Exit osce Flashcards
blepharitis anterior
kloramfenikol 1% EO 6xgtt1
fluorometholone 0.1% ED 4xgtt1 ods
blefaritis posterior
kloramfenikol 1% EO 6xgtt1
fluorometholone 0.1% ED 4xgtt1 ods
doksisiklin 100 mg tab 2x1
konjungtivitis viral
artificial tear 5ml 4xgtt1
tobramicin 0.3%, dexa 0.1 5ml ED no.1
konjunctivitis alergi
fluorometholone 0.1% 3x1
natrium krocomoglicat 2% 4xgtt1
konj bacterial
kloramfenikol 1% EO 6xgtt1
GO: ceftriaxone 1g vial, spuit 10 ml, aquades 50 ml
konj clamydia
eritromicin 500 mg 2x1
konj herpes zoster
natrium krocomoglicat 2% 4x1 Acyclovir 5x800 (2tab) mg
pinguekulum
sodium hyaluronate 1% ED 6x1
fluorometholone 0.1 3x1
Episkleritis
fluorometholone 0.1 3x1
natrium diclovenac 50 mg tab 2x1
skleritis (+if necrotizing)
fluorometholone 0.1 3x1
natrium diclovenac 50 mg tab 2x1
if nectrotizing prednisone 5mg tab 2x2tab
xeropthalmia
vit A 200.000 IU caps 1x1
Gentamicin 0.3% ED 6x2 ED
Ketatitis Bacterial
Levofloxacin 0.5% ED 6x1
Ciprofloxacin 2x500mg
keratitis viral HSV
Acyclovir 5x400 mg
acyclovir 3% ED 5x1
Keratitis viral Herpes Zooster
Acyclovir 5x400 mg (2 week)
acyclovir 3% ED 5x1
uveitis anterior viral
acyclovir 3% ED 5x1
fluorometholone 0.1% 6x1
sulfas atrophine 0.5% ED 3x1
uveitis anterior bakteri
levofloxacin ED 0.5% 6x1
fluorometholone 0.1% 6x1
sulfas atrophine 0.5% ED 3x1
Glaukoma akut
acethazolamide 500 mg 1x1 acethazolamide 250 mg 4x1 fluorometholone 0.1% 4x1 timolol 0.5% 2x1 pilocarpine 2%4x1 mannitol 20% IV
Hordeolum
kloramfenikol 1% 6x1
sodium hyaluronate 1% 6x1
Amox 3x500
Nadic prn
migrain
Sumatriptan 2x100mg,
Prev: propanolol 2x20mg
cluster headache
sumatriptan 6mg SC
prev: verapamil 80mg 3x1, prednisone 5mg 3-3-4–> tapper off
TTH
Ibuprofen 2x400mg, eperisone 1x50mg
Trigeminal neuralgia
carbamazepine 200mg 2x1
tetanus
vaksin TT 5ml vial pro IM 0.5 ml ATS 20.000 pro IM Metronidazol 3x500mg Ceftriaxone 1x2gr Diazepam 5mg/ml per 2 vial per 6hr omz 40mg 2x1 IV
GBS
IvIG 5% 50ml. 1dd20gr (in 5 days)
rabies
vaksin rabies 0.5ml inj IM
Meningitis Bacterial
ceftriaxone 2x2gr
metronidazol 3x500
dexamethasone 5mg/ml 4x1
Meningitis viral
acyclovir 3x500
Meningitis TB
Rifampicin 600mg 1x1 Isoniazid 300 mg 1x1 Pirazinamid 1x1000mg Ethambutol 1x1000 mg Dexamethasone 5mg/ml 4x1
stroke iskemik
aspilet 80 mg 1x4 atorvastatin 40 mg 1x1 nikardipin 10mg/ml amp titrasi 5mg --> 2.5 mg/5menit paracetamol 1gr 3x1 ketorolac 3x30mg omz 1x40mg
CTS/TTS
Gabapentine 3x100mg
Mecobalamine 500mg 3x1
Methylprednisolone 3x4mg
DM?
