Sie sind auf Seite 1von 34

No Soal dan pilihan jawaban

1 Seorang laki2 23 tahun ke emergency departement setelah 3 jam kecelakaan, dia sakit di
right back karena terpukul oleh handle dari motor, 1 jam setelahnya dia menemukan darah di
dalam urine, lalu akan dilakukan operasi for remove the rupture organ. Which of the
following sequence the layer from outermost to innermost that protect the rupture organ?
A. Muscle - paranephric fat - renal fascia - perinephric fat- renal capsule.
B. Muscle - renal fascia- paranephric fat- renal capsule- perinephric fat.
C. Muscle- paranephric fat- perinephric fat- renal fascia- renal capsule.
D. Renal fascia- muscle-perinephric fat- renal capsule- paranephric fat
E. Paranephric fat - muscle - perinephric fat - renal capule - renal fascia
2 Soalnya lupa maafin :(
A. Leydig cell
B. Sertoli cell
C. Spermatogonium
D. Spermatoid
E. Spermatozoa
3 Referred pain for ureteric : colic radiates from the loin to the groin.

Which of the following spinal segment is involved?

a. T1-T2

b. T2-T3

c. T4-T5

d. T6-T7

e. T11-L2
4 reabsorption of water, ion and all organic nutrient
a. bowmans capsule
b. pct
c. loop of henle
d. dct
e. collecting duct
5 Laki-laki 56 tahun memiliki CKD stage 5 dan PEM. Advice salt sodium yang tepat?

Pilihan jawabannya lupa.


tp ada yang
A. Not restricted
B. (100..mg/kg/bw.) Lupa
C....lupa
D. ..lupa
E. Individualized
6 Maafin ga inget soal lengkapnya

Reversed N.gonorrhoeae to f... to non... would result


A. Inability N.gonorrhoeae to colonize in epithelium
B. Die
C. Reverse to gram positive
D. Decrease test serum specificity
E. Lupa
7 Maafin ga inget soal lengkapnya

Reversed N.gonorrhoeae to f... to non... would result


A. Inability N.gonorrhoeae to colonize in epithelium
B. Die
C. Reverse to gram positive
D. Decrease test serum specificity
E. Lupa
8 Wanita dysuria tanpa ada vaginal discharge. No flank pain or tanderness. Urinalisis no
glucose,no blood, nitrite positive, many wbc. Result dari microscopic urine exam?
9 Mirip soal final statera no. 6
WTOF complication that most likely occured?
A. DM and dyslipidemia
B. Dyslipidemia and Hyperuricemia
C. Hyperuricemia and renal dysfunction
D. LVH and DM
E. LVH and renal dysfunction
10 A surgeon wants perform neohroctomy. What are layers that he has to approach the kidney
from the back?
Jawaban: Muscle fascia-pararenal fat-renal fascia-pararenal fat-capsule
11 Ada anak mengalami edema pilihan obat yang tepat adalah
A. Furosemide
B. CCB
C. Na- sesuatu
D. BB
E.-

Maafkan teman teman lupa :'))))


12 Ada soal cerita, singkatnya pasien ini BPnya naik, makanya tidak bisa terkontrol, dan
merokok juga bapanya. history keluarga pernah DM kemudian di hemodialysis terus
meninggal.

faktor resiko dr hipertensi tsb adalah


A. smoking, obesity, hyperchplesterol
B. smoking, obesity, diabetes
C smoking, diabetes.. lupa maafkan
13 11. ada soal cerita, singkatnya pasien ini BPnya naik, makanya tidak bisa terkontrol, dan
merokok juga bapanya. history keluarga pernah DM kemudian di hemodialysis terus
meninggal.

faktor resiko dr hipertensi tsb adalah


A. smoking, obesity, hyperchplesterol
B. smoking, obesity, diabetes
C smoking, diabetes.. lupa maafkan
14 Seseorang hypovolemic shock. Lalu diberikan ADH. Status hidrasinya kembali
Bagaimana efek ADH terhadap kasus ini

a. meningkatkan permeabilitas DCT


b. Mwngeluarkan renin
C. Vasokontriksi pembuluh darah
D. Mengeluarkan angiotensinogen
E. -
15 65 yo. Has a job with exposure thoalinine, and B lathimidine with episodic hematuria, no
abdominal pain. PE no abnormal finding. Urinalysis : blood, microscopic RBC. Diagnosis
is :
16 45 yo, male, cc : dyspneu. He suffered from bad diarrhea for the last 4 days. He also
complains weaknes and oligouria. pH : 7.27 paCO2 : 7mmHg, HCO3 10 mEq/L.
Pertanyaannya lupa ���
17 A patient suffered diarrhea lasting for the past seven days. Which of the following process
occured in this patient
A. The filtered load of HCO3
B. The production of ammonia by PCT
C. H+ secretion by distal nephron
D. Increased anion gap
E. The production of new bicarbonate by the distal nephron
18 A patient suffered diarrhea lasting for the past seven days. Which of the following process
occured in this patient
A. The filtered load of HCO3
B. The production of ammonia by PCT
C. H+ secretion by distal nephron
D. Increased anion gap
E. The production of new bicarbonate by the distal nephron
19 Sebenarnya lupa, maafkan

A patient suffered diarrhea lasting for the past seven days.


WOTF process occured in this patient?
A. The filtered load of HCO3-
B. The production of ammonia by proximal tubule
C. H+ secretion by distal nephron
D. Increase anion gap (Answer)
E. The production of new bicarbonate by distal nephron

Semangat tim MDE


20 The most testicular cancer metastasis ?
A. Abdominal
B. Comon iliac
C.
D.
E. Internal iliac LN
21 Anak usia 12 taun, hipertensi sama edema...2 minggu sebelumnya kena impetigo. Terus
dilakukan glomerulobiopsy (intinya mah, interpretasi dari gambaran PA nya apa) aku kirim
via Line ya do gambarnya.
A. Endothelial necrosis
B. Endothelial proliferation
C. Podocyte proliferation
D.
22 Which of genes expressed by mesenchime to initiate kidney differentiation ?
A. WNT4
B. SOX9
C. WT1
D. SRY
E. PAX
23 20. Pasien dengan CKD diberi furosemide
Apa perbedaan antara distal tubule dengan proxilam tubule?
a. Distal tubule lebih permeabel terhadap hydrogen ion dibandingkan proximal tubule
b. Distal tubule less responsive terhadap proximal tubule dibandingkan proximal tubule
c. Distal tubue memilki negative environment dibandingkan proximal tubule
d. Distal tubule less secretion sodium dibandingkan proximal tubule
e. Distal tubule lebih mensekresi hydrogen ion dibandingkan proximal tubule
24 Mr. X ada ulcer di penile, sexual intercouse dg prostitute . Treatmennya apa?
25 Female 22 yo chief complaint ulcer on his penile shaft since 1 week ago, ht + sex contact
with his girl friend without using condom
Vdrl 1/32 and TPHA reactive
A. Durum ulcer
B. Mole ulcer
C. Decubitus ulcer
D. Secondary shyphilis
E. Gumatous syphilis
26 23. Gen yg ekspresikan oleh mesenkim utk diferensiasi ginjal
a. PAX 2
B. WNT 4
C. SOX9
D. WT1
E. SRY
27 Seorang anak laki laki berumur 3 tehun dibawa ke rs dengan keluhan oliguria,

Penyebab akut kidney injury pada anak ?


A. Nephrotic syndrome
B. Acute nephritic syndrome
C. Uremic syndrome
D. Diarrhea
E. Anemia
28 A 12 yo female came to the emergency department with the chief complaint of
weakness. She’s suffered from severe vomiting and massive diarrhea for the last 2
days 35. You check the orthostatic hypotension examination and result was positive.
What does this test refer to? a. b.c. Low serum osmolalityd. Hypovolemic shock e. Life
threatening shock

29 6 year girl had bedwetting and difficult to control micturition.


Best data to diagnose patient ...
A. Urine protein
B. Urine osmolality
C. Urine spec. Gravity
D. Urine sodium potassium
E. Urine apaa gitu lupa
30 Seseorang dengan penyakit CHF juga dengan tekanan darah yang tinggi. Laki2, umurnya
lupa berapa.

