

grading

A

I: twisting of retinal artery –> silver wiring
II: + arteriovenous NAPPING
III: + flamed shaped hemmor & COTTON WOLL EXUDATES
IV: + PapilloEDEMA

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55
Q

Tx LEPRA

PB

A

RIfampicin 2x300mg

Dapson/DDS 100mg

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56
Q

TX LEPRA

MB

A

Rifam 2x300 mg
Lampren/clofazimin 3x100
Dapsin/DDS

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57
Q

Tine Unguium

A

terbinafin 1 x250 mg/d 6 weeks/12-16 weeks (toe)

or

itraconazol dosis denyut
2x200mg/day
tangan 2 denyut
kaki 3-4 denyut

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58
Q

S/e metformin

A

dispepsia

diare

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59
Q

s/e thiazinidedione

A

edema

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60
Q

s/e SU

A

naik BB, nurun glucosa

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61
Q

s/e glinid

A

naik BB, nurun glucosa

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62
Q

s/e acarbose / alpha glukosidase inhibitor

A

flatulens, tinja lembek

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63
Q

s/e DDP-4 inh

A

sebah

muntah

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64
Q

s/e SGLT 2 inh

A

ISK

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65
Q

Cardiogenic shock

no tanda shock

A

Dobutamin 2-20mcg/kg.min IV

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66
Q

cardiogenic shock

tanda shock S<70

A

Norep 0.5-30 mcg/min IV

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67
Q

cardiogenic shock

tanda shock S 70-100

A

Dopamin 5-15 mcg/min IV

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68
Q

waiters tip

nerve damaged?

A

plexus brachialis superior

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69
Q

ERB palsy

A

plexus brachiali ssuperior\

c5-c6

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70
Q

klumpke palsy

A

plexus brachials inferior\

c8-T1

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71
Q

TG tinggi HDL normal

A

Fibrat

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72
Q

antikolesterol untuk high risk cardiovasc

A

Statin

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73
Q

s/e metoklopramid

A 
QT interval memanjang
sindrom extrapiraMidal (terasa kaku)
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74
Q

s/e loperamid

A

konstipasi, mual

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75
Q

s/e domperidone

A

gg keseimbangan, pusing, diorientasi,

gg. menstruasi

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76
Q

s/e ondansentron

A

pusing, xri kepala, gg pernapasan

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77
Q

s/e omeprazol

A

nyeri kepala, nyeri perut, reaksi alergi

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78
Q

kedipan mata yang tidak sempurna akibat eksopthalmos GRAVE

A

STELLWAG SIGN

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79
Q

toksin clostridium deficille

A

toksin A dan B

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80
Q

prophylaxis lepto

A

doxi 200mg/minggu

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81
Q

HPV tipe?

ada 3 penyakit

A

16 dan 18 Ca servix
6 dan 11 Kondiloma akuminata
1 dan 2 Veruka vulgaris

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82
Q

HSV tipe?

A

1 mulut dan kulit

2 mulut dan kelamin (oral sex)

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83
Q

terapi difteri

A

Antidifteri serum 20.000 100.000 unit tergantung usia dan berat
penyakit.

Antibiotik penisilin atau eritromisin 25 50 mg/kgBB/hari dibagi 3 dosis.

Kortikosteroid 1,2 mg/kgBB/hari.

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84
Q

4 kategori PPOK

A

A: max 1x rawat dalam 1 thn + tidak tertinggal dari teman2
B: rawat ‘idem’ + tertinggal dari teman
C: rawat >1x + tidak tertinggal
D: rawat >1 + tertinggal

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85
Q

riwayat opname minimal u/ dx HAP

A

48 jam

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86
Q

terapi awal PAC

A

Verapamil atau Diltiazem 120 mg SD

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87
Q

Terapi definitif PAC

A

kateter ablasi

atrial pacing

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88
Q

S/e digoksin

A

aritmia (AV blok, irama jantung ektopik)

Gangguan penglihatan dan disorientasi

anorexia, mual, muntah

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89
Q

funduskopi Bone spicule ?

A

Retinitis Pigmentosa

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90
Q

funduskopi Drusen bodies?

A

AMD

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91
Q

funduskopi Cat’s eye?

