B a t c h .. U Ħ = .

n 20 L7
tirn
IL M J P E N Y A K IT D A L A M
d e n g a n k e lu h a n b atu k
La k i la k i
-
u s ia 25 ta h u n d a ta n g ke p u ske s m a s k e rin B s e ja k 6 m in B g u y a n g

[a lu . Ke lu h a n d is e rta ï d e ng a n b ad a n y a n g te m a s d a n p e n u ru n a n b e ra t ba d a n 6 kg d a ta m 1 b u la n .

st o m a t lt is b uca l p ad a r e g io m u lu t Pe m e r ik s a a n ñ s ik d id a p a t k a n
Pe m e r ik s a a n ñ s ik d id a p a t k a n
.
n a d i

g o ×/ m e n lt , s u h u 3 , R R 2 2 × /m e n lt . H it u nr J e n ls lim fo s it 1 ,0 9 ￠1 0 9 /し , C D 4 + 5 0 m U L P e m e r lk s a a n

fu n s i h a ti d a n g in ja l d a ta m
b a t a s n o rm a l, s a t u ra s ıo k s i
g
e n 9 9 % . M a d ia g n o s is y a n r t e p a t ?

A . H I V de n fe k s l t u b e rk u lo s ls
ïw a n ł

B . H IV d a n g a n in f a k s i n o n s p e s ifik

H IV d e n l a n In fe k s i p n e u m o k o k u s

D . H IV d e o s ls
n r a n ĺ n f a k s l le ￠io n e \ı

E . H I V de n r ın In h k s i p n e u m o c y s t ls
ê h .

ta tM m e m b e r a t s a ä t b e ıj a la n c h a r d
-

Se o ra n g la k i -
k i, 5 7 t a h u n , m e n g e lu h k a n ńye ri , a d a k h a s n o d u s b o u .

A pa d ia g n o s is p a d a p a s ie n ?

A . O s t e o a r t h rit is '
'
j H t .
:・
.
.
į
, ' '

B . R he u m a t o id a rt h r it is

C . G o u t a rt h r it is

D . S L E
E . A n k y lo s in g s p o n d y ı
ıt ls

阳1 p ıs i« ı
?

: ,

Se
) ĺ o ra n ı p e r e m p u a n 4 5 t a h u n , d ıt ı n ı d e n ￠ a n k e lu h a n b a t u k d a n s e s a L ro k o k ( ◆) , T D 1 4 0 la o ,
N

ks a a n trarml c h e st ( ◆), 00 Te m p i k o m b in a s i
/m s it
b u k o 1 8 . 0 .

8 8 ×l m e n it , R R 2 6 × a n it , s u h u 3 7 ,
5
, p
e m e r l

b e r ï k ın u n t u k p a s te n ï n l?
a p a k ıh y a n l d ı

A . A n t i b lo t lk ◆ v e n t i la t o r m a k a n [k n o n in v a s iv e

B . B r o n ko d lla t o r ◆ v e n t llıt o r m e k a n ik n o n ım r a s e

C . a r o n ko d ı
ıa t o r + a n t lb lo t lk

D . B r o n ko lıto r ĺ n h a la s l + a n t lb ï o t ik
d ı

E . Bm n ko d ı
ı n h a la s l, a
a to r ı n t l b lo t lk ◆ v e n t ıï a t o r

1 ) t l m P P
ti
B e ra n is e p e n u h H a

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So a l T u t o rł
a ı2 0 p t ı
m a p re p
B a tch IV U K M P P D S e te m b e r No ve m b e r} 2 0 1 7
(
-

p
一 屋 里 乎 ，
,
6 Se o ra n g la k i la k i,
ía
-
4 5 t a h u n d a t a n m u n t a h s e k 4 Ja m ya nl la ı
, r k e u G D R s d e n
g
a n k e ıu h a n m u a l d a n u .

Ke lu h a n d is e rta i d e n a n
g d ia re . s e be lu m n y a k e t ik a p a s ie n b e ke d a d i sa w a h , p
a s ie n m e n y ia
p k a n d a n

m e ngg u n a ka n In s e k t is ld a
p a ra t h io n m a la t h io n . Da r ı p e m e r ik s a a n f is is d id a p a t k a n R R 36 x /m e n it , p u
p i l

m io s is , h i
p e r s e k r e s i k e le n
j a r k e r in g a t d a n s a ı
iv a ,
b is i n
g
u s u s m e n in g k a t . Bag a lm a n a m e k a n is m e k e r ja za t
te rs e b u t ?

A . M e n ln r k a t k a n k e r a a d r e n e
j rg ı
k
B . M e n in g k a t k a n k e
￠a a n ta l o n is k o lin e rg ik
C . M e n
g
ha m b a t k e r ja k o lin e s te ra s e
D . M e n in ￠k a t k a n k e r a k o lı
n e r t e ra s e
t
E . M ın in r k a t k a n k ・ a d im c t ı o n is t k o lim r= lk
rj l

ąį ı

a ki ı
in g in ,
Se o ra n g ı a k i, -
4 5 t a h u n , d a t a n g
ıe m a s
,
k e r in
g
a t d P a s ie n

m e n d e r it a d ia b e t e s m e lı
tu s d a n 3 0 m g /d ı . O ba t a p a ka h ya n g

m e n y e b a b k a n k o n d is i t e r s e b u t ?

D . A c a r b o s e

E . M e t fo rm in ? ・

9 se o ra n g perempuanieia 3 4 t a h u n ke m Rs d e ng a n k e lu h a n s e s a k n a p a s d is e r ta i m e n g i s e j a k

王蘇 獲

10 Se o ra n g la k i la k i u s ia 3 5 ta h u n
-
, d a t a n
g
d e n
g
a n k e lu h a n b a t u k s e
ja k 1 t a h u n la ı
u . 1 ta h u n y a n g la lu p a s ie n

pe m ah p e n g o b a ta n T B n am un ha nya 2 0 h ırï s ・le b ı

h nya p a s i・n t id a k m e la n j u t k a n n g o b a t a n ・

pe m e r lk s a a n ta n d a -
t a n da ta l d a ı
v ı a m b a ta s n o rm a l . Te r= o lo n r d a ta m p e n 冒o b a t a n T B a p a ka h e n
p a sı

ta rs e b u t ?
A . OAT s e b a g a l l a r a l p e n g o b a ta n

B , O AT se b a g a ik a m b u h

C . O AT s e b a g a ık a s u s b a r u

D . O AT se b a g a i p u tu s p e n g o b a ta n

Be ra n i S e p e n u h H a t i 2 1 0 p t ın
・

p
r e P

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E . O AT s e b a g a i re la p s

11

C = = P ' =
' '
m
'
iE C = R
o o m r » n H
-

Pe n y e b a b k e la in a n in i a d a la h . . .

E . A sa m ı
e m ak o m e a 3
￠

kiÝawan d ıs e b u a h p e r u s a h a a n s w a s t
a . pa sı e n m e m iı lk l k e b ıa sa a n m e n k o n s u
m a k a n ın b e rı r m s l n a s ı o re n
e m a k t in
g Bı . D a r i h a s ll p e m e r ik s a a n e n u n ￠ ￠ d a n
p ja n ￠ d ld ıp a t k a n G D s 1 9 5 m
K o ıe s te ro l t o t a l 4 5 3 T r i g / d l, L D L 2 4 1 , H D L 2 o
, l l ls e r ld a 4 5 o . M a ka n a n ,
y a n l se b a ıknya d ı h in d a ri a d a la h
. . . ı

LĶ

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