MCQ It Blok 19 2006
MCQ It Blok 19 2006
MCQ It Blok 19 2006
1. Which one of the following test is not belong to subjective audiometric test?
A. Pure tone audiometric
B. Tympanometri
C. Bekesy self recording Audiometry
D. Recruitment test
E. Peep show audiometric
2. A man with 50 dB hearing level on 500, 1000 and 2000 Hz, degree of hearing loss is:
A. Total
B. Very severe
C. Severe
D. Moderate
E. Mild
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A. Appear on 50 – 60 age
B. Sensorineural
C. Simetric bilateral
D. The impairment arise on low frequency
E. Consist of three type: sensoris, central, and metabolic
16. Which one of the following statement is not belong to objective audiometric test:
A. BERA
B. Pure ToneAudiometric
C. Speech reception test
D. Audiometric tutur
E. Tympanometri
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C. Hemotimpanum
D. Intoksikasi streptomisin
E. Acoustic neuroma
18. If you only have one tuning fork, which frequency will you choose?
A. 128 Hz
B. 256 Hz
C. 1024 Hz
D. 512 Hz
E. 2048 Hz
20. False negative Rinne test result could be found in patient with
A. Otosklerosis
B. Atresia of canalis auricular externus
C. Severe Unilateral sensorineural hearing loss
D. Total perforation of tympanic membrane
E. Dislocation of ossicles hearing
21. The cellular immunity to M.leprae has an important role in the clinical spectrum of leprosy:
A. Tuberculoid leprosy (TT) has a high/ strong cellular immunity
B. Boderline tuberculoid (BT) don’t have any celluler immunity
C. Lepromatous leprosy (LL) has a good celluler immunity
D. Boderline lepromatous leprosy (BL) has a very strong celluler immunity and very few
acid fast bacilli.
25. Management for leprosy reaction with neuritis and muscle weakness are:
A. Prednisone 1 mg/ kg BB + immobilization in the acute phase + exercise later on
B. Prednison 0,1 mg/kg BB + immobilization in the acute phase + exercise later on
C. Analgetika + immobilization in the acute phase + exercise later on
D. Clofazimin 300 mg/ day + immobilization in the acute phase + exercise later on
26. Scrofuloderma is
A. A non tuberculuos mycobacterial infection
B. Happened after a direct inoculation of mycobacterium infection
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C. Spreading to skin from underlying tuberculsosis infection such tuberculosis of the
lymphnode, bone .
D. Not responsive to antituberculosis drugs.
27. Among these therapy, the best treatment for tinea capitis tipe gray patch ring worm is …
A. Selenium sulfide 2,5 % shampoo
B. ketokonazol 2 % shampoo
C. terbinafin tablet
D. miconazole. cream
28. A 35 years old patient, since 2 months ago he complained of itching in his groin. Clinically: an
erythematous plaque, macerated, vesicopustules satellite lesion (+). He suffer diabetes mellitus
for 2 years. The most probable diagnosis is:
A. Tineackruris
B. Tinera corporis
C. candidiasis
D. seborhoic dermatitis
29. A lady 50 years old, suffer an itching in her inframamary fold since a month ago. Her body
weight is 100 kg, height 1,6 m. Clinically: erythematous plaque with a coribiformis (+). The
right medication for this lady is
(Obat yang paling tepat untuk ibu tersebut adalah …)
A. itrakonazol capsule
B. terbinafin tablet
C. griseofulvin tablet
D. selenium sulfide 2,5 % shampoo
31. To differentiate tinea cruris and candidiasis in the groin, there is …….
A. Erithyematous lesions
B. Pustules
C. Skuama type
D. Satellite lesions
32. Re-activated virus can no longer be contained if….. falls below some critical level
A. Humoral immunity
B. Celluler immunity
C. Celluler and humoral immunity
D. Imunosuspressi
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C. Koilocyte cells
D. Mono nuclear cell
38. A 10 years old boy complaints of thickly crusted superficial ulcer and purulent discharge on
his right foot. The most possible diagnosis is ... .
A. ecthyma
B. furuncle
C. bullous impetigo
D. crusted impetigo
39. A 9 years old boy complaint with blisters containing turbid fluid on nose and around mouth.
The blisters were rapidly ruptured then become such golden yellow crust. The most possible
diagnosis is ... .
