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  • 8/13/2019 MCQ IT Blok 7 2008 remedial (2).doc

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    FAKULTAS KEDOKTERAN

    UNIVERSITAS SRIWIJAYA

    REMEDIAL MCQ AGUSTUS 2008

    1. The disease based on Type II Hypersensitivity HIPERSENSITIVITAS

    A. UrticariaB. ran!"o#a

    $. ITP

    %. &yasthenia ravis

    '. The disease based on Type III Hypersensitivity

    A. S(EB. ITP

    $. Anaphy"a)is Shoc*

    %. Ane#ia Perniciosa

    +. The disease based on Type IV Hypersensitivity

    A. Atopic %er#atitis

    B. rave,s %isease$. ood Paste!r Syndro#e

    %. Type I %iabetes &e""it!s

    -. I##!no"ob!"ine invo"ved in Type I Hypersensitivity reaction

    A. IE

    B. I&

    $. I%. IA

    /. I##!no"ob!"ine invo"ved in A!toi##!ne He#o"ytic Ane#ia A. I and I&

    B. IA

    $. IE%. I%

    0. Ear"y phase o Type I Hypesensitivity occ!rred A. (ess than ' ho!rs

    B. ' 2 '- ho!rs

    $. -3 ho!rs

    %. &ore than 0 days

    4. The pathoenesis o Post Streptococca" "o#er!"onephritis

    A. %eposits o i##!ne co#p"e) on the "o#er!"ar basa" #e#braneB. %irect inection o Streptococc!s

    $. IA invo"ved this disease

    %. Type IV Hypersensitivity

    3. Preor#ed #ediator in the ran!"es o #ast ce""

    A. (e!cotrien

    B. Hista#ine$. Thro#bo)anes

    %. Prosta"andine

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    5!estion No. 6

    A 7o#an8 '1 years o"d8 co#e to the hospita" 7ith the co#p"ain o redness on the ace8 especia""y ater

    contact 7ith the s!n rays8 she a"so have arthra"ia on the *nee and iner8 and ora" !"cer. (aboratory

    indins revea"9 Hb 48: #;d"8 "e!*ocyte +:::;##+8 thro#bocyte 0/:::;##+8 protein!ria 8 anti ds %NA

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    13. A /6 year o"d #an s!er a #assive heart attac* and e)pires '- ho!rs "ater d!e to ventric!"ar

    arrhyth#ia. Histo"oy e)a#ination o the eected heart #!sc"e at a!topsy 7o!"d sho7 an

    ab!ndance o 7hich o the o""o7in in"a##atory ce""s

    A. ibrob"astB. (y#phocytes

    $. &acrophaes

    %. Ne!trophi"

    16. Hea"in process o the h!#an body is dependin on type o the ce"" 7ho,s ettin inC!ry. Rapid"y

    reeneration ce""s are A. Stab"es ce""s

    B. (abi"e ce""s

    $. Per#anent ce""s%. Ne!rons

    ':. A '/ year o"d 7o#an deve"ops a sore8 red8 hot8 s7o""en "et *nee. She has no history o tra!#a

    and no a#i"ia" history o Coint disease. "!id aspirated ro# the Coint space sho7s an ab!ndanceo se#ented ne!trophi"s. Transendothe"ia" #iration o ac!te in"a##atory ce""s into the

    patient,s Coint space 7as #ediated pri#ari"y by 7hich o the o""o7in a#i"ies o proteins

    A. EntactinsB. ibronectins

    $. Interins

    %. ibri""ins

    '1. A - year o"d boy a"" on a r!sty nai" and p!nct!res is s*in. The 7o!nd is c"eaned and covered

    7ith steri"e a!De. hich o o""o7in is the initia" event in the hea"in process

    A. or#ation o a ibrin c"otB. Acc!#!"ation o ac!te in"a##atory ce""s

    $. %eposition o proteoycans and co""aen

    %. %ierentiation and i##iration o #yoibrob"asts

    ''. A -1 year o"d 7o#an co#p"ains o e)cessive #enstr!a" b"eedin and pe"vic pain o - #onths ind!ration. She !ses an intraiterin device =IU%> or contraception. Endo#etria" biopsy sho7s an

    e)cess o p"as#a ce""s and #acrophaes 7ithin the !terine stro#a and scattered "y#phoid

    o""ic"es. The presence o these ce""s 7ithin the stro#a and scaterred "y#phoid o""ic"es. The

    presence o these ce""s 7ithin the stro#a is evidence o 7hich o the o""o7in conditions A. Ac!te in"a##ation

