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Soal Soal TO AIPKI 11 APRIL APRIL 2015 2015 Unisba Unisba,, Maran Maranath atha, a, Unjani Unjani (Lokas (Lokas Maranatha)
IT!RA
1. Wanita Wanita 30 tahun tahun BAB cair cair 4x sehari. sehari. Disertai Disertai lendir lendir dan darah. darah. Diserta Diserta mual muntah dan daerah umbilicus terasa nyeri. Pemeriksaan fisik tekanan darah 120/0. !adi x/m . "" 22x/m . nyeri di su#ra#ubik Dia$n%sis #asien & a. Dise Disent ntri ri am% am%eb eba a b. 'if%id c. Dise Disent ntri ri basi basile ler r d. (nfe (nfeks ksii ). ). *%l *%lii e. (rritab (rritable le B%+el B%+el ,yndr ,yndr%me %me
2. Pasien Pasien usia 30 tahuntahun- sdatan sdatan$ $ den$an den$an keluhan keluhan mata kunin$ kunin$-- disert disert demam sebelumnya. Pada #emeriksaan lab dida#atkan b,A$ ($ anti A . Dia$n%sis #ada #asien tersebut& a. e#a e#ati titi tis sA b. e#a e#ati titi tis sB
Master your semester with Scribd c. e#atiti itis * & The New York Times d. e#a e#ati titi tis sD Special offer for students: Only $4.99/month.
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dia$n%sisnya& A. ,6)
8. ,e%ran$ ,e%ran$ #erem#ua #erem#uan n 20 tahun datan$ datan$ den$an den$an keluhan keluhan kaku #ersen #ersendian dian
teruta terutama ma di #a$i #a$i hari hari selama selama 1 am. am. 5eluh 5eluhan an lainny lainnya a serin$ serin$ meras meras
lemas- rambut r%nt%k- saria+an. asil #emeriksaan rheumat%id fakt%r 7 Pemeriksaan a#ala$i yan$ da#at dilakukan& a. ema emat% t%l% l%$i $i rut rutin in b. 6)D c. A!A test
9. ,e%ran ,e%ran$ $ +anita +anita 30 tahun tahun merasa merasa tidak nyaman nyaman den$an den$an merah merah #ada #i#i. 5emerahan berbentuk se#erti saya# ku#u7ku#u di #i#i mele+at hid hidun$ un$- #asie asien n u$ u$a men$ men$el elu uh ada adanya nya nyer nyerii di sen sendi7s di7se end Pemeriksaan #enunan$ a#a yan$ dihara#kan mendukun$ dia$n%sis& a. emat maturi b. Pr%t Pr%te einu inuri c. Alb Albumin uminu uria ria d. A,' A,': #%s #%sit itif if e. A!A A!A test test #%s #%sit itif if
;. ,e%ran$ ,e%ran$ #ria den$an den$an keluhan keluhan nyeri nyeri ulu hati- nyerti nyerti ten$$%rak ten$$%rakan an teras #anas. Didia$n%sis <)"D. Pen$%batan& a. :me# :me#ra ra= =%le
Master your semester with Scribd Read Free Foron 30this Days Sign up to vote title Pria Times datan$ datan$ den$an den$an keluhan keluhan tidak tidak sadarsadar- nadi naUseful di tidakteraba. ter aba. Pemerik Pemeriksaa saa & The New . York Not useful Special offer for students: Only lain$4.99/month. lu#a.