Bell’s palsy
acyclovir 5x400mg
prednisone 5mg 4-4-4
Mecobalamin 3x500mg
artificial tear 5ml 5x1
BPPV
betahistine 12mg 2x2
meniere disease
betahistine 12mg 2x2
acetazolamide 2x500mg
vestibular neuritis
prednisone 5mg 2x4tab
hyperemesis gravidarum
ondansentron 2x4mg
vit B6 3x10mg
Ketuban pecah dini
eritromicin 250mg 4x1
24-33 minggu: matangkan paru dan lahirkan
Dexamethasone 6mg 4x1 IM
chorioamnionitis
ampicillin 1gr 4x2
gentamicin 40mg 1x1
abortus
ampicilin 1gr 4x2
gentamicin 40mg 1x1
metro 500 mg 3x1
abortus insipien-komplit
terminasi
ergometrin 0.2% IM (<16wk)
oxytocin 40 IU drip 1 L RL (>= 16 wk)
Molla hydatidosa
oxytocin 10 U + 500ml NaCl 60 tpm
Preeclampsia/Eklampsia
MgSO4 40% 25 ml fl
Aquades 25 ml
mg 10 + aqua 10 in 20’
Maintenance: mgso4 15 + RL 500 ml in 6hr
Eklampsia
5 + 5 in 15’
ulang 2x –> tetap kejang + diazepam
HT
nifedipine 10 mg /20 menit
Uterotonic
Oxytocin 10U vial no II
RL 500 ml
atau Ergo metrin 0.2 IM
ANC
Kalk 500 mg 2x1
Ferrous Sulfat 325 mg 1x1
Folate 400 mcg 1x1
otitis externa
kloramphenicol 5% ED 3xgtt5
OMA tanpa perforasi
Amox 3x500 mg
oxymethazoline 0.05% nasal spray 2x1 knds
pct 3 500
OMA dengan perforasi
Amox 3x500 mg
ofloxacin 0.3% 2x5gtt
NaCl 500ml
pct
OMSK
Amox 3x500 mg ofloxacin 0.3% 2x5gtt NaCl 500ml pct Methylprednisolone 3x4mg
OME
acetylcysteine 200mg 3x2tab
pseudoephedrine HCl 4x60mg
Rhinitis alergi
NaCl cuci hidung
triamcinolone acetonide nasal spray 2x2 puff
oxymethazoline 0.05% 2x2 puff
cetirizine 1x10mg
rhinosinusitis
methylprednisolone 4mg tab 2x1 amox 3x500 acetylcysteine 2x200 pseudoefedrine Hcl 60mg 3x1 NaCl cuci hidung
tonsilitis/faringitis virus
dexamethasone 0.5mg 3x1
PCT 500mg 3x1
Ambroxol 3x30mg
Chlorhexidine gluconate 0.2% 2x10cc gargle
tonsilitis bacterial
dexamethasone 0.5mg 3x1
PCT 500mg 3x1
Ambroxol 3x30mg
amox 3x500
Difteri
eritromicin 4x500mg
ADS 20.000 IU IV vial –> 40.000
obs napas: prednisone 5mg 4x5 tab
Hemel variceal
somatostatin 3mg amp pro IV 250 mcg ceftriaxone 2x1gr vitK 10 mg/ml pro inj IV Lactulose 3,3gr/5ml 110 ml 3x30cc spironolactone 1x100mg furosemide 1x40mg
hemel non variceal
omz 40mg IV
Hep A
ibuprofen 2x400
domperidone 1x10mg
curcuma 3x30mg
uninvestigated dyspep
omz 2x20mg
dompe 3x10mg
diare
pct
dompe 3x10mg
attapulgit 630mg 1x2 tab
E.coli, shigella, E. aerogenes, c. jejuni ( diare)
dewasa & anak
adult: cipro 2x500mg
anak: Cotrimoxazole 240mg/5ml 2x1 cth
cholera
doxicicline 3x100mg SD
E histolitica, giardia lambilia, c deficille
Metronidazole 3x500mg
Cholelithiasis/choledocholithiasis
ursodeoxycholic acid 250 mg 3x1
Hyocine N butylbromide 10 mg 3x2 tab
Ketorolac 10mg 3x1 tab
Cholecystitis/cholangitis
ursodeoxycholic acid 250 mg 3x1 IV
Hyocine N butylbromide 10 mg 3x2 tab IV
Ketorolac 10mg 3x1 IV
Ceftriaxone 1gr
metronidazol 3x500
Anemia defisiensi besi (anak dan dewasa)
dewasa sulfas ferosus 325 mg tab 3x1
vit C 3x500mg
sodium Fe ED TA 15mg/5ml
syrup 2x2 cth
demam tifoid
dewasa Cipro 2x500mg anak Cefixime 100mg/5ml 2x1 cth
+pct
leptospirosis
doxicicline cap 100 mg 2x1
berat :
penicilin G vial 5 jt
pro inj 1.5 jt/6 jam
