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b. Stream of thought
c. Form of Thought
d. Bur.. type of Thought
e. Odd type of thought
12. How long the diagnosis of schizo is made
a. 3 months
b. 1 month
c. 2 weeks
d. 2 months
e. < 2 weeks
13. How long is the diagnosis of acute psychotic is made
a. 3 months
b. 1 month
c. 2 weeks
d. 2 months
e. < 2 weeks.
14. A 24 year old man brought by his family.... rampage for no reason, since 2 months
ago... and not wanted to socialized. Patient often had... there were enemies will chase
and kill him. ..... often did things outside of his control. Which one....
a. acute psychotic
b. schizophernia
c. persistent delusional disorder
d. schizoaffective disorder
e. acute stress disorder
15. what is thought insertion
a. abnormalities form of thought
b. abnormalities stream of thought
c. take idea from his family
d. take sentences from his family
e. abnormalities content of thought
16. halusinasi pd org psikotik
a. gatau
b. gustatory
c. auditory
d. taktil
e. olfaktori
17. man, 23 years old merasa tangannya kotor terus dan selalu mencuci tangan
berulang kali, diagnosis:
a. Obsesif kompulsif
b. anxiety
c. phobia
d. panic
e. somatoform
18. man, 15 yo, malu untuk berdiri di depan kelas karena takut teman2nya akan
menganggap dia aneh. Diagnosis
a. obsesif kompulsif
b. anxiety
c. social phobi
d. spesific phobi
e. agora phobia
19. female, 17 th, ada seizure, bedwettin. Kejang terjadi selalu di tempat yang ramai.
Diagnosis
a. uncontrolled epilepsi temporal
b. epilepsi
c. motorik dissosiative
d. dissosiative convulsion
e. dissosiative stupor
20. man 35 yo, anxiety after heard news on televisiom motorcycle accident that resulted
in death of the passenger beberapa jam yg lalu. DIAGNOSIS
a. adjustment resction emotion and behavior
b. adjustmenr reaction dgn depressive brief reaction
c. adjustment reaction denan prolonged depressive
d. PTSD
e. Acute stress reaction
21-24..
25 which of the following statements about ADHD is false ..
1. Children wih adhd can have inattention with no hyperactivity or
2. Children wih adhd may have symptoms of hyperactivity but not
3. The disturbance in behavior must occur in atleast 2 settings
4. Children can meet the criteria for adhd with impulsive symptoms or .
5. Many children with adhdh have many symptoms of inattention hyperactivity and
impulsivity
26. retts disorder
a. is in only girls
b. shows no loss of social skills
c. does not involve motor abnormality
d. is associated with normal intelligent
e. is not one of diagnosis within the pervasive developmental disorders
27. patient female 24 yo admit to the hospital 3 days ago with . Schizophrenia. As a
doctor you are planning mental rehab program what would u do in the early phase
a. wait until the patient is completely calm for another 1 or 2 weeks
b. immediately involve her in the rehab program
c. there is no need for mental rehab if there wee no complaints
d. evaluate her psychiatric symptoms to ensure she is no longer agitated
e. leave the decision to be involved in the rehab prog for the family
28. patient mr b 56 yo mild dementia has been involved in mental prog in 2 weeks what
kind of prog id your preference for him ?