Kompensansi dari jantung untuk menghindari komplikasi ke ginjal apa? (Hormon ginjal)

-ADH
-ANP
-ALDOSTERON
-RENIN
-ANGIOTENSIN
31 Man 45 years old come to ER with dypsneu, he suffered watery diarrhea, weakness,
oligouria,. Lab Exam: pH 7.27, pCO2 27, HCO3 10, what's the best compensatory
mechanism?
a. Reduce secretion H+
b. Reduce secretion ...
c. Increase excretion phosphate
d. Dissociation of H2CO3
e. Reduce urinary excretion
32 Pasien 45 tahun datang dengan keluhan dypsnea, oliguria, weakness 4 hari yg lalu, napasnya
dalam dan cepat. Ph pco2 hco3 turun. Compensatory mechanism ?
A. Excess ph in blood
B. Release co2
C. Release excess hco3
33 Pasien 43 tahun right back pain. 3 tahun lalu urinating small stone. Sudah diobati dan
sembuh. X-ray hyperecoic dengan ecoic shadow (kalau ga salah) di right back pain at L2
vetebrae. Dimanakah lukanya?
A. Cavity ...
B. Brim pelvis. Crosses iliac artery
C. ...
D. Pelvic inlet gitu
E. End ureter sampai masuk bladder
34 Pasien 43 tahun right back pain. 3 tahun lalu urinating small stone. Sudah diobati dan
sembuh. X-ray hyperecoic dengan ecoic shadow (kalau ga salah) di right back pain at L2
vetebrae. Dimanakah lukanya?
A. Cavity ...
B. Brim pelvis. Crosses iliac artery
C. ...
D. Pelvic inlet gitu
E. End ureter sampai masuk bladder
35 Layer the surgeon must incisive to reach testicular parenchyme A. Buck fascia B. Tunica
albugenia C. Dortus fasciaD..scarpa fascia E.Tunica vaginalis B.Tunica albuginea

36 Gambar histology yg ada di modul lab act yang sel dilapisi oleh sel aslinya jawabannya
cystisis cystica
37 The cell is near seminiferous tubules...

A. Leydig cell
B. Sertoli cell
C. Spermatid
D. Spermazoa
E. Secondary sperm
38 A 7 y.o. boy is admitted to Padjajaran Teaching Hospital due to difficulty of micturition.
There was a history of consumption of jengkol bean 1 day before admission.

Treatment for the patient:

A. Furosemide
B. ACE-I
C. sodium bicarbonate
D.
E. Packed Red Cell Transfusion
39 Intinya culture media buat Neisseria gonorrheae
Jawab: Tayer Martin agar
40 37. Mr. Adrian dtg ke puskesmas dengan keluhan ulcer di penil shaft, dari pemeriksaan vdrl
positif, tpha reaktif. Pemeriksaan lanjutannya apa?
Jawabannya test dark field microscopy untuk memastikan pergerakan treponema
41 Male, 65 y.o, BP: 140/90, PR: 84 bom
A month ago diagnosed stage 2 hypertension with positive decompensatio cardia, treated
with hidralazine
The basic vasodilatory mechanism of the drug is

A. Positive inotropic
B. Positive chronotrophic
C. Increase afterload
D. Increase coronary blood flow
E. Baroreflex
42 Wotf is correct arrangement of blood supply of kidney?
D. Renal a - segmental a - interlobar a - arcuate a - interlobar a - afferent a
43 A 55 y.o woman came with throbbing headache at the back and neck since 3 months ago,
especially in the morning. There is no history of head trauma or infection. Physical exam :
BMI: 30 kg/m2BP: 160/90 mmHg, PR: 72/min, RR: 18x/minCardiac left border : 3cm lateral
to the left midclavicular line Lab exam: Ureum : 35 mg/dL, Creatinine : 1.2 g/dL, Uric acid :
7 mg/dL. HDL cholesterol : 30 mm/dL, LDL cholesterol : 160 mg/dL, triglyceride : 300
mg/dL, random blood sugar : 220 mg/dL, total cholesterol : 250 mg/dLECG : left ventricular
hypertrophy What is cardiovascular risk mostly occurred?A. DM & cardiomegalyB.
Dyslipidemia & DMC. Dyslipidemia& LVHD. Hyperuricemia & obesityE. Obesity & LVH

44 42. Laki-laki 27 tahun, datang dengan keluhan mucopurulent discharge, unprotected sex, no
fever and no pain in urination. Suspect Gonorrhea, setelah diperiksa bakterinya tidak tumbuh
di blood agar and would grow in certain cell lines.
a. Chlamidiophilia pneumonia
b. Chlamidiophilia ..... (mf lupa)
c. Chlamydia trachomatis
d. N. Gonorrhaea
e. T. Pallidum
45 Diarrhea. What is the most likely cause of hyperkalemia in this patient?
A. Increased reabsorption of potassium in kidney
B. Reduced potassium filtration in kidney
C. Hemoconcentration
D. Decreased urine production
E. Activation of Na/K/ATPase
46 The scrotum appears to have slightly and wrinkled apperance. What the most likely of this
apperance?
A . Hyperkreatinized squamous epithelial
B. Tunica albuginea
C. Dortus fascia
D. Tunica vaginalis
47 Ada pasien cewe kena acute urine retention

Which one following is true about saline solution for baloon foley cathether
A. Can cause uretheral damage
B can contain urin material
C lupa
D crystal
48 23 yo collage student come to the clinic with symptoms suspected STD. Neisseria and
chlamydia are ruled out. WOTF organisms is most likely cause nongonococcal urethritis
(NGU)?

A. Mycoplasma fermented (pokoknya gt)


B. Mycolplasma hominis
C. Mycoplasma mycoides
D. Mycoplasma pneumonia
E. Ureaplasma urealyticum
49 49. Calcium antagonist can not be given to patient with congestive heart failure because
A. It has hypotension effect
B. lupa
C. lupa
D.lupa lupa
E. lupa lagi pilihan jawabannya
50 SOAL NOMOR 50Male, 65 years old, come to clinic with chief complain hematuria. Biopsy
was done, and from microscopic examination, it is revealed that the bladder mucosa is lined
with transitional epithelium with normal cell morphology. This transitional epithelium grow
inward to lamina propria with glandular like fashion. The surrounding stroma are infiltrated
by inflammatory cells. Congestion of capillary and edema were also observed.Which of this
condition is true :A. Cystitis cysticaB. Cystitis glandularisC. Normal conditionD.
PapillomaE. Urothelial carcinoma

51 Massive diarrhea & vomtting since Yesterday. Ditemukan Metabolic acidosis &
hyperkalemia.
Apa penyebab Hyperkalemia pada pasien ini?
a. Haemoconcentration
b. Reduced excretion
c. Increase reabsorption
d. Decrease urine output
e. Reduced filtration
52 In clinical setting, PSA testing is used as?
A. Diagnosis
B. Patofisiologi
C.
D.
E. Choose treatment
53 53. Side effect of amlodipine?

Edema in extremities
54 A 8 year old boy came to your clinic with nephritic syndrome. From physical and and lab
examination reveal that he had edema, hypertension, hematuria, and dark cola coloured
urine.

His edema is due to


A. Hypoalbuminemia
B. Hyperalbuminemia
C. Hypervolemia
D. Hypovolemia
E. Increase Vascular Permeability
55 Macula densa mensekresikan apa? Renin
56 Mr.Adrian ada ulcer di penile shaft. VDRL 1/32. TPHA reactive. Skin test. Positive reaction
for penicillin. What is the best treatment for patient?
a. Benzathine penicillin G 2.4 single dose
b. Benzathine penicillin G 7.2 triple dose. With G 2.4 im single dose
c. Aquaporin penicillin
d. Dexamethasone
e. Di desensitisasi penicilin dulu baru d kasih treatment penicillin
57 58. Anak usia 4 tahun dengan generalized edema, edema tampak jelas di periorbital seketika
pagi, hilang siang hari. Leukosit 4+, RBC 2/3.
Diagnosis?
A. Nephrotic syndrome
B. Acute nephritic syndrome
Opsi lainnya lupa.
58 Secretion of ions, acids, drugs, toxins.a. Bowman’s capsuleb. Proximal convoluted tubulec.
Loop of henled. Distal convoluted (kayaknya ini)e. Collecting duct

59 Male homologue of clitoris


a. Epidydimis
b. Vas deferens
c. Penis
d. Scrotum
e. Prostate
60 What is the most likely hormone/peptide will increase blood pressure to normal level during
renal compensatory condition:
A. Angiotensinogen
B. Aldosterone
C. Anti Natriueitic Peptide
D. Angiotensin I
E. Angiotensin II
61 63. Lupa soal lengkapnya, ttg histologi gitu, maaf ya.

