COMPREHENSIVE PART 1
1.common test use for pregnanacy
2.most suitable statement for IVF
Answer: fertilization occur in tetube
3.a 38 years old women is alredy 5 years married. She go to aster clinic in hasan sadikin hospital to take part in assisted reproductive technology (ART) programmed
What is the best way to prepare her?
a.to give her information about her medical condition
b.to tell her about pregnanacy, on going and take home baby rate
c.to tell her about therapeutican diasnostic procedure she has to endure
d.to tell her all information she needed to change her apearence
e.not to give her copius hope
4.when the doctor in charge tell her that there is possibility to failure it is mean that he is trying to tell her
a.the limitation of medical capability (CURE)
b.he is beneficience
c.he is trying to prevent non maleficience
d.to prepare herself from emotional disapurintment
e.he is respecting her right aoyonomy
5.the patient is 38 years old women. Ths the success rate for the ART is low. So what is the best way to treat her?
a.cure first, care later
b.care first, cure later
c.cure and care simultaneously
d.cure and care simultaneously equally
e.cure and care ,care is the major
6.which is the bioethical issue in ART ?
d.at the end of the programmed
e.at every stage of ART
7.child in cianjur and banten are suffered from malnutrition. The children in cianjur have plump appearance with swollen abdomen cause dby accumulation in the cavity abdomen. The distention of the fluid in the abdominal cavity can press direct to what part of the abdominal wall?
8.what is the mostly cause of plump appearace in cianjur children?
a.low carbohydrate level
b.low fat level
c.low protein level
d.low albumin level
e.low mineral level
9.cianjur children experience hypoalbinemia. What method used to separate albmin from protein blood?
b.polymerase chain reaction
10.the substance can be measdured based on principal tah t concentration of substance is directly proportional of the amount of light absorbanced or inversely proportional to the logarithm of transmited light. The principal is
b.enderson haselbarch law
c.beer lambert law
11. protein build up from amino acid in example albumin. What bond between one of amino acid to answer amino acid?
Answer: peptide bind
12.one function of protein is control chemical reaction. The protein is called
13.if ana essential amino acis to make protein is unavailable, what must the cell do?
a.substitute the similar amino acid
b.break down the dietary protein to obtain it
c.syntesize amino acid from fat
d.detrmine another protein
e.syntesize the maino acid from gucose and nitrogen
14.which of the following is the important of protein reference
a.calculate % energy malnutrition
b. calculate assess protein-energy malnutrition
c.determine protein quality
d.estimate weight of protein in food
e.quantity energy in food
15.if children digest protein in stomach, HCl?
Answer: denatures protein and activate pepsin
16.pathophysiology of edema
Answer: increase hydrostatic preasure
17.high glicemic index means
a.high fat contain
b.high protein contain
d.high fiber contain
e.more solid form
18.banten children from marasmus. What is the possible cause?
a.mega dose intake of amino acid supplement
b.axcessive fluid intake cause edema
c.imbalance trace mineral intake
d,inadequate protein and energy intake
e.too much clogging thchildern are verye liver
19.in prolonged starvation, which of the following will be used to replace gucose for brain?
20.about clark’s formula
21.childern are very emicated and prone to invection. They are given drugs (medication) as a treatment . appropriate drug dosage for the children
a.small dosage,more frequent,longer duration
b.high dosage,more frequent,short duration
c.small dosage,less frequent,longer duration
d.high dosage,less frequent,shorter duration
e.small dosage, more frequent,shorter duration
22.apart from famine, malnutrition can also be caused by parasite. Parasite that most possible for children caused by intestinal nematode
23.accurate method for parasite (nematode) that can cause malnutrition
a.sucking the intestine blood
b.ingestion of lyses tissue and blood
c.feeding on intestinal content
d.ingestion of nourishment from body to fluid
e.penetration of blood vesscels and digestion of blood
24.who discover vitamin B1?
27.how many is the prevalence of famine in west jawa?
28.what is the enviorment factor?
(29-40)Senior researcher was admitted to the hospital because of epigastric pain and vomit.
29.he vomit a large number of gastric contents. What cranial nerve form afferent limbs of vomit reflex?
