a 25 yr old woman come to clinic with main complain of right upper abdominal pain..

what organ
that possibly causing the main complain
1. What is the organ that might be suffering in this patient except:
a. Stomach
b. Duodenum
c. Liver
d. Gall Bladder
e. Asc. Colon
2. A 24 y.o woman was admitted to the hospital with jaundice since the last 7
days. She reported the darkening of her urine for 3 days before admission.
On x-ray examination without use of contrast medium there are seen multiple
calcified-stones in the right upper quadrant. According to the above scenario,
which one of the biliary system involve.
a. Liver
b. Gall bladder
c. Pancreatic duct
d. Common duodenal duct
e. Common hepatic duct
3. Our throat divides into two separate tubes; the windpipe and the gullet. What
prevents food from entering the windpipe?
a. The uvula
b. The tongue
c. The trachea
d. The epiglottis
e. The oesophagus
4. Where does the partly-digested food (in liquid form) go after it leaves the
stomach?
a. The gullet
b. The appendix
c. The small intestine
d. The large intestine
e. Sigmoid colon
5. A 20 y.o boy came to the clinic department complaining of right lower
quadrant from sleep last night. This chief complaint is associated with nausea
and episodes of vomiting. The patient also reports that he has chills. What is
the organ structure might be suffering in this patient?
a. Appendix vermiformis
b. Oesophagus (abdominal part)
c. Duodenum
d. Stomach
e. Pancreas
6. What the organs the located retroperitoneal (lie behind peritoneum)?
a. Ileum, jejunum (intraperitoneal)
b. Transverse and sigmoid colon(intra)
c. Asc. And desc. Colon
d. Abdominal part of oesophagus
e. Both right and left lobe of liver

7. Mouth or oral cavity divided into two area, vestibule and oral cavity proper.
Which of the following statement is correct due to vestibule?
a. Space behind alveolar processes
b. Space between cheeks and alveolar processes
c. Hard and soft palate as roof
d. Large space in the oral cavity
e. Tongue located in this area
8. Which one of the following is incorrect about liver?
a. Smallest solid organ in body
b. Lies in right lower quadrant
c. Consist of 4 lobes
d. Vena cava inferior
e. Hepatic duct
9. Which one of the following statements is NOT the characteristics of
oesophagus?
a. Nonkeratinized stratified squomous epithelium
b. Lymphocytes in lamina propria
c. Mucous glands in submucosa
d. Stratified muscle
e. Mesothelium
10.Which of the following gastric juice component is not produce by chief cell??
a. Pepsin
b. Lipase
c. Amylase
d. Pepsinogen
e. Hydrochloric acid
11..Peyer patches is a mass of lymphatic nodule on lamina propria of the:
a. Gaster
b. Duodenum
c. Yeyenum
d. Ileum
e. Colon
12.The brunners glands are the mucous glands in submucosa of the
a. Rectum
b. Colon
c. Duodenum
d. Yeyenum
e. Ileum
13.the central part of the liver lobules is?
a. Sinusoid
b. Portal area
c. Portal vein
d. Central vein
e. Trigonum kiernann
14.The following are considered as the characteristic of colon :
1. Many goblet cell
2. Small villi
3. Crypt Liberkun
4. Small Plica Circularis

15.The epithelium of small intestine :

