FACULTY OF MEDICINE UNIVERSITAS PADJADJARAN

STRUCTURED OBJECTIVE ORAL CASE ANALYSIS (SOOCA)

FUNDAMENTALS OF BIOMEDICAL SCIENCE I – II
ACADEMIC YEAR 2011-1012

Bandung, November 2nd 2011

Case Synopsis #07

A 18-year old female was admitted to the health care for outpatient treatment of suspected anorexia
nervosa. Over the past 6 months she had lost 15 kg through chronic food restriction. Her premorbid
body weight had been 55 kg, and she had considered herself “obese” at that weight. Premorbid diet
was a typical balance diet. Current dietary practice was “not clear”. The patient refused to discuss this
in detail and admitted only to cutting out all junk food and restricting fats. Allo-anamnesis from her
parents revealed that she had a normal diet before starting dieting about 9 months before
admission. Subsequently, she was eating one small apple for breakfast at home, with a glass of warm
water containing a splash of lemon juice. Lunch was taken at school, possibly not eating at all, and
supper was inconsistent because her parents were not at home in the evenings.
On general physical examination she looks cachectic. Blood pressure was 85/60, and pulse was 56
regular. Pulmonary and cardiovascular examination was normal, abdomen was scaphoid.
Laboratory testing was performed: serum glucose was 62 mg/dL, albumin was 2.7 mg/dL (Normal = 3
– 3.5 mg/dL), haemoglobin 9.0 g/dL, and urinalysis was (+) for ketones.

Please explain this case based on your prior knowledge, and relate it to
BHP and PHOP aspects

SOOCA FBS I&II 11-12 (1st Year Program)_Case #07

SOOCA FBS I&II 11-12 (1st Year Program)_Case #07
 GENERAL MAPPING CASE ANOREXIA NERVOSA

MIND MAPPING:
Penurunan BB, Lemas,
lemah

Peningkatan kadar
GDP: 376
Glukosa darah
mg/dL
Mobilization of energy
sources
Esterifikasi HbA1C
Hepar Was 13.2 %
Kolesterogene Proteolisis
sis Lipolysis

Albumin was
25 mg/dL

Urinalysis:
Fatty liver Ketones

SOOCA FBS I&II 11-12 (1st Year Program)_Case #07

SOOCA FBS I&II 11-12 (1st Year Program)_Case #07
 FACULTY OF MEDICINE UNIVERSITAS PADJADJARAN
STRUCTURED OBJECTIVE ORAL CASE ANALYSIS (SOOCA)
FUNDAMENTALS OF BIOMEDICAL SCIENCE I – II
ACADEMIC YEAR 2011-1012
Bandung, November 2nd 2011
Final Scoring Sheet of Case #07

Student’s Name : Student’s Batch Number :

Examiner 1 Examiner 2
Name : Name :
Signature : Signature :

Student’
No Issues to Analyze Max Score
s Score
Case review:
A 18-year old female was admitted with anorexia
nervosa  over the past 6 months she had lost 15 kg
through chronic food restriction, her premorbid body
1 weight had been 55 kg  food restriction. General 5
physical examination: looks cachectic. Laboratory
testing was performed: serum glucose was 62 mg/dL,
Albumin was 2.7 mg/dL, haemoglobin 9.0 g/dL, and
urinalysis was (+) for ketones  The problem:
Eating disorders.
Mind mapping:
Anorexia nervosa  definition of anorexia nervosa 
chronic food restriction  reduced body weight,
2 cachectic. If she get balance diet: normal body weight 10
without all sign and symptoms  balance diet: normal
metabolism and function of macronutrient and
micronutrient, normal laboratory value.
Basic science: 60
1. Classification of macronutrient (carbohydrate: 10
monoscharide, disacharide, polysacharide,
fiber), lipid (based on structured: simple,
compound & miscelanous; based on degree of
saturation: MUFA, PUFA, SFA; based on length
of carbon chain: short chain, medium chain
and long chain & protein: essential and ono
essential amino acid)and micronutrient
(vitamin: base on water/lipid solubility;
mineral: major & minor mineral) 5
2. Basic structure of carbohydrate, lipid and 10
protein 10
3 3. Role and function of carbohydrate, lipid and
protein
4. Role and function of vitamin and mineral 10
related to the case (Vitamin A, ,B,Fe, Iodine,
Zink  need for haemoglobin synthesis) 5
5. Biological function of important biomolecules
( growth, development, immunity, 10
maintenance, energy sources)
6. Food resources of macronutrient and
micronutrient
7. Interrelated function of biomolecules (the
priority of macronutrient as energy sources 
decrease role of protein for body maintenance
and immunity)
Clinical science 5
Etiology : uncontroled food restriction 2
4
Management: normalized food intake 3