A. ecthyma
B. varicella
C. crusted impetigo
D. bullous impetigo
40. Dome shape, small pustule located in infundibulum of hair follicle and caused by S. aureus
infection is …
A. superficial folliculitis
B. furuncle
C. carbuncle
D. ecthyma
41. Acute infection of group A streptococcus beta hemolytic involed both skin and superficial
dermis lymphatic channels is called ... .
A. staphylococcal scalded-skin syndrome
B. cellulitis
C. carbuncle
D. erysipelas
42. Children with AD generally are affected in all but which of the following areas ?
A. Wrists
B. Arm flexures
C. Scalp
D. Hands
43. Which of the following is not a minor criteria for diagnosing AD:
A. Keratoconus
B. Pityriasis alba
C. Xerosis
D. Asthma
44. Atopic dermatitis patients are not prone to develop which of the following as a complication
of their disease:
A. S. aureus infections
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B. Herpes simplex infections
C. Cataracts
D. Latex sensitivity
45. Which of the following is not a minor criteria for diagnosing AD:
A. Keratoconus
B. Pityriasis alba
C. Xerosis
D. Asthma
46. Common choice of antibiotic for the treatment of secondary infection in AD patients are:
A. Cloxacillin
B. Chloramphenicol
C. Erythromycin
D. Amoxicillin
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53. Pemeriksaan penunjang yang diperlukan untuk HNP adalah: KECUALI
A. EMG
B. Myelografi
C. MRI
D. Foto polos
E. EEG
54. Pada jepitan N Medianus pada CTS dapat ditunjukan dengan pemeriksaan adalah:
A. Finkelestein
B. Tinnel
C. Distraksi
D. Lhermite
E. Test Adson
56. Pernyataan-pernyataan dibawah ini adalah benar untuk nyeri pinggang miofatik
adalah KECUALI
A. Akibat trauma pada otot, fasia, dan ligamentum
B. Nyeri timbul mendadak sehubungan dengan gerakan yang dilakukan
C. Rasa nyeri terlokalisir
D. Pemeriksaan radiologik normal
E. Bedrest selama 48 jam dapat memberikan perbaikan
58. Pilocarpine is
A. A midriatic drug
B. Sweat glands are resistance to this drug
C. Casuases diaphoresis in man
D. Acts on muscarinic receptors (M2)
59. Epinephrine is
A. A drug acts only on a receptor
B. Peak plasma more than 8 hours
C. Passes into breast milk
D. The most potent vasodilation drug
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62. Betaxolol is
A. Non selective, beta 1 and beta 2 blocker
B. Side effects on cardiovascular may resemble timolol
C. Better toleralet than timolol in asthma patients
D. Soluble in alcohol
63. This drug can caused masked symptoms of hypoglycermia in insulin dependent
Diabetes:
A. Timolol
B. Epinephrine
C. Pilocarpine
D. Carbonic Anhydrase Inhibitor
65. Where constriction is undesirable such as acute uveitis and iritis ; this drug could not
Given (or contraindicated)”
A. Levobunolol
B. Acetylcholine Chlorida
C. Pilocarpine
D. Latanoprost
66. This drug can cause salicylate intoxication in patients receiving aspirin:
A. Carbonic Anhydrase Inhibitor
B. Latonorprost
C. Timolol
D. phenyoin
67. Capablity of adding the refraction power of the eye, by Increasing the convexity of the
lens…….
A. Accomodation process
B. Emmetropia
C. Preshiopia
D. Transposition
68. What is the condition when the pararell rays focused exactly on the retina of the eye in relax
condition ? The visual acuity is maximum :
A. Emmetropia
B. Ametropia
C. Astigmatisme
D. Anisometropia
69. Refractive condition in which, with accommodation compelety relaxed , parallel rays are
brought to focus in front of the retina :
A. Anisokonia
B. Myopia
C. Astigmatism
D. Hypermetropia
70. Refractive condition of the eye in which there is a difference in degree of refraction in different
meridian , and each will focused pararel rays a different poin. The shape of the images : line ,
oval , never a point.
A. hypermetropia
B. myopia
C. Astigmatisme
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D. Presbiopia
71. Mr.Alex 43 years old , has problem for near working this condition called presbiopia. The
power of glasses are :
A. S + 1.00 D
B. S + 2.00 D
C. S + 1.25 D
D. S + 2.50 D
[72 – 76]
Lens is a transparent, avascular, biconvex structure with a 4 mm thickness and a diameter of 9
mm . It lies between the aqueous humor and the vitreous humor
IN THE FOLLOWING QUESTIONS ALL THE STATEMENTS ARE TRUE, EXCEPT ONE.