1. Goblet cell
2. Parietal cell
3. Paneth cell
4. Chief cel
16.what the characteristics of the lagre intestinal
1. many goblet cell
2. short villi
3. cript of liberkhun
4. berlipat lipat
17.An 15 y.o male with pernicious anemia lacks intrinsic factor, which is
necessary for the absorbtion of cyancobalamin. Intrincsic factor produce by ?
a. Osyntric cell
b. Parietal cell
c. G cell
d. D cell
e. S cell
18.A 30 y.o policeman presents with the chief complaint of intermittent mid
epigastric pain that isby antacids or eating. Gastric analysis reveals that
basal and maximal acid output exceed normal values. The gastric acid
hypersecreation can be explained by an increase in the plasma concentration
of which of the following?
a. Gastrin
b. Histamine
c. Somatostatin
d. Secretin(merangsang pancreas keluarkan bikarbonat)
e. Enterogastrone(pancreas mengelearkan ion bikarbontat)
19.A patient present with chronic cough..the patient also reports substernal
burning pain that is most pronounced after ingestion coffee,chocolate,frenchfries, and alcohol. which of the following is the most likely cause of GERD in
this patient?
a. Hiatal hernia
b. Delayed gastric emptying
c. Decreased esophageal motility
d. Decreased lower esophageal sphincter tone
e. Decreased upper esophageal sphincter tone
20.28 y.o. man present emergency room with a 48-hours about diare with
straetorea. Which of the following best accounts for the appearance of the
excess fat of the stool?
a. Delayed gastric emptying
b. Deceased bile salt pool size
c. Decreased gastric acid secretion
d. Decreased gastric accommodation
e. Decreased secretion of intrinsic factors
21.After secretion of trypsinogen into to duodenum the enzyme is converted into
its active form, trypsin. By which of the following?
a. Enteropeptidase

b. Carboxypeptidase
c. Pancreatic lipase
d. Chymotrypsin
e. An alkaline pH
22.Which of the following is the mayor mechanism for absorbtion of protein from
the small intestine?
a. Na+- H+ exchange
b. Cotransport with sodium
c. Electrogenic transport
d. Nacl absorption
e. Solvent drag
23. Young mother calls pediatric.Her infant defecat after every meal. Cause of
these normal bowel movement in newborn :
a. gastroileal reflex
b. intestino-intestinal reflex
c. gastrocolic reflex
d. defecation reflex
e. peristaltik rushes
24.Positive diare and liquid stool intravenous and electrolite sdh diberi positif
vibrio cholera water & nutrien absorption :
a. most water from ingested food
b. the small intestine and colon have similar absorptive capacity
c. osmotic equilibrition of chyme occurred in stomach
d. the majority of absorption in the jejunum
e. cholera toxic inhibit sodium-couple nutrient transport
25.which one of the following statement is correct about the saliva?
a. pH 2 3 (6-7)
b. secretion 1-1,5 l/hour
c. containing IgA Antibody
d. one of its important contain is the protease
e. containing disaccharide for hydrolyzing sucrose
26.which one of the following factor its possible to stimulate gastrin secretion?
a. Hcl
b. Secretin
c. Calsitonine(rangsang saluran empedu untk megngelurkan bile salt)
d. Vip(relaksasi otot polos spinkter dan hambat sekresi asam lambung)
e. Nutrient proteins
27.Which one of the following hormones to stimulate contraction of gallbladder ?
a. Gastrin
b. Glucagon
c. Choleysitokinin
d. Entrocrine
e. Secretin
28.Which one of the following enzymes is exoenzyme?
a. Pepsin
b. Trypsin
c. Elastase
d. -amilase
e. Carboxipeptidase
29.Which one of the following is needed to convert biliverdin to bilirubin?

a. Nadp+ + O2
b. Carbonmonoxide
c. hemeoxidase
d. Biliverdin reductase
e. UDP- glucoronil transferase
30.Bile salt primarily derived from :
a. Trigliseride
b. Phospholipid
c. Hemeproteins
d. Cholesterol
e. Globin
25 yo male come to health centre with diarrhea. He states that his stool was
mixed with blood and mucose. Examination of his stool reveal paracyte with
characteristic as follow : irregular, pear shaped, ectoplasm sharply separated
from endoplasm, has one nucleus with small central compound..has karyosome,
and endoplasm contain red blood cells
31.
Which one of the following organism is the most likely found in this
men stool?
A. Trophozoit of gardia lamblia
B. Trophozoit of entamoeba coli
C. Trophozoit of endolimax nana
D. Trophozoit of balantidium coli
E. Trophozoit of entamoeba hitolytica
32. What is the best diagnosis for the case above?
A. Giardiasis
B. Amebiasis
C. Shigellosis
D. Isosporasis
E. Balantidiasis
33. 25 yo male come to health centre with diarrhea. He states that his stool was
mixed with blood and mucose. Examination of his stool reveal paracyte with
characteristic as follow : fat granules, bilaterally symetric pear shaped,
rounded on anterior part, pointed on posterior, 2 nuclei, 4 flagella, 2
axostlyes.
34.Which one of the following organism is the most likely found in the girls
stool?
a. Tropozoite of E. hystolitica
b. Tropozoite of balantidium coli
c. Tropozoite of E. Coli
d. Tropozoite of giardia lamdia
e. Oocyst isospora coli
35.What is the best diagnosis for the case above?
A. Giardiasis
B. Amebiasis
C. Shigellosis

