1. The best inspection material for C.

diphtheriae:
A. Smears of skin
B. Throat lesions
C. Skin lesions
D. Pseudomembrane
E. Urine

2. The 6-year-old boy was taken to the Puskesmas because he couldn't eat because it was
difficult to open his mouth. After the examination turned out his mouth can only open by 1.2 cm
and on his leg was found wound by pierced wire 3 days ago. By the doctor is classified into
tetanus degree :

a. I.

b. II

c. III

d. IV

e. V

3. Cannot open the mouth symptom in the case above because of the influence of tetanus toxin
called:

a. Tetanosilin

b. Endotoxin

c. Tetanospamine

d. Tetanoflasm

e. Lipopolysaccharide

4. Toxic granules and vascularization are characteristic of severe infections. Both are involved in
the cell :

a. Erythrocytes

b. Basophil

c. Neutrophils

d. Eusinophils
e. Lymphocytes

5. In the tzanck test, the wanted cell is:

a. Measurable with one core

b. Measurable small and the heart of many

c. Measurable very big with the core ofmany

d. Measurable Medium with the core of many

e. Measurable Medium with Intin one

6. HIV-1 antibody testing can be done by examination:

a. ELISA test
b. PCR Test and ELISA Test
c. The Western Blot test
d. ELISA test and Western Blot
e. No there is

7. One of the acute tropical diseases that can cause febris muscle ashes and nephritis is:

a. Malaria

b. Avian Influenza

c. Leptospira

d. Thyroid fever

e. HIV/AIDS

8. Dengue shock occurs when:

a. 1-2 hours before the fever

b. After the fever stops
c. While fever
d. Fever or fever begins to fall
e. While the fever began to fall

9. Highest cellular immune response in leprosy types:

a. TT
b. BB

c. LL

d. BT

e. BT

10. In the development of mycobacterium leprae, which includes specific immunologic reactions
is, except:

a. Inferno 2

b. IgA

c. Cytotoxic

d. T helper

e. Cytotoxic T cells

11. A 30-year-old man previously healthy, suffering from fever and pruritus, night sweats, and
finding a lump on the left clavicle for three weeks. Physical examination showed a painless
lymph nodes enlargement, 3 cm in diameter, supple consistency and located in the
supraclavicular region. X-ray examination of thorax gives the impression of mediastinal lympho-
adenopathy. Which is the most appropriate answer below which is the cause of the illness in that
patient :

a. Tuberculosis
b. Carcinoma metastatic
c. Hodgkin disease
d. Sarcoidosis
e. Mononucleosis Infection

12. A boy aged 8 was bitten by a bee. Within five minutes there was a swollen lesion, 2 cm in
size, and red in place of the bite. Among the following answers, which findings are dominant in
the bite lesion :
a. Reaction to Corpus Alienum
b. Bleeding
c. Infiltration Lymphocytic
d. Migration Neutrophilic
e. Vasodilation

13. A 30-year-old woman was taken by family to the ER because of blood vomiting. This
patient's history is suffering from chronic hepatitis B. Physical examination appears weak, blood
pressure 140/90, pulse 90x / mnt, conjunctiva palpebra anemis (+), hair on armpit (-),
ginekomasti (+), spider navi (+), Liver span 5 cm. What causes hematemesis in these patients :
a. Sind. Mallory Weiss
b. Rupture of Varicose Esophagus
c. Eesophagitis
d. Ulcus Gaster Perforation
e. Perforation of the duodenal ulcers

14. Routine radiological examination in 2 months of age is:

a. Thorax PA
b. Left lateral thorax
c. Top lordotik
d. BNO-IVP
e. Right lateral thoracic

15. A child, shortness already 2 days, cough, high heat, flu 3 days. Respiration 53x / min,
temperature 39 C nostrils (+). What is the diagnosis :
a. Pleural effusion
b. Bronkopneumonia
c. Pneumonia
d. Schwarte's syndrome
e. Atelectasis

