Soal Blok 14

1. Berikut ini yang menghasilkan sitokin : a. limfosit b. granulosit c. d. semua diatas benar 2. Pernicious anemia adalah gangguan autoimun karena. 3. The possibilities causes anemia megaloblastic : c. Deficiency of folic acid cyanocobalamin !. During the treatment" the patients should be informed about the side effects of oral iron preparation #hich may happen during the treatment. $d%erse effect of oral iron preparation include . a. abdominal cramps b. constipation" darken of feces c. headache" insomnia d. gastric ulcer &. Parenteral 'e therapy should be reser%ed for patient #ith 'e deficiency #ho are unable to tolerate or absorb oral 'e" or for patients #ith e(tensi%e chronic blood loss #ho can not be maintained #ith oral 'e alone. )n harmful ad%erse reaction that may occur at the administration of parenteral 'e preparation" especially #ith iron de(tran is . a. %enophlebitis b. anaphylactic reactions c. headache d. feeling pain at the side of *. +riteria diagnosis untuk se%ere aplastic anemia : b. ,umlah sel sumsum tulang -2&." neutrofil absolut -/"&.1/0 dan trombosit - 2/./// 1. )lder 234 567 patient predominantly suffers from one of the follo#ing sub types of 2odgkin 8ymphoma: a. 28" nodular sclerosis b. 28" lymphocyte deplet c. 28" lymphocyte rich d. 28" mi(ed cellularity 9. Precursor dari heme : a. glycine succinate b. glycine sucsinil :o$ c. 4aline sucsinil :o$ d. 8ysine sucsinil :o$

0. The pathogenic agent in 'ilariasis are : a. the microfilariae b. the adult #orms of ;.B c. both of the adult ;.) and ... d. the adult #orms of loa loa 1/. <egakariosit pada kehamilan bulan a. 2 b. 3 c. ! d. & 11. Platelet disorders characteristically : a. echymosis b. bleeding from mucosal surface c. some disorder recurrent 5hemarthrosis7 d. hematoma 12. +adar 2b minimal bayi baru lahir : a. 11 b. 1* c. 12 d. 13 13. +adar 2b maksimal bayi baru lahir : a. 11 b. 1* c. 12 d. 21 1!. 'ollicular lymphoma has one of the follo#ing features : a. hallmark translokasi chromosom 1! into 19 b. more on male than female c. centroblast mayor cell d. aggressi%e disease 1&. The reason of failure to respond to treatment #ith oral iron preparation include : a. chronic disease b. malabsorbtion c. se%ere blood loss= poor compliance to the medication 1*. ;hich of the follo#ing option should be chosen to coagulation disorder : a. P>: b. fro?en fresh plasma c. #hole blood d. trombosit

11. Pada e%aluasi sediaan sumsum tulang yang diperhatikan : a. cellularity b. <:@ ratio c. semua seri eritrosit" leukosit" dll d. semua di atas 19. Pada usia kehamilan ! bulan sel darah dibentuk terutama di organ : a. sumsum tulang b. hepar c. kel. 8imfe d. lien 10. <etrotre(ate menyebabkan anemia : .aplastik 53T dr rosman7 2/. >eaksi yang paling sering ketika transfusi : 3T dr kadir 21. Pembentukan selAsel darah primitif pada ,anin berlangsung sampai usia kehamilan bln a. 1 b. 2 c. 3 d. ! 22. Bodular schlerosis type 28 has 1 charactere belo# : a. fibrosis abundant #ith pleomorfik cells as small limfosit" eosinofil" neutrofil" and plasma cell b. the less common c. associated #ith @B4 d. prognosis is #orst 23. 4ector ;.Bruncroffi: a. cule( b.aedes c. anopheles" cule(" aedes d. mansonia 2!. :riteria mayor multipel mieloma : a. bone marro# plasma sel 1/A 3/. b. little bone lesion c. 3g< - &/ " 3g$ - 1//" 3gC - *// mg=dl d. bone marro# plasma sel D 3/. 2&. $ patient came to doctors clinic complained of ha%ing enlarged lymph node in the cer%ical >egion. Eou #ill get one of the follo#ing bello# : a. 'ollicular hyperplasia b. 8ymphoid follicles prominent #ith debris containing macrophages 5salah7 c. Finus hystocytes

d. <arginal ?one B cell hyperplasia 2*. ;anita 1& tahun mengeluh lemah dan sakit kepala 5>i#ayat 4egan7" <:4 1/2" <:2 39" <:2: !/" BP 11/=9/ mm2g. Tipe anemia : defisiensi B12 21. Eang bukan termasuk <PD: a. @ssensial trombositosis b. <yelofibrosis c. 8C+ G :<8 d. <DF 29. $ppro(imately *&. total body 'e in human circulate in the blood as 2b. The remainder is present in the li%er" spleen" bone marro#" mioglobin" cytochrome %arious en?yme. Ftorage 'e that is a%ailable for fresh 2b synthesis is present in the : a. li%er" spleen" bone marro# b. myoglobin" cytochrome c. en?yme" bone marro# d. bone marro#" li%er 20. Pemberian anti hemofilia factor poada pnderita hemofilia berat idealnya: a. setiap ter,adi luka b. bila hemarthrosis c. bila ekstraksi gigi susu d. setiap hari seumur hidup 3/. @ritrosit pada ,anin paling besar ditemukan : a. primiti%e erythrocyte b. erythroblast basophil c. erythroblast acidophil d. eritrosit bentuk de#asa 31. Burkit lymphoma is atypical lymphoma occurs in children on young adults #ith characteristic : 32. $ */ years old male patient suffered from lymphadenopathy" #ith night s#eats #eight loss" pathological findings re%ealed heterogenous cellular infiltrate includes lymphocytes" plasma cells" eosinophills admi(ed #ith neoplastic cells #hich ha%e effaced the nodal structure. ;hat is your diagnosis H a. 28" lymphocyte predominance type b. 28" nodular sclerosis type c. 28" mi(ed cellularity type d. 28" lymphocyte depleted type 33. 2b Portland pada ,anin mengandung rantai globin : a. Ieta dan epsilon 2b B c. $lfa dan epsilon 2b Co#er b. Ieta dan gamma 2b P d. $lfa dan gamma 2b '