A

Retinoblastoma

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92
Q

USG UK 5-8 week

A

Gestational sac. diameter

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93
Q

temuan USG 8-12 wk

A

Crown Rump Length

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94
Q

USG UK trimester 2

A

Biparietal diameter

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95
Q

USG UK Trimester 3

A

Femur length

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96
Q

Involusio uteri

Jelaskan! :)

A

sesaat setelah kala II - umbilikus - 2 jari dibawah

1 minggu - mid simfisis - umbilikus

2 minggu - dibawah dibawah simfisis

6 minggu - mengecil sampai normal

8 minggu - normal

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97
Q

rumus perhitungan masa subur

A

(siklus pendek - 18)
sampai
(siklus panjang - 11)

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98
Q

cephalhematoma

ciri?

A

muncul beberapa hari setelah lahir

tidak melewati suture

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99
Q

caput succudaneum

ciri?

A

melewati sutura, berpindah tempat jika ditekan

muncul saat kelahiran

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100
Q

tx kondiloma akumonata

A 
Tingtura podofilin 10-25%
atau
TCA 80-90% (bisa pda preg)
atau 
Podofilotoksin 0.5%
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101
Q

Nama lain Pick’s disease

A

Demensia frontotemporal

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102
Q

obat MG

A

Piridostigmine

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103
Q

Antidote overdose atropine

A

Neostigmine

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104
Q

tx Demensia

A

Donepezil 1x2.5-5 mg

RIvastigmin patch

Galantamin

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105
Q

TB perlu steroid

A

Efusi pleura
Meningitis

dll

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106
Q

siriraj score

A 
2.5 x derajat kesadaran
 2x muntah
2x nri kepala
0.1 tekanan diastolik
3x penanda ateroma
  • 12
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107
Q

antibiotik Tetanus

A

Penisilin prokain 1.2 jt UI IM / 6 jam

alergi penisiilin
tetrasiklin
eritromisin
metronidazol

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108
Q

Trigeminal neuralgia

tx?

A

Karbamazepin 2x100 mg

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109
Q

CTS tx?

A

Gabapentin

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110
Q

Neurotransmitter kecemasan

A

Norepinefrin
Serotonin
GABA

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111
Q

logorea (psikoatri)

A

banyak bicara, kata yang dikeluarkan bertubi-tubi

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112
Q

Tilikan

A

1: PENYANGKALAN total
2: ambivalen terhadap penyakitnya
3: Menyalahkan FAKTOR LAINsebagai penyebab penyakit
4: menyadari dirinya sakti & butuh bantuan namun TIDAK MEMAHAMI penyebab sakitnya
5: Menyadari dirinya sakit & faktor yang berhubungan dengan penyakitnya namun TIDAK MENERAPKAN DALAM PERILAKU
6: MENYADARI SEPENUHNYA

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113
Q

Aspirasi abses hepar Amoeba

A

Pasta coklat kemerahan sedikit berbau

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114
Q

Aspirasi Abses hepar piogenik

A

Kekuningan atau kehijauan dan berbau busuk

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115
Q

CML tanda?

A

Blast >20%
Philadelphia
Pasar malam

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116
Q

AML tanda?

