Wednesday, March 16, 2005

SOAL MID BEDAH 6 April 2004

UJIAN TENGAH SEMESTER
MATA KULIAH ILMU BEDAH
FAKULTAS KEDOKTERAN UNIVERSITAS GADJAH MADA
Selasa, 6 April 2004, pukul 09.30 – 10.30

1. Luka operasi baik berarti :
a. efektif, ditutupi primer, tidak didrain
b. tidak melibatkan traktus respiratorius, gastrointestinalis atau orofaringeal
c. bukan luka traumatic, tidak terinfeksi
d. semua jawaban di atas benar
e. semua jawaban di atas salah

2. Usaha mempertahankan obat & perleng kapan bedah dalam keadaan suci hama :
a. Sepsis
b. Asepsis
c. Antisepsis
d. Sterilisasi
e. Desinfeksi

3. Infeksi Nasokomial
a. Infeksi pasien yang didapat di RS
b. Sebagai komplikasi operatif
c. Sebagai komplikasi perawatan di RS
d. semua jawaban di atas benar
e. semua jawaban di atas salah

4. Faktor yang mempengaruhi infeksi adalah
a. Umur
b. Malnutrisi
c. Kegemukan
d. berat badan
e. penyakit kronis

5. Prinsip pemberian anestesi profilaksi, KECUALI
a. antibiotik dengan toksisitas rendah
b. diberikan dosis tunggal, 24 jam sebelum operasi
c. diberikan lagi bila operasi > 4 jam
d. antibiotik spectrum luas
e. diberikan lagi bila lama operasi 2x halflife AB

6. Pengaruh anestesi local tergantung dari, KECUALI
a. daerah yang dianestesi
b. perfusi darah yang difiltrasi
c. temperature
d. serta aferen simpatis
e. BSSJD

7. Perlu dipertimbangkan dalam memberikan obat anestesi local, KECUALI
a. riwayat alergi
b. jumlah obat yang dibutuhkan
c. lama kerja obat
d.,dosis maksimal
e. harga obat

8. Sifat Lignokain, KECUALI
a. waktu kerja cepat
b. pemberian adrenalin memperlambat penyerapan
c. dosis maksimal dewasa sehat 3 mg/KgBB
d. dosis dikurangi pada penderita debil
e. BSSJD

9. Tujuan penanganan nutrisi pra-bedah, KECUALI
a. memperbaiki fungsi organ
b. menurunkan morbiditas dan mortalitas
c. membantu proses pemulihan / recovery
d. …….pernafasan asidosis
e. memperbaiki fungsi Cardiovascular

10. Kebutuhan dasar cairan untuk dewasa normal BB 60 kg :
a. 1200 cc
b. 1700 cc
c. 1800 – 3000 cc
d. > 3000 cc
e. 1200 – 1800 cc

11. Factor penentu intensitas pemeriksaan organ vital pada persiapan operasi, KECUALI
a. Usia
b. beratnya operasi
c. ketrampilan operator/ahli bedah
d. lamanya operasi
e. jenis tindakan operasi

12. Pemberian nutrisi terbaik pada penderita malnutrisi
a. Parenteral
b. Enteral
c. vena sentral
d. kombinasi
e. BSSJD

13. Pemeriksaan organ vital yang diperlukan pada persiapan operasi ringan seperti appendektomi adalah :
a. jantung – paru
b. ginjal
c. otak
d. hati
e. semua jawaban di atas benar

14. Tanda obstruksi usus pada neonatus dan anak
a. Nyeri
b. Obstipasi
c. muntah
d. kembung
e. semua jawaban di atas benar
15.Perbedaan obstruksi tinggi dan rendah
a. pada obstruksi tinggi : kembung dulu
b. pada obstruksi rendah : nyeri dulu
c. pada obstruksi rendah : kembung dulu
d. pada obstruksi tinggi : muntah dulu
e. salah semua

16. Ileus mekanis, KECUALI
a. hernia inkarserata
b. volvulus
c. atresia ileum
d. hirschprung disease
e. BSSJD

17. Tindakan pertama pada atresia ani
a. resusitasi cairan
b. pasang NGT
c. resusitasi elektrolit
d. puasa
e. semua jawaban di atas benar

18. Volume darah pada neonatus dg BB 3 Kg
a. 240 cc
b. 300 cc .
c. 150 cc
d. 600 cc
e. semua jawaban di atas benar

19. Bayi muntah jernih dan apa yang telah diminum. Kemungkinan terjadi obstruksi di :
a. rectum
b. colon tranversum
c. ileum
d. pylorus
e. BSSJD

20. Bayi umur 8 bulan dengan muntah, kembung, tidak bisa BAB. Kesakitan sebelumnya didahului diare lendir darah. Kemungkinan diagnosis :
a. Hirschprung disease
b. Colitis
c. Crown disease
d. Invaginasi
e. BSSJD

21. Kebutuhan cairan neonatus BB 3,5 kg
a. 350 cc / hari
b. 700 cc / hari
c. 1000 cc / hari
d. 1500 cc / hari
e. BSSJD

22. Operasi definitif Hirschprung disease
a. soave prosedur
b. duhamel prosedur
c. Swenson prosedur
d. bohel prosedur
e. semua jawaban di atas benar