    B. $hronic in"a##ation

    $. ran!"ation tiss!e%. ran!"o#ato!s in"a##ations

    '+. The ac!te phase response consist o severa" c"inica" sin "i*es ever8 atiF!e8 anore)ia8 atc. A veryi#portant #ediator o the syste#ic eects in"a##ation is

    A. a##a intereron

    B. Inter"e!*in'

    $. Inter"e!*in1%. Beta t!#or necrosis actor

    '-. %!rin ear"y in"a#ation o""o7in #arination o "e!*ocytes8 an i#portant adhesive s!raceprotein on "e!*ocytes is

    A. $o#p"e#ent actor /a =$/a>

    B. Endothe"ia" "e!*ocyte adhesion #o"ec!"e =E(A&1>$. T!#or necrosis actor =TNT>

    %. (e!*ocyte !nction antient1 =(A1>

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    '/. The ce""s o the body are divided into + ro!psG "abi"e ce""s8 stab"e ce""s8 per#anent ce""s8 7here

    are the stab"e ce""s have on"y "o7 "eve" rep"icate capacity. hich one the o""o7in e)a#p"es are

    stab"e ce""s

    A. Hepatocytes and endothe"ia"B. Hepatocytes and he#atopoietic ce""s

    $. (ens and ne!rons ce""s

    %. &!cosa" and endocrine ce""s

    '0. A +: year o"d ire ihter s!ers e)tensive third deree b!rn over his ar# and hands. This

    patients is at hih ris* or deve"opin 7hich o o""o7in co#p"ication o 7o!nd hea"in A. %ehiscence

    B. $ontract!re

    $. @e"oid%. Tra!#atic ne!ro#a

    '4. The basic processes o hea"in have + *ey ce""!"ar #echanis#G ce"" pro"ieration8 e)tra ce""!"ar

    #atri)8 and ce""!"ar #iration. hich one o the o""o7in e)a#p"e is e)tra ce""!"ar #atri) A. ibrin

    B. E"astin

    $. Interin%. (a#inin

    '3. (on ter# conseF!ence o poststreptococca" diseaseA. Nephro"ithiasis

    B. $ystitis

    $. Tonsi""opharynitis%. Ac!te Rhe!#atic ever

    '6. Streptococc!s that Positive or 5UE((UN test is

    A. S.pne!#oniaeB. S.bovis

    $. S.pyoenes%. S.aa"actiae

    +:. A *ind o enDy#e prod!ced by ro!p A Streptococci can be !sed to treat patients s!erin ro#

    Heart Attac*. The enDy#e na#e is A. Hya"!ronidase

    B. Strepto*inase

    $. %NAse%. Beta "acta#ase

    +1. Pi"ri#ae to &ecca =&e*ah> #!st be vaccinated aainst bacteriaA. N.#eninitidis

    B. S.a!re!s

    $. Enterococc!s

    %. onococc!s

    +'. Pe"vic In"a##atory %isease =PI%> is !s!a""y ca!sed by

    A. S.typhiB. N.onorrhoeae

    $. S.a!re!s

    %. S.pyoenes

    ++. Gram pos!"# ro$sthat ca!se ood Poisonin

    A. B.s!bti"is

    B. B.anthracis$. B.cere!s

    %. (.#onocytoenes

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    +-. This species is !s!a""y connected to %o!#rrorsm

    A. $". tetani

    B. $". Bot!"in!#

    $. $. diphtheriae%. B. anthracis

    +/. Pse!do#e#brano!s co"itis is ca!sed by A. $". tetani

    B. $". diici"e

    $. $". perrinens%. $". bot!"in!#

    +0. The one o c"inica" #aniestation o Neisseria gonorrhoeaeinection isA. $e""!"itis

    B. Bronchitis

    $. Urethritis%. &eninitis

    +4. $o#ponent o S.aureusce"",s 7a"" 7hich can bind to cI isA. Teichoic acid

    B. Peptido"ycan

    $. (PS

    %. Protein A

    +3. Phaocytosis can be avoided by the !nction o this co#ponent.