Struktur ini memiliki primary process trus ada foot like processes sbg secondary process atau
pedicles.
struktur apa yg dimaksud?

ada opsi podocytes gitu, sisanya lupa T.T mesangial(middle?)


62 Anak, 4 tahun datang dengan keluhan edema diseluruh tubuh. Terutama dibagian mata pada
pagi hari. Produksi urin 1,1 mL/kgBB/hari.
PE : alert, edema seluruh tubuh, vital sign normal.
Urinalysis : Protein +4
Blood : Ureum 20 mg/dL, creatinine 0.6 mg/dL.
Diagnosis??
A. Nephrotic syndrome
B. Acute on chronic kidney disease
C. Acute kidney injury
D. (lupa)
E. (lupa)
63 Hormone yang mempengaruhi reabsorpsi air pada kondisi dehidrasi?
A. ADH
B. ANP
C. Aldosterone
D. Angiotensin II
E. (lupa)
64 lack if this hormone will lead polyuria with normal osmolarity urine?
a. ADH
b. anti natriuretic peptide
c. calcitrol
d. insulin
e. NE
65 65 yo man is now retiring from his job in which had exposure of toaniline dyes in addition of
b-naphtyline. He had episodes hematuria but no abdominal pain, PE : no abdominal finding,
urinalysis : positive for blood, no glucose, no ketone, no protein. Microscopic urinalysis :
RBC are too numeorus, no crystal, no cast. Urine culture reveals negative. Which of the
following risk factor is most important in pathogenesis of this bladder lesion :A. SmokingB.
SchistosomiasisC. Diabetes mellitus D. Chronic cystitisE. Hyperplasia of prostate

66 Reversion of Neisseria gonorrheae from fimbriated to non fimbriated will result?


a. inability to colonise (1st)
b. capsule stain negative
c. organism will die
d. loss of ability to attach (2nd)
e. serologic test will negative
67 Gambar yang corpora amylacea
68 Bapak 50 th sakit di bagian flank, CVA positif, di x ray ada opaque di bagian right & left
major calyx, diagnosis: urolithiasis. Disuruh meat restriction diet sama dokternya.

Dietnya kaya apa kalo batunya calcium....:

A.Low phospate
B.Low oksalat
C.High kalsium
D.High intake sayur
E.High intage buah
69 A man always consume milk, green tea, chocolate. Seldom eat meat and fish. He likes
spinach. Never experiencing pain when urination or knee pain. No family history of stone
formation. What mechanism involve in this person?

A. Supersaturation
B. Lack stone inhibitor
C. Change in tubular ph
D. Less tubular flow
E. Tubular infection
70 Pasien datang dengan tak sadar dan kejang. BP 150/90, numerous of RBCs, proteinuria +1.
Diagnosed as APSGN
WOTF is suggestive for APSGN in the case above?

A.) It is latent period of the disease


B.) There is family history
C.) Shows extra renal disease
D.) Shows chronic renal disease
E.) Previous similar symptoms
71 A-65-year old man came to clinic with chief complain anuria for more than 1 days with
lower abdominal pain. PE revealed that there is suprapubic enlargement and tenderness when
palpation. Patient is diagnosed having benign prostatic hyperplasia.

During kidney'sremoval procedure..., which is the most anteriorly part of renal sinus:
A. Renal artery
B. Renal vein
C. Minor calyx
D. Major calyx
E. Renal pelvis
72 A 32 year old previously healthy man is hospitalized because of acute onset of dysuria,
urinary frequenct, fever, pain both loin tenderness and shaking chills. His temperature is 39
c, bp: 100/60 mmhg. Pulse is 110 bpm. Which of the followinh would be the most accurate
diagnosis of this acute illness?A. Acute glomerulonephritisB. Acute renal failureC. Acute
pyeonephritisD. Acute cystitisE. Nephrotic syndromeJawaban c

73 Bapak usia 45 tahun, datang dengan dyspnea, serta oliguria, weakness sejak 4 hari yang lalu.
ABG
PH: 7,27
PCO2: 27
PHCO3: kurang dari normal

Hasil dari proses kompensasi pada renal yaitu


a. Sekresi fosfat
b. Sekresi ...
c. Ekskresi ...
d. Penurunan sekresi HCO3
e. Reabsorbsi ...

Maafkan tidal lengkap opsinya �


74 Seorang pria usia 56 tahun didiagnosa CKD Stage 5 non HD dengan PEM. Berat 50kg
dengan tinggi 175cm. Diberikan treatment berupa vitamin D. Apakah fungsi organ terhadap
treatment tersebut?

A. Metabolism
B. Hormonal release
Sisanya lupa maafin.
Jawabanku A
75 Reversion of neisseria gonnorhoeae from a fimbriated to a non-fimbriated state will result in
which of the following?

A. Inability neiseria to colonize the mucosal epithelium


B. Reversion to a positive stain
C. Death of organism
D. Decrease the serological sensitivity
E. A negative capsule strain (lupa)
76 77. Intinya ada seorang laki-laki kecelakaan 3 jam sebelumnya saat dia mau ke kantor. Lalu
ada bloody urine. Dokter menyarankan jadwal untuk dia operasi. Pertanyaannya : lapisan
dari luar sampai dalam dekat dengan organ tsb ?
A. Muscle fascia - pararenal fat - renal fascia - perirenal fat - capsule
B. Muscle fascia -perirenal fat capsule - pararenal fat - renal fascia
C. Muscle fascia - perirenal fat - renal fascia - pararenal fat - capsule
D. Renal fascia - pararenal fat - renal fascia - perirenal fat - capsule
E. Renal fascia - perirenal fat capsule - pararenal fat - renal fascia
77 pH 7.25; HCO3 7; pCO2 25, most likely occured
a. increase (eh atau decrease ya) pHCO3
b. increase O2
c. increase O2 saturation
d.
e.
78 A 6byo male come with complaint bloody urine. He had history of bacteria infection on skin
3 weeks ago. On physical examination he is alert, no , edema on both eyelids, on lab exam
urine protein ++, decrease C3.Which is following factors posible prognosis in the future if its
persistent until 4 weeks?A. SwellingB. Positife DNAse BC. Gross hematuriaD. ProteinuriaE.
ASTO

79 81. male ckd stage 5 non HD dgn PEM. intake sodium brp disarankan?
a.
b. 500ml + urine output
c. 750ml + urine output
d. 1000ml
e. individualized
80 Struktur apa yg punya acending & descending structure, ada thin & thick

A. PCT
B. LOH
C. DCT
D. Collecting Tubule
81 Testis cancer, abis insisi scrotum, lapisan apa yg harus di insisi untuk mencapai parenkim
dari testis?
A. Buck's fascia
B. Tunica albuginea
C. Dartos fascia
D. Scarpa's fascia
E. Tunica vaginalis
82 Vitamin D related to fungsi ginjal berperan dalam apa
Electryoltye balance
Acid-base balance
Pilihan lainnya lupa maafkaaan
83 Bagian yang letaknya di anterior dari renal hilum
a. Renal pelvis
b. Major calyx
c. Minor calyx
d. Renal vena
e. Renal artery
84 Pasien 36 tahun datang keluhan hematuria. Dilakukan cystoscopy ada irregular erythematous
bladder . Dilakukan biopsy, gambaran microscopic (ada gambarnya), ............... ada
congestion capillary sama edema
If metaplasia occurs in epithelial lining, most appropriate condition of patient ?
A. Cystitis cystica
B. Cystitis glandular
C. Normal
D. Papilloma
E. ...... carcinoma
85 Old men with history alcoholism, had vomit over 2 week before. Test result shows
bicarbonate elevated (45), ph 7.62.