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'. A#a #enan$anan #ada #asien tersebut&
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dia$n%sisnya& A. ,6)
8. ,e%ran$ ,e%ran$ #erem#ua #erem#uan n 20 tahun datan$ datan$ den$an den$an keluhan keluhan kaku #ersen #ersendian dian
teruta terutama ma di #a$i #a$i hari hari selama selama 1 am. am. 5eluh 5eluhan an lainny lainnya a serin$ serin$ meras meras
lemas- rambut r%nt%k- saria+an. asil #emeriksaan rheumat%id fakt%r 7 Pemeriksaan a#ala$i yan$ da#at dilakukan& a. ema emat% t%l% l%$i $i rut rutin in b. 6)D c. A!A test
9. ,e%ran ,e%ran$ $ +anita +anita 30 tahun tahun merasa merasa tidak nyaman nyaman den$an den$an merah merah #ada #i#i. 5emerahan berbentuk se#erti saya# ku#u7ku#u di #i#i mele+at hid hidun$ un$- #asie asien n u$ u$a men$ men$el elu uh ada adanya nya nyer nyerii di sen sendi7s di7se end Pemeriksaan #enunan$ a#a yan$ dihara#kan mendukun$ dia$n%sis& a. emat maturi b. Pr%t Pr%te einu inuri c. Alb Albumin uminu uria ria d. A,' A,': #%s #%sit itif if e. A!A A!A test test #%s #%sit itif if
;. ,e%ran$ ,e%ran$ #ria den$an den$an keluhan keluhan nyeri nyeri ulu hati- nyerti nyerti ten$$%rak ten$$%rakan an teras #anas. Didia$n%sis <)"D. Pen$%batan& a. :me# :me#ra ra= =%le
Master your semester with Scribd Read Free Foron 30this Days Sign up to vote title Pria Times datan$ datan$ den$an den$an keluhan keluhan tidak tidak sadarsadar- nadi naUseful di tidakteraba. ter aba. Pemerik Pemeriksaa saa & The New . York Not useful Special offer for students: Only lain$4.99/month. lu#a.
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c. 5ard 5ardi% i%> >ersi ersi d. Defi Defibr bril ilas asii 300@ 300@
10.,e%ran$ #asien men$alami #enurunan kesadaran seak 3 am yan$ lalu lalu-- #as #asien ien memi memili liki ki ri+a ri+ay yat $a$a $a$all ant antun un$ $ dan dan #eny #enyum umba ba #embuluh darah antun$. !adi ;0. di%>e ersi rsi b. anu anu>e >err >a$a >a$all c. )#inefri frin d. Ami%dar%n r%n e. Defi Defibr bril ilas asii
11. 11. 6aki7laki ;0 tahun datan$ ke C
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Dia$n%sisnya& a. entricular fibrilasi b. entricular takikardi c. Atrium fibrilasi d. Atrium flutter e. ,inus takikarti You're Reading a Preview
13.,e%ran$ #asien datan$ den$an keadaan Unlock full access with a free trial. tidak sadar- sebelumny #asien memiliki ri+ayat #enyakit hi#ertensi dan diabetes. ersi b. D* sh%ck c. Pemberian resusitasi (
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18.Wanita #enurunan kesadaran. i#ertensi bertahun7tahun. )dema kaki sesak na#as. 'D 220/100. "%nkhi basah di seluruh la#an$ #aru Dia$n%sis #asien & a.
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bulan lalu #ernah dira+at diruan$ #era+atan intensif #enyakit antun$
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1;.Pasien datan$ den$an sesak nafas- serin$ terban$un #ada malam har
karena sesak- ri+ayat #enyakit hi#ertensi. Pemeriksaan 'D 180/?0
mm$- "" 30x/menit- @P menin$kat- ditemukan r%nchi basah halus
di basal kedua #aru- lainnya n%rmal. :bat a#a yan$ harus diberikan
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1?. ,e%ran$ laki7laki de+asa 80 tahun. Penderita hi#ertensi- bias men$k%nsumsi ca#t%#ril. ,aat ini datan$ c%ntr%l dan menderita BP dan direncanakan menda#at tera#i alfa 1 adrener$ik. Ba$aimana tera# #ada #asien a. 5%nsumsi ca#t%#ril dan alfa adrener$ic bersamaan b. 5%nsumsi ca#t%#ril saa c. 5%nsumsi alfa 1 adrener$ik saa d.
