UKMPPD BY HIL > TRYOUT 9 > Flashcards

TRYOUT 9 Flashcards

(52 cards)

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1
Q

CAUDA EQUINA SYNDROME

A

Saddle Area
dermatom L2-Sacrum (S1-S6)

jadi kalo di soal udh blg mis S4-S5 udah pasti Cauda Equina bukan Conus Medullaris (L1-L2)

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2
Q

TALAKS CONUS MEDULLARIS dan CAUDA EQUINA

A

tx igd:
1. ABCDE
2. Analgetik kuat: Tramadol, Morfin sulfat
3. Kortikosteroid

Dx tegak <8 jam :
<=3jam: 23jam
4-8jam: 47 jam
MP 30 mg/kgBB bolus IV 15 menit. tgu 45 mebit
lanjut MP 5,4 mg/kgbb/jam 23 jam

Dx tegak >8jam :
GABOLEH STEROID

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3
Q

Gangguan Somatisasi vs Nyeri Somatoform

A

Somatisasi: banyaakk gejala ga cuman nyeri (dada panas, mual, nyeri sendi, tangan kesemutan,dll)
Nyeri Somatoform: cuman nyeri aja

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4
Q

TULI CAMPURAN

A

teliti!! Kalo SNHL lateralisasi ditelinga sehat (berlawanan), kalo CHL lateralisasi di sakit. jadi kalau di soal bilang memendek tapi lat di sakit, curiga CAMPURAN

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5
Q

ABSES PREAURIKULA

A

SEBELUM DAUN TELINGA, BAGIAN DALAM DEPAN.

Di awali ada Fistula Preaurikula Kongenital.
et: Staph. aureus, Strep. viridans
PP: eksisi biopsi
Tx: Insisi drainase abses, Eksisi dari sinus preaurikula, AB

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6
Q

BRACHIAL CLEFT CYST

A

Rx ISPA, Padat, (-) Nyeri
Remaja, Anterior SCM

Menelan -> tidak gerak
patofis: Obliterasi kista brakialis tidak sempurna

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7
Q

KISTA DUKTUS TIROGLOSSUS

A

TENGAH LEHER.
Midline dekat tulang Hyoid.
Kegagalan obliterasi.
Begerak saat Menelan.

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8
Q

CONGENITAL MUSCULAR TORTIKOLIS

A

Torti = Torte (kura2) = Leher pendek. SCM memendek -> kepala miring ke sisi sakit
✅ Edema + Wajah Asimetri
etio: trauma ec sungsang

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9
Q

HIGROMA KISTIK

A

Malformasi limfatik kongenital
✅Lunak + Translusen
✅Posterior Leher membesar

cair transparan

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10
Q

KERATITIS FUNGAL

A

Feathery finger-like extensions, Lesi satelit

CAMPho - ANa
1. Natamycin 5% 1 tetes/2 jam - Aspergilus (NA5)
2. Amphotericin B 1,5% 1 tetes/jam - Candida (A1,5)
tapi kembali lagi, lihat dosis!

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11
Q

EPIKANTUS

A

Tipe: SuParTI)
1. Supersiliaris (dari alis dan ikut ke bawah kantung lakrimalis)
2. Palpebralis (2 kelopak! atas bawah)
3. Tarsalis (kelp mata ATAS)
4. Inversus (kelp mata BAWAH)

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12
Q

IMPETIGO KRUSTOSA

A

Bercak kuning madu di bawah hidung dan mulut.
Makula papul eritema dgn Honey-colored crust.

MuNaNeBas
2 - 2 - 0.5 - 5

salep oles 3x/hari 7hari

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13
Q

Kondiloma Akuminata

A

PP: Asam asetat 5% (acetowhite test +) lesi jadi putih

  1. Tinktura podofilin 25%
  2. Podofilotoksin 0,5%

HAMIL: Tutul TCA 90%

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14
Q

Demam Post Partum

A

ENDOMETRITIS
TFU setinggi umbilicus, NT (+)
Melahirkan di dukun
Portio tertutup dan Lochia Busuk. Leukositosis.

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15
Q

PPROM

A

KPD <37 minggu

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16
Q

KARDIOMIOPATI

A

khas
DILATASI: HF Kronis, Dispnea, Edema ~> alkohol, infeksi virus, postpartum
HIPERTROFI: Sudden collaps (mendadak) saat aktivitas ~> sinkop atlet muda, rpk sudden chest death
RESTRIKTIF: RHF (edema&hepatomegali) e.c. Amiloidosis & Hemokromatosis

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17
Q

VES / PVC

A

EKG: ga didahului gel P
Discordance =
ST dep + T inversi di lead dominan R
ST elev + T tall di lead dominan S

Tx:
1. Betablocker/CCB
2. Propafenone (EF Vkiri N)
3. Amiodarone (EF Vkiri turun)

Followup: Holter monitoring + Echo 3-12 bln stlh intervensi

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18
Q

TAKUTSUBO

A

Nyeri dada seperti Infark. Wanita menopause
Kardiomiopati takutsubo: stres emosional berat ~> disfungsi ventrikel kiri reversibel

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19
Q

KOMPLIKASI BERBAHAYA DVT

A

Emboli Paru

kalo Limb Ischemia itu komp Arteri (PAD)

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20
Q

SNOWSTORM di Xray

A

Lesi Aktif TB Paru

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21
Q

SCHWARTE

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A

Lesi INAKTIF TB Paru

22
Q

ERBS vs KLUMPKEE

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A

Erbs: C5-C6
UBP. Add-I
Refleks Genggam ✅✅
Police tip (pegang tip kan perlu genggam)
Bayi ditarik kepalanya