a. cognitive stimulation
b art theraphy
c. occupational theraphy
d. music theraphy
e. relaxation
29. 72 yo retired English prof with a long history with HTN and DM having difficulties with
tasks he used to find easy and enjoyable puzzles at letter writing , because he cannot
remember the .hand writing has deteriorated he also been having difficulties events
of previous days and he moves and thinks at a slower develops slurred speech which
of the following diagnosis is patient
a. multi infarct dementia
b. german strusher syndrome
c. retts disorder
d. wernicke korshackoff syndrome
e. alzhaimers disease
30.which of the following symptoms signifies vascular dementia
a. no change b. gradual worsening
c. stepwise deterioration
d. rapid progression
e. no pattern
31. preoccupation with rules, regulation , neatness, attainment of perfection , is a
personality disorder :
a. paranoid
b. anankastik
c. histrionics
d. anxious
e. antisocial
32. always trying to be the center of attention , extrovert , followed by flamboyant aspect
is a personality disorder :
a. paranoid
b. anankastik
c. histrionics
d. anxious
e. antisocial
33. people with high risk of suicide attempt is
a. willing to do hemodialysis
b. depressive disorder
c. dreaming suicide
d. dissociative disorder
e. the family aren't in harmony
34. management for patient who experienced sexual abuse
a. pharmacotherapy
b. reassurance
c. supportive psychotherapy
d. multi disciplinary therapy
e. all of the above answer is correct
35. which is includes in the narcotics group 1:
a. morphine
b. codeine
c. heroine
d. amphetamine
e. ecstasy
1. 49 yo, woman with decrease of consciousness and nuchal rigidity positive. The
most common finding is
1. Brain tumor
2. Guilain Barre syndrome
3. Meningoencephalitis
4. Stroke embolic
5. Cervical root syndrome
1. Mr.Y, weakness on his right face. To examine the frontalis muscle are
1. Wrinkle the skin on your neck
2. Close your eyes
3. Look up the ceiling
4. Smiling
5. Swallowing
1. Stroke infarction
2. Embolic stroke
3. SAH
4. Intracerebral hemorrhage
5. Syncope
7. A girl , 20 years old with sudden unconsciousness and general seizure. Head CT
showed a Subarachnoid Hemorrhage. The most frequent etiology of SAH is:
a. Arteriovenous Malformation
b. Aneurysm
c. Dural Fistula
d. Hypertension
e. Stenosis intracranial vessel
8. Male, 60 years old, sudden right hemiplegia and left facial palsy peripheral type. He
has history of hypertension. Where is the lesion?
a. Cortical Frontal Lobe
b. Pons
c. Subcortical left hemisphere
d. Medulla oblongata
e. Left Capsula Interna
9. Male, 70 years old, hospitalized 2 hours after onset with sudden left hemiplegia. GCS
345. He has history of uncontrolled hypertension. Head CT scan show an intracerebral
hemorrhage (ICH). Below is the management of ICH,except:
a. Stabilize airway, breathing, circulation
b. In case of increase intracranial pressure consider Mannitol 20% infusion
c. Administration of rTPA (recombinant tissue plasminogen activators) to stop the
bleeding
d. Bladder evaluation and consider catheterization
e. Consider IV antihypertensive if blood pressure >185/110mmHg
10. Female, 50 years old came to the emergency department with chief complaint right
hemiparesis. Below is a part of the CNS which passed by the pyramidal tract, except:
a. Capsula Interna
b. Pedenculus cerebri of midbrain
c. Ventral Pons
d. Thalamus
15. kasus kek nomer 13. What is the cause of complain in this patient
a. loose of kinocilia in canalis semicircularis
b. otolith debris in canalis semicircularis
c. hydrops endolymph
d. membrane reissner strain
e. inflammation of stereocilia
16. 4 year old boy, sudden weakness in the right leg, flaccid type, starting with
complaints of flu like syndrome, the following is correct, except
a. This virus attacts the anterior motor neuron
b. no specific treament
c. cant attack bulbar and respiratory muscle
d. caused by enterovirus
e. can be prevented by vaccination
17.
18.
19. MAN, 40 th weakness of both legs since 2 months ago, starting with low back pain
and numbness in both legs 6 months ago. PE : cachexia, lump on his back, increase
tone of lower limbs, muscle strength normal. Treatment :
a. Give OAT INH, rifampicin, etambutol, streptomycin
b. INH, Pirazinamid, Rif, Et
c.
Cannot be corrected by surgery
d. INH,Et,pirazynamide,streptomycin
e. INH, rif, pyrazinamid, strep
20. Man, acute weakness both legs, simetris, ascending parasthesia of both legs. Ada
fever dan cough 2 mgg yang lalu, flaccid muscle tone. Diagnosis:
a. Multiple sclerosis
b. Hipokalemia periodic paralysis
c. GBS
d. Miastenia Gravis
e. Polyneuropathy
21. Soal sama kaya no 20 tapi ditanyainnya, MANAGEMENT:
a. High dose IV corticosteroid
b. IVIg
c. ACHe inhibitor
d. No supportive treatment
e. Azathioprine
22. 18 yo male tudent, severe headache and fever for 3 days. PE : fever, photophobia,
GCS 456, neck stiffness. Cough and congestive approximately 4 weeks earluer.