    A. Po"ysaccharide caps!"eB. "ae""a

    $. Spores

    %. (PS

    +6. ra# positive cocci arraned in rape"i*e c"!sters

    A. StreptococciB. Peptostreptococci

    $. Staphy"ococci

    %. onococci

    -:. ra# positive $occi that $o &o!prod!ce $ata"ase

    A. S.a!re!s

    B. S.epider#idis$. S.saphrophytic!s

    %. S.pyoenes

    -1. ro!p o to)in in S.a!re!s that ca!sed ood Poisonin is

    A. Enteroto)in

    B. To)ic Shoc* Syndro#e To)in

    $. E)o"iatin%. (e!*ocidin

    -'. Urinary Tract Inection in catheteriDed patients is !s!a""y ca!sed by A. S.a!re!s

    B. S.epider#idis

    $. S.saphrophytic!s%. S.pne!#oniae

    -+. Streptococc!s that,s inc"!ded in (anceie"d ro!p A

    A. E.aeca"isB. S.bovis

    $. S.aa"actiae

    %. S.pyoenes

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    --. Non Sporeor#in ra# = Rods that prod!ced E)oto)in

    A. (. #onocytoenes

    B. $. diphtheriae

    $. $". tetani%. B. anthracis

    -/. This species do not prod!ced any to)in A. $. diphtheriae

    B. (. #onocytoenes

    $. $". tetani%. B. anthracis

    -0. Anaerobic bacteria in this "ist isA. E. co"i

    B. S. a!re!s

    $. N. onorrhoeae

    %. $". tetani

    -4. Intrace""!"ar ra# Neative %ip"ococci is a characteristic o

    A. Peptostreptococc!sB. S. aa"actiae

    $. N. onorrhoeae

    %. S. epider#idis

    -3. ra# Positive Rod that ro7 Intrace""!"ar is

    A. $.diphtheriae

    B. (.#onocytoenes$. B.cere!s

    %. $".diici"e

    -6. The o""o7in inection is Predisposin actor or &ycoses..

    A. HIVAI%S

    B. Sa"#one""osis$. Shie""osis

    %. Br!ce""osis

    /:. The o""o7in #ycoses is trans#itted by eophy"ic

    A. $.a"bicans

    B. E."occos!#

    $. H.caps!"at!#%. &.canis

    /1. This !n!s is o!nd in the or# o eastA. &.canis

    B. E."occos!#

    $. H.caps!"at!#%. $.a"bicans

    /'. This !n!s is yeast 7ith caps!"e

    A. $.a"bicansB. $.neoor#ans

    $. B.der#atitidis%. P.brasi"iensis

    /+. The species is inc"!ded in the ro!p o %i#orphic !ni

    A. $. i##itisB. $. a"bicans

    $. T. r!br!#

    %. &. canis

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    /-. The #ost co##on #edi!# to ro7 !ni is

    A. B"ood aar

    B. &ac$on*ey aar

    $. Sabo!ra!d aar%. N!trient

    //. %irect preparation or !ni "aboratory dianosis A. ra# stain

    B. ieh" Nee"sen

    $. Neisser stain%. @?H 1:J < "ycerine

    /0. hat is the characteristic oPlasmodium falcifarumA. En"ared inected RB$ 7ith do!b"e chro#atin dots

    B. No en"are#ent o the inected RB$ b!t 7ith do!b"e chro#atin dots

    $. i#brae o the inected RB$

    %. A#oeboid appearance o the cytop"as#

    /4. The distinct dierence bet7een the "ie cyc"e Plasmodium vivaxandPlasmodium falcifarum is