Mechanism of abnormal bicarbonate level is, EXCEPT


A. Increase h+ secretion in cortical collecting duct
B. Hco generation in descending loop of henle
C. Hco reabsorption in pct
D. Hcl loss in upper gi tract
86 18 tahun laki, ada riwayat hematuria, terdapat edema di kedua kaki, berawal dari sakit
tenggorokan, bp 150/110. Menejemen yang dapat dilakukan?A. Pemberian diureticB.
Pemberian antibioticC. SteroidD. Complement menejemen

87 Ada pasien mengalami hipertensi, edema, dark urine color. Apa yg menyebabkan urinnya
berwarna gelap?
88 Ada pasien mengalami hipertensi, edema, dark urine color. Apa yg menyebabkan urinnya
berwarna gelap?
89 A 5 years old boy was admitted with a mas in his abdomen. Radiological examination
revealed that the mas originates form his kidney
WOTF is the most likely microscopic qppearence of his tumor?
A. Nest of Cells tumor with an undang eosinophilic cytoplasm and mitotics
B. Tumor Cells are composed by mesenchymal and blastemal cell
C, small round blue cells tumor that's rossete appearence
D. Tumor cell are composed of one kind of ephitelial Cells only
E. Tumor Cells have Clear cyplasm and much of mitotics
90 160/110 termasuk dalam kategori apa di jnc 7 dan 8? Stage 2
91 laki-laki, CKD w/o HD with PEM, diberikan suplemment vit D, fungisnys apa?
a. lupa
b. hormone ..
c. excretion
d. lupa
e. lupa
92 Vessels antara cortex dan medulla
A. Interlobar arteries and veins
B. Arcuate arteries and veins
C. Interlobular arteries and veins
D. Stellate arteries
E. Vasa recta
93 97. Tentang development kidney, pada week keberapa kidney bisa berfungsi definitive secara
fungsional?
A. 4th
B. 7th
C. 8th
D. 9th
E. 12th
94 97. Tentang development kidney, pada week keberapa kidney bisa berfungsi definitive secara
fungsional?
A. 4th
B. 7th
C. 8th
D. 9th
E. 12th
95 In the following steatment, which is the most probable BGA analysis result of severe renal
impairment
A. Increase pHCO3 in arterial blood flow
B. Increase oxygen level in renal blood flow
C. Increase oxygen saturation in renal blood flow
D. Increase oxygen level in venous blood flow
E. Base excess within normal limit
96 In the following steatment, which is the most probable BGA analysis result of severe renal
impairmentA. Increase pHCO3 in arterial blood flowB. Increase oxygen level in renal blood
flowC. Increase oxygen saturation in renal blood flowD. Increase oxygen level in venous
blood flowE. Base excess within normal limit

97 Autosomal dominant polycystic kidney disease is a hereditary disorder characterized by


multiple expanding cyst of both kidney that ultimately destroy the renal parenchymal and
cause renal failure. Which of the best microscopic appearance for this condition?
A. Dilation of Bowman capsule
B. Dilation of glomerulus
C. Dilation of renal calyces
D. Dilation of renal corpuscle
E. Dilation of tubules
98 100. Organ that secrete substance Alkaline Phospatase?

A. Prostate gland
B. Bulbourethral gland
C. Seminal vesicle
99 Mr. Adrian 22 yo, CC: ulcer at penile shaft since 1 week ago. HT: positive sexual contact
with girlfriend without condom. Serological exam: VDRL = 1/32 and TPHA reactive.
Characteristics of the lesion?
100 A 39 y.o man. IVP diagnosed renal calculi. The calculus component is calcium oxalate. It
increase incidence of hypophosphatemia.
Which hormone will increase renal clearence of phosphate?

A. Aldosterone
B. Parathyroid hormone
C. Norepinephrine
D. Vasopressin
E. Angiotensin
101 28 y.o man,positive sexual contact with girlfriend without condom. Giemsa staining show
multonucleated giant cell. Test to diagnose?
A. Tpha
B. Gram staining
C. KOH
D.herpes : hsv
E. Lupa

Answer : D. Herpes
102 A 39 yo woman complains hematuria and severe flank tenderness. She also had a history of
kidney stones. A CT scan depicts the abdominal portion of the ureter is lying anterior to a
muscle.

What is the name of the muscle?


A. Psoas
B. Serratus anterior
C. Obturator
D. Rectus
E. External abdominal muscle
103 Soalnya tentang nephritic syndrome lalu ada edema. Yang ditanyakan adalah penyebab
edema nya
Jawaban : hypoalbuminemia
104 membutuhkan proses spermatogenesisa leydig cellb. sertoli cellc sprematogonia type bd
spermatide sprematozoa

105 108. Patient with multiple myeloma develops a defect in renal bicarbonate reabsorption
which involve in proximal tube, that is, type 2 renal tubular acidosis
Which of the following struscture feature distinguishes the epithelial cell of the proximal
tubule from those of distal tubule
A. The distal tubule has a thicker basement membrane
B. The proximal tubule has a thicker basement membrane
C. The proximal tubule has more extensive brush border
D. The proximal tubule form the juxtoglomerular apparatus
E. The distal tube has fewer tight intercellular junction
106 Wanita, 60 tahun AKI. Creatinine tinggi, BGA pH rendah, HCO3 rendah.

Kondisi pasien berdasar BGA?


Metabolic acidosis
107 A young woman treated with allopurinol came to the hospital with right flank pain &
ultrasound shows a stone in the proximal ureter but the stone is radioluscent on KUB. Which
of the following is most likely stone composition in this patient,
A. Calcium phospate (w jawab ini, tp gatau bener apa engga)
B. Weddelite
C. Xanthine
D. Calcium oxalate
E. Calcium oxalate dyhidrate
108 Reabsorption of water, ion, and all organic nutrient..
a. Bowman capsule
b. PCT *
c. Loop of Henle
d. DCT
e. Collecting duct
109 43 yo man come with chief complain pain in the right back. He has history of urinating small
stones and come to doctor but not do further examination. His x ray show hyperechoic and
acoustic shadow in right back L2.
Where is the location of lession?
A. Cavity of pelvic....
B. Pelvic brim of ureter
C. Cortex...
D. Junction of pelvic and ureter
E. Medula...
110 Seorang laki laki yang mengalamu testiscular cancer yang sudah menastatasis ke lymph
node, lymph node yang pertama kali terkena?
A. Lumbar (aortic) node
B. Aorticorenal node
C. Inderior messenteric node
D. Common iliac node
E. Inferior iliac node
111 Pria berusia 34 tahun. Tekanan darahnya yang diambil beberapa bulan lalu: 148/82, 140/78,
149/88, dan 150/77 mmHg
Pernyatan yang sesuai dengan kondisinya?
A. Because age and diastolic blood pressure are normal, he doesn't necessarily need
treatment
B. (Lupa)
C. He has a statistically greater chance for developing chronic kidney disease over his
lifetime compare to individual with average blood pressure 120/70 mmHg
D. With his age, the cause of his high blood pressure is secondary rather than essential
112 Seorang laki2 23 th dilarikan ke ER dlm keadaan tidak sadar. 1 hari sebelumnya mengalami
dehidrasi . BP : 80/60 . PR : 120. Dokter mendiagnosis AKI. Dalam keadaan sprti itu,
keadaan metabolisme yg mungkin terjadi adalah : A. LIPOLISIS<br>B.
HIPOMETABOLISM C. ALKALOSISD. HIPERMETABOLISM

113 116.
Patient come to nuclear medicine with chronic kidney failure.

Test apa yang harus dilakukan


A. Renal effective plasma flow
B. GFR
C. Renal scintigraphy
D. Renal arterial blood flow
E. Conventional renography

Jawab: c
114 56 y.o man with diagnosis CKD with non HD but with PEM. Weight: 50 kg, height: 175 cm.
How much sodium should consumed by this patient?
A. Not restricted
B. 500 mL + urine output
C. 750 mL + urine output
D. 1000 mL
E. Individualized
115 Gen yg diekspresikan oleh mesenkim, berfungsi untuk inisiasi diferensiasi ginjal ?
Jawab : WT1
116 Muscle fascia of renal: psoas

117 120. Patient with flank pain & costovertebral angle tenderness, xRay radioopaque, diagnosed
as urolithiasis. The doctor adviced to restrict meat consumption. If the cause of this
symptoms was infection, what is the most probable stone formation?A. Uric acid stoneB.
Struvite (lupa tulisannya)C. Calcium oxalate D. Calcium phosphateE. Cystine
118 121. A 50-year old man was diagnosed of having kidney stones. History taking revealed that
he used to eat a lot of milk, green tea, chocolate and peanuts. He seldom eats meat or fish.
He likes spinach most. He never experiences pain in urinating or joint pain. No family
history of kidney stone. What is the most possible kind of kidney stone?