A

myeloBlast >20%

Auer rods

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117
Q

risiko PKV dan target terapi

A

EXTREME
PKV progesif sesudah LDL tercpai

dengan PenyakitJantungKoroner ada CKD stage akhir, DM, hiperkolesterol familial

PKV prematur <55/65

SANGAT TINGGI:
pnyakit arteri koroner, karotis, PAD, serangan jantung,

DM atau CKD dengan RF lain

HF

TINGGI:
>== 2RF

DM atau CKD tanpa RF lain

SEDANG:
<=2 RF lain dallam 10 th

RENDAH
- RF 0

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118
Q

Terapi ARV

A

TDF + 3TCatau FTC) + EFV
TDF + 3TC atau FTC + NVP
AZT + 3TC + EFV
AZT + 3TC + NVP

efavirens tidak boleh trimester pertama

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119
Q

antidote Keracunan Jengkol

A

Hidrasi agresif dan alkalinisasi urin = Sodium Bikarbonat

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120
Q

antidote heparin

A

protamine sulfat

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121
Q

antidote paracetamol

A

N-asetilsistein

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122
Q

antidote organosfosfat

A

atropin

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123
Q

Tx Lepto

A

Doksi, ampi, amox

lepto berat: penisilin G

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124
Q

Sekresi zona glomerulosa /adrenal cortex

A

mineralcorticoids

i.e aldosterine

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125
Q

sekresi zona fasciculata adrenal

A

glucocorticoids

i.e cortisol, corticosterone, cortisone

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126
Q

sekresi zona reticularis adrenal

A

androgens

i.e DHEA

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127
Q

sekresi adrenal medulla

A

stress hormone

i.e epinephrine, norephinephrines

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128
Q

penunjang addison dz

A

ACTH stimulation test

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129
Q

Pemeriksaan penunjang serologi nefritik

A

ASTO, c3, c4, ANA, anti-dsDNA, antibodi GBM, ANCA

c3 dan c4 menurun pada post streptococcal

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130
Q

penunjang Hashimoto

A

Antobodi TPO,

Anti thd tiroglobulin

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131
Q

benjolan, infeksi ruang submandibular, tidak membentuk abses, riwayat infeksi oral

A

Angona ludovici/ludwig

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132
Q

temuan xray radiologi Transposition of Great Arteries

A

Egg on side/on string

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133
Q

Ablasio retina dengan khas ec. miopia

A

Ablatio Retina Regmatogenosa

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134
Q

Ablasio retina pada DM, trauma, perdarahan, infeksi

A

Ablatio retina traksi

135
Q

Ablasio retina pada skeritis, koroditis, tumor retrobulbar, radang uvea

penimbunan cairan (eksudat)

A

ablasio retina eksudat

136
Q

cut off katarak congenital

A

< 1 tahun

137
Q

cut off katarak juvenil

A

> 1 tahun

138
Q

cut off katarak senil

A

> 50 tahun

139
Q

klasifikasi trauma alkali mata

A

derajat 1: hiperemi konj + keratitis pungtata

2: hiper konj + hilang epitel kornea
3: + nekrosis
4: perilimbal nekrosis 50%

140
Q

menyerahkan sepenuhnya
kewenangan dan tanggung jawab penyelesaian
masalah kesehatan masyarakat. Rujukan ini
diselenggarakan apabila Puskesmas merasa tidak
mampu untuk melaksanakannya.

A

rujukan operasional

141
Q

Rujukan: peminjaman alat, bantuan
obat, vaksin, bahan bahan habis pakai kepada Dinas
Kesehatan setempat.

A

rujukan sarana dan logistik

142
Q

Sistem laporan Puskesmas

Formulir LAPORAN BULANAN

A 
Formulir laporan bulanan:
•
LB 1: laporan kasus penyakit
•
LB 2: laporan obat
•
LB 3: laporan gizi, KIA KB, Imunisasi
•
LB 4: laporan kegiatan Puskesmas
143
Q

tumor marker Ca Pankreas

A

Ca 19-9

144
Q

ca 125

A

colorectal cancer

ovarium cancer

145
Q

benjolan berisi cairan elemen kulit, rambut (lanugo), appendix, gigi

A

kista dermoid

146
Q

Herald patch

A

Pitiriasis rosea

147
Q

Sky blue spot

A

pediculosis

148
Q

Tx eritrasma

A

Eritromisin 4x250 2-3 minggu

149
Q

Tx Kondiloma akuminata

A

Tingtura podofilin 10-25%

trichloroacetic acid (TCA) 80-90%

Podofilotoksin

150
Q

tx lichen simplex chronic

A

klobetasol proprionat 0.05%

151
Q

etiologi ulkus durum

A

treponema pallidum

152
Q

kepemilikan rekam medis

A

dokter atau sarana pelayanan kesehatan

153
Q

limfoblas homogen dengan nicleus reguler disertai kromatin homogen

A

ALL L1

154
Q

ALL bervariasi kromatin kasar dengan >= 1 nucleoli

A

ALL L2

155
Q

sel limfoblas besar, homogen, sitoplasma basofilik, bervakuolisasi (bubble-like)

