Mix

Question 1

Hodge 1-4

Answer 1

1 sejajar tepi atas sim pubis
2 sejajar tepi bwh sim pubis
3 sejajar spina isch
4 sejajar os coccyx

Question 2

Staging AKI dg RIFLE

Answer 2

Risk <0,5 cc per kg per jam selama 6 jam
Injury idem 12 jam
Failure <0,3 cc per kg per jam selama 24 jam atau anuria 12 jam
Loss selama lbh dr 1 bulan
End selama lbh dr bulan

Question 3

Indikasi HD cito pd AKI

Answer 3

Asidosis berat
Intox alkh, lith, besi
Uremia, ensefalopati uremicum
Elektolit imbalans
Overload aka ALO

Hiperkalemia >6.5
Anuria < 50 cc/12 jam 3 hari
Oliguria <200cc/12 jam 3 hari

Question 4

Staging CKD

Answer 4

Stage
1 GFR >90/N tp ada kerusakan ginjal
2 GFR <90
3a GFR <60
3b GFR <45
4 GFR <30
5 GFR <15

Question 5

Kelgren Lawrence OA

Answer 5

1 meragukan
2 osteofit
3 penyempitan celah sendi, sklerosis
4 kissing joint, kista subchondral

Question 6

Tipe2 ALL

Answer 6

ALL L1- ,LIMFOBLAST KECIL,INTI BESAR, SITOPLASMA DIKIT

ALL L2 -LIMFOBLAST BESAR, SITOPLASMA PROMINEN

ALL L3- LIMFOBLAST BESAR, ADA VAKUOLA, STARRY NIGHT SKY aka limf burkitt

Question 7

Beda AML dan CML

Answer 7

AML dom sel blast kebih dr 20%, ada auer rod

CML dom sel matur, bs ada auer, ada kromosom philadeplhia

Question 8

Multiple myeloma
Ciri
Bentuk sel
Pdx utama
Ul?

Answer 8

C hiperkalsemia
R renal failure
A anemia
B bone litik lesion
Sel plasma ky komet
Elektroforesis serum ada protein M spike
Bence jones protein

Question 9

3 macam polisitemia dan ciri2nya

Answer 9

PV semua naik, ec mutasi gen JAK 2

2 dibwh ini leuko n trombo normal
PR ec tinggal di oegunungan, monge disease
PF ec dehidrasi

Question 10

2 macam limfoma dan cirinya

Answer 10

LH - ada reed stenderberg cell/owl eye

LNH- gaada owl eye, sel uniform

Question 11

Trias skrofuloderma

Answer 11

Cold abscess
Tepinya livid/kebiruan
Jembatan jaringan

Question 12

tx syok anafilaktik

Answer 12

ABC +oksigen 8lpm
jika ada stridor/edema laring- inhalasi SABA
Epi IM 0,5 mg (setengah ampul) , kalo anak 0,01 mg/kg IM di vastus lateral

nah ada spare time 5 menit-pasang monitor, IV line trs grojok 20cc/kg

trs lanjut drip 1mg dalam 1liter NS atau ulangi IM setiap 3-5 menit

dan kasih dipen 10-20 mg IM/IV utk cegah kekambuhan

kalo kasus berat kash dexa IV 20 mg (4 ampul)

Question 13

antidot jika keracunan organofosfat

Answer 13

SA (atropinisasi, kasih efek simpatis utk menyeimbangkan hiperparasimpatis)

Question 14

antidot asam sianida/singkong

Answer 14

na sitrat, na thiosulfat, na nitrit

Question 15

antidot jengkol

Answer 15

Nabic

Question 16

antidot pct/asetaminofen

Answer 16

NAC

Question 17

antidot metanol (oplosan)

Answer 17

etanol, fomepizol

Question 18

black water fever

Answer 18

malaria + hemolisis masif

Question 19

malaria tropicana
Causa?
Ciri HD Tipis

Answer 19

P falciparum
demam hampir tiap hari
Mauer dot, gametosit pisang

Question 20

malaria tertiana benigna
Causa
HD tipis

Answer 20

P vivax dan ovale
demam hari 1 dan 3
vivax: schuffner dotts
ovale : james/johnson dotts

Question 21

malaria malariae
causa
ciri HD tipis

Answer 21

P malariae
demam hari 1 dan 4/ kuartana
Ziemann dotts
Band trofozoit
Rossete

Question 22

trias + 1 malaria

Answer 22

menggigil-demam tinggi-berkeringat
riwayat daerah endemis

Question 23

Terapi malaria

Answer 23

P. falci
DHP/ACT 3 hari
Primakuin 1 hari

P vivax/ovale
DHP/ACT 3 hari
Primakuin 14 hari

P malaria
DHP/ACT 3 hari

Bumil
DHP/ACT 3 hari

Anak gausah primakuin gpp

DHP/ACT(>60 kg 1x4 tab, < 60 kg 1x3 tab)
Primakuin (1x1 tab)

Question 24

tx malaria berat

Answer 24

Artesunat IV/IM 2,4 mg/kg bb per 12 jam kemudian per 24 jam sampe bangun- switch oral

Question 25

profilaksis malaria

Answer 25

lini 1: doksi 1x100 mulai 1 hari sblm pergi sd 4 minggu setelah balik lini2/hamil: meflokuin 250 mg/mg mulai 2 mg sblm pergi sd 4 minggu sesudah balik