D. Isosporasis
E. Balantidiasis
36.Hepatitis D is a defective virus that only replicates in the cells that are
affected by :
a. HIV
b. HGV
c. HAV
d. HBV
e. Herpes Simplex Virus
37.The lab examination result of a hospital worker showed the present hepatitis
virus B surface antigen (HbsAg ). Subsequent test revealed the presence of a
antigen as well. The worker must likely :
a. Is infective and has activehepatitis
b. Is infective but does not have active hepatitis
c. Is not infective
d. Has a false-positive tes for hepatitis
e. Has both hepatitis B and C
38. A Patient has all the gastrointestinal sympthoms with Hepatitis A Virus
(HAV)et all the test for HAV-lgG & HAV-lgM are non reactive. A posible case at
this infection is:
A) Hepatitis B surface antigen (HBsAg)
B) Hepatitis E
C) Hepatitis D
D) Rotavirus
E) Hepatitis C
39.Other virus can also cause hepatitis, but their major manifestation clinically
indistinguished from viral hepatitis. which of the virus below
a. Molluscum contangiossum
b. Corona virus
c. Herpes simplex virus (HSV)
d. Measles virus
e. Varicella virus
40.Which one of the followings is the property of HBV?
a. lipid contain of envelopes containts HbcAg
b. virion enveloped without envelope
c. gastric acid is not stable
d. HBV has 4 antigen
e. genome consist of double-striated DNA with an positive strand
41.which one of the following is the characteristic of H. pylory?
a. Non motile(motil aktif)
b. On media skirrow growing within 2-3 day in temperature 35C(3-6)
c. Have 4-7 sheated flagella arising from the only one end of the cell
d. Oxidase negative(aktif)
e. Catalase negative(aktif)
42.A patient 35 y.o come to a clinic with main complaint of acute stomach pain,
subfebris, and diarrhea after consuming some seafood in the restaurant 6
hours ago. There were no anomaly in the endoscopy and plain abdominal

photo and the microscopic examination of the feses revealed no blood. No

history of NSAID before. In the puskesmas with not so good facility for
diagnostic, what kind of activity should be done. Medical doctor to make
diagnostic for this patient.
a. Check the blood pressure and hematologic routine
b. Do microscopic examination to the blood sample of the patient
c. Do gram staining of urine sample
d. Refer the patient to the hospital
e. Check the gastric liquid by microscope
43.High the possibility the cause of microbe for this patient is:
a. Candida albican
b. Salmonella spp
c. H. pylori
d. Clostridium perferingens
e. M. tuberculosis
44.
a. Appendicitis acute
b. Peptic ulcer
c. Carcinoma pancreatic
d. Food poisoning by microbe
e. Intolerance of the lactose and sucrose
A 45 y.o women, hospitalized due to difficulty in swallowing. A tumor in her
oesophagus located near the stomach-esophageal junction was found by
endoscopice examination
45.Type of tumor that could be found mostly at that location is
a. Adenocarcinoma
b. Basal cell carcinoma
c. Squamos cell carcinoma
d. Undifferentiated carcinoma
e. Adenosquamos carcinoma
46.The tumor occur at that location iniciated by metaplastic change and
dysplastic change due to the present of chronic irritation by the stomach acid
reflux the distal part of oesophagus that metaplastis change occurred is
called :
a. Atresia oesophagus
b. Stricture oesophagus
c. Varices oesophagus
d. Barret oesophagus
e. Burkitt oesophagus
A 30 y.o womewn come to doctor with frequent epigastric pain. The doctor
diagnose her as a chronic gastritis patient. Because she suffered from the
disease in long period the doctor worried about the possibility of cancer
development, and he asked her to visit a gastroenterologist to know the
actual cause of the disease.
47.Among the possible cause of the disease (chronic gastritis) which one of them
having haighest possibility to develop stomach cancer.