A

ALL L3

156
Q

tx MG

A

cholinesterase inh

157
Q

Tx SE at IGD

A

Lorazepam

158
Q

Terapi Extrapiramidal syndrome`

A

Triheksilfenidil

159
Q

Terapi Extrapiramidal syndrome`

distonia akut

A

Sulfas Atropin

160
Q

terapi SNM

A

Dantrolen

Bromkriptin

161
Q

Bipolar tipe II

A

depresi berulang dengan HIPOMANIK

162
Q

bipolar I

A

MANIK dengan 1 depresi

163
Q

tx early insom

A

short acting benzo

Alprazolam, triazolam, midazolam

164
Q

tx middle insom

A

amitriptilin

165
Q

tx middle insom

A

phenobarbital/long acting (diazepam)

166
Q

Jenis APG 1

A

Klorpromazin
Trifluoperazin
Haloperidol

167
Q

Jenis APG 2

A 
Aripriprazol
Klozapin
olanzapin
quetiapin
risperidon
168
Q

Palpable purpura

dx?

A

Henoch Scholein Purpura

169
Q

Etiologi otitie eksterna maligna

A

pseudomonas aureginosa

170
Q

etiologi otitis eksterna sirkumkripta

A

staph aureus atau staphylocococcus albus

171
Q

etiologi otitis eksterna diffuse

A

e.coli

tidak sepsifik

172
Q

etiologi otomikosis

A

aspergillus niger

173
Q

Terapi farmako bulimia dervosa

A

SSRI i.e Fluozetine 60-80 mg

174
Q

Target besi elemental harian

A

200 mg/hari

175
Q

cobblestone, pseudopolyps

A

Chrone disease

176
Q

continuous lesion, IBD

A

Kolitis ulcerative

177
Q

Defisiensi B1/thiamin

A

Beri-beri
wet –> kardiovaskular: palpitasi, sesak, edema, ggl jantung

dry –> sistem saraf: kesemutan

178
Q

sindroma oleh defisiensi B1

A

Wernicke - Korsakoff syndrome

179
Q

defisiensi B2

A

riboflavin

inflamasi bibir, scaling dan fisura

180
Q

Defisiensi b3

A

glositis, pellagra (Diare, dermatitis, demensia) + DEATH

181
Q

Kelebihan B3

A

kemerahan wajah

182
Q

Defisiensi vit E

A

gg eritrosit (anemia hemolitik)

183
Q

s/e Dimenhidrinat

A

mulut kering, penglihatan kabur

184
Q

Tumor suppresor gene p16

A

melanoma

185
Q

tumor suppresor gene p53

A

osteosarcoma

186
Q

tumor suppressor gene RB

A

retinoblastoma

187
Q

tumor suppresore gene BRCA-1

A

breast cancer

188
Q

target BP >= 60 thn

A

<150/<90 mmHg

189
Q

target BP < 60 thn

A

<140/<90

190
Q

jenis panggul bentuk hampir segitiga

A

android

191
Q

jenis panggul diameter anteroposterior > diameter transversa

A

anthropoid

192
Q

jenis panggul transversa > diameter anteroposterior

A

plastypelloid

193
Q

spalding sign

A

overlapping tulang tengjorak

194
Q

naujokes sign

A

tulang punggung janin sangat melengkung

195
Q

gerhard sign

A

hiperekstensi kepala dan tulang leher janin

196
Q

robert sign

A

gelembung gas pada badan janin

197
Q

Pelaporan puskesmas

LT 1

A

Data dasar puskesmas

198
Q

Pelaporan puskesmas

LT 2

A

Data kepegawaian puskesmas

199
Q

Pelaporan puskesmas

LT 3

A

data peralatan/sarana puskes, pustu, dan pusling

200
Q

Pelaporan puskesmas

W1

A

Laporan pertama dalam 24 jam wabah

201
Q

Pelaporan puskesmas

W2

A

hasil penanggulangan wabah, dikirim tiap minggu

202
Q

Pelaporan puskesmas

LB1S

A

Data penyakit yang dapat dicegah dengan imunisasi dan diare

203
Q

Pelaporan puskesmas

LB2S

A

Data KIA, gizi, ISPA, penyakit akibat kerja

204
Q

Kategori posyandu Mandiri

A

semua

205
Q

kategori posyandu tinggal dana sehat <50%

A

Purnama

206
Q

hanya kader dan frekuensi penimbangan yang terpenuhi

kategori posyandu

A

Madya

207
Q

malpraktek sengaja

A

misconduct

208
Q

malpractect

kelalaian (3)