20.6aki7laki 80 tahun datan$ ke #%li den$an keluhan rasa tidak nyaman se#erti terbakar di dada- disertai mual muntah. Pasien mam#u beralan santai hin$$a arak 80m. keluhan dirasakan #ertama kali. Pada )5< ditemukan $el ' si$nifikan di lead ((- (((- a. Pada hasil 2 #emeriksaan tr%#%nin ' inter>al 9 am 7. A#akah dia$n%sis yan$ #alin$ memun$kinkanYou're #adaReading #asien& a Preview a. i%kard infarkUnlock n%n full ,')( access with a free trial. b. Pren=metal an$ina Download With Free Trial c. An$ina stable d. An$ina unstable e. !yeri dada n%n7kardiak
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tidak ber#en$aruh. D%kter berkata kalau %bat tersebut sudah resisten
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22.Pasien datan$ den$an keluhan lemas- #enurunan kesadaran- badan terasa din$in. Diketahui #asien memiliki #enyakit D dan ru
men$k%nsumsi suatu %bat. Dari hasil #emriksaan ditemukan
23.,e%ran$ +anita 4; tahun datan$ ke #%liklinik ", den$an keluha #%liuri #%lidi#si #%lifa$i. Dari #emeriksaan ita %lahra$a sedan$. )dukasi untuk akti>itas %lahra$a sedan$ bertuuan untuk& a. enin$katkan $luca$%n b. enin$katkan insulin c. enin$katkan insulin dari sel
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d. enin$katkanUnlock $luk%sa dalam full access with asel free trial. e. enin$katkan insulin dari usus
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24.6aki7laki tua #enurunan Penan$anan a+al tera#i&
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c
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tahu
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serin$ BA5-
2;.Pasien +anita datan$ den$an keluhan luka di kaki karena tertusuk #aku- tidak sembuh sudah 2 min$$u. Pasien sudah ber%bat #uskesmas namun %bat tidak dihabiskan. Pemeriksaan >ital dalam batas n%rmal. 'erda#at abses #ada d%rsum #edis. Pasien u men$eluhkan #enurunan BB serin$ BA5 dan serin$ haus.
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b. Pemeriksaan reduksi urine untuk dia$n%sis #asti D Unlock full access with a free trial.
c. Berikan :: dan k%ntr%l $ula darah
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d. Pemeriksaan
Master your2.Pasien semester with Scribd datan$ den$an keluhan demam men$$i$il Read Free Foron 30this Days Sign dan up to vote titlesetia# har & The New York Times Useful Not useful #emeriksaan a#u Diketahui #asien baru #ulan$ dari #a#ua. Pada Special offer for students: Only $4.99/month.
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darah ditemukan sel darah berbentuk #isan$. ,tadium a#a eti%l%$i dar
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30.Pasien #enurunan kesadaran- a#usan darah tebal dida#atkan banana sha#e- dia$n%sis& a. alaria tertian b. alaria Euartana c. alaria cerebral d. alaria malariae e. alaria %>ale
31.Datan$ se%ran$ #asien laki7laki 23 tahun- ke rumah sakit. Den$an keluhan nyeri ke#ala dan telin$a berden$in$. Pasien baru kembali dar #a#u 3 min$$u yan$ lalu. Dan telah terdia$n%sis %leh d%kter menderita malaria- dan telah diberikan %bat malaria. :bat malaria manakah yan$ menyebabkan keluhan #asien tersebut& a. Artemisin
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b. 5ina c. Param%misin
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d. 5l%r%kuin e. Primakuin
Master your semester with Scribd Read Free Foron 30this Days Sign up to vote title & The New York Times Useful Not useful nyerike#ala dan demam 32.Pasien 4? tahun datan$ den$an keluhan Special offer for students: Only $4.99/month.