A. Calcium oxalate stone


B. Cholesterol stone
C. Cystine stone
D. Struvite stone
E. Uric acid stone
119 Calsium antagonist kontraindikasi untuk pada pasien CHF, kenapa?
A.negative chronotropic effect
B.vasculoselective effect
C.natriuretic effect
D.baroreflex stimultant
120 Seorang anak perempuan 12 thn dtg ke ER dlm keadaan weakness. Severe vomitting,
massive diarrhea, orthostatic hypotonic dan severe dehidration. Dibawah ini yg dapat
menyebabkan water intoxication adalah :
A. High electrolyte water contained
B. Hypertonic fluid
C. Hypotonic fluid
D. Isotonic fluid
E. Massive isotonic fluid
121 What is source alkaline phosphat in the semen ?
a. Prostatic gland --> JAWABAN
b. Bulbourethral gland
c. Seminal vesicle
d. Lupa
e. Lupa
122 Which one is the most possible result of blood gas analysis in severe renal impairment

A. Increase pHco3 in arterial blood flow


B. Increase o2 in renal blood flow
C. Increase o2 saturation in arterial blood flow
D. Increase o2 content in venous blood flow
E. Base excess within normal limit
123 Which of the following is the most appropriate cause of dark-colored urine?
a. Bilirubin
b. Erythrocyte
c. Leukocyte
d. Urobilin
e. Urochrome
124 (Gambar histology bladder)
127. If metaplasia intestinal occurs in the case above, what's most likely condition will
happen?
A. Cystitis cystica
B. Cystitis glandular
C. Normal condition
D. Papilloma
E. Urothelial carcinoma
125 A 63 years old woman came to primary health care with pulsative headache. PE revealed BP
160/90 mmHg and heart rate of 104 bpm.Which is the most appropriate drug?A. Alpha
blokerB. Beta blokerC. Ca chanel blockerD. Ace inhibitorE. Angiotensin receptor blocker

126 45 yo man, uncontrolled high BP 160/110. Medication : Amlodipine 5mg once daily &
bisoprolol fumarate 5mg once daily. 2wk ago bcs of ankle swelling, stop medication bcs
worry about heart failure symptoms. Family history : mom died bcs diabetic and was on
hemodialysis. Polyuri, polydipsi, polyphagia. Smoking 5 cigaretes/day. BW : 45kg, dulu
70kg. Treatment?
A. Life style modification+monotherapy ACE-I
B. Life style modification+2 drugs combination
C. Life style modification+B-blocker
D. Life style modification+ACE-I & ARB
E. No need life style modification, but given CCB+ARB
127 In a patient who has testicular cancer that has metastasized to lymph nodes, which of the
following nodes is most likely affected first?
A. Lumbar nodes
B. Aorticorenal nodes
C. Inferior mesenteric nodes
D. Common iliac nodes
E. Internal iliac nodes
128 12 yo female came to the emergency department with the chief complaint of weakness. She’s
suffered from severe vomiting and massive diarrhea for the last 2 days

131. You check the orthostatic hypotension examination and result was positive. What does
this test refer to?
a. Hypotension
b. Low serum osmolality
c. Hypovolemic shock
d. Hypovolemia
e. Life threatening shock
129 40 year old male came to nuclear medicine to check renal function due to chronic kidney
failure. What is the examination:
A. Effective renal plasma flow
B. Glomerular filtration rate
C. Renal scintigraphy
D. Renal rterial renal flow
E. Conventional renography
130 133. Pasien dikasih treatment yg mengganggu reabsorpsi Na+ (Furosemid) dah, terus apa yg
terjadi dlm tubuhnya?
Jawaban :
A. Increase urine osmolarity
B. Decrease urine osmolarity
c
D.
E. Lupaaa huhu
Jawaban aku a
131 134. 27 years old male come to the clinic with mucopurulent discharge from penis setelah ke
tempat prostitusi dan tidak pakai kondom. He was afraid that he had caught the "clap".
Pasiennya no fever and no pain upon urination. The doctor suspect Neisseria gonorrhea. Lab
examination show the causative organism not grow in blood agar, but would only grow in
certain cell lines. What is probable organism? A. Chlamydophila pneumoniaB.
Chlamydophila psittaciC. Chlamydia trachomatisD. Neisseria gonnorheaE. Treponema
pallidum

132 65 years old man with chief complaint urinating retention more than a day before and lower
abdominal pain. Physical exam revealed that pelvic region tenderness upon palpation.
Diagnosis revealed urinary retention due to prostatic gland hyperplasia.

If kidney disection will performing in this patient, what is the following structure that located
most anterior?
A. Renal artery
B. Renal vein
C. Major calices
D. Minor calices
E. Renal pelvis

133 136.Maaf lupa. Soalnya tentang gambaran patologi di renal


134 Mr. Darto, a 28-year-old man came to Puskesmas Jatinangor with a chief complaint of ulcer
on his penile shaft since 1 week ago. History taking showed positive sexual contact (genito-
genital) with his girlfriend without condom. Giemsa staining from ulcer specimen showed
multinucleated giant cell.

What is the most likely laboratory examination that can help you to establish the diagnosis?

A. Serological test for syphilis: VDRL and TPHA


B. Serological test for herpes: IgM anti-HSV 2 and anti-HSV 1
C. Gram staining for Neisseria gonorrhoeae
D. PCR for detection of Chlamydia
E. KOH staining for Candida sp
135 features that distinguish epithelial cells of PCT and DCT
136 A 5 years old boys do urinalysis
Color: yellow light
No blood, claudy urine.
What is the causes of the color of the urine?
A. Glomurulus excretion of blood
B. Nephron excretion of blood
C. Glomerulus excretion of albumin
D. Glomerulus excretion of urea
137 reffered pain from ureteral colic, dari loin ke groin. nerve fibers?

t1-t2
t2-t3
t3-t4
t5-6
t11-L2
138 141. What it the most likely hormone deficiency will lead to polyuria in normal urin
osmolality?
A. ADH
B. Atrial natriuretic peptide
C. Calcitriol
D. Insulin
E. Norepinephrine
139 A female medical student admitted to emergency department due to symptom of severe UTI.
The escheriscia coli strain isolated from urine produced extended spectum B-lactamase.
(Gambar ada di Jawetz)In which anatomical area of E.coli would this enzyme exist?A. AB.
BC. CD. DE. E

140 143. While performing left adrenalectomy, A survival resident identified vessels that join the
left suprarenal vein before drain to the left renal vein. Wotf most likely the vessel?
A. Hemiazygos
B. Left 2nd lumbar
C. Left testicular
D. Left interior phrenic
E. Left 1st lumbar
141 Seorang dokter bedah melakukan operasi untuk melihat testicular parenchyma. Setelah
melakukan insisi pada scrotum bagian mana lagi yanb perlu di incisi untuk dapat melihat
bagian dimaksud:
A. Fascia buck
B. Tunica albuginea
C. Tunica vaginalis
D.
E.
142 145. 5 y.o boy was brought by his mother to hospital with complained mass at his abdomen.
His mother felt suddenly while she holds him. Imaging examination showed that the mass
came from his kidney.
What is the best describe of microscopic appearance for that patient?
A. Nest of cells tumor with abundant eosinophil cytoplasm and mitotics
B. Tumor cells could be composed by mesenchimal and blastemal cells
C. Small round blue cells tumor that rosset appearance
D. Tumor cells could be composed by only one kind of epithelial cells
E. Tumor cells have clear cytoplasm and much of mitotics
143 146. Cowo 57 tahun cc mass in her flank also complained blood urine since several week
ago. Biopsy dilakukan, microscopic findings are nest of tumor cells with papillary and
trabecular structure clear citoplasma, small nodule ........ And abundant of mitotic.
A. Willm's tumor
B. Transitional cells carcinoma
C. Adenocarcinoma
C. Clear cell carcinoma
A. Papillary carcinoma
144 Treatment syphilis adalah..

A. Benzathine penicillin 2.4million IU/ml, IM, single dose


B. Doxycycline
C. Erythromicine

jawabannya A
145 What's the function organ regarding vitamin D?
a.Metabolism
b. Hormon release
c. Excretion
d. Electrolic regulation
e. Acid base regulation
146 A 57 years old male came with difficulty to urinate. Digital rectal examination showed
enlargement of the prostate approximately 50 gram, no nodule or tenderness. PSA was 1
mg/dL. Transurethral resection of the prostate was performed and the tissue biopsy was sent
for histopathological examination.What is the structure pointed by the white arrow in the
photomicrograph below ?a. Basal cellsb. Columnar cellsc. Corpus amylacea (jawaban)d.
Fibromuscular stromae. Spermatocytes

147 A 28 year old woman came to your clinic with dysuria, fever, chills, pain at her back and
waist. BP 100/60, RR 28, Temperature 39°c. What is your diagnosis?