A

malfeasance - salah tindakan
misfeasance - tidak sesuai SOP
nonfeasance - tidak melakukan kewajiban

209
Q

Vitamin A Rubeola

A

<6 bulan: 50k UI/hari
6-12 bulan: 100k IU/hari
>1 tahun: 200k IU/hari

210
Q

Late onset sepsis neonatorum

A

setelah 3 hari, fokus infeksi (+) tersering meningitis

211
Q

Early onset sepsis neonatorum

A

dalam 3 hari pertama

212
Q

tanda tembak kontak (tempel)

A

moncong/muzzle effect/ stellata

213
Q

tanda tembak sangat dekat (<15 cm)

A

Api/ flame effect –> luka bakaar

214
Q

tembak dekat (<30 cm

A

kelim jelaga, tato

215
Q

luka tembak jauh (>60cm)

A

lubang doang

216
Q

syarat manajemen ekspektatif

A

UK 24-34 wk

dilatasi serviks <3 cm

tidak ada infeksi, preeklamspia atau perdarahan aktif

tidak ada gawat janin

217
Q

Temuan KOH 10% Candidiasis vulovaginalis

A

Candida Albicans

blastospora dan atau pseudohifa dengan budding yeast

218
Q

diagnosis jumlah bakteri wanita dan pria ISK

A

wanita >10 pangkat 5 CFU/mL

pria >10 pangkat 3 CFU/mL pada pria / kateter

219
Q

indikasi pemberian obat antikonvulsan rumat

A
  1. kejang fokal
  2. kejang lama >15 menit
  3. kelainan neurologis nyata sebelum atau sesudah kejang
220
Q

tx abortus insipien

A

UG < 16wk: evakuasi konsepsi, tdk bsa segera: ergometri 0,2 mg IM&raquo_space; evakuasi
UG > 16 minggu: tunggu keluar spontan, bisa infus ixi 40 IU dalam 1L NaCl 0.9%

221
Q

tx abortus inkomp

A

<16w - perdarangan ringan: forsep cincin

> 16 wk- perdarahan berat: AVM (aspirasi vakum mekanik) , bila tidak ada bileh kuret tajam

222
Q

tx missed abortion

A

<12: evakuasi hasil konsepsi

12-<16wkL pastikan serviks terbuka/pematangan serviks&raquo_space; dilatasi dan kuretase

16-22: oksi 20U dalam 500 ml NaCl 0.9%)

223
Q

absorbsi lemak panjang di GI dalam bentuk

A

Chylomicrons

224
Q

absorbsi trigliserida dalam GI

A

monogliserida

225
Q

absorbsi lemak pendek

A

free fatty acid ke dalam sistem porta

226
Q

kontraindikasi manuver vagal

A

sedang/riwayat TIA atau CVA

ada bruit arteri karotis

arteri carotis stenosis

227
Q

takikardi stabil hemodinamik QRS sempit

A

vagal

lalu, adenosin (I: 6mg diikuti NS flush, dosis kedua 12 mg)