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seak 2 hari. Pasien dira+at menadi k%ma. Didia$n%sis mala
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33.Anemia hi#%kr%m makr%siter me$al%blastik disebabkan defisiensi A. !iasin B. 'hiamin *. Asam f%lat
34.,e%ran$ +anita 28 tahun men$eluh badannya lemas. Dari anamnesis dida#atkan #asien serin$ beralan tan#a men$$unakan alas kaki. 'e 110/;0- nadi 0- #emeriksaan fisik dalam batas n%rmal. b ?-- a#us darah hi#%kr%m mikr%siter. A#a tera#i yan$ #alin$ te#at& a. 'era#i cacin$ b. ,u#lemen e c. akanan ber$i=i d. 'ransfusi
38. Pasien
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39.6aki7laki 40 tahun den$an kencin$ sedikit- #asien tidak merasa in$in
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a. 2 am setelah #en$ambilan b. 1 am setelah #en$ambilan c. 24 am setelah #en$ambilan d. 3 am setelah #en$ambilan e. 4 am setelah #en$ambilan
3.,e%ran$ #erem#uan berusia 30 tahun <2P1A0- datan$ ke #rakte d%kter umum den$an nyeri saat berkemih- seak 2 hari yan$ lal 5eluhan disertai den$an nyeri #erut ba+ah- dan rasa #anas ketika berkemih. 'idak ada keluhan demam- #ada #emeriksaan fisi ditemukan nyeri tekan su#ra#ubik dan nyeri ket%k *A /7. as #emeriksaan urine rutin- menunukan leuk%sit banyak- nitrit - # ; A#akah antibi%tic em#iris yan$ #alin$ te#at diberikan & a. *i#r%fl%ksasin b. *lindamicin c. Am%ksisilin
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e. a=itr%misin
3?.Pria 83 tahun nyeri #in$$an$ kanan menalar ke #un$$un$ ba+ah !yeri hilan$ timbul seak 8 hari. Disertai sulit BA5. 2 hari yan$ lalu kencin$ keluar batu ber#asir. Cntuk mence$ah teradinya Read Free Foron 30this Days Sign up to vote titlehal tersebu tera#i #ada #asien adalah Useful Not useful
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B. A"B *. **B D. B7bl%ker ). Diuretik
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44. ,e%ran$ #ria demam 8 hari- terda#at bintik kemerahan. Da #emeriksaan ditemukan he#at%me$ali dan !' abd%men. Da #emeriksaan lab ditemukan hasilnya n%rmal kecuali tr%mb%sit 80rb asil #emeriksaan yan$ menunan$ dia$n%sis infeksi sekundar& a. ($< dan ($ anti den$ue #%sitif b. ($< anti den$ue ne$atif- ($ anti den$ue #%sitif c. ($< anti den$ue #%sitif- ($ anti den$ue ne$atif d. ($< dan ($ anti den$ue ne$atif e. !,71 #%stifi
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d. alaria malariae e. alaria kn%+lesi
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). #neum%nia
83.6aki7laki 98 tahun men$eluh sesak nafas seak 2 hari yan$ lalu. ,esak nafas disertai nyeri dada saat batuk. "i+ayat demam dan sesa sebelumnya tidak ada. Pasien sebelumnya adalah #er%k%k ber Pemeriksaan fisik menurun- #erkusi tim#ani- B, tidak terden$ar Dia$n%sis kasus tersebut adalah& a. a c. Atelektasis
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89.,e%ran$ kakek usia 9 thn- datan$ den$an keluhan susah kencin$
seak 1 min$$u yan$ lalu. ri+ayat hi#ertensi . en$k%nsumsi %ba antihi#ertensi ca#tr%#il. Pemfis 'D 1;0/100- c%l%k dubur terda massa berbentuk n%dul- licin- bulat. %bat yan$ diberikan& a. *a#tr%#il diteruskan B.alfa1 bl%ker *.ca#tr%#ilalfa1 bl%ker D.ca#tr%#il st%#