Klumpkee: C8-T1
LBP. Abd-E
Claw hand
Bayi ditarik tangannya, Gantungan di pohon

23
Q

VIRCHOW’s TRIAD

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A
  1. Hiperkoagulabilitas
  2. Endotel rusak
  3. Stasis aliran darah

HES

24
Q

EMBOLI PARU

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A

EKG: S1Q3T3
X-Ray:
PaHa WeCe FleKuk
Palla Sign
Hampton Hump
Westermark
Chang sign
Fleischnee
Knuckle

25
EFUSI PLEURA
Tes Rivalta Transudatif: Bening Kuning (gang aliran) Eksudatif: Keruh (infeksi)
26
ABSES PARU
Airfluid Level Farmako: KLINDAMISIN 3x600mg IV (makrolid) apa mamak
27
ATELEKTASIS
Konsolidasi homogen Segitiga Deviasi trakea ke arah yg sakit (kesedot)
28
DEMAM TAPI HEPATITIS
IBUPROFEN!! 2x400mg Paracetamol itu Hepatotoksik dosis tinggi + H2blocker / PPI (perut kembung) + Curcuma
29
DIVERTIKULOSIS
Hanya ada divertikula tanpa inflamasi. PASIEN ASIMTOMATIK! ketemunya insidental Sac-like protrusion. Paling banyak di Sigmoid Colon. gambaran: MULTIPLE OUTPOUCHING (banyak kantung)
30
DIVERTIKULITIS
Komplikasi Divertikulosis. NYERI, KONSTIPASI, Mual Muntah, Demam. LLQ Pain. jangan terkecoh, ga selalu ada demam. yg penting ada nyeri + gejala GIT juga udah cukup
31
CA PANKREAS
Benjolan keras di Epigastrium. Courvoiser’s sign: ikterus + Vesika felea terpalpasi Trosseau’s sign: thrombophlebitis dan thrombosis vena Tumor Marker CA19-9
32
Fraktur di Puskesmas
TX AWAL: BIDAI! Splint Gips butuh ortopedi dan eval radiologis
33
STENOSING TENOSYNOVITIS
Trigger Finger. Jari tangan locking, bunyi klik saat fleksi dan ekstensi.
34
IMT Asia Pasifik
BMI Underweight: <18.5 Overweight: >23 Obese 1: 25 - 29.9 Obese 2: >30 NORMAL 18.5-22.9
35
GRAVE’s DISEASE
Anti TSHr
36
HASHIMOTO DIS
Anti TPO
37
OSTEOPOROSIS
BMD T-score <-2.5
38
GALEAZZI vs MONTEGIA
GRAD: Gal Radius Distal MUP: Montegia Ulna Proximal
39
SMITH vs COLLES
FRAKTUR PERGELANGAN TANGAN sama-sama di Radius Distal Colles: cobra - Dorsal (ujung tulang ke arah belakang). dinner fork Smith: ular biasa - Ventral / Volar (ujung tulang ke arah Depan). garden spade
40
SLE
Hs tipe 3 ANA Test (sensitif) Anti dsDNA (spesifik) Ringan: (kulit+arthritis) Hidroksiklorokuin Sedang: (Nefritis ringan, Trombositopenia) MP iv 1gr/hari 3 hari diikuti Azatioprin Berat: (Nefritis berar, AIHA, Serebritis, Mielitis, Vaskukitis abdomen) MP + Siklofosdamid iv
41
PROFIL BESI APK
Anemia Penyakit Kronik SI ⬇️ TIBC ⬇️ Ferritin ⬆️⬆️
42
SINDROM MYELODISPLASIA
Anemia + Pansitopenia + Sel Blast ⬆️ <20% Tua, ❌Genetik Preleukemia bisa jadi AML Sel sumtul ada tapi Abnormal
43
BESI ELEMENTAL ADB
3mg/kgbb/hari selama 3 bulan
44
CML
Philadelphia Translokasi kromosom 9 dan 22
45
Obat Yersinia Pestis
QUINOLON! Ciprofloxacin, Levo, Moxi alt: streptomisin&kloramfenikol iv
46
Profilaksis Malaria
Meflokuin 250mg/minggu 2mgg sebelum paparan - 4mgg setelah kembali *klorokuin udah resisten di ntt/indo
47
STADIUM HIV
1. KGB Generalisata 2. ISPA berulang, Herpes Zooster, Sariawan, Dermatitis seboroik. BB <10% 3. Candidiasis oral, TB Paru, Diare kronis, BB>10% 4. TB Ekstraparu, Pneumonia pneucystis jrovecci, Wasting HIV, Atrofi otot, Toxoplasmosis, Limfoma non hodgkin
48
Pelayanan HIV
VCT: Volunter, sukarela PPTCT: Bumil yang (+) HIV PITC: Nakes rekomen CST: care support buat pasien HIV
49
Terapi HIV
1st Line: TLD (gabisa di Trim1) alt TLE (hamil, koinfeksi TB) + PPK (cotrimoxazole) 1x90mg: HIV St3/4 mulai 2 mgg sblm ARC sampai CD4 >200 or 2 thn + PP-Inh (HIV tapi -TB)
50
HIV + TB
Kalau TB (+) juga ~> OAT dulu, cuma beda 2 mgg penundaan ARV
51
Pemeriksaan HIV
52
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