tidak berespon–> beta blocker/CCB

228
Q

Tinea capitis

inflamasi minimal, abu”, berfluoresensi hijau lampu wood

A

grey patch

229
Q

temuan KOH tinea kapitis

A

hifa panjang dan atau artrospora

230
Q

kultur tinea kapitis

A

sabouraud plus

231
Q

bokong murni

A

kedua kaku fleksi pada panggul dan ekstensi pada lutut

232
Q

bokong sempurna

A

kedua kaki fleksi panggul dan lutut

233
Q

bokong kaku

A

teraba bokong dan sebuah kaki mengalami ekstensi panggul dan lutut

234
Q

nama lain varisela

A

chickenpox/cacar air

235
Q

penyebaran lesi papul centrifugal

A

varisela

236
Q

target penduduk 1 puskesmas`

A

30.000 penduduk

237
Q

target penduduk 1 dokter

A

5000 penduduk

238
Q

kategori paparan hewan rabies

A

kategori 1: paparan ludah

II: lecet

III: luka berdarah

239
Q

grade ulkus diabetikum wagner

A

0: tidak ada ulkus terbuka, bisa deformitas atau selulitis
1: ulkus diabetikum superficial
2: ulkus menyebar hingga ligamen, tendon, kapsul sendi, tanpa pembentukan abses atau osteomyelitis
3: ulkus diabetikum profunda dengan abses, OM, atau sepsis sendi
4: gangren local, ujung hingga sebagian dari kaki
5: gangrene ekstensif meliputi seluruh kaki (jari-tumit)

240
Q

dosis ISDN

A

15-80 mg/hari

241
Q

dosis propanolol (pada anti iskemia jantung)

A

2x20 mg hingga 80 mg/hari

242
Q

tali pusar di bawah, ketuban masih intak

A

tali pusar terKEMUKA

243
Q

talu pusar bawah, ketuban pecah

A

tali pusar MENUMBUNG

244
Q

Retardasi mental (pembagian)

A

sangat berat < 20
berat 20-34
sedang 35-49
ringan 50-69

245
Q

klasifikasi HF berdasarkan AHA

A

A: beresiko HF, TIDAK ADA KELAINAN dan GEJALA

B: ada GANGGUAN STRUKTUR, BELUM ADA GEJALA

C: STRUKTUR + GEJALA

D: GEJALA BERAT

246
Q

penurunan penyakit penyakit ginjal polikistik

A

Autosomal dominan

247
Q

waktu Toxoplasmosis IgG aviditas tinggi

A

infeksi kronis >4 bulan

248
Q

dx rouleux formation RBC

A

MM

249
Q

etiologi bronkiolitis

A

Respiratory Syncytial Virus

250
Q

Penyakit lesi kulit dengan penggunaan Steroid POTENSI KUAT

A

alopesia areata, discoid lupus, LSK, psoriasis, dermatitis numularis

251
Q

Penyakit lesi kulit dengan penggunaan Steroid

POTENSI SEDANG

A

deermatitis numularis, dermatitis seborik, dermatitis statis, dermatitis atopik

252
Q

Penyakit lesi kulit dengan penggunaan Steroid

POTENSI RINGAN

A

napkin eczema, dermatitis daerah wajah, intertriginosa, perineal

253
Q

etiologi pityriasis rosea

A

HHV 7 atau 6

254
Q

penyusunan prioritas masalah DARI BERBAGAI PAKAR BEDA KEAHLIAN

A

delbecq

255
Q

menyusun prioritas SAMA KEAHLIAN PAKAR

A

Delphi

256
Q

kapan rujuk kasus lipoma

A

> 6cm

nyeri spontan maupun tekan

lokasi dekat pembuluh darah atau saraf

257
Q

nilai kedokteran keluarga

A

holistik: biopsikologis dan sosial
komprehensif: promotif, preventif, kuratif, rehab
kontinyu: FU, kontrol
koordinatif: antar profesional
kolaboratif: kerja sama antar pasien dan dokter

258
Q

langkah menentukan prioritas masalah kesehatan

A
  1. mendefinisikan masalah
  2. menentukan akar penyebab masalah
  3. solusi alternatif
  4. memilih solusi
  5. menerapkan solusi
  6. evaluasi
259
Q

Tx Korioamnionitis

A

Ampi 2g /6 jam + Genta 5mg/kgbb/24 jam IV

260
Q

usia prekoks puberty perempuan

A

<8 tahun

261
Q

usia prekoks pira

A

<9 tahun

262
Q

urutan perkembangan sexual wanita

A

telarche, puberche, menarche

263
Q

urutan perkembangan sexual laki

A

genital + testis, puberche, akseleraasi pertumbuhan, masa otot

264
Q

Pewarnaan melasma

A

Fontana-Masson

265
Q

tx melasma

non med dan med

A

non med: tabir surya SPV >= 30

med:
topikal: hidroquinon 2-5%, asam retinoate 0.05 -0.1%
oral: asal askorbat, glutation