a. Gastric outlet obstruction

b. Chronic functional dyspepsia
c. Chronic infection by H. pylori
d. Chronic chemical gastritis caused by bile reflux
e. Chronic autoimmune gastritis of parietal cells
48.The endoscopy examination followed by biopsy of the gastric lesion was
performed at the gastroenterology department. The pathologic examination
of biopsy specimen found the cause of the chronic gastritis having a very
high risk to develop stomach cancer, and the pathologist reports the present
of intestinal metaplasia and dysplasia of the stomach epithelial. The
conclusion is :
a. Chronic gastritis is not severe
b. Chronic gastritis is severe and stomach cancer already present
c. Chronic gastritis is severe but dont worry for development of stomach
cancer
d. Chronic gastritis is severe and high risk for the development of stomach
cancer
A 61 y.o woman came to doctor with hematemesis, melena, and frequent epigastric
pain. She showed sign of anemia with 4gr% of hemoglobulin level. By endoscopic
examination the diagnosis was ulcer in the stomach.
49. The incorrect statement about stomach ulcer is:
a. Peptic ulcer in the stomach never cause perforation
b. Ulcer penetration in acute ulcer reaches muscular layer
c. The most cause of ulcer of stomach is H. pylori
d. Term erosion is used if the ulcer penetration limited on mucous layer
e. The ulcer may cause massive bleeding if ulcer affected a big blood vessel
50.Anemia due to :
a. A long time of massive bleeding
b. A slight bleeding in a long time
c. Abnormal absorption of Fe
d. bleeding occured in short time but affected big blood vesse
e. vit. 12 deficiency
51.the possible differential diagnose for this case could be :
1. chronic hepatitis
2. cholelithiasis
3. cirrhosis
4. heamolytic anemia
52.jaundice may be due to :
1. renal failure
2. hyperglycemia
3. severe erythrocyte hemolytic
4. liver insufficiency
53.type of jaundice of this case is :
a. pre hepatic jaundice
b. post hepatic jaundice
c. alcoholic jaundice
d. haemolytic jaundice

e. hepatocellular jaundice
54.which one of the following tumor markers should be considered for this case :
a. CA 72-4
b. CA 15-3
c. AFB
d. POA
e. CA 19-9
55.The routine position of plain abdominal radiography in case of acute
abdomen is:
a. Supine-erect-right lateral decubitus
b. Supine- erect-left lateral decubitus
c. Supine-prone-erect
d. Supine-prone-lateral decubitus
e. Supine-prone-erect-lateral decubitus
56.A 60 years old man with melena. Which of the following radiologic
examination you recommended to be perfomed?
a. Sialography
b. Barium enema
c. Follow through
d. Broncography
e. Gastroduodenography
57.
A 45 years old man with hematemesis melena. Esophagogram showing
cobble-stone appearance. The most likely diagnosis is varises
58.A women 65 years old was reffered to radiology department for
gastroduodenography with the clinical history of haematemesis.
Gastroduodenogram showed persistant filling defect with irregular border
along the wall of stomach body. The most likely diagnosis is:
a. Ulcer
b. Diverticle
c. Gastritis
d. Polyp
e. Malignant tumor
For question 58-60
A 60 years old male patient, complains acute epigastric pain with postprandial
nausea. Vomiting, weight loss and gastrointestinal bleeding were denied. Physical
examination reveal no significant findings, only mild tenderness from epigastric
area.
59.The most likely diagnosis of this patient according to rome III criteria:
a. Peptic ulcer
b. Gastric tumor
c. Epigastric pain syndrome
d. Post prandial fullness syndrome
e. Gastroesophageal reflux disease
60.the most suitable diagnostic procedure for this patient that associated with
the symptons:
a. Barium meal because this is an initial simple procedure