16. The 13-year-old girl brought her mother to the polyclinic with persistent bodily complaints
since 3 days ago (cold sweat (+) headache, leg muscle pain, nausea, vomiting, bloody noses, red
spots).The examination is :
a. RL test
b. Widal
c. Bloodrout
d. Throat swabs
e. Mantoux

17. Male 25 years old, itching all over the body after eating shrimp since 5 years ago. What cell
is increasing in number?
a. Plasma cells
b. Mast cell
c. Fibrocytes
d. Macrophages
e. PMN

18. Female 35 years, pregnant fourth child, came to the hospital with complaints quickly tired
and lethargic. On physical examination there is no enlargement of organs, Hb = 8, Leukocytes =
12000, platelets 350000, mikrositikhiokrom, anisopoikilositosis, elliptic, Hit dbn type, dbn
reticulocytes. The proper laboratory examination is :
a. Iron content
b. Diff count
c. Electrophoresis Hb
d. Stool analysis

19. The incubation period for the infection of Corynebacterium diphtheria is :

a. 1 - 7 days
b. 7 - 14 days
c. 3 weeks
d. 1 month
e. More one month

20. The best inspection material for C. diphtheriae:

A. Smears of skin
B. Throat lesions
C. Skin lesions
D. Pseudomembrane
E. Urine

21. The 6-year-old boy was taken to the Puskesmas because he couldn't eat because it was
difficult to open his mouth. After the examination turned out his mouth can only open by 1.2 cm
and on his leg was found wound by pierced wire 3 days ago. By the doctor is classified into
tetanus degree :

f. I.

g. II

h. III

i. IV

j. V

22. Cannot open the mouth symptom in the case above because of the influence of tetanus toxin
called:

f. Tetanosilin

g. Endotoxin

h. Tetanospamine

i. Tetanoflasm

j. Lipopolysaccharide
23. A 32-year-old man came to the puskesmas with body complaints sometimes feels a little
limp, especially after working from the fields, both legs enlarged to the thigh and felt heavy,
testicles also enlarged. The possible etiologies of the above diseases are:
a. Brugia malayi
b. Brugia timori
c. Wucheceria bancrofti
d. Loa-loa
e. Onchocerca volvulus

24. The results of a peripheral blood examination from a 30-year-old male patient came to the
clinic with complaints of a lump in the groin found microfilaria, with head size three times the
width, solid core body, three additional cores on the tail. Known as microfilia:
A. Brugia malayi
B. Brugia timori
C. Wucheceria bancrofti
D. Loa-loa
E. Onchocerca volvulus

25. A 26-year-old man came to the hospital escorted by the family with a seizure complaint
accompanied by fever over a month. History has used injecting drugs more than 4 years ago.
Laboratory tests that need to be done are:
A. Widal test
B. Rapid test for dengue
C. DDR
D. CD4
E. Raid test anti HIV

26. Toxic granules and vascularization are characteristic of severe infections. Both are involved
in the cell :

f. Erythrocytes

g. Basophil

h. Neutrophils

i. Eusinophils

j. Lymphocytes

27. Male 25 years come with fever 10 days, initially not high and higher and higher, especially in
the afternoon and evening. The first 3 days of fever and diarrhea, appear apathetic. 3 days got
paracetamol and ampicillin but didnt quite improve. The examination to establish the etiological
diagnosis is :
A.widal, gal / bulyon culture, blood culture, serology
B. Hemagglutination inhibition
C. thick blood vessel
D.serologis leptospirosis, widal
E.widal, gal / bulyon culture, fecal culture

28. Swelling of the eyes, petals, 2 weeks arise in the limbs and stomach, red urine, urine protein
4+. The diagnosis is :
A. CPR,
B. SNA,
C. SN,
D. heart failure,
E. Cirrhosis of the liver

29. If found eosinophilia, possibility might be expected early are:

A. malignancies
B. Salmonella thypi infections
C. Parasitic infections
D. HIV / AIDS infection

30. A 40-year-old mother, escorted by her daughter to the puskesmas because it is difficult to
open her mouth. On examination found stiff neck, look like rhesus sardonikus. In the history of
the disease it was found that about a week ago the mother was pricked by the thorn of a rose
when the mother weeded the roses.
Bacteria that can cause in the case above are:
A. Bacillus antracis
B. Clostridium tetani
C. Clostridium perfaringes
D. Pseudomonas seroginosa
E. Klebsiealla seroginosa