30.statment most appropriate of development of stomach
a.orogin is mesoderm
b.forms by dilatation of fore gut
c.initial shape is oval
d.ventral part grows faster than dorsal part
e.rotate 45 degree
31.galactose is epimer of glucose. How many chiral carbon atom in its epimer?
32.most appropriate mechanism of antacid
a.it is incorporated to specific target
b.interact with enzyme
c.depens on non-spesific chemical reaction
d.bound to protei in stomach wall
33.ulcer and many other complains. Which factor decrease absorbtion of drug?
e.upper left abdominal pain
34.patient regularly consume multivitamin and mineral. What is pharmaceutical characteristic of vitamin?
b.sold based on prescription
e.without caution level
37.mineral best for antioxidant
38.which mineral enhance insulin activity
39.most potential in inalignancy
40.diarrhea increase osmolarity in intestinal lumen
a.water shift to intestinal lumen
b.amino acid > absorb
c.glucose > absorb
d.lipid > absorb
e.intestinal cell swollen
41 sth 2 do with strongyloides stercoralis
Cause of epigastric pain is
45.appropriate anatomical position
a.upper limb by the sid with dorsal facing aneriorly
b.lower limbs together with feet directed anteriorly
c.head direct lateral
d.eye direct laterally
e.toes direct laterally
46.which of the following reflect that measurement of height and weight
a.fat fold measurement
b.waist to hp ratio
e.mid arm circumference
53.what is the best parameter to calculate the glucose level
54.blood glucose = 126(90-110).term for this condition?
57.one of the test perform for Mr. Obelix for calculation blood glucose concentration. What will produce if the method is oxidase peroxidase?
58.what new method to detect diabetes mellitus?
b.gucose tolerance test
c.2pp blood glucose
d.random blood glucose
e.fasting blood glucose
59.Mr. Obelix having high calories food and pastries. What pharmacokinetics process influence by this food?
60.Mr. Obelix using obese drug. Which appropriate drug dosage for him?
b.adjustment dose , less frequent
61.which drug will decrase the body weight?
62.differentiate between glucose and galactose etructure on position
a. chiral arbon
b.a carbon atmo
65.what core structure of maino acid?
a.maine group,acid group and side chain in C after amino group
b.amine group,acid group and side chain in C after acid group
c.amine group,acid group and side chain in C
e.amine and acid group
66.which important to support membrane and can move readily flip flop from one leaflet to adjacent one?
67.determinant important in developing obesity among adult except?
a.high socioeconomic status
b.lack of exercise
c.low fat diet
d.low vegetable intake
e.low fruit fiber
68.programme conduct to cope this problem?
d.regular intaegrated post
71.main function of blood cells in thalassemia?
c.stop excessive bleeding
72.thalassemia affect blood cells. Term of this production
73.examinaton that doctor needs to find out what type of tata’s anemia?
a.erythrocyte sedimentation rate
b.red ceel distribution rate
c.mean platelet volume
d.red cell indices
e.mean corpuscular volume
74.MCV = 58 fc, MCV =22 pg. MCHC = 27 g/dl
What type of tata’s anemia?
81.trnsmission of parasites can occur through blood transfusion
82.stool examination used saline wet mount, we can fount egg worn oval shaped with thin shelled egg and have 8 cell stage, clear space between cell and developing embrio. How its can cause anemia?
c.suck blood and nutrient
e.suck blood and absorb coblamane
85.suitable for chromosome analysis?
a.chromosome length divide into A,B,C,D,E,F,G
b. chromosome position is not important for classification
c.denver classification for standard classification
d.chromosome X equal to B group
e.normal chromosome number is 47
86.from genetic screening both parent are correct for beta-thalassemia with type IVS 5. Tata has mutation in beta globin chain with hohmzygote form of IVS 1 not 5. From which organelle we get material for DNA analysis
87.how many percentage genetic factor influence health?
88.to prevent genetic desease, we can conduct
c.personal lab exame
d.enforcment couple before married to examine health
pregnant mother 150
maternal death 4
fetal death between 28 week pregnancy & 1 week after delivery
neonatal death 10
infant death 40
89.post natal moratlity rate (per 1000)
Maternal moratlity rate (per 1000)
91.innervation of sweat gland?