b. Endoscopy of lower GI tract because no symptom was appear to be upper GI

tract disease
c. Endoscpy of upper GI tract because the age of this patient was
appear to be one of alarm symptom
d. Utrasonography of abdominal because the symptoms appear outside of
upper GI tract
e. No real to take diagnostic procedure because of acute symptoms
61.the concept of alarm sign are:
A. Indication to perform endoscopy
B. The sign that appear as alarm for patient with dyspepsia
C. A board spectrum of symptom that appears as alarm to perform
endoscopy
D. A board spectrum of symptom that appears as alarm with dyspepsia
p[atient
E. A board spectrum of symptom that appears as alarm to perform endoscopy
or USG
62.Treatment according the temporary diagnosis, there are three types of
antisecretory acid could be used. They are:
a. Antacid, H2 receptor antagonis, and anxiolitic agent
B. Proton pump inhibitor, promotility agent, antacid
C. Antacid, H2 receptor antagonis, proton pump inhibitor
D. H2 receptor antagonis, promotility agent, anxiolitic agents
E. H2 receptor antagonis, promotility agent, proton pump
For question 62-63
Three months later, the patient above comes again complain of melena, from
history taking he was suffering from rematoid arthtritis and using prednisone with
non-steroid anti inflammatory drugs (NSAIDs) for a past few year. Upper GI tract
reveal as peptic ulcer.
63.Pathomechanism of gastroduodenal injury related to NSAID
a. inhibition of cyclo-oxygenase receptor with direct accumulation of
NSAID
b. direct accumulation causing inflammation decreased of prostaglandin and
neutrofil formation
c. indirect accumulation causing inflammation decreased of prostaglandin
and neutrofil formation
d. direct inhibition causing inflammation increased of prostaglandin and
neutrofil formation
e. Indirect inhibition causing inflammation increased of prostaglandin and
neutrofil formation
64.Recommendation for this patient to avoid the complain, such as:
a. discontinue NSAIDs and ulcerogenic drugs
b. using PPI while NSAID continue or chang to COX-2
c. identify high risk patient: >60 y.o, prior G.I bleed, high dose NSAID, ...

steroid
d. A & C choice
e. B & D choice
For question 64-66
A 25 years old male patient complain with nausea, vomiting, artralgia,
anorexia and malaise within 2 weeks. After 7 days, patient have dark yellow
urine and according his friends, yellow eyes was appear on his eyes recently.
Physical examination reveal: sclera icteric and light pain palpable in upper
hypocondrium dextra, laboratory: bilirubin total 16,8 mg%, Bilirubin direk
8,5mg% SGOT=250U/I, SGPT=400U/I
65.
Initial serologic marker can be done for common etiology:
1. Anti HAV
2. Anti HBsAg
3. Anti HCV
4. Anti HEV
66.The common etiology of viral hepatitis are:
a. HAV
b. HBV
c. HCV
d. HAV, HBV, HCV
e. HDV, HEV
67.Therapy anti viral analog, nucleotide/nucleoside and interferon generally use
in:
a. Acute hepatitis A
b. Acute and cronic hepatitis B
c. Chronis Hepatitis D
d. Chronis Hepatitis B and C
e. Acute and cronis hepatitis C
68.Diagnosis according anamnesis, physical examination and laboratory are:
a. Ascites
b. Cirrhosis compensated
c. Chronic Liver disease
d. Cirrhosis decompensated
e. Acute Hepatitis
69.Complication can occur according diagnosis of the patient:
1. Varices/bleeding
2. Peritonitis bacterial spontaneous
3. Hepatorenal syndrome
4. Encelopathy hepaticum
70.
The general mechanism of ascites
1. Portal Hypertension
2. Hypoalbuminemia
3. Decreasing of oncotic plasma
4. Increasing of hydrostatic preassure
For question 70-72