5 BHP: 10
Patient information, multidiscipline approach 5
PHOP:
Patient education on the lifestyle in selecting proper 5

SOOCA FBS I&II 11-12 (1st Year Program)_Case #07

 proportion of carbohydrate, lipid, protein, vitamin and
mineral.
6 Performance 10
a. Attitude 4
b. Systematic presentation 3
c. Communication skill 3

TOTAL SCORE 100

FACULTY OF MEDICINE UNIVERSITAS PADJADJARAN
STRUCTURED OBJECTIVE ORAL CASE ANALYSIS (SOOCA)
FUNDAMENTALS OF BIOMEDICAL SCIENCE I – II
ACADEMIC YEAR 2011-1012
Bandung, November 2nd 2011
Individual Scoring Sheet of Case

Student’s Name : Student’s Batch Number :

Examiner
Name : Signature :

Student’
No Issues to Analyze Max Score
s Score
Case review:
A 18-year old female was admitted with anorexia
nervosa  over the past 6 months she had lost 15 kg
through chronic food restriction, her premorbid body
1 weight had been 55 kg  food restriction. General 5
physical examination: looks cachectic. Laboratory
testing was performed: serum glucose was 62 mg/dL,
Albumin was 2.7 mg/dL, haemoglobin 9.0 g/dL, and
urinalysis was (+) for ketones  The problem:
Eating disorders.
Mind mapping:
Anorexia nervosa  definition of anorexia nervosa 
chronic food restriction  reduced body weight,
2 cachectic. If she get balance diet: normal body weight 10
without all sign and symptoms  balance diet: normal
metabolism and function of macronutrient and
micronutrient, normal laboratory value.
3 Basic science: 60
1. Classification of macronutrient (carbohydrate: 10
monoscharide, disacharide, polysacharide,
fiber), lipid (based on structured: simple,
compound & miscelanous; based on degree of
saturation: MUFA, PUFA, SFA; based on length
of carbon chain: short chain, medium chain
and long chain & protein: essential and ono
essential amino acid)and micronutrient
(vitamin: base on water/lipid solubility;
mineral: major & minor mineral) 5
2. Basic structure of carbohydrate, lipid and 10
protein 10
3. Role and function of carbohydrate, lipid and
protein
4. Role and function of vitamin and mineral 10
related to the case (Vitamin A, ,B,Fe, Iodine,
Zink  need for haemoglobin synthesis) 5
5. Biological function of important biomolecules
( growth, development, immunity, 10
maintenance, energy sources)
6. Food resources of macronutrient and
micronutrient
7. Interrelated function of biomolecules (the
priority of macronutrient as energy sources 
decrease role of protein for body maintenance
SOOCA FBS I&II 11-12 (1st Year Program)_Case #07
 and immunity)

Clinical science 5
Etiology : uncontroled food restriction 2
4
Management: normalized food intake 3

BHP: 10
Patient information, multidiscipline approach 5
PHOP:
5
Patient education on the lifestyle in selecting proper 5
proportion of carbohydrate, lipid, protein, vitamin and
mineral.
6 Performance 10
a. Attitude 4
b. Systematic presentation 3
c. Communication skill 3

TOTAL SCORE 100

SOOCA FBS I&II 11-12 (1st Year Program)_Case #07