Soal MCQ 10 April 2014

KUMPULAN SOAL MCQ
KAMIS, 10 APRIL 2014

1. IQ
a.
b.
c.
d.
e.
50 70 indicates :
Mild retardation
Moderate retardation
Severe retardation
Profound retardation
No retardation
2. Rash and mucous membrane lesion develop on infant 5 days of the

course of an upper respiratory infection with otitis media and treated with
amoxicillin. The most diagnosis :
a. Urticaria
b. Measles
c. Steven Johnson Syndrome
d. Kawasaki Disease
e. Scarlet fever
3. Child with suspected genetic disorder, Simian-Crease. Diagnosa ...?
a. Bloom syndrome
b. Cockayne syndrome
c. Down syndrome
d. Hunter syndrome
e. Prader-Wili syndrome
4. Salmon coloured : 5 years old boy, snoinging, hot, painful, swollen in
elbow, ESR 95. X Ray, CRP, blood count normal.
a. Staphylococcal skin scalp syndrome
b. Mononukleosis
c. HSP
d. ..
e. Chronic juvenile arthritis
6. Bayi usia 6 minggu datang check up dengan bising ejeksi sistolik di SIC III
kiri, BJ II tunggal, tanpa sianosis, namun terdapat desaturasi ringan. X-ray
: concavity pada batas jantung kiri, penurunan pulmonary vascular
marking. Diagnosa...?
a. VSD
b. Atrioventicular septal defect
c. Pulmonary valve stenosis
d. Coartasio aorta
e. ToF
8. Select the most appropriate oncological diagnosis from the list of options
to explain the following scenario. A young children with fever and a mass
in the femur is coted and a diagnosis of malignancy is made. This
frecuency is 30 times more common in white children compare to black
children.
a. Ewing syndrome
b. Hepatocarcinoma
c. Neuroblastoma
d. Teratoma
e. Willms Tumor
9. Which of the following milk contains the least fat?
a. Human milk
b. Goat milk
c. Buffalo milk
d. Cow milk
e. Horse milk
10. The infant was born after difficult forceps delivery and head appeared to
be swollen in the right parieto-occipitalis jaundice developed after 24
hours. The hemoglobin is 12 g/dl. ... is indirect hiperbilirubinemia. What is
the working diagnose of this case ?
a. Breast milk jaundice
b. Cephalhematom
c. Galactosemia
d. Preterm birth
e. Sepsis
12. Wanita, 14 tahun dengan mild sore throat, demam low grade
makulopapular difus. Setelah 24 jam mural bengkak pergelangan tangan,
maka merah pembesaran nnll cervic posterior & occipital. Setelah 4 hari
rash vanished.
Diagnosa...?
a. Rubella
b. Rubeola
c. Roseola
d. Eritema infeksiosum
e. Eritema multiforme
15.
A 3 month old boy infants developed otitis media for which he was
given a course of cotrimoxazole, a few days later, he developed extensive
peeling of the skin. There were no mucosal lesion and the baby was not
toxic. The most likely diagnosed is
a. Toxic epidermal necrolysis
b. Staphylococcal skin scalp syndrome
c. Steven jonhson syndrome
d. Infant pemphigus
e. Herpes zoster
16. Examination of the CSF of a 8 years old febrile child, with intermitten
stupor shows the following :
WBC all limfosit, gram -, protein 150 g/dL, glukosa 15 g/dL. Diagnosis?
a. Tuberosclerosis
b. Meningitis TB
c. Stroke
d. Acute . Meningitis
e. Cerebellum.
17.
Anak laki-laki, 3 tahun, demam tinggi 7 hari, conjungtiva bleeding,

fissure in the limb, macular rash on the trunk, merah diikuti deskuamasi
pada tangan dan kaki. Diagnosa adalah
a. Staphylococcus Scaled Skin Syndrome
b. Rubella
c. Kawasaki
d. Infeksi mononucleosis
e. Henoch Schonlein Purpura
18. Terapi yang diperlukan pada bayi yg lahir dari ibu dengan hepatitis B
a. Immunoglobulin dan vaksinasi
b.
c.
d.
e.
19. Bayi 10 bulan, awalnya normal, tiba-tiba distress on his crib, genitalia
eksterna normal, hiperpigmentasi (+), GDS 30 mg%. Diagnosa...?
a. defisiensi 21 hidroksilase
b. Hiperinsulin
c. Familial glucocorticoid
d. Cushing
e. defisiensi growth hormone
20.
A poverty stricken mother suffering from active tuberculosis delivers a

baby, which one of the following advices would be the most appropriate
in her case :
a. Breast feeding and BCG immunization
b. Breast feeding and isoniazid administration
c. Expressed breast milk and BCG immunization
d. Stop feeds and isoniazid administration
e. Breast feeding and rifampycine administration
21. Increased fetal Hb is seen in ...