Diagnosis:
a. Bacterial meningitis
b. Viral meningitis
c. Encephaliti
d. Tb meningitis
e. Cryptococcus
23. 24 yo, headache for 10 days and fever 14 days. Meningeal sign (+), cough
congestion 4 weeks, result of lumbar puncture
a. protein naik, glukosa naik, sel >1000
b. prot. Naik, glu normal, sel>1000
c. prot normal, glu normal, cell normal
d. prot naik, glu normal, cell>10.000
e. Prot naik, glu dikit turun, sel especially mononuklear
24. 3weeks boy : high fever selama 24 jam, susah makan, iritability. Altered mental
status dan bulging fontanela. Diagnosis:
a. meningitis
b. brain tuberculoma
c. rabies
d. cerebral malaria
e. toxoplasma
24.
25.
26.
27.
28.
29.
30. male 45 yo came to the emergency room with decrease of consciousness since
three days ago he also suffer chronic head ache with scold vomiting weakness in the
right side of the body , loss of memory, and could not answer to the questions he was
performed head mri and revealed mass with heterogenous contrast enhancement with
necrotic area and perifocal edema. After the neurosergon had operated him and the
pathological examination disclose polimorphivc cell with pelicading necrosis. What is the
diagnosis of this patient?
a. ependymoma
b. glioblastoma multiform
c. meningioma
d. macroadenoma hypophise
e. meningoblastoma
31. male 45 yo came to the emergency room with decrease of consciousness since
three days ago he also suffer chronic head ache with scold vomiting weakness in the
right side of the body , loss of memory, and could not answer to the questions. According
to the story, where is the location of the lesion
a. temporal lobe
b. anterior frontal lobe
c. posterior frontal lobe
d. occipital lobe
e. limbic lobe
32there were general symptoms of brain tumor except .
A headache
b. seizure
c. loss of consciousness
d. hemianopia depending the side of lesion
e. blurred vision
33.modality of first treatment of benign brain tumor is .
a. chemotheraphy
b. radiotheraphy
c. excision
d. immunotheraphy
e. conservative
34. the most frequent symptoms of brain tumor in childhood is?
a. vertigo and loss of steadiness
b. aphasia
c. sensoric disturbance
d, memory loss
e. aphraxia
35. the correct statement according to meningioma .
a. Dominantly meant
b. comes from microglia cell
c. extra axial tumor
d. hypoostosis of the bone
41. Wanita 50thn mengeluh nyeri pd wajah sebelah kanan,sperti tertusuk dan sakit
sekali. Nyeri meningkat saat sikat gigi, makan dan disentuh wajahnya. Pemeriksaan
umum TD 135/80, N 92x/mnt. Diagnosisnya?
a. post-herpetic neuralgia
b. trigeminal neuralgia
c. temporalis arthritis
d. toths abses
e. temporal mandibular joint pain
42. laki2 32thn mengeluh nyeri kepala yg hebat di daerah kepala sebelah kiri terutama
pd daerah mata kadang menjalar ke bagian pelipis. Nyeri berlangsung skitar 20mnt dan
terjadi 2-3x per hari. Saat serangan nyeri kepala disertai lakrimasi, beringus serta
berkeringat di daerah wajah dan mata tampak merah. Terapinya?
a. nsaid
b.paracetamol
c. triptan
d.oxygen
e.corticisteroid
43. mana dibawah ini yang bukan karakteristik TTH
a. nyeri kepala bilateral
b. nyeri kepala tidak disertai nausea vommiting
c. nyeri kepala disebabkan spasme muskulus paracervical
d. termasuk nyeri kepala primer
e. intrensitas nyeri sedang sampai dg berat
44. yang bukan trigger migrain :
a. anxiety
b. gangguan tidur
c. minum air putih
d. makan coklat
e. cuaca
45. laki2 26 th, datang dg kelugan kelemahan tubuh sebelah kiri sejak 1 minggu
sebelum MRS. juga mengeluh sakit kepala dan panas sjk 10 hari yg lalu. GCS 345 dg
hemiparese dekstra. pd pemeriksaan status lokalis ada otitis media kiri. diagnosis?