A. Acute cystitis
B. Acute glomerulonephritis
C. Acute pyelonephritis
D. Acute kidney injury
E. Nephrotic syndrome
148 which of the following is the most likely characteristic of uro-calcinosis?
a. has the same definition with urolithiasis
b. has the same calcinogenesis with urolithiasis
c. found in the renal pyramid
d. found in the renal cortex
e. can cause renal obstruction
149 Characteristic of Treponema pallidum
a. Sizenya
b. Chocolate agar
c.
d.
e. Resistant to penicillin

maaf lupa detailnya


150 Tentang protective layer renal :
Jawabannya muscle - paranephric fat-renal fascia-perinephric fat-renal capsule
151 Soal yg throbbing headache and pain on the bacj of the neck

Wotf complication likely occur in this patient


152 pH asam
HCO3 turun
PCO2 turun

yg terjadi di kidney?
sekresi H
153 Anak 5 tahun. Di cek lab. Yang abnormal cloudy, urobilinogen (+). Ini spesifik meriksa apa?
154 Hormon yang meningkatkan reabsorbsi sodium?
A. ADH
B. Aldosteron
C. ANP
D. Calcitriol
E. Insulin
155 What is advantage of Angiotensin Converting Enzyme Inhibitor (ACE-I) to a hypertensive
patient (160/110 mmHg, other physical and lab exam normal)?
A. Decrease proteinuria
B. Refress left ventricullar hypertrophy
C. Lowers the activitt of cenous smooth muscle cells
D. Increase the stimulus of sympathetic cardiovascular pathway
E. Also has a diuretic effect
156 WOTF prototype of vasodilator?A. LabetalolB. NitroprussideC. PrazosinD. AnlodipineE.
Diltiazem

157 4yo girl, nephrotic syndrome, renal biopsy

electron micro?

A. subepithelial electron dense lump


B. reduplication of gbm
C. Area of thickened & thinned basement membrane
D. Increase mesangial matrix
E. effacement of podocyte foot processes
158 7 yo boy, urine with gross hematuria, proteinuria, (other glomerulonephritis urine
characteristic)

Specific test for this kid?


Microscopic examination of:
a) erythrocyte
b) leukocyte
c) protein
d) bacteria*
e) parasite
159 A man who has a penile chancre appears in a hospital's emergency service. The VDRL test is
negative. Wotf if the most appropriate course of action?
A. Perform dark-field microscopy for freponemes
B. Perform gram stain on the chancre fluid
C. Repeat VDRL test in 10 days
D. Send the patient home untreated
E. Swab the chancre or culture on Thayer-Martin (TM) agar
160 Which of the following is the correct blood supply for the kidney?
A. Renal artery - ..........
B. Renal artery - ..........
C. Renal artery - ..........
D. Renal artery - ..........
E. Renal artery - segmental artery - interlobar artery - arcuate artery - interlobular artery -
afferent arteriole
161 Advantage of furosemide :

A. Decrease blood pressure


B. Suppress Na reabsorption

Lupa option nya maapin


162 The most likely hormone deficiency that leads to polyuria with normal osmolality
A. Antidiuretic hormone (ADH)
B. Atrial natriuretic peptide (ANP)
C. Calcitriol
D. Insulin
E. Norepinephrine
163 171. A 6-year-old girl complaining of bedwetting and having difficulty to control micturition.
What is the most .... to assist us in diagnosing this patient?
A. Urinary WBC
B. Urinary Proteinuria
C. Urinary Osmolarity
D. Urinary Sodium and Potassium
E. Urinary Spesific gravity
164 A 66 years old man came with difficulty in voiding and has been diagnosed with benign
prostatic hyperplasiaWhich lobe is affected?A. Anterior lobeB. Posterior lobeC. Lateral
lobeD. Medial lobeE. Inferior lobe

165 Cell near the lumen of tubulus seminiferous


A. Leydig cell
B. Sertoli cell
C. Type B spermatogonium
D. Spermatid
E. Spermatozoa
166 Pokonya penyakit GO bakterinya kan gonorrheae pemeriksaannya pake apa? Jawabannya
thayer marthin
167 13 y.o boy comes with complaint of dark urine. He has history of bacterial infection on his
skin about 3 weeks ago. On physical examination he was somnolent, no seizure, bp 150/90,
swelling on both eyelids
Which of the following is the most possible complication of the disease?
A. Pleural effusion
B. Congestive heart failure
C. Myocarditis
D. Pericardial effusion
E. Cardiac arryhthmia
168 7 yo boy has red cola colored urine. Blood pressure 120/80, palpebral edema, leg edema, no
other abnormality. Given furosemide.
What approach of the selected drug?
A. Increased GFR
B. Decreased blood pressure
C. Decreased renal blood flow
D. Counter RAAS
E. Increased extracellular fluid
169 Mr a suka makan cokat,green tea,sama bayem. Kira2 batu yang menyumbat nya apa?
170 Mr a suka makan cokat,green tea,sama bayem. Kira2 batu yang menyumbat nya apa?
171 APSGN
Etiologi:
A. Streptococcus pneumonia
B.staphylococcus aureus
C.staphylococcus epidermidis
D. Streptococcus Pyogenes
E.
172 Ureteric pain (kayak soal formatif)
A. T1-T2
B. T2-T3
C. T4-T5
D. T6-T7
E. T11-L2 (jawabannya)

Terus juga yg aku inget banyak soal ttg penis dan histologi testis. Jd dipelajari saja ya guys
173 A 5 year-old boy came to the clinic. He has genital tract edema.UrinalysisAppearance:
cloudypH: 6.0Which of the following is the most appropriate urinary examination for this
patient?A. GlucoseB. NitriteC. ProteinD. BilirubinE. Ketone

174 182. Dia prostatic hyperplasia, gabisa pipis, sakit bladdernya. Nerve apa yang berperan?
175 183. 4 years old child have whole body edema, 5 days before she had eye palpebral edema
every morning. The lab exam : protein=++++ rbc=3-4 creatinine and ureum within normal
limit. What is the diagnosis of the disease? A. Nephrotic syndrome B. AKI C. Kwashiorkor
D. CKD
176 65 tahun laki2 keluar dari kerja yang menghariskan dia terpapar oleh toaphyline. hasil PE:
kematuria dan tidak ada abdominal pain. urinalysis blodd (+), no glucose dan no ketone.
mikroskopik RBC (+), no cast dan no crystal. diagnosis adalah
a. renal cell carcinoma
b. hemorrhagic cystitis
c. tubercular cystitis
d. bladder carcinoma
e. urethra carcinoma
177 5 year old boy was admitted with a mass in his abdomen. Radiological examination revealed
that the mass originates from his kidney. Diagnosis?

Lupa nyatet jawabannya maaf dol


178 What is the effect of furosemide?
reduced Na reabsorption
179 188. Patient -> Hypertension, given antihypertensive drug. After taking the drug, developing
cough. Antihypertensive drug?

194. Low acidity urine sample can be form several crystal such as ....

(maaf lupa pilihannya apa aja)


180 1. 23 years old, have sexual transmitted disease, neisseria & chlamydia ruled out as agents
A. Mycoplasma fermetans
B. Mycoplama pneumonia
C. Mycoplasma hominis
D.
E.

189. 6yo, history of skin rash, high bp, palpebral edema


Antibody test yg dilakukan
A. Anti ds dna
B. ASTO
C. ANA
D.
E.
181 Dalam masa pembentukan, cloaca terbagi menjadi dorsal dan ventral. Bagian ventral akan
membentuk?

A. Proximal urethrae in male


B. Proximal urethrae in female
C. Male urethrae
D. Lupa
182 Pasien laki2 berumur 60 tahun, didagnosis hipertensi dan diabetes, ACE inhibitor apa yang
cocokA. captoprilB. lupaC. HydralazineD. lupaE. Amlodipine

183 192. Gambar histo cystitis.


https://www.google.co.id/search?q=cystitis+cystica&client=ms-android-
google&prmd=ivn&source=lnms&tbm=isch&sa=X&ved=0ahUKEwiNkcXqt-
XMAhXCk5QKHRUDDPcQ_AUIBygB&biw=360&bih=512#imgrc=cMPqu5Roo1qsSM
%3A

Urothelium, transitional epithelium, downward ke lamina propia (nesting)

a. cystitis cystica
b. Cystitis glandularis
C. ?
D. ?
E. ?

Jawaban a.
Soalnya lining masih utothelium. Kalo yg b. Cuboid atau columnar
184 Embryology kidney... Awalnya ada 10 pair apa gitu, kemudian disappear. Setelah itu akan
masuk fase apa?
a. Pronephros
b. Mesonephros
c. Metanephros
d. Collecting system
e. Lupa
185 Macula densa secrete..
186 195. 50 years old man has a history of chronic alcoholism had been vomitting constantly for
the last 2 weeks. You order to perform BGA with the result HCO3 45 mEq/L and blood pH
7.62.