31. People with rabies are very difficult to swallow, causing:

A. Hydrophobia
B. Hypersalivation
C. Hallucinations
D. Confusion
E. Hyposalivation

32. Some of the viral characteristics of avian influenza are:

A. Survive at low temperature and high humidity
B. Can still live if disinfected only with formalin
C. Dead on heating with temperatures of 56 Celsius for 30 minutes
D. Can live in water for 4 hours with temperature 20 Celsius
E. Can live dressed for 8 hours

33. HIV-1 antibody testing can be done by examination:

a. ELISA test
b. PCR Test and ELISA Test
c. The Western Blot test
d. ELISA test and Western Blot

34. One of the acute tropical diseases that can cause febris muscle ashes and nephritis is:

a. Malaria

b. Avian Influenza

c. Leptospira

d. Thyroid fever

e. HIV/AIDS

35. If a pregnant woman is going to visit a malaria endemic area, the anti-malarial choice that is
safe for the woman is:
A. Malaprim
B. Fansidar
C. Chloroquine
D. Doksiklin
E. Meflokuin

36. Rapid test to detect influenza virus is not too accurate because
A. The result can be detected for 5 minutes
B. Contamination is easy
C. Can detect other influenza viruses
D. Positive result must be influsenza virus smear
E. Negative results are not influenza viruses

37. The x-ray examination you requested may find a patient suspected of dengue fever:
A. CXR PA position
B. CXR AP position
C. CXR supine position
D. CXR RLD
E. All wrong

38. Compression fractures with an anterior wedging image in some spinal cord can be found to
be infectious:
A. Tetanus
B. Polio
C. Varicella
D. Tuberculosis
E. Everything is correct
39. Oral disorders are prevalent in people with HIV-Aids is
A. Oral candidiasis or oral trush
B. Acute tonsillitis
C. Acute laryngitis
D. Herpes simplex
E. Candidiasis farings

40. Dengue shock occurs when:

a. 1-2 hours before the fever

b. After the fever stops
c. While fever
d. Fever or fever begins to fall
e. While the fever began to fall

41. Which is not a dormant or a trojan phenomenon in the pathogenesis groove of malaria is
A. The place of merozoit hides and breeds
B. Dorman parasites are responsible for the condition of relapse
C. Collection of macrophages that are ready to eliminate parasites in the tissue
D. This phenomenon occurs in hepatic cells
E. Plays an important role in life cyle malaria

42. A 55-year-old man came to the puskesmas with skin swelling, bright red and painful.
Currently he is taking MDT for 3 months.Penyakit suffered by this father is:
A. Reversal reaction
B. ENL
C. MH type BB
D. Erythema nodusum
E. MH type BL

43. A child arrives at the puskesmas with white patches to scaly browns, in the thigh and upper
leg area and slightly in advance, and often itchy, especially when sweating.
From the above scenario, the examination / staining recommended for the above patients is:
A. Gram staining
B. Acid-resistant coloration
C. KOH staining 10%
D. Neisser Staining

44. Possible germs that infect the child to what layer?

A. The superficial part of the epidermis only
B. Up to stratum corneum
C. Up to startum basal
D. Up to the dermis
E. Stratum corneum
45. Highest cellular immune response in leprosy types:

f. TT

g. BB

h. LL

i. BT

j. BT

46. Filariasis treatment options below are

A. Pirantel pamoat
B. Mebendazole
C. DEC

47. Severe netropeni in an infectious disease gives the impression:

A. The patient's condition improved
B. The patient's prognosis is good
C. The patient's prognosis is bad
D. No changes to therapy
E. There are changes to therapy