A boy 6 years old complained abdominal pain, especially at right lower quadrant it
had been felt 3 days ago and become severe now until the right leg was pain. The
child had fever and sometimes vomiting. Micturation were in normal limit and bowel
movement were less less today
71.According to find the etiology of abdominal pain, the first step is to look for:
a. Nutritional status
b. Gender
c. History of medicine before
d. Age
e. Other complaining signs
72.If there is Rovsings sign in physical examination, possibleof diagnosis is:
a. Urinary tract infection
b. Gastritis
c. Diverticulitis
d. Appendicitis
e. Constipation
73.The diagnosis adjunct must be done at first step is:
a.BNO
b.Colon in loop
c.Abdominal USG
d.Complete blood count
e.IVP
For question 73-75
A girl, 2 years of age had watery stool yesterday with less waste, she can drink less
water but get vomiting. Her general condition was nervous. The girl has well
nutrition.
73.The girls possibly suffer from:
a. severe dehydration diarrhea
b. mild-moderate dyhidration
c. Acute diarrhea
d. Chronic diarrhea
e. Persisttant diarrhea
74.What is the most possible cause for diarrhea?
a. Salmonella pretyphi
b. Shigella
c. Fungi
d. Virus
e. Fungi
75.first line treatment in this case;
a. antibacterial
b. antiviral
c. breastfeeding
d. oral rehydration
e. antifungal

76.Common causes neonatal jaundice;

a-physiologic jaundice
bc-brest milk jaundice
d-obstructive jaundice
e-normal liver function not fully formed
77.
Physiologic jaundice;
a- direct hyperbilirubinemia
b- normal direct bilirubin
c- direct n indirect hyperbilirubinemia
d- caused by abnormality of the billiary tract
e- completly disappear
78.Obstructive Jaundice
a. Diagnosed based on clinical picture
b. Has similarity with breast milk jaundice
c. Always resolved completely
d. Without complication
e. Outcome is not influenced by early diagnosis and treatment
79.Clinical picture of hepatitis
a. Most Patient without symptoms
b. Easy to differentiate from other etiology of hepatitis
c. Auto immune process never cause hepatitis
d. Always progress to chronic form
e. Symptomatic therapy only
80.Viral hepatitis A
a. Main transmission is parenteral
b. Always progress to chronic form
c. Interferon is the drug of choice
d. Incidence is influenced by social-economic, sanitation, and
hygiene of society
e. Never recover completely
81.Viral Hepatitis B
a. Never progress to chronic form
b. Immunization soon after birth can reduce clinical rate
c. Clinical picture is specific
d. Parenteral transmission vary rare
e. Incubation period less than 4 weeks
82.A 55 y.o woman complains nausea and vomiting. The doctor administer
central and perifer action antiemetic drug of antiemetic drug. The drug is
a. Domperidon
b. Metoclopramide
c. Cisapride
d. Betahistine
e. Fluphanezine
83.A 17 y.o girl woman visit her family doctor because of diarrhea. The doctor
gives non-specific anti-diarrhea with norcotoc effect. The drug is :
a. Loperamide
b. Norit

c. Pectin
d. Attalpugite
e. Carboabsorbance
84.Women age 45 y.o visit her and complaint suffering from epigastric pain. The
doctor treat her with proton blocker and antispasmodic. The drugs below has
effect as proton blocker is :
a. Cimetidine
b. Ranitidine
c. Cisapride
d. Omeprazole
e. Domperidon
85.antispasmodic drug :
a. papaverine
b. ranitidine
c. lanprazole
d. domperidone
e. loperamide
86.86. 44y.o housewife, is admitted to the ward with nausea and pain especially
over the right upper abdominal. She has a history of fever and medication.in
physical examination is unremarkable. The most appropiate investigation for
this ptient is :
a. MRI
b. USG
c. MRCP
d. CT SCAN
e.Plain photo
87.The patient with leucositosis and pain in right upper abdominal on palpation.
What is the most appropriate diagnosis at this stage?
a. Cholelithiasis
b. Lateral inguinal hernia
c. Acute appendicitis
d. Acute pancreasitis
e. Hepatitis
A 30 y.o female patient who present with bleeding per rectum is found at
colonoscopy to hv colitis confirmed to the transverse n descending colon. A
biopsy is performed.
88.which of the following statement about this patient is true?
a. nonceaseating granuloma can be expected in up to 50% of the patient wif
similar
disease
b. the inflammation process is likely to be confined to the mucosa n
submucosa
c. superficial as opposed to linear ulceration can be expected
d. the inflammatory rxn is likely to be continuous