malaria falcifarum & knowlesi
dihidroartemisin/piperaquin 40/320mg 1x3 tab (3 hari)
primaquin 15 mg 1x1 tab (1 hari)
vivax dan ovale malaria
dihidroartemisin/piperaquin 40/320mg 1x3 tab (3 hari)
primaquin 15 mg 1x1 tab (14 hari)
malaria malariae dan bumil
dihidroartemisin/piperaquin 40/320mg 1x3 tab (3 hari)
Filariasis
dietylcarbamazine 100mg tab 3x1
PCT
Cetirizine
Methylpred 3x4mg
ascariasis, cacing tambang, enterobiasis, trichuris
albendazol tab 1x400mg
CLM, strongiloides
Albendazol 1x400mg 3 days
taeniasis
Praziquantel 1x600mg
schistosomiasis, japonicum
praziquantel 600 mg 3x2 (1 hari saja)
Campak
Vit A 200.000 IU 1x1 (2 hari)
Varicella
Aciclovir tab 400 mg 5x2 tab
PCT
Cetirizine
Losrokalamin fl oleskan
Scarlet Fever
Amox 125mg/5ml 3x1 cth
BPH
Tamsulosin 0.4 mg 1x1
Dutasteride 0.5 mg 1x1
Diagnosis fraktur + Tx
fraktur terbuka/tertutup, komplit/inkomplit, 1/3 prox/medial/distal os ___ Sin/dex, bentuk garis patah, hubungan antar fragmen, dengan komplikasi lokal/sistemik
tetanus
PCT
Ceftri
metro
Osteoarthritis
Kalium diclofenac –> oleskan
nadic 2x50 mg
Gout arthritis
Akut: Nadic 2x50mg
chronic allopurinol 1x100mg
Asma eksaserbasi ringan-sedang
primary survey
O2 NC 5 lpm
reliever Salbutamol resp 2.5 mg
NaCl pro nebu 2 ml
kortikosteroid prednisone 5mg tab 4x2 tab
obat pulang:
salbutamol inh 100 mcg prn sesak
prednisone 5 mg 4x2 tab
asma eksaserbasi berat
primary survey
O2 NC 5 lpm
pasang IV
salbutamol/ipratropium bromide resp 2,5/0.5 mg pro nebu
methylprednisolone 125 mg , inj 40 mg
Asma stabil
presisten ringan
salmeterol/fluticasone 50/100 mcg Inh 2x1
persisten sedang
salmeterol/fluticasone 50/250 mcg Inh 2x1
Persisten berat
salmeterol/fluticasone 50/500 mcg Inh 2x1
TB paru dewasa
rifampicin tab 600 mg 1x1 isoniazid 300 mg 1x1 pirazinamid 500 mg 1x2 Ethambutol 500 mg 1x2 curcuma 30mg 3x1 Piridoxine 1x10mg
Pneumonia COVID
tanpa ejala
vit C 500 mg 3x1
Multivitamin 1x1
ringan-sedang vit C 3x500mg, multivitamin A/b: azitromicin 1x500mg A/v: oseltamivir 2x75mg simptomatik
berat NRM 15 lpm vit C 1gr 3x400mg IV Vit B1 1gr 1x1 a/b azitromicin 1x500mg IV a/v oseltamivir 2x75mg dexamethasone 5mg/ml pro inj 6 ng IV
Pneumonia aspirasi
methylprednisolone 125 mg pro inj 40 mg
ceftri pro 2gr
Metronidazole pro in 500mg 3x1
Bronkitis akut
Eritromicin 3x500mg
Salmeterol/fluticasone 50/100mcg 2x1
palpitasi sc SVT
adenosine vial 6mg no III inj bolus flush NaCl
aritmia: bisoprolol tablet 2,5 1x1
vagal maneuver
AF parosismal respon ventrikuler cepat
bisoprolol 5mg 1x1 ada HASIA Amiodaron IV 5mg/kgBB dalam 1 jam 1mg/menit dalam 6 jam 0.5 mg/menit dalam 18 jam
Warfarin –> SpJP
Simvastatin 20 mg 1x1
Captopril 12,5 mg 3x1
Acute Heart Failure
Furosemide 10mg.ml inj 40 mg
ISDN tab 5mg 1dd1/ Nitroglicerine pro inj IV
HT -> ramipril 1x5mg
CHF
furosemide 20mg 1x1
Captopril 6,25 mg 3x1
bisoprolol 1x1.25mg
ACS
ISDN 5 mg 1x1 SL ulang 3x per 30' Aspirin 80mg 1x2 Clopidogrel 75 mg 1x4 mg Atorvastatin 1x40mg Morphine pro inj IV
Angina stabil
ISDN 5mg SL prn
Aspirin 80 mg 1x1
Atorvastatin 1x40mg
Bisoprolol 1x2.5
Croup
pro nebu epinephrine 5ml + NaCl