All of this is mechanism for abnormal bicarbonate level, EXCEPT:

A. Increase H+ secretion in cortical tubular duct


B. Increase HCO3- generation in descending limb loop of henle
C. Increase HCO3- reabsorption in proximal convuluted tubule
D. Increase HCl loss in upper gastrointestinal system
187 196. Mengapa kalsium antagonis kontraindikasi pada pasien gagal jantung kongestif?
a. karena mempunya efek hipotensi
b. karena mempunyai efek negatif pada kontraksi jantung
c. karena mempunyai efek natriuretik
d. karena vaskuloselektif
e. karena... maaf lupa bangef :(((

Jawaban: B kayaknya
Kalo kata katzung halaman 202, "In the presence of overt heart failure, all calcium channel
blockers can cause further worsening of failure as a result of their negative inotropic effect."

1. Soal cerita panjang, ada HT, PE, dan LE. Serum kalium tinggi. EKGnya gimana?
Jawaban: tall and peak T wave
188 5 yo boy complained mass at his abdomen. His mother felt suddenly while she holds him.
Imaging examination showed that the mass came from his kidney. Diagnosis for this patient?
A. Neuroblastoma B. NephroblastomaC. RhabdomyosarcomaD. MedulloblastomaE.
Retinoblastoma

189 198. Mr. Joni was diagnosed as hypertension and was given antihypertensive agent, but he
become coughing after took that drugs. Which of the following drug was given to him?
A. Captopril
B. Propranolol
C. Clonidine
D. Amlodipine
E. Verapamil
190 50 years old man have type 2 DM with stage 2 hypertension but normal renal function

Appropriate drug?

a. ACE-I
b. diuretic
c. Nifedipine
d.
e.
191 Pokoknya ada pasien indikasi sifilis (painless ulcer) nah nama lain penyakitnya apa

Durum ulcer
192 Autosomal dominant (adult) polycystic kidney disease is a hereditary disorder characterized
by multiple expanding cysts of both kidney that ultimately destroy the renal parenchyma and
cause renal failure.
Which of the best microscopic appearance for this condition?

A. Dilatation of bowman capsule


B. Dilatation of glomerulus
C. Dilatation of renal calyces
D. Dilatation of renal corpuscle
E. Dilatation of tubules
193 A boy was admitted with a mass in his abdomen. Radiologicak exam revealed that the mass
originates from kidney. What is the diagnosis of this patient?
A.neuroblastoma
B. Nephroblastoma
c.retinoblastoma
D. Lupa
E. Lupa

Jawaban ; B
194 What is the correct order to approach the kidney from the back?
a. Muscle fascia – perirenal fat – renal fascia – pararenal fat – capsule
b. Muscle fascia – pararenal fat – renal fascia – perirenal fat – capsule
c. Renal fascia – pararenal fat – muscle fascia - perirenal fat – capsule
d. Muscle fascia – perirenal fat – capsule – pararenal fat – renal fascia
e. Renal fascia – perirenal fat – capsule – pararenal fat – renal fascia
195 50. A patient suffered diarrhea lasting for the past seven days.
Which of the following process occured in this patient?
a. The filtered load of HCO3¬
b. The production of ammonia by proximal tubule
c. H+ secretion by distal nephron
d. Increased anion gap
e. The production of new bicarbonate by the distal nephron (answer)
196 Endothelial capillary, glomerular basement membrane, epithelial disebut sebagai?Jawaban :
filtration membrane
197 neisseria and chlamydia are ruled out. what caused nongonococcal urethritis?
a. mycoplasma fermentans
b. mycoplasma homynis
c. mycoplasma mycoides
d. mycoplasma pneumoniae
e. ureaplasma urealyticum
198 which virulence factor of Neisseria gonorrheae responsible for fever and chills?
A. Capsule
B. Lipooligosaccharide
C. Pili
D. Exotoxin
E. Lupa sori..
199 1. Gen yang menginisiasi differensiasi ginjal (embriologi)?

2. Obat untuk batu akibat jengkol ingestion?

Opsi untuk nomor 3-4


a. Leydig Cell
b. Sertoli Cell
c.
d. Spermatogonium(???)
e.

3. Sel yang akan mengalami spermiogenesis?


4. Sel yang dekat dengan seminifirous tubule?

5. Urutan yang benar antara renal arteri/vena/pelvis dari anterior ke posterior di renal hilum?

6. Saat operasi blablabla di anterior dari ureter terdapat otot?

7. [Gambar bagian dari bakteri] Di bagian manakah terdapat enzim beta laktamase?

8. Rekomendasi Na intake untuk CKD V


a. not restricted
b. 500 + urine output
c. 750 + urine output
d. 1000
e.

9. Jika fimbriated gonore berubah menjadi nonfimbriated, apa yang akan terjadi?
a. kapsul resisten
b. tidak bisa di stain
c. sisanya lupa

10. WBC di urin yang normal batasnya berapa per HPF?

11. Karakteristik troponema?


a. ukurannya ....
b.
c.
d. laten sifilis ditandai dgn ulkus painless dan disseminated rasg
e. resistensi penisilin

12. Rekomendasi protein intake untuk AKI?

13. Rekomendasi nutrisi intake AKI/CKD?

14. BPH, lobe yang terlibat?


a. anterior
b. posterior
c. middle
d. inferior

15. Buat melihat parenkim testis yang harus dibuka otot apa?

16. Ureteral arteri berasal dari


a. abdominal aorta
b. ext iliac
c. int iliac

17. Risk stratification hipertensi

18. Lalala ada batu diliat dari imaging radioluscent


a. calcium phosphate
b. calcium xxxx
c. calcium xxxx
d. cystine
e. lupa

19. Low urin pH. Jenis batu yang terbentuk kira2?

20. Jenis batu yang muncul akibat infeksi?


200 wanita 60 thn masuk emergency tidak sadarkan diri, DM 10 tahun, tidak patuh minum obat,
hasil BGA : pH = 7.1 ; pCO2 = 20 torr ; hc3- = 15 meq/
Diagnosis berdasarkan BGA adalah...
A. Respiratory acidosis
B. Metabolic acidosis (kayanya ini jawabannya)
C. Respiratory alkalosis
D. Metabolic alkalosis
E. Respiratory metabolic acidosis
201 18thn perampuan cc : palpebral edema, terutana pd pagi hr, but resolved at the afternoon. Dia
ada foamy urnie. Pe normal.Lab : total kolesterol 380Triglycerid : 136RBS : 148Serum
albumin : 2.5Serum protein : 4Manegemnt nutrionalnya apa?A. High protein and high saltB.
High fiber and plenty of waterC. Low fat and high fiber?D. Protein and fiber restrictionE.
High vitamin and low water
202 17. The tissue surrounds the urethra...
A. Prostate
B. Sertoli cell
C. Bulbourthral gland
203 You perform laboratory exam to this patient and the result were serum creatinin 1.5mg/DL,
Sodium 138 mEq/L, potassium 3.8 mEq/L, urine creatinin 12mmol. Using the Cockroft-
Gault equation. What is the patient creatinin clearance.
A : 27 mL/min
B : 47 mL/min
C : 70 mL/min
D : 105 mL/min
E : 115 mL/min
204 Which of the following occur in diarrhea :
a. decrease pHCO3
b. increase O2 in arterial blood
c. increase O2 in venous blood
d. lupa
e. normal base excess
205 A man got kidney stone. Used to eat milk, greentea, chocolate, peanuts. Seldom eat meat
and fish. Likes spinach. No pain urinating. No family history kidney stone.

A. Changing intratubular pH
B. Hypersaturation
C. lack stone inhibitors
D.
E. Tubular infection
206 1.what are the vessels between renal cortex and medulla
207 5. Which of the following statements is correct for hypospadia?