IDENTIFY THE INCORRECT STATEMENT:
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79. In the differential diagnosis of herpes simplex, the following are important:
A. Type of lesion
B. Corneal sensitivity
C. History of previous skin lesion
D. Purulent discharge
81. Episcleritis;
A. Is an inflammation of the episcleral tissue
B. Does not affect the visual acuity
C. Resolves spontaneously
D. All of the above
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D. Contra lateral eyelids retraction
90. Which one is not of the following disease can given lagopthalmos ?:
A. Morbus hansen
B. Bell’s palsy
C. Grave’s ophthalmopathy
D. Ectropion involutional
91. A focal chronic inflamation of the meibomian gland, with the recurrent must be differential diagnose as :
A. Lentigo melanoma
B. Sebaceous cell carcinoma
C. Xantalesma
D. Dermolipoma
93. Which one of the instrument not be used to evaluate of poag (primer open angle glaucoma) ?
A. Tonometri schiotz
B. Ophthalmoscopy direk
C. Perimetri
D. Slit lamp biomicroscopy
94. A woman 45 year old has iop 38,5 mmhg, with hypertension since 15 years. What the
diagnose it possible :
A. Primer open angle galucoma
B. Central serous retinopathy
C. Age related macular degeneration
D. Ablatio haemoragic
95. A child was bringht by her parent to eye clinic with complaint epifora and fotofobia, the diameter cornea was
16 mm what the diagnose from this child ?
A. Cataract kongenital
B. Peter’s anomaly
C. Congenital glaucoma
D. Syndrome marfan
96. From the question above, what is the treatment must be done ?
A. Lensectomy anterior
B. Anterior capsulotomy
C. Fixation iol secundary
D. Trabeculotomy
97. Which one of the drugs can give effect contraction of longitudinal ciliary muscle ?
A. Timolol maleat 0,5%
B. Asetazolamide 250 mg
C. Latanoprost 0.005%
D. Pilocarpin 2%
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98. The centrocecal scotoma is not a spesific and common sign of optic nerve, which the following of
disease ? :
A. Infiltrative
B. Demyelination
C. Infiltrative
D. Decompressive
99. A young men, came to eye clinic with complain decrease of vision, and metamorfosia, self
limited, what is the diagnose from this patient?
A. Edema macula
B. Central serous retinopathy
C. Degeneration of macula
D. Retinitis pigmentosa
100. From funduscopy: the retinal around the equator found “bone corpuscle”, what is the
diagnose ?
A. Retinitis rubella
B. Retinitis luetika
C. Retinitis pigmentosa
D. Retinitis toxoplasmosis.
101. If night a child look like cat eye’s, at right eye since birth, what is not the differential diagnose
from the child ?
A. Retinoblastoma
B. Phpv
C. Cataract kongenital
D. Retinopathy of prematurity
102. The grading of hypertensive retinopathy with swelling of the dics it clasification ?
A. Grade 1
B. Grade 2
C. Garde 3
D. Grade 4
106. A man 35 year old complain bilateral central vision, with red grenn dyscromatopsia,
From funduscopy found: low grade optic neuritis + circumpapilary telangiectasia, and will
spontaneous improvement, what the diagnose ?
A. Optic neuritis
B. Lhon
C. Dominant optic atrophy
D. Behr optic atrophy
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107. part of the retina wich form the barier between ’choriocapillaris’ and ’neurosensory retina’ is :
A. Membran bruch’s
B. Sel ganglion
C. Rpe.
D. Inner plexiform layer
108. All folowing are signs of the severe retinopati diabetik, except
A. intra retina haemorrage at 4 quadran
B. venous dilatation at 2 quadran
C. Intraretinal micro vascular abnormalities at 1 quadran
D. Cotton wool spot
109. The following abnormalities as risk factors for the development of brvo:
A. History of systemic arterial hypertension
B. Cardiovascular desease
C. Increased body mass index at 20 years of age
D. History of glaucoma
112. Histologic investigation showed a flat epidermis and a distinct, narrow and cell-free
subepidermal area, Below this area the markedly thickened dermis was obliterated by closely set,
elongated dense aggregates of foamy macrogafes. There were a sparse number of diffusely spread
lymphocyte,but no giant cells.The most likely diagnosis is
A. Cutaneus tuberculosis
B. Yuberculoid leprosy
C. Lepromatous leprosy
D. Reactional leprosy
113. The tumor are composed of dense masses of small round cells with hyperchromatic nuclei and
scanty cytoplasm. Trabecular and nesting formations are cammon. A sign of differentiation
toward retinal structures is provided by the presence of so-called “Flexner-Wintersteiner rosettes
and fluorettes. The most likely diagnosis is :
A. Retinoblastoma
B. Pterygium
C. Chalazion
D. Cataract
114. Microscopic picture composed of multiple foci of granulomatous inflammation.In the center of
many of the focal granulomas there Is a small globul of fat. The most likely diagnosis is:
A. Retionblastoma
B. Pterygium
C. Chalazion
D. Cataract
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C. 11q13
D. 14q13
116. Macrophages with abundant foamy or vacuolated cytoplasm, they resamble xanthoma calls and,
on staining with fat stain in lepromatous leprosy, the cells are :