    the the e)istence o..in the "iver ce""s o viva) #a"ariaA. &eroDoite

    B. HypnoDoyte

    $. $rescent a#etocytes%. %e"icate rin

    /3. The averae inc!bation period oPlasmodium falciparumis

    A. +- daysB. 1:1' days

    $. 1:1' 7ee*s

    %. 1- #onths

    /6. &ode o inection o "eis#aniasis is by the A. Bite o tDetDe "y

    B. Bite o #osF!ito

    $. Bite o sand"y

    %. Bite o treato#a

    0:. $oned nose "y is the vector o

    A. Trypanosoma gambieseB. Trypanosoma cruzi

    C. Trypanosoma rhodesienseD. Leismania donovani

    01. Trans#ission o disease thro!h anteriostation deve"op#ent

    A. $haas,s disease

    B. Trypanoso#iasis rhodesiense$. Trypanoso#iasis a#biense

    %. Trypanoso#iasis rodensiense and a#biense

    0'. (are *inetop"ast is o!nd in

    . T. b. gambiense

    B. T. b. rhodesiesnseC. T. cruzi

    D. Toxoplasma gondidi

    0+. The shape o $ is o!nd in the parasite o A. T. b.gambiense

    B. T. b. rhodesiense

    C. T. cruzi%. A#astiote

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    0-. The habitat o Trypanosoma gambiense is in

    A. $onnective tiss!es

    B. $onnective tiss!es and "y#ph nodes

    $. (y#ph nodes and b"ood strea#%. $onnective tiss!es8 "y#ph nodes8 b"ood strea# and centra" nervo!s syste#

    0/. Kenodianosis is !sed or the dianosis o A. (eish#aniasis

    B. Arican trypanoso#iasis

    $. $haas,s disease%. &a"aria

    00. The disease based on Type I Hypersensitivity A. A!toi##!ne He#o"ytic Ane#ia

    B. Bronchia" Asth#a

    $. S(E

    %. $ontact %er#atitis

    04. $o#p"ications o typhoid ever8 e)ception A. Peroration

    B. &eninitis

    $. $ho"ecystitis

    %. $onC!ntivitis

    03. Severa" antibiotics are eective in enteric ever8 e)ception

    A. Penici""inB. $h"ora#phenico"

    $. cotri#o)aDo"e

    %. "!oroF!ino"ones

    06. The prevention "ivin condition i#prove red!ce the incidence o typhoid

    A. Steri"iDation o instr!#entB. Ro!tine Antibiotic

    $. Herba" &edicine

    %. Sanitation

    4:. Trave"ers to co!ntries 7here enteric ever inections are ende#ic sho!"d be

    A. Steri"iDation o instr!#ent

    B. Ro!tine Antibiotic$. Herba" &edicine

    %. Typhoid vaccines

    41. Ro!tine (aboratory indins have siniicant"y the ro"e o!t o dianosis typhoid

    A. Re"ative "y#phocytosis

    B. ida" test

    $. Sa"#one""a I&%. P$R

    4'. H!#an to)op"as#osis can be contracted by the A. Inestion o !nderdone #eat containin tiss!e cyst.

    B. Inestion o !nderdone #eat containin tiss!e cyst or s7a""o7in o oocyst

    $. Inestion o isospora%. Bitten o cat.

    4+. The c"inica" eat!re o to)op"as#osis is

    A. Asy#pto#atic in chi"dB. Sy#pto#atic in ad!"t

    $. A"7ays sy#pto#atic in conenita" inection

    %. A"7ays sy#pto#atic in conenita" inection and !s!a""y asy#pto#atic in ad!"t

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    4-. The ca!sative aent o esp!ndia

    . Leishmania donovani

    B. Leishmania !ropica

    C. Leishmania brasislsiensisD. Toxoplasma gondii

    4/. The cardina" sin on ac!te and active chronic in"a##ation are r!bor8 do"or8 ca"or8 and t!#or.

    The cardina" sin o in"a##ation ca""ed r!bor is #ain"y the res!"t o

    A. Vaso"idation o arterio"esB. %ecreased interstitia" hydrostatic press!re

    $. Increased vasc!"ar per#eabi"ity o ven!"es

    %. Vasoconstriction o #!sc!"ar arteries

    40. Activation o receptor H'can ca!se

    A. I##!ne reaction

    B. Bronchodi"ation$. Vasoconstriction o A. $oroner and A. Basi"er

    %. Itchin

    44. An e)a#p"e o the third eneration o antihista#ines is

    A. Ethi"endia#ines

    B. PiperaDines

    $. PhenotiaDines%. (evocitiriDines

    43. %r! o choice or treatin Rhinitis a""erica chronic is B. %iphenhidra#ine

    $. $h"orphenira#ines

    %. e*sophenadine

    E. (evocabastine

    46. In hih doses8 this antihista#ine can be !sed as an anesthetic "oca" A. Pro#ethaDines

    B. Terphenadine

    $. Ethano"a#ines

    %. Scopo"a#ines

    3:. Side eect o this second eneration o antihista#ines is cardiovasc!"ar dist!rbance

