IKM

Question 1

sasaran prom kes

Answer 1

primer: masy berisiko–> pemberdayaan
Sekunder: org yg berpengaruh–> bina suasana
tersier: pembuat kebijakan–> advokasi

Question 2

media prom kes tabu

Answer 2

sandiwara

Question 3

media jalan tol >60 km

Answer 3

billboard

Question 4

jalan perkotaan <60

Answer 4

baliho, spanduk

Question 5

sasaran low educated

Answer 5

bergambar, roleplay

Question 6

indikator promkes
input

Answer 6

sumber daya (sblm hari H)

Question 7

indikator promkes output

Answer 7

pas hari H gmn banyak kah yg datang

Question 8

indikator prom kes outcome

Answer 8

dampak jangka pendek eg post tes

Question 9

indikator promkes impact

Answer 9

dampak jangka panjang- perubhana perilaku

Question 11

Tension pneumotx

Answer 11

Awal needle
Def wsd/torakotomi ai
Khas deviasi trakea, hipotensi, jvp naik

Question 12

Simpel pneumo tx

Answer 12

Tanda vital dbn
Tx lgsg wsd

Question 13

Open pneumotx

Answer 13

Khas sucking chest wound
Tx awal plester 3 sisi
Def wsd

Question 14

Trauma dada dengan air fluid level

Answer 14

Hemopenumotx

Question 15

Klasifikasi chronic vebous insuf

Answer 15

C0 gaada lesi
C1 spider nevi teleangiektasis
C2 varises
C3 edem
C4 lesi kulit eg hiperpigmen, derm statis
C5 ulkus sembuh
C6 ulkus aktif

Question 16

Klas limfedema

Answer 16

0 gjl neg
1 reversible spontan aka pitting
2 non pitting/gradual fibrosis
3 elefantiasis

Question 17

Grafing ulkus dm

Answer 17

0 high risk
1 epiderm
2 subcutan otot
3 tulang
4 dan 5 nekrosis

Question 18

Ruptur buli intraperitoneal

Answer 18

Gross hematuria
Jeja suprapubik
Molar teeth

Question 19

gejala LUTS
iritatif dan obstuktif

Answer 19

iritatif
Frek
Urgen
Noct
Incontinen

obstruk
Weak
Intermit
Strain
Hesitan

Question 20

fimosis vs parafimosis

Answer 20

Fimosis
non emergency
gembung- gbs ditarik ke belakang- tx sirkum

Parafim
Emergency
preputium dipaksa ke belakang trs gbs dibalikin- edema kejepit, ada cincin- iskemia dan nekrosis
kompetensi 3A
wajib di IGD
kalo ke pkm txnya kompres dingin sm pinjat glans trs rujuk utk dorsal slit sbg tx awal kemudian sirkum cito

Question 21

priapismus (>4 jam) ada 2 jenis

Answer 21

low flow-emergency
nyeri tekan, tegang
low o2
ggan vena
iskemik
tx aspirasi corpora cavernosa

high flow
masalah arteri
nyeri ringan
ga tll tegang
oskigen baik
tx observasi dan kompres dingin

Question 22

tatalaksana batu sal kemih

Answer 22

< 5mm- observasi
5-8 mm - tamsulosin (alfa bloker)
>8 mm- bedah :

ESWL <3 cm, batu ureter prox
ureteroskopi- batu ureter distal
PCNL > 3 cm
ureterolitotomi- batu staghorn

kalo prazosin itu alfa bloker non sel buat BPH +HT

Question 23

derajat luka bakar

Answer 23

1: sunburn
2 a: nyeri +++, dasar merah, bula +
2b : nyeri +, bula +/-, dasar pucat
3: ga nyeri
4 : dasar otot/tulang

yang dihitung cm grade 2 ke atas

Question 24

BSA luka bakar

Answer 24

anak 0 tahun start kepala 18 dan kaki masing2 14, lainnya sama kaya dewasa
setiap + 1 tahun kepala kurangi 1 , 1 nya bagi 2 + ke kaki
nanti pas sampe usia 9 sama kaya dewasa

kepala leher 9
dada 9
perut 9
punggung 18
genital 1
kaki masing2 18
tangan masing2 9

Question 25

tx luka bakar

Answer 25

resus: Parkland, monitor urine, monitor ttv, ekg, BGA Analgesi: morfin 2 mg Test: xray, DL, SE, otpt, bun cret Tubes: NGT (gastroparesis), kateter

Question 26

fraktur le fort

Answer 26

1 : floating palate-transversal (bwh nasal floor) 2 : floating maxilla -pyramidal (mll infraorbita dan os nasal) 3 : floating face- transversal mll arcus zygomaticus, dinding lateral orbita tx barton fixation tu fr mandibula