23. Operasi definitif untuk atresia ani
a. PSARP
b. Swenson prosedur
c. …
d. Duhamel prosedur
e. BSSJD

24. Akut abdomen pada anak termasuk
a. peritonitis
b. obstruksi usus
c. perdarahan
d. stranggulasi
e. Benar semua

25. Muntah berwarna hijau terdapat pada
a. obstruksi letak tinggi
b. obstruksi letak rendah
c. obstruksi letak sedang
d. peritonitis
e. BSSJD

26. Pada hernia scrotalis incarcerata dapat dijumpai
a. benjolan pada scrotum
b. rasa nyeri
c. muntah
d. kembung
e. semua jawaban di atas benar

27. Penanganan pertama pada Megacolon congenital adalah
a. pasang dental tube
b. pasang NGT
c. pasang infuse
d. antibiotic
e. BSSJD

28. Kista dengan konsistensi lunak, tumbuh besar dan lambat di subcutan, terletak di lateral kening, klinis seperti :
a. Branchiogenik cyst
b. Thyroiglossus cyst
c. Dermoid cyst
d. Hygroma cyst
e. Sebaceous cyst

29.…..

30. Masa / tumor bulat di linea mediana leher, antara dagu dan kartilago thyroid :
a. Ranula
b. kista duktus tiroglosus
c. kista brankiogenik
d. epulis
e. kista sebaceus

31. Abses pada dasar mulut atau leher yang merupakan gawat darurat perlu ditangani segera, karena :
a. resiko obstruksi jalan nafas
b. demam tinggi
c. resistensi bakteri terhadap antibiotic
d. disfagia karena dehidrasi
e. rasa sakit

32. Factor resiko terjadinya keganasan leher kepala, KECUALI
a. Merokok
b. Radiasi
c. Alcohol
d. minum air non-fluoridated
e. malnutrisi

33. Tindakan terpilih atas adenoma pleomorphi kelenjar parotis
a. mengangkat tumor dengan jaringan normal, dan menyelamatkan n.7
b. parotidektomi total, n.VII terangkat
c. radiotherapy
d. enucleasi & radiotherapy
e. parotidektomi & radiotherapy

34. Ulkus lidah lateral kanan 2/3 anterior, penyebaran ke :
a. lnn. Submandibula kanan
b. lnn. Submandibula kiri
c. cervical profunda kanan
d. cervical profunda kiri
e. supraclavicula

35. Tumor benigna paling sering kelenjar Parotis
a. mixed tumor
b. warthin’s tumor
c. adenoma oxyphil
d. hemangioma
e. limfangioma

36. Pada ginjal terdapat calyx sebanyak
a. 1-2
b. 10-12
c. 20-22
d. 30-32
e. 40-42

37. Pada ginjal normal, terbentuk urin/24 jam sebanyak
a. 2,5 ltr
b. 25 ltr
c. 75 ltr
d. 100 ltr
e. 150 ltr

38. Pada ginjal normal, posisi Pelvis renis
a. dekat pool superior
b. dekat pool inferior
c. di posterior arteri / vena renalis
d. di anterior arteri / vena renalis
e. BSSJD

39. Retensio urinae diakibatkan oleh
a. stenosis meatus
b. stricture uretra
c. uretrolitiasis
d. BPH
e. semua benar

40. Pada rupture uretra anterior dapat terjadi
a. Alguria
b. perdarahan uretra
c. retensio urinae
d. ekstravasasi urin
e. semua benar
41. Hematuria dpat dijumpai pada
a. honey moon cystitis
b. carcinoma vesica urinaria
c. nephrolithiasis
d. tumor Grawitz
e. ABCD benar

42. Pada sistografi dapat
a. mendiagnosa vesikolithiasis radio luscent
b. mendiagnosa BPH
c. mendiagnosa divertikel vesika urinaria
d. mendiagnosa tumor vesika urinaria
e. ABCD benar

43. Pada BNO dapat
a. mendiagnosa tumor Grawitz
b. mendiagnosa tumor prostate
c. mendiagnosa tumor Wilm
d. mendiagnosa urolithiasis radio luscent
e. ABCD salah

44. Warna urine keruh dapat diartikan
1. sedimenturia
2. chyluria
3. pyuria
4. dysuria

45. Pada vistel vesiko rectalis dapat dijumpai
1. pneumaturia
2. hematuria
3. fecaluria
4. spermaturia

46. Pada Horse Shoe Kidney :
1. letak ginjal di cavum pelvis
2. mudah terbentuk tumor ginjal
3. posisi pyelum di bagian posterior
4. mudah terbentuk batu ginjal

47. Pada micturition cysto uretrografi
1. vesika urinaria diisi kontras 200 cc
2. pemotretan saat penderita miksi
3. dapat dijumpai divertikel vesika urinaria
4. dapat dijumpai reflux vesika ureteralis

Cocokanlah!
A. Ektopic Kidney
B. Ektopik ureter
C. Ektopik testis
D. Horse Shoe Kidney
E. Double Ureter tak sempurna

48. Yo yo phenomenon
49. Inkontinentia Urinae
50. Isthmus

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