    A. %o)y"a#inesB. ADte#iDo"

    $. (evocetiriDine%. &ec"iDine

    31. &!scarinic eect d!e to antihista#ines !ti"iDation is

    A. Tre#or

    B. %ry #o!th$. %iDDiness

    %. Inso#nia

    3'. It,s action by inhibitin the contraction o astric #!sc"e

    A. Ranitidine

    B. $i#etidine$. a#otidine

    %. NiDatidine

    3+. The #ost capabi"ity in red!cin astric C!ice is A. $i#etidine

    B. a#otidine

    $. Ranitidine%. Pro#ethaDine

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    3-. This dr! is a dr! o choice or conC!nctivitis a""erica

    A. AntaDo"ine

    B. Terphenadine

    $. %yphenhidra#ines%. $etiriDines

    3/. "a!co#a is contraindicated to A. Terphenadine

    B. (evocetiriDine

    $. (oratadine%. Pro#ethaDine

    30. or radica" treat#ent is better !sin A. 5!inine

    B. Pri#aF!ine

    $. &e"oF!ine

    %. Pyri#etha#ine

    34. This dr! is not on"y !sed or #a"aria8 b!t a"so is !sed or to)op"as#osis

    A. $h"oroF!ineB. Pyri#etha#ine

    $. AtovaF!one

    %. &e"oF!ine

    33. This anti#a"aria dr! co!"d not be !sed or che#oprophy"a)is

    A. &e"oF!ine

    B. 5!inine$. $h"oroF!ine

    %. Pyri#etha#ine

    36. This dr! is contraindicated or psoriasis

    A. Pri#aF!inine

    B. $h"oroF!ine$. Pyri#etha#ine

    %. Arte#isin

    6:. Side eect o this anti#a"aria can ca!se 5T interva" e"evation

    A. AtovaF!one

    B. Arte#isine

    $. &e"oF!ine%. Pri#aF!ine

    61. &etoch"opropa#ide red!ces it,s concentration in p"as#a A. AtovaF!one

    B. $"inda#ycines

    $. S!"ona#ide%. $h"oroF!ine

    6'. It,s action by inhibitin o dehydroo"ate red!ctase enDy#e and ty#idi"ate synthetase

    A. $h"oro!anieB. $h"oroF!ine

    $. Arte#isine%. ADte#iso"

    6+. This anti#a"aria co!"d not be !sed toether 7ith F!inine

    A. &e"oF!ineB. Pri#aF!ine

    $. $"ynda#icines

    %. %o)y"a#ine

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    6-. This antibiotic is sae or treatin #a"aria in prenant 7o#an

    A. $"ynda#icine

    B. Tetracyc"ines

    $. S!"on%. Arte#isin

    6/. Hae#o"ytic anae#ia occ!rred i this dr! is ta*en by 0P% patient A. Pri#aF!ine

    B. &e"oF!ine

    $. AtovaF!one%. Pyri#etha#ine

    60. The deve"op#ent o i##!no"oy syste# beins 7hen the et!s is B. ' 2 + #onths

    $. - 2 0 #onths

    %. 4 2 3 #onths

    E. ?ver 3 #onths

    64. I& receptor "ocated in et!s s!race ce"" 7hen the et!s is

    A. 1: 7ee*sB. 1:./ 7ee*s

    $. 1' 7ee*s

    %. ': 7ee*s

    63. $ytop"as#ic I& "ocated in....

    A. Ste# ce""

    B. Pre B ce""$. &at!re B ce""

    %. P"as#a ce""

    66. H!#ora" speciic i##!ne responds or bacteria in the #!cosa" "ayer

    A. IB. I&

    $. IE

    %. IA

    1::. $ardina" sin on ac!te in"a##ation there are r!bor8 do"or8 ca"or8 and t!#or. %o"or is #ediated

    by

    A. Brady*ininB. Hista#ine

    $. Prosta"andin%. (e!*otrienes