e. microabcesses within crypts are common

89.What is the most potential complication in this patient
a. Toxic megacolon is common
b. Perforation occurs in about 25% of patient
c. Would be at no increase risk for the development of colon cancer
d. Fistulas between the colon and segment of intestine, bladder, vagina,
urethra, and skin may developed
e. Extraintestinal manifestation including uveitis and erithema nodosum
would be exceedingly rare in this patient
90.A 22 y/o student notice a groin in his right. The groin is accentuated when
coughing and reduce back. What is the pathway of groin through spermatid
cord in the cremaster muscle?
a. direct inguinal
b. femoral
c.springlian
d. parietal
e. indirect inguinal
Patient 5 y/o, male. Admitted to the hospital with a bulge swelling in the groin and
sometimes may extend into the right scrotum. The bulge may appear and then
dissapear. Appear during straining, crying or coughing. There is no vomiting and no
distention. Rectal touche is within normal limit.
91.What is clinical diagnose?
a. hydrocele uncommunicate dextra
b. inguinal hernia reponible dextra
c. femoralis hernia dextra
d. orchitis dextra
e. carcinoma of dexter testis
92.. Differetial diagnosis for this case with use translumination test is:
a. hydrocele
b. incarcerata hernia
c. strangulate hernia
d. inguinalis hernia
e. testis carcinoma
Patient 4 months years old, female. Admitted to the hospital with bulge(swelling) in
umbilical region. There is no changing color of skin. In physical examination is
normal. The bulge may appear during straining. There is no vomiting and no
abdominal distention.
93.what is the most likely diagnosis for this case?
a. umbilical hernia
b. umbilical fistel
c. ductus omphalomesenterium persistent

d. omphalocele
e. umbilical granuloma
94.the correct answer for this case treatment is
a. Will not close spontaneously
b. Directly operate (cito)
c. observe until age 3 to 4 years
d. Incidence of incaracerata is higher
e. Eksisi granuloma
95.
Surgical management of this case is
a. laparoectomy explorasi
b. eksisi luas granuloma
c. fistulectomy
d. repair omphalocele
e. repair hernia umbilicial
96.Man 28 years old with BMI 25.7kg/m waist circumference 95cm came to the
clinic
because of heart burn especially after have meal. what you suggest him to
take.
a. have a soft meal
b. have a small portion of meal but frequently.
c. have a coffee after having a meal
d. have a meal early as possible
e. have a cold meal.
97.college student,22 years old,always complaining for pain in the epigastric
area. now, he loses his weight about 2 kg since 2 month ago. what do you
suggest for him (intake) tp prevent another weight loss?
a. avoid high protein food
b. avoid high carbohydrate food.
c. have prebiotic
d. have immunonutrition supplement
e. have high fiber food.
98.Man 45 years old come to private clinic because of bloating and pain in the
abdomen.To maintain the mucous intestinal,what nutrient should be given to
this man?
a. arginine
b. probiotic
c. proline
d. glutamine
e. prebiotic
99.Women 60 yo have a tumor in her stomach .Now she has jejenutube feeding.
Food should be given slowly as it can.if she has abdominal fullness and
crampy.waht sign stand for?
a. refeeding syndrome
b. untolerance syndrome

c. Chron's syndrome
d. Dumping syndrome
e. Tolerance syndrome
100.
Woman, aged 38 years, epigastric pain dat radiates to the back..nutrition that is

suitable for her

a. stop oral intake
b.fish oil supplement
c. curcumine supplement
d. liquid nutrition
e. eat small portion of meal frequently