266
Q

durasi transient tic

A

< 1 tahun

267
Q

persistent/chronic tic durasi

A

> 1 tahun

268
Q

waktu Livor mortis

A

I: 30-2 jam
hilang dalam penekanan: 2-8 jam
tidak hilang >8

269
Q

waktu rigor mortis

A

muncul: 2 jam
bisa dilawan 2-12 jam
tidak bisa dilawan 12-36 jam
menghilang >36 jam (beberapa sumber >48 jam)

270
Q

waktu pembusukan

A

muncul >24 jam

hijau pada perut kanan bawah 48-72 jam: marbling

271
Q

antibiotik difteri

A

Penisilin 25-50mg/kg/hari selama 2 minggu

272
Q

cardioversi QRS sempit regular

A

50-100 J

273
Q

cardioversi QRS ireg

A

120-200 J

274
Q

cardioversi QRS lebar reguler

A

100 J

275
Q

tx QRS lebar ireguler

A

defib

276
Q

dosis risperidone

A

2-8 mg/hari

277
Q

Lepto berat tx

A

Penisilin G 1.5 juta U/6 jam

ampi 1gr /6 jam

amox1gr/6jam

278
Q

AFI normal

A

5-20 cm

279
Q

staging prolaps uteri

A

): tidak prolaps

1: 1 cm diatas himen
2: 1 cm atas bawah himen
3: lebih dri 1 cm himen tapi kurang 2cm dari total length vagina
4: lebih dari 2cm total vag

280
Q

tx kriptorkismus

A

observasi sampai usia 3 bulan

orkudopeksi dilakukan pada usia 6-12 bulan

evaluasi setiap tahun

281
Q

penyakin x-link resesif

A

duchenne, hemofilia, butawarna

282
Q

penyakit x-linked dominan

A

sindrom rett, sindrom klinefelter

283
Q

penyakit autosomal dominan

A

achondroplasia, osteogenesis imperfecta, MODY

284
Q

stadium infektif ankylostoma braziliense dan ancylostoma caninum

A

larva

285
Q

tx medikamentosa thallasemia

A

asam folat 2x1 mg/hari

vit E 2x200 IU/hari

vit C 2-3 mg/kg/hari

kelasi besi (deferoxamine/Deferiprone (DFP))

286
Q

Tingkat keparahan ejakulasi prematur

A

Ringan: 30-1 menit

sedang: 15-30 detik setelah penetrasi
berat: < 15 detik

287
Q

Tx Demensia

A

kolinesterasi inhibitor: donepezil, galantamine, dan rivastigmine

288
Q

hipokondriasis

A

keyakinan satu penyakit serius

289
Q

Tx Pertusis

A

Azitromicin 10mg/kgbb/d
Eritro 40-50mg/kgbb/d 14 days
klaritro 15mg/kgbb/hari 7 days

290
Q

Stadium Hyalin Membrane Disease

A

1: bercak/pola retikulogranular
2: +bronchogram
3: +batas jantung paru menjadi kabur
4: white lung

291
Q

Putus obat alkohol namanya?

A

Delirium tremens

292
Q

obat anti HT yang tidak direkomendasikan pada

Heart failure

A

CCB

293
Q

obat anti HT yang tidak direkomendasikan pada

post MI

A

diuretik, ARB dan ACB

294
Q

obat anti HT yang tidak direkomendasikan pada

high coronary disease risk

A

ARB dan Aldo ANT

295
Q

obat anti HT yang tidak direkomendasikan pada

Diabetes

A

Aldo ANT

296
Q

obat anti HT yang tidak direkomendasikan pada

CKD

A

Diuretik
BB
CCB
ALDO

(bisa ACEI dan ARB aja)

297
Q

obat anti HT yang tidak direkomendasikan pada

stroke berulang

A

BB, ARB, CCB, Aldo ANT

bisa Diuretik, ACEI

298
Q

pola penurunan Hemofilia

A

Sex linked kromosom X

299
Q

penurunan Duchenne muscular distropy

A

X-linked resesif

300
Q

Tx Hipoglikemia berat

A

Dextrose 20% 50 cc

301
Q

Kenaikan BB kehamilan tunggal

A

underweight: 13-18kg
normal: 11.5-16kg
Obes 1: 7-11.5 kg

302
Q

pembagian penemuan kasus infeksi H5N1

A

Suspek: gejala+ papran
Proable: gejala+paparan+lab sederhana
confirmed: gejala+paparan (+/- lab sederhana) + lab canggih