A. Circumcision is not a contraindication

B. Circumcision is not recommended before definitive surgery

C. (Lupa..maaf :( )

D. Estrogen plays a role in development of micropenis in hypospadia

E. Single etiology: hormonal


208 18 years old boy, need incision to get through to parenchyma. where should the incision be
done?
a. buck's fascia
b. tunica albugenia
c. tunica vaginalis
d. scarpa's fascia
e.dartos fascia
209 It is placed near the lumen of seminiferous tubules The cells of the testis are :A Leydig
cellsB Sertoli cellsC Type B SpermatogoniumD spermatidE spermatozoa
210 A 56 year old male diagnosis CKD stage 5, weight 50 kg, height 175cm. What condition
caused low intake in food intake?
A. Pain
B. Forgot
C. Forgot
D. Forgot
E. I'm pretty sure you know the answer as its stated above from B to D.
211 7 year old boy, having generalized edema,hypercholesterolemia,
hypoalbuminemia,proteinuria +4 ,given furosemide
a. increase GFR
b. increase renin
c.decrease BP
d.decrease Na+ reabsorption
e.decrease protein
212 A 4yo female child comes with complaint of fever, chills, increase of urinary frequency and
bed wetting. Gram negative rod present in urine culture. Have this symptom since 2yo.
There's abnormally in voiding with ureter dilatation. Diagnosis?
A. Enuresis
B. Simple urinary tract infection
C. Acute nephritic syndrome
D. Nephrotic syndrome
E. Complicated urinary tract infection

Difficult to urinate, constricting prenuptial ring, non retractable foreskin. Diagnosis?


A. Balanoposthitis
B. Urethritis
C. Cystitis
D. Pyelonephritis
E. Nephritis
213 A 66 years old man came with difficulty in voiding and has been diagnosed with benign
prostatic hyperplasia
Which lobe is affected
A. Anterior
B. Posterior
C. Lateral
D. Medial
E. Inferior
214 Man got painless ulcer on shaft. Inguinal lymphnode present. Admits trading drug and
several multiple sex partner. RPR positive, suspect syphilis. Gram stain on ulcer no bacteria.

T.pallidum cant be visualize by light microscopy because :

A. It is transparent
B. Cannot be stain by any stain
C. Wavelength of light too long
D. Its diameter is <0.2mm
E. Rapid movement
215 You want to examine the renal hilum of the right kidney during a surgery. Which part of
organ you should retract? a) Stomach b) Ascending colon c) Adrenal gland d) Liver e)
Duodenum
216 Maaf ga ingat list jawapannya tapi ini soal nya.

Which one is the result of blood gas analysis in severe renal impairment?
217 Maaf ga ingat list jawapannya tapi ini soal nya.

Which one is the result of blood gas analysis in severe renal impairment?
218 The correct arrangement blood supply in kidney
A. Renal artery - interlobar artery - interlobular artery-arcuate artery - afferent arteriole
B. Renal artery - lobar artery - lobular artery - segmental artery-arcuate artery - efferent
arteriole
C. Renal artery -lobar artery -segmental artery-arcuate artery -lobular artery-afferent arteriole
D. RENAL ARTERY- SEGMENTAL ARTERY-INTERLOBAR ARTERY -ARCUATE
ARTERY -INTERLOBULAR ARTERY-AFFERENT ARTERIOLE
219 Innervation of the bladder.

Staging hypertension ikut JNC


220 27. A 56 year old male patient diagnosed with Chronic Kidney Disease Stage 5 non HD with
PEM. Body weight 50kgs and height 175cms. What condition that most probably cause
lowering of food intake in this patient?
A PAIN
B maaf ga ingat
C uremia
D maaf ga ingat
E maaf ga ingat
maaf ga ingat jawaban :(
221 Male patient, 56 years old with chronic kidney disease stage 5 with PEM.
Lowering of food intake in this patient?
Maaf jawabannya ga ingat
222 A surgeon wants to perform nephroctemy. How does he reach the kidney from the back?
Muscle fascia- pararenal fat- renal fascia- perirenal fat- capsule
223 A surgeon wants to perform nephroctomy. What are the layers that he has to approach the
kidney from the back?

a. Muscle fascia - pararenal fat - renal fascia - perirenal fat - capsule


b. Muscle fascia - perirenal fat - capsule - pararenal fat - renal fascia
c. Renal fascia - pararenal fat - muscle fascia - perirenal fat - capsule
d. Renal fascia - perirenal fat - capsule - pararenal fat - renal fascia
224 37. To examine hilum of right kidney, which structure should be elevated and reflexed?
A
B suprarenal
C Ascending colon
D duodenum
E liver
225 Lab result;Urinalysis: Color : light yellow,Protein : NegativeAppearance :
CloudyUrobilinogen : PositivepH : 6. Blood : NegativeWhich of the following condition is
the cause in patient's colour of urine?a. Nephron exrection of blood.b. Nephron excretion of
albuminc. Glomerulus excretion of blood.d. Glomerulus excretion ofe. Glomerulus excretion
of albumin.
226 The surgical resident will perform left adrenalectomy. It was the first time for him to do, so
the most identified vessel that supply the gland he found one most identified vessel that
supply the gland he found one vessel joined with the suprarenal vein before empties into the
renal vein. Which of the following is most likely vein?
a. Hemozygous
b. Left 2nd lumbar
c. Left testicular
d. Left inferior phrenic.
e. Left 1st lumbar.
227 Pertanyaannya tentang development of kidney, phase apa yang berlaku setelah 4th week,
a. Pronephros
b. Mesonephros
c.Metanephros
d.Collecting system
e. .... (lupa)
228 Structure apa yg di elevated and flexed utk surgeon liat hilum?
Jawabannya saya lupa
229 Structure apa yg di elevated and flexed utk surgeon liat hilum?
Jawabannya saya lupa
230 Mr.Joni has hypertension and is given antihypertensive drug.but Mr.Joni got cough.what is
the drug?

A) Captopril (answer)
231 1. 50 y/o Male, controlled T2DM, Stage 2 Essential Hypertension with normal renal function
(no microalbuminuria)
What med is used?
A. ACE-Inhibitor
B. Beta-Blocker
C. Dialtezam
D. Diuretics
E. Nifidepine

46. When does the definitive kidney begin functioning?


A. 4th week
B. 7th week
C. 8th week
D. Beginning of 12the week
E. 9th week

232 Drugs is often use in conjunction with a thiazide and loop diuretics to prevent K+ excretion
is :
A. Manitol
B. Spironolactone
C. Acetazolamide
D. Urea
E. Indapamide
233 1. A 4 years old boy was brought to clinic because of whole body edema. Before that, the
boy had edema in the eyelids for 5 days everyday in the morning,......PE:Alert, whole body
edema, the rest in normal limit.LE:.............Serum Cr: 0.6 mg/dLWhat is the diagnosis of this
patient?A. Nephrotic syndromeB. Acute kidney injuryC. Acute on chronic kidney diseaseD.
Acute Nephritic syndrome (jawabannya)E.......A 56 years old man diagnosed with Chronic
Kidney Disease Stage 5 non HD with PEM. His body weight is 50kg and height is
175cm2.2. What is the recommended Na intake for this patient?A. Not restricted B. 500ml +
urine outputC. 750 ml + urine outputD. 1000 mlE. Individualized (kayaknya soal sama
jawabannya beda tapi saya pilih ini)3. If the partient is hemodialized, what is the
recommended protein intake for the patient?A. 0.6 g/kgBW/dayB. 0.75g/kgBW/dayC.
1g/kgBW/dayD. 1.1g/kgBW/dayE. 1.5g/kgBW/day4. What is the recommended protein
intake for this patient?A. 40gB. 50gC. 60gD. 70gE. 80g

234 1) 13 years old male,dark urine,history of bacteria infection on skin about 3 weeks
ago.pe:somnolent,seizure,,bp150/90,swelling of both eyelid.what is the most common
complication
A.pleural effusion,
B.cong.heart disease
C.myocarditis
D.pericardial effusion
E.cardiac arrhythmia
235 A 20 year old man was admitted in the hospital due to acute urinary retention. Why is saline
used to fill the catheter balloon
A. It causes the balloon to float on top of urine causing poor drainage
B. It contains impurities and bacteria
C. To fill the balloon of Foley catheter
D. It damages the material of the catheter
E. Crystallization occurs
236 1. Something about rule out chlamydia and...
I'm so sorry. I forgot
237 The patient breaths heavily and rapidly. We assume that his body attempting to
a. Retain carbon dioxide.
b. get rid carbon dioxide excess.
c. improve buffering ability of bicarbonate
d. meet the body's need of oxygen.
e. decrease the blood ph.
238 Laki laki usia 2 tahun. Mengalami gangguan di bagian penile shaft. Yaitu gangguan di
preputial ring.Apa nama penyakit infeksi yang sering terjadi pada keadaan tersebut?A.
BalanoposthitisB. UrethritisC.D.

1.30 Lapisan mesenchyma dari prostate ?


11E
+11