A. Xanthoma calls.
B. Epitheloid cells.
C. Histiocyte calls.
D. Virchow cells.
117. Sediaan obat mata tertentu disyaratkan isotonis atau hampir isotonis dengan diatur pada
penurunan titik beku yang sama dibandingkan air murni. Sediaan obat mata yang harus
memenuhi syarat isotonis adalah :
A. Oculoguttae
B. Oculenta
C. Collyria
D. Inserte
118. Atropin, skopolamin dan fenilefrin adalah bahan obat yang digunakan pada sediaan obat mata
sebagai :
A. Penyempit pupil
B. Pendilatasi pupil
C. Menghambat radang
D. Anestesi local
119. Salah satu syarat obat mata adalah isotonis. Obat tetes mata dengan bahan berkhasiat atropin
sulfat 1% (penurunan titik beku air atropin sulfat =0,136 dan penurunan titik beku air natrium
klorida sebagai pengisotoni = 0,576) bersifat :
A. Hipertonis
B. Hipotonis
C. Isotonis
D. Isotonis bila ditambah NaCl = 0,75 gram/100 ml
120. Sediaan oculoguttae dan collyria harus memenuhi persyaratan sterilitas. Adanya
mikroorganisme dalam larutan mata bila sediaan obat mata tidak dalam keadaan steril,
misalnya adanya bakteri Pseudomonas aeruginosa menyebabkan :
A. Kerusakan kolagen kornea
B. Infeksi pada kornea
C. Peradangan pada mata
D. Penyempitan pupil
121. Dasar salap yang bersifat hidrofil, dapat digunakan pada bagian tubuh yang berambut, sifat
dermatologisnya cocok untuk seboroiker, tidak merangsang, memiliki kemampuan lekat dan
distribusi yang baik pada kulit adalah :
A. Gel hidrokarbon
B. Lipogel
C. Hidrogel
D. Gel polietilenglikol
122. Faktor-faktor yang mempengaruhi pengambilan bahan obat dari suatu sediaan obat ke dalam
kulit berdasarkan sifat dan pengaruh sediaan obat antara lain adalah :
A. Konsentrasi bahan obat
B. Daya disosiasi
C. Penyebaran kulit
D. Ukuran partikel bahan obat
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123. Tingkat kedalam kerja dari sediaan obat dermatologis bergantung pada bentuk sediaan. Bentuk
sediaan obat yang mempunyai tingkat kedalaman kerja paling besar adalah :
A. Serbuk
B. Lotio
C. Larutan
D. Perban oklusif
124. Salap pelindung cahaya dengan kerja melindungi kerusakan kulit akibat cahaya matahari, akan
bekerja optimal dengan menggunakan dasar salap :
A. Adeps lanae
B. Vaselin album
C. Vaselin flavum
D. Asam stearat
125. Lotio sengoksid bekerja mengeringkan, menghambat peradangan dan adstringen lemah,
mempunyai komposisi dasar :
A. sengoksid, talk dan campuran gliserol-air
B. sengoksid, pati dan campuran gliserol-air
C. sengoksid, bolus alba dan campuran gliserol-air
D. sengoksid, kalamin dan campuran gliserol-air
128. Which of the following statements about the cornea is NOT true?
A. It is the anterior transparent portion of the sclera
B. It is composed of five layers
C. It represents the anterior portion of the tunica vasculosa
D. It is rich in nerve endings
129. The bony ossicles of the middle ear cavity are arranged in a series bridging the tympanic cavity
beginning at the tympanic membrane and ending at the
A. Endolymphatic duct
B. Round window
C. Helicotrema
D. Oval window
130. Which of the following statements concerning the membranous labyrinth in NOT true?
A. It contains perilymph
B. It includes the saccule
C. It is housed with in the bony labyrinth
D. It includes the utricle
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