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n%rmal. Pada #emeriksaan makr%sk%#ik feses dida#atkan darah lender . Dia$n%sis yan$ #alin$ te#at adalah A. Am%ebiasis B. "%ta>irus *. Ascariasis D. ,hi$ell%sis ). *andididasis
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91.6aki7laki 90 tahun datan$ ke C
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Pada #emeriksaan fisik dida#atkan c%nunctica ikterik yan$ lain dalam batas n%rmal.Pada #emeriksaan mikr%sk%#ik dida#atkan anis%sit%sis #%likr%maasi. Dia$n%sis yan$ #alin$ te#at adalah & a. Anemia em%litik b. Anemia hem%litik aut%imun c. Anemia hem%litik makr%an$i%#ati d. Anemia Defisiensi Besi taha# a+al e. Anemia Paska #erdarahan asif
93.,e%ran$ +anita 48 tahun >e$etarian- datan$ den$an keluhan lemah dan #ucat- disertai ben$kak #ada tun$kai seak 1 bulan yll. Da #emeriksaan fisik dida#atkan anemis- terden$ar bisin$ antun$ semua katu#. Dari #emeriksaan #enunan$ b H 8 m$/dl- tr%mb%si dan leuk%sit n%rmal. 'era#i yan$ te#at #ada #asien adalah & a. 'ransfuse P"* b. 'ransfuse +h%le bl%%d c. Pre#arat besi d. Pre#arat asam f%lat %ral You're Reading a Preview
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94.,e%ran$ #erem#uan usia 18 tahun datan$ den$an keluhan ben%lan #ada leher ba$ian de#an yan$ tidak nyeri. 5eluhan ben%lan hanya ber$erak #ada saat menelan. Pada #emeriksaan dida#atkan ben%lan den$an #ermukaan rata dan tidak nyeri. Pemeriksaan un mene$akkan dia$n%sis #ada #asien tersebut adalah&
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d. 777 e. 777
99.,e%ran$ +anita 30 tahun datan$ den$an keluhan mudah lelah dan $elisah- mudah berkerin$at- antun$ berdebar7debar- dan mata se#ert mel%t%t. Pada #emeriksaan lab dida#atkan '4 n%rmal dan ', menurun. Pemeriksaan lanutkan yan$ diusulkanI a. '3 b. '3 c. '4 ulan$ d. C,< tir%id e. ,idik tir%id
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9.,e%ran$ +anita datan$ den$an keluhan ben%lan #ada leher den$an batas te$as- tidak nyeri dan ikut saat menelan. 'idak ada keluhan lainnya. A#a tera#i yan$ diberikan&
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as#irasi arum halus dida#atkan f%likel limf%id dalam f%likel tir%id. A#a kemun$kinan dia$n%sis #asien tersebut& a. 5arsin%ma #a#ilifer b. 'ir%iditis hashim%t% c. '%ksik $%iter n%duler d. <%nd%k sederhana e. %rbus I..
;0.Pasien 28 tahun datan$ den$an keluhan #embesaran di leher kir 5eluhan #enyerta #asien berat badan nya semakin bertambah- daya #ikirnya menadi lambat- dan merasa kedin$inan. Pasien tin$$al @akarta- ibu #asien u$a men$alami hal seru#a. Pemeriksaan menurun- ', menin$kat. A#a dia$n%sis #asien& a. i#%#aratir%id b. i#%tir%id
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;1.Pasien se%ran$ +anita usia 80 tahun datan$ den$an keluhan ben%lan
Master your semester with Scribd tidak #ada lehernya. 5eluhan mata men%n%l Read tan$an bb turun Free Foron 30this Days Sign up to $emetarvote title ada. P massa diameter 4cm- m%bilenyeri 7. 6ab '3 '4 n%rmal & The New York Times Useful Not useful Dia$n%sis& Special offer for students: Only $4.99/month.
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;2.,e%ran$ laki7laki 3 tahun menderita D. Berikut %bat D yan$ tida mem#en$aruhi insulin dalam darah adalahI a. Acarb%se b.