303
Q

sindrom horner

A

ptosis unilateral, ipsilateral anhidrosis dan miosis ipsilateral

304
Q

komplikasi bayi toksoplasma

A

3C (Chorioretinitis, intracranial Calcification, hydroCephalus)

305
Q

Gustillo Anderson fraktur terbuka

A

tipe I: luka < 1 cm
tipe II: luka 1-10cm, kerusakan jarungan lunak sedang
IIIa: >10 cm, terkontaminasi, jaringan dapat menutup luka
b: membutuhkan flap untuk menutup luka
c: kompromis vaskuler danneuro

306
Q

golongan antikolinergik

A

dimenhidrinat, difenhidramin

307
Q

tx intox antikolinergig

A

physostigmine (antilirium)

308
Q

tx intox opioid (heroin, morfin)

A

nalokson

309
Q

tx w/drawal opioid

A

metadon

310
Q

tx intox sedative hypnotic drugs

alkohol

A

tiamin/ethanol

311
Q

tx intox sedative hypnotic drugs

benzodiazepin

A

flumazenil

312
Q

tx intox sedative hypnotic drugs

barbiturates

A

na bikarbonat

313
Q

tx withdraw stimulan

amfetamin, metamfetamin, kokain

A

bromokriptin

314
Q

Stadium infektid dan diagnostik Cutaneous Larva Migrans

A

inf: larva filariform
dx: telur

315
Q

kelainan genetik pada PPOK

A

alfa-1 antitripsin

316
Q

tx post herpetic neuralgia

A

Gabapentin 300 mg/hari 4-6 minggu

pregabalin 150 mg/hari in 3 dose 2-4 minggu

amitriptilin 10 mg/hari

317
Q

klasifikasi miopia

A

ringan 0.25 - 3.00
sedang 3.25- 6.00
berat >6.00

318
Q

patogen impetigo krustosas

A

Strep B hemolitikus

319
Q

Penyakit paru oleh pekerja galangan kapal

A

asbestosis

320
Q

Penyakit paru olehpabrik pemintalan kapas

A

bisinosis/ monday fever/brown lung disease / mill fever

321
Q

Penyakit paru oleh pabrik beratap ASBES

A

asbestosis

322
Q

Penyakit paru oleh tambang timah putih

A

silicosis

323
Q

s/e Phenytoin

A 
P-450 inducer
H-irsutism
E-nlarged gums
NY-stagmus and other cerebellar sign
T-eratogenicity
O-steopenia
I-nterference with folic acid 
N-europathy (peripheral)
324
Q

gambaran radiologis x-ray bronkiektasis (2)

A

honeycomb appearance

tram tracts

325
Q

lokasi absorbsi nutrisi: ileum terminal
jejunum
duodenum

A

ileum terminal: empedu

jejunum: asam amino
duodenum: zat besi

326
Q

stadium infektif taeniasis

A

cysticercus cellulosae

327
Q

lini pertama Angina pectoris stabil pada CHF

A

betabloker

328
Q

etiologi obat penyebab bradikardi

A 
beta blocker
ccb
digoxin
lithium
clonidine
amitriptiline
329
Q

tatalaksana darurat tanpa informconcent

A

Permenkes 290 tahun 2008

330
Q

tx polimialgia reumatika

A

prednisone 10-15 mg/hari

331
Q

tx ulcus molle

A

SEAS

S-ipro 2x500 mg 3d
E-ritro 4x500 7d
A-zitro 1gr SD
S-eftri 250 mg IM SD

332
Q

tx LGV

A

Doksi 2x100 14 d

Eritro 4x500 14 d

333
Q

tx impetigo bulosa

A

lokal
mupirosin
asam fusidat

luas (KAEK)
kloksasilin/dikloksasilin
amoxiklav
eritromisin
klindamisin
334
Q

temuan bandle ring

A

ruptur uteri

CBT (1 decks)

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