48. . In the development of mycobacterium leprae, which includes specific immunologic

reactions is, except:

f. Inferno 2

g. IgA

h. Cytotoxic

i. T helper

j. Cytotoxic T cells

49. The 28-year-old man came to the puskesmas with fever and chills. In the thin blood
preparation there is a ring shape in the enlarged erythrocytes. The result of the examination is
A. M. Falciparum
B. M. Vivax
C. M. Malariae
D. Wucheceria bancrofti
E. Brugiua malayi
50. A child was escorted by his mother to the hospital with a fever 8 days ago. Mom does not
want to take care of her child in the hospital. A week later, the child comes with decreased
consciousness, abdominal pain. The causes of the event are:
A. Rupture of blood vessels of the brain because germs enter the brain
B. Pulmonary edema occurs because the germ cycle passes through the lungs
C. Intestinal perforation
D. The kidneys leak
E. All wrong

51. A culture examination of typhoid fever is required as confirmation after an antibody test
against salmonella (+). Materials for the best culture are:
A. Urine
B. Blood
C. Feces
D. Gastric sap
E. Bone marrow

52. A 4-year-old 5-month-old girl weighing 15 kg was admitted to hospital due to diphtheria.
Symptoms at the time of admission: fever 2 days (rectal temperature 38 Celsius), composmentis,
pain swallow, anorexia, cough, hoarseness, stridor, not crowded, no signs of piston wall
retraction. There is a diffuse pseudomembrane in all the left tonsils, and the patient can still eat
and drink as usual.
The above patient suffered:
A. Diphtheria tonsil
B. Diphtheria larynx
C. Diphtheria and pharynx
D. Diphtheria tonsil, larynx

53. A man with an injury to the genitalia 2 days ago with ulcers around the hard penis gland, pain
(-), clean, flat, having sex with commercial sex workers 1 month ago. Diagnosis?
A.Ukus banal
B.Ulcus mole
C.Ulkus durum
D.Primary complex
E.Ulkusbubanum

54. Men come with complaints of having fluid out of left ear, white, thick, and fetid for 10 years.
Ear pain (+), fever (+), mouth sores, CAE granulation>. Diagnosis?
A.OMA
B.OMSK
C.Kolesteatoma
D.Otitiseksmaligna
E.Granuloma
55. Man, complained of shortness and fever 3 days. The history of neighboring chickens died
suddenly in the farm. Chest X-ray: infiltrates in the lung field. Below this is true:
A. No reservoar animals
B. Including type B influenza virus
C. Breed in the cytoplasm of the host cell
D. Antigenic variation on Ag H and Ag N

56. A toddler comes with shortness of breath, a hot body, there is the breath of the nostrils. What
is the most appropriate therapy?
A. Ampicillin
B. Amoxicillin
C. Cefotaxim
D. Cytrimoxazole
E. Eryromromycin

57. A 5-year-old child fell, a torn wound 2 x 1 cm. Then given povidone iodine. Then the type of
wound healing is?
A. primary intention
B. secondary intention
C. tertiary intention
D. Delayed intention
E. acute intention

58. A woman comes with a complaint since 2 days there are reddish patches around the mouth, a
scab on the lips. Physical examination found the presence of Erythema, vesicles, bulls around the
lips and mucosa of the mouth. Drug history 5 days ago. Which trigger factor is most likely?
A. allergy medications
B. infection
C. neoplasm
D. inflammation
E. infestation

59. Complications of the above diseases that can cause death?

A. meningitis
B. hepatitis
C. Gastrointestinal bleeding
D. DIC
E. sepsis

60. A 5-year-old boy fell off his bike 5 days ago. There was a tear in his left arm with a size of
2x1 cm and treated with povidone iodine. Including wound healing where in the above case?
A. Primary intention
B. Secondary intention
C. Tertiary intention
D. Delayed intention
E. Acute intention

61. A 35-year-old man came with an itchy, red, milk-like secretion on the conjunctiva. Slit lamp
-> pappilla in the superior and inferior tarsal conjunctiva. Family history with atopic disease.
Diagnosis?
A. vernal conjunctivitis
B. Atopic conjunctivitis
C. Acute conjunctivitis
D. Flictenularis conjunctivitis
E. Follicle conjunctivitis