;3.,e%ran$ #ria- 38 tahun datan$ den$an keluhan lemas seak 2 min$$u yan$ lalu- #asien u$a men$eluh demam uan$ tidak terlalu tin$$ selain itu #asien men$eluh timbul bintik7 bintik merah #ada kulit yan$ hilan$ timbul namun tidak $atal. Pada #emeriksaan fisik dida#atkan c%nuncti>a anemis dan sklera ikterik. 6ab hb ?- leuk%sit ;8.00 tr%mb%sit ;0.000. ,adt sel kecil berinti 1- s%t%#lasma sedikit- banyak serabut kr%matid halus- nukleus F 3- #ada sit%#lasma terda#at Aeu "%ds. Dia$n%sis& A. Acute limf%sitikYou're leukemia Reading a Preview B. 5r%n%k limf%sitik leukemia Unlock full access with a free trial. *. Akut myel%id leukemia D. 5r%nik myel%id leukemia ). ulti#le myel%ma Download With Free Trial
;4.Wanita 20 tahun datan$ den$an keluhan $usi berdarah dan bin kemerahan di #ermukaan kulit seak 1 min$$u yan$ lalu. 1 bul terakhir- keluhan dia+ali den$an lemah badan dan teda#at demam Pada #emeriksaan fisik ditemukan k%nun$ti>a anemis- hi#ertr%fi $usi Free Foron 30this Days Sign up to vote title atas da #erdarahan subk%nun$ti>a- #etechie Read #ada ekstremitas Useful Not useful ba+ah. Pemeriksaan lab b 9-9 leuk%sit 3.900tr%mb%sit 4.000 Cancel anytime. Special offer for students: Only $4.99/month. hitun$ enis belum dilakukan. Pemeriksaan #enunan$ a#a yan$ akan anda lakukan untuk mene$akan dia$n%sis &
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;8.6aki7laki- mau disuntik untuk %bat flek #aru- diketahui tidak ada ri+aya aler$i %bat. ,esaat setelah disuntikkan- #asien #in$san 'D 90 #e #al#asi-. A#a #enan$anan a+al yan$ #ali te#at & a. )#inefrin 11000 im b. )#inefrin 110000 ( c. (neksi etil#rednis%l%n d. (neksi d%butamin e. 77
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;.,e%ran$ #ria usia 40 tahun datan$ ke tem#at #raktek saudara untuk
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;?. ,e%ran$ #asien ,6) #en$%batan den$an k%rtik%ster%id. ,uda bebera#a bulan tidak ber%bat- masih men$k%nsumsi k%rik%ster% den$an d%sis saat ber%bat / tidak dikuran$i- beli sendiri. 'erda m%%n face.dia$n%sis& a. sindr%m cushin$ b. #enyakit cushin$ c. Addis%n disease
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b. P%stmen%#ause syndr%me
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.Pria 30 tahun batuk berdarah 1 bulan. Demam #ilek mual muntah tidak ada. Penurunan BB dan nafsu makan ada. Ayah menin$$al karena #enyakit #aru. Ada r%nkhi di #aru kanan atas- radi%l%$i infiltras @antun$ n%rmal. Pemeriksaan #enunan$ & a.
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?0.'elur cacin$ berdindin$ tebal di ten$ahnya terda#at embri%. *acin$ de+asanya adalah &
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c. Pirantel Pam%at 128 m$ sin$le d%se d. Pirantel Pam%at 280 m$ sin$le d%se e. Pirantel Pam%at 200 m$ sin$le d%se
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e. ,ikli=id
?8.Pasien datan$ den$an keluhan bent%l merah disekuur tubuh ri+aya #en$$unaan am#isilin 1 hari yan$ lalu dia$n%sis urtikaria. :bat ti#a a#a yan$ da#at men$akibatkan hal tersebut tan#a mele+ati rea hi#ersensiti>itas& a. Penisilin b. !,A(D c. ,ulf%namide d. si#r%fl%xxacin
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c. 5asus c%nfirm 8!1
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da#at menyebabkan k%m#likasi tersebut& 108.