3!. 2idrocele pada filariasis is associated #ith obstructi%e of the lymph nodes of : a. superficial inguinal lymph nodes b. deep lymph nodes c. preaortic retroperitoneal lumbal lymph nodes d. a(ila lymph nodes 3&. ;anita 2& thn" menorragi" poor diet" a. se%eral days b. se%eral #eek c. se%eral month d. se%eral year 3*. Transfusi >B:" disad%antage: a. no anticoagulan b. decrease alergic reaction c. infection d. reduce autoimun 31. 3nterferon gamma dapat diproduksi oleh : a. sel leukosit b. sel limfosit c. sel yang diinfeksi %irus d. semua benar 39. 8ead poisoning inhibit en?ime in the formation : a. $8$ sintesa b. propoporphirinogen c. $8$ reductase d. 'erochelatase 30. Firkumsisi pada penderita hemofilia butuh dira#at selama 21 hari !/. Pada e%aluasi sediaan hapus gambaran darah tepi dilihat : a. eritrosit b. leukosit c. trombosit dan lain lain d. semua yang disebut diatas !1. Tropical pulmonary eusinofilia: a. tidak ada mikrofilariae di darah tepi b. banyak mikrofilariae di darah tepi c. chest JA>ay similar to loeffloer syndrome d. no respons to D.@.: !2. The infecti%e stage of the lar%a microfilaria is a. 1st stage lar%a deficiency 'e anemia" ferrous sulfat gi%en :

b. 2nd stage lar%a c. 3rd stage lar%a d. !th stage lar%a !3. Fel darah yang terakhir dibentuk oleh ,anin didalam kandungan adalah a. eritrosit b. granulosit c. limfosit d. monosit !!. $ female should ha%e to concerned #ith eritroblastosis fetalis: a. )A b. $B 6 c. B 6 d. ) 6 !&. The most clinical presenting sign of :88 are: a. symetrical enlargement of superficial lymph nodes b. anemia c. hepatomegali dan splenomegali d. trombocytopenia !*. ;hen microfilariae sho#s nocturnal periodicity the blood for the detection of microfilariae should be collected at : a. during day time b. bet#een 1/ p.m to 2 a.m c. all day and night d. only at 12 p.m !1. Fubakut 5etiologi7 D3: : a. )bstetri komplikasi b. <alignancy c. Fepsis d. $cute hemolisis !9. Pembentukan selAsel darah pada kel.limfe pada ,anin mulai ter,adi pada usia kehamilan bulan. a. 2 b. 3 c. ! d. 0 !0. 4ektor dari B.<alayi : a. cule( b. aedes c. anopheles

d. mansoni

anopheles

&/. Primary 5hereditary7 thrombophilia : a. prolonged immobilisasi of the patient b. estrogen therapy c. myeloproliferatif disorders d. deficiency of protein F and : &1. 3n treating anemia : a. oral 'e if often poorly absorbed by iron deficient anemic patient b. anemia should al#ays be treated in the first instance by blood tranfsfusion c. @P) is deficient in chronic renal disease d. 'olat deficiency may occur because of C3 bleeding &2. The doctors should be cautiously gi%en the #hole blood to these circumstances" e(cept : 3T dr +adir a. renal disease b. post partum hemmorage c. decreased cardial reser%e d. oedema anasarca &3. 3f ne# born #as blood type of #hich follo#ed his blood contain : a. anti B antibodi b. anti $ antibodi c. anti >h antibodi d. eritrosit #hich e(press neither $ nor B antigen &!. The lymphadenetis of filariasis : a. pitting edema b. non pitting c. pitting non pitting d. temporary edema &&. 2odgkin lymphomas ha%e one of follo#ing characteristic : a. are unusual tumor of T cell origin b. spread in a unpredictable fashion c. pop corn cell is also 8A2 cell >AF cell must be present in a background of non specific inflammatory cell d.the spread first in%ol%es marro#" then spleen finally the nodes. &*. $lpha globin cluster : a. chromosom 11 b. "" 22 c. "" 1* d. "" 1/

&1. +ekurangan asam folat karna peningkatan kebutuhan. Ter,adi pada : a. pregnancy b. peptic ulcer c. D< d. hipotensi &9. Kntuk menghindari penyakit menular pada transfusi darah harus memenuhi kriteria : a. & tahun setelah hepatitis b. & bulan setelah sifilis c. & minggu serangan malaria d. & hari setelah transfusi sebelumnya &0. Fatu unit 'riopresipitan mengandung f.%ili sebanyak . a. &/ b. */ c. 1/ d. 9/ */. 2b go#er 2 pada ,anin" terdiri dari rantai globin : a. alpha delta b. alpha gamma c. alpha delta d. alpha epsilon *1. Eang meningkat pada anemia deficiency 'e : 5transferin7T3B: *2. Penurunan respon pada bone marro# : gangguan endokrin