92.other NSAID which have at least anti-infalmatory but antipyretic?
93.which of the following is the effect of the drug that kill plasmodia?
94.anemia in malaria ais due to destruction of the membrane plasma of RBC, which of the following lipid is structural component of cell membrane?
95.body response to microbal infection by producing antibody.i.e.IgG, what is the group to this protein antibody?
96.which of the following microorganism is the cause of malaria
Answer: protozoa (plasmodium)
97.most of the lifa cycle of the causing agent in this disease (not sure, maybe malaria)
a.man is definitve host
b.all mosquito is the definitive host
c.culex is intermediate host
d.female anopheles is definitive host
98.in the life cycle of malaria’s causing agent, we can found some stage . what is the infective stage of this agent?
99.maria have fever, sweat and chills and 3 days abrupt of infection. What is the type of the transmission?
100.according to maria’s symptom, she is diagnosed as malignant tertian malaria. Which of the following is correct about causing agent?
a.causing agent always infect to young red cell
b.red cell infected only by 1 species causing agent
c.causing agent always infected the older red cell
d.transmission only by the insect bite
e.causing agent infect the young and older red cell
101.which is correct related to the ojective of eradication and control of arthropod vector
a.anhilate all dangerous insect
b.increase vector population
c.minimize contact between vector and man
d.eradicate the vector borne disease
e.eradicate all vectors
102.the life cycle of the following parasite pass through blood sirkulation. Which parasite, that mthod of microscopic diagnocsis can be made with thin blood smear with giemsa stain?
103.in the inflammatory response, there are several process include
2.neutrophil with combining actin-intracellular attachmentprotein transmembrane integrin bind to selectin in endothelial cell
3.the complex of chemokin-chemokin receptor leads to the expression of endoCAM
4.chemokine is secreted by macrophage bind the chemokine receptor on the endothelial surface
5.lamellipodium is formed in diapedes
104.about reticular fiber.
105.malaria in Indonesia is hard to eradicate. What is other desease that is in similar condition?
106.further physical examination on malaria revealed liver and spleen slightly enlarge. Which explanation suitable to liver development?
b.no related to development of digestive track
c.formed initially as liver bud
d.origin – mesoderm layer
e.outgrow – dorsal part of duodenum
107.the animal somatic cell is proliferation my cell mitosis. In what phase in the chromatin condense into chromatin condense into chromosome?
108.explain the meiotic division…..
a.meiosis consist of 1 round step
b.meiosis is somatic cell division
c.mitosis consist of 2 round step
d.crossing over occurs during meiosis division
e.the result is 2 haploid daughter cells
111.scale for blood preasure is…..
112.the characteristic of patient ie.income per month
113.to know the effect to the outcome (recovered/not recovered) dependent variable is…..
117.chromosome gain material, called?
118.steps appropriate – development of ovum /oocyte?
a.primordial germ cells produced in ovary
b.primordial germ cells differentate into oogonia
c.oogonia will become primary follicle
d.graafian follicle become follicle
e.primary follicle become primary follicle
121.explain which appropriate for development of sperm?
a.maturation of sperm begins at puberty
b.spermatogenesis begins with formation of spermatids
c.2 types of spermatogonia – small and large
d.spermatogonia undergo mitosis to form 1 spermatocyte
e.sperm is diploid
124.what is appropriate statement for fertilization?
a.oocyte is ovulated tu uterine
b.occur in ampulary region
c.more than one sperm enter the oocyte
d.sperm penetrate zone pellucid
e.fusion of oocyte and sperm forming zone
128.cytoskeleton that can help in sperm motility??
131.which metabolic change in cellular aging??
a.increase mitochondria oxidatoion
b.increase protein synthesis
c.increase cell receptor
e.oxidative peroxidative of erganells
135.epidural hematoma is due to rupture of middle menigeal artery which is branch from what artery?
136.fracture of 1/3 distal of right clavicle elevates medial fragment of fracture due to contain to condition of……..muscle
Kamis, 17 Januari 2008
COMPREHENSIVE PART 1
Diposkan oleh superstar2007 di 06.37