a. Juvenile CML
b. Congenital red cell aplasia
c. Hereditary sferositosis
d. Lymphoma
e. Hepatoblastoma
22. 5 years old boy with painful swelling in his skin with throat, exudative
tonsilitis. Diagnose ...?
a. Streptococcus group B
b. Hemofilus influenza
c. Mycoplasma
d. RSV
e.
23. Select the most of emergency treatment for the children, born with poor
condition, apgar score 3 in 5 menit pertama, and 5 menit kedua, CPR is
commanded in the remains, i.v. .....
a. adenosin
b. adrenalin
c. atropin
d. DC shock
e. dobutamin
24. Bayi, demam 38oC, malas minum, pemeriksaan urin ditemukan PMN (+)
banyak
a. Sepsis
b.
c.
d.
e.
25. Cyanotic spell during feeding ....

a. fistula tracheoesophageus
b. GER
c. meconium plug syndrome
d. diverticulum meckel
e. NEC
26. By day 4 the abdomen appears erythematous and the baby become
apnoeic :
a. Trachea-esophageal fistula with atresia
b. GERD
c. Meconeum plug syndrome
d.
e.
29. The most common tumor in children is ....

a. Leukemia
b. Limfoma
c. Willms tumor
d. Neuroblastoma
e. Retinoblastoma
30. Bayi usia 3 minggu, prematur 27 minggu, masih di ventilator karena
sindrom distress respirasi kekurangan surfaktan. Pada pemeriksaan fisik
ditemukan bising ejeksi sistolik di left sternal SIC III, tidak sianosis tapi
sedikit desaturasi. Rontgen thoraks didapatkan plethora. Diagnosis yang
mungkin adalah:
a. Atrioventrikular septal defect
b. Koartasio aorta
c. PDA
d. Ventricular septal defect
e. TOF
31.
A child can walk and down stairs alternating feet at

a. 12 months
b. 18 months
c. 24 months
d. 36 months
e. 48 months
33. IQ adalah
a. Creative efficiency of the child

b. Capability child perform intellectual task in relation to other child
c. Efficiency of memory
d. Qualification of learning ability
34. Penyakit yang berhubungan dengan efusi paru, kecuali
a. TB
b. Campak
c. Diare
d.
e.
36. For each description below, choose the single most likely viral infection
from the list of options is caused by paramyxovirus
a. Measles
b. Rubella
c. Mumps
d. Pertusis
e. Hepatitis A
37. Protein energi malnutrition, kwashiorkor ...
a. edema & retardasi mental
b. edema & hipopigmentasi
c. edema & anemia
d. hepatosplenomegali
e. global developmental delay
38. Wanita, 13 tahun, pendek, pra pubertas, ejeksi sistolik di 2 nd & 3rd left
intercostal dijalankan ke punggung, klinis asimptomatik. Diagnosa...?
a. VSD
b. Atrioventricular septal defect
c. PS
d. Coartasio aorta
e. ToF
39. The new additives to infant formulas that are supposed to support a child
is development are ...
a. calcium and iron
b. DHA & ARA
c. comfort protein
d. whey & casein
e. vitamin D
40. Anak duduk dengan dukungan minimal, bisa menjangkau barang
barang di sekitarnya pada usia berapa?
a. 3 bulan
b.
c.
d.
e.
41. Cara untuk mencegah malnutrisi protein pada anak <3 tahun
a.
Supply makanan
b. Early
c. Pengobatan anemia dan pneumonia
d. Mengawasi defisiensi mikronutrien
e.
42.
A routine phisical examination of a newborn reveal a 2/6 grade, short,

harsh, systolic murmur at apex, completely asymtomatic:
a. ASD
b. VSD
c. Mitral Regurgitation
d. Mitral Stenosis
e. PDA
45. 8 months infant have recurrent diarrhea. The volume of stool was
explosive. Etiology?
a. Chronic ulserative
b. Chronic disease
c.
d. Lactose intolerance
46. Perioral rash pigmentation of skin creases and neuritis is seen in
deficiency of ...
a. Zinc
b. Copper
c. Magnesium
d. Biotin
e. Cuprum
49. Syndrome of Vit.A deficiency is as follows :