a. tumor otak primer
b. toxoplasma cerebri
c. abses cerebri
d. PCNSL
e. tuberkuloma
46. penderita HIV laki2 25 tahun, kesadaran menurun pelan2 sejak 3 hari yg lalu. pasien
didiagnosis menderita toksoplasmosis serebri. pernyataan yg benar...
a. IgM toxoplasma + dapat menegakkan diagnosis
b. asam folinic sebagai terapi kausal
c. kambing sapi sebagai host definit t.gondii
d. predileksi toxoplasma serebri adalah basal ganglia
e. terapi maintenance toxoplasma adalah seumur hidup
47.penderita HIV dibawa ke poli neurobehaviour oleh krn keluhan sering lupa.
pernyataan yg tdk tepat
a. HAND mrpkn manifestasi HIV fase akut
b. tupe gangguan kognitif HAND adalah demensia kortikal
c. ART dpt memperbaiki gangg kognitif HAND
d. terapi gangg kognitif pd HIV dg Ach esterase inhibitor
e. aktivasi sel neuron penyebab terjadinya HAND
48. yang benar ttg manifestasi HIV dlm bid.neurologis
a. GBS manifestasi HIV stad lanjut
b. mononeuritis multipleks merupakan manifestasi infeksi primer HIV
c. PCNSL tjd pd penderita HIV dg CD4+ > 200/mm3
d. vacuolar myelopathy adalah manifestasi AIDS
e. sindroma serokonversi tjd pd HIV stad lanjut
49. berikut adalah penyataan yang benar tentang encephalitis cmv adalah
a. virus cmv adalah keluarga flavi virus
b. memiliki respon yang baik terhadap asiklovir
c. infeksi pda penderita HIV terjadi pad atahap serokonversi
d. hasil LP didapatkan pleocytosis dgn dominon mononuclear, kadar glukosa turun, dan
peningkatan kadar protein
e. pada MRI didapatkan gambran hiperintense di sekitar ventrikel
50. manifestasi neurologis pada infeksi HIV fase awal dan pertengahan yang tidak
benar adalah
a. criptokokus meningitis terjadi pada fase AIDS
b. PNCSL disebabkan oleh kerana infeksi HIV
c. AIDP terjadi pada fase AIDS
d. virus JC dapat menyebabkan progressive multifocal leucoencephalopathy
e. PNCSL memiliki predileksi pada periventrikel
56. Wanita 49thn, nyeri and kesemutan pd ibu jari kanan sejak 1 thn yg lalu and makin
memberat 2 bln terakhir. Pemeriksaan fisik: atropi otot thenar kanan and phallen test
tangan kanan +. Otot yg mengalami kelemahan?
a. add pollicis brevis
b. abd -----------------c. dorsal interossei I
d. extensor pollicis brevis
e. fleksor -----------------57. Laki2 25th mengeluh nyeri pd telapak kaki kanan akibat terkilir 2 hari sebelumnya.
Tinnel test: distal malleolus medialis kanan terdapat perjalaran nyeri sampai ke jari 2 and
3. Saraf yg terkena?
a. n. tibialis posterior
b. n. tarsalis mdialis
c. n. tarsalis lateralis
d. n. calcaneus
e. n. plantaris medialis
58. Laki2 50thn, DM sejak 5 thn yg, sejak 2 hari yg lalu mengeluh kaki kiri lumpuh.
Pemeriksaan fisik: kekuatan rectus femoris m. kiri +5, tibialis ant. kiri +3, gastroc kiri +5.
Reflex biceps, triceps, patella, ankle normal. Patologis reflek -. Diagnose?
a. radikulopati L5 kiri
b. lesi n. ischiadicus kiri
c. lesi plexus lumbo sacral
d. lesi n. peroneus kiri
e. lesi n. tibialis kiri
59. risk factor of stroke infarction, except:
a. smoker
b. DM
c. female
d. HTN
e. dyslipidemia
60. etiology of stroke hemorrhagic, except:
a. AVM
b. aneurysm
c. dural fistula
d. HTN
e. thrombositosis