Xerophthalmia, keratomalacia, hyperkeratosis, growth failure and death.
Which of the following option is most likely a part of the syndrome
a. Konjungtivitis
b. Hordeolum
c. Bitot spots
d. Subconjunctival bleeding
e. Retinal ablation
51. The preferred therapy for infection in animal bite
a. Cefotaxime
b. Ceftriaxone
c. Penicillin
d. Ampicillin & Sulbactam
53. The preferred therapy for chronic cholestasis without biliary obstruction
a. Kasai
b. Fenitoin
c. Discontinue fatty food
d. Ursodecicolic acid
e. Gentamicin
55. 2 years old boy, bloody stool, diarrhea, puffy around eyes, Ureum 12,6 ;
Cr .
a.
HUS
b. HSP
c. Tubular Renal Asidosis
d. Renal Vein Thrombosis
e. SLE
56. Anak perempuan 17 tahun, riwayat asma 3 tahun lalu sekarang sesak
nafas sudah mendapat pengobatan terbaru, pengobatan untuk
menurunkan gejala saat ini :
a. Salmeterol
b. Teofilin
c. Beclomethasone
d. ipratropium bromide
e. montelukast
57.
A 2,5 years old with intermittent blood stools, occurs during day and
half at night. Apepite normal.
a. Chronic enteritis
b. Rotavirus enteritis
c. Salmonella enteritis
d. Food allergy
e. ..
58. Anak usia 4 bulan datang dengan atopic eczema berat. Keluhan : diare
dengan BB tidak naik. Laboratorium: eosinofilia. Diagnosis...?
a. Cows milk allergy
b. Lactose intolerance
c. Irritable bowel syndrome
d.
e.
59. A 6 years old boy has acute onset flaccid paralysis simetric, it begin in
lower leg and trunk, intinya menjalar ke arm (he) CSF high protein but
not pleocytosis, what is the diagnose?
a. SGB
b. Juvenile multipelsclerosis
c. Chronic fatigue
d. Myopati
e. DMD
60. Seorang anak perempuan 1 tahun dengan riwayat 3 bulan muntah,
failure to thrive, mildly acidotic
a. Policystic
b. Pielonefritis
c. Renal Calculi
d. Renal Tubular Acidosis
e. SLE
61. Anak usia 16 tahun nyeri kepala dan muntah, 2 hari demam dengan
nonblanching rash
a non .... rash ....
a. cerebral tumor
b. cluster headache
c. extradural hematom
d. meningitis
e. migraine
62. For .... children with lower limb weakness .... most likely
Diagnosis : a 4 years old boy is brought to clinic, his mother who feel he
losses weak legs and finding climbing the stairs are difficult. He walk
independent 20 minutes , last received speech therapy. A mild speech
delayed on examination, his lower limb reflex are normal. His muscle are
well developed distally although weak on proximal.
Diagnose...?
a. SGB
b.
c.
d.
e.
63. The most common cause of chronic glomerular disease is ...
a. IgA nefropati
b. SLE
c. Glomerulonefritis
d. HSP
e. Reiter syndrome
64. For each patient below, choose : baby 2 minggu mikrosefal,kejang dan
chorioretinitis
a. CMV
b. Hepatitis B
c. Rubella
d. Herpeks Simpleks
e. Toxoplasmosis
65. Select the most appropriated diagnosis from the list of options that would
best explain the following case : A 1 year old girl with 3 months history of
vomiting is investigated for failure thrive. She is found to be mildly
acidotic :
a. SHU
b. HSP
c. Renal Tubular Acidosis
d. Renal Vein Thrombosis
e. SLE
66. Anak 7 th dirujuk dokter umum dengan ARF (Acute Renal Failure). Gejala :
Bloody diarrhea, dengan cairan membaik
a. Epstein Barr Virus
b. E. coli
c. Pseudomonas
d.
e. RSV
67. Seorang anak perempuan dengan bengkak pada
proteinuria dan darah samar. Jawaban yang benar :
b. HUS
c. Nephrotic syndrome
d. Policystic kidney
e. SLE
f. Chronic renal failure
mata,
disertai
68. Seorang anak dengan riwayat ISK, sehingga anak menjadi nyeri ketok di
CVA .
a. HUS
b. Pielonefritis
c. HSP
d.
e.
76. For each patient below, choose the most probable diagnosis from the list
of option ....
A 1 year old baby boy is wheezy coughing, cyanosed & breathless with
intercostal recession.
a. Bronchiolitis
b. Croup
c. Diphteri
d. Epiglotitis
e. Pneumonia
77. Platelet dysfunction in infant
a. Amlodine
b. Chloramphenicol
c. Aspirin
d. Sulfazolin
e. Warfarin
78. Anak perempuan, 13 tahun, menometroragi, Von Willebrand disease
a. PTT , PT N
b. PT , PTT N
c. PTT , PT
d. TT
e. Jumlah trombosit
80. Antracycline untuk kardiotoksisitas
a. Actinomycin D
b. Asparaginase
c. Doxorubicine
d. Metotrexate
e. Vincristine
81. Can follow ingestion of dust containing dried fecal maternal
a. Adenovirus
b. E. coli
c. Hepatitis A
d. Norwalk virus
e. Rotavirus

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KUMPULAN SOAL MCQ

KAMIS, 10 APRIL 2014

2. Rash and mucous membrane lesion develop on infant 5 days of the

Anak laki-laki, 3 tahun, demam tinggi 7 hari, conjungtiva bleeding,

A poverty stricken mother suffering from active tuberculosis delivers a

21. Increased fetal Hb is seen in ...

25. Cyanotic spell during feeding ....

29. The most common tumor in children is ....

A child can walk and down stairs alternating feet at

a. Creative efficiency of the child

A routine phisical examination of a newborn reveal a 2/6 grade, short,

49. Syndrome of Vit.A deficiency is as follows :

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