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e. "es%lusi
111. ,e%ran$ anak #erem#uan berusia 8 tahun diba+a %leh kedua %ran$ tuanya ke klinik karena seak semalam menadi re+el- menan$is dan kuran$ tidur akibat nyeri di telin$a kanan. ,elain rasa nyeri- su tubuhnya #un terasa lebih #anas. 3 hari sebelumnya #as men$alami batuk berdahak disertai hidun$ yan$ tersumbat da men$eluarkan lendir. Dan didia$n%sis (,PA. ,udah diberikan %ba namun tidak kunun$ sembuh. Pada #emeriksaan fisik dida#atkan suhu 3-2 - "" 2x/m- nadi x/m. 'D 100/0 mm$- #emeriksaan ke#ala leher- th%raks abd%men dan ekstremitas dalam batas n%rm Pemeriksaan telin$a kanan ditemukan aurikula ber+arna sama den$an kulit sekitar- nyeri tekan tidak ada- lian$ telin$a kerin$- den$an sediki serumen yan$ mudah dikeluarkan. elalui %t%sk%# #neumatic- terliha membrane tim#ani kanan ber+arna merah muda- b%mbans tidak ada #antulan cahaya- $erakan tim#ani kuran$- dan menyebabkan #asien menan$is kesakitan. Pemeriksaan hidun$ muk%sa ca>um na hi#eremis- secret muk%sa di kedua ca>um nasi- yan$ tam#ak sem#i You're Reading a Previewten$$%r%k muka %r%far karena kedua k%nka inferi%r k%n$estihi#eremis- t%nsila Unlock '27'2. A#a dia$n%sis #asi full access with akemun$kinan free trial. tersebut & Download With Free Trial
a. :titis media ser%sa
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113. Pasien men$eluh nyeri telin$a kiri dan kanan. !yeri dirasakan u$ saat membuka rahan$. ,ebelumnya #asien ada ri+ayat men$%rek n$%rek telin$a. Pemeriksaan %t%sk%#i ben$kak #ada lian$ telin$a dan ' hi#eremis. Dia$n%sis& a. :A b. :,5 c. :) difuse d. Perik%ndritis e. 6abirinitis
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tim#ani yan$ #erf%rasi subt%tal. Dilakukan #emeriksaan cairan telin$a
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119. Pasien 9; tahun keluhan $an$$uan #enden$aran kanan dan ki
ri+ayat #en$$unaan stre#t%misin 10 tahun yan$ lalu. "i+ayat bermain #erasan ketika kecil. ,etelah dilakukan audi%metric dida#atk #enurunan #enden$aran daari intensitas rendah ke tin$$i sec #erlahan. Dia$n%sis& a. 'rauma akustik b. 'uli akibat %bat c. Presbiakusis d. !(6
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setia# bermain den$an he+an #eliharaan atau terkena debu. :ba yan$ harus diberikan You're adalah& Reading a Preview a. antihistamin %ral k%rtik%ster%id Unlock full with a free trial. b. antihistamin t%#ikal access antibi%tik c. k%rtik%ster%id d. antihistamin t%#ikal Download With Free Trial 11. ,e%ran$ anak tahun diantar %leh ibunya men$eluh bersin- #il sesak na#as berulan$ setia# main di kamarnya. Pemeriksaan a# yan$ da#at dilakukan untuk men$etahui eti%l%$i&
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a. 'um%r hidun$ b. 'rauma hidun$ c. )#istaksis anteri%r d. )#istaksis #%steri%r e. 5risis hi#ertensi
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rin%sk%#i #%steri%r dida#atkan masa keabuan. A#a dia$n%sis #asien tersebut& a. sinusitis maksilaris b. #%li# nasal c. an$i%fibr%ma
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124. Anak laki7laki 4 tahun men$eluhkan sesak na#as. Dari #emeriksaa fisik dida#atkan strid%r ins#irat%ar dan retraksi. ,elain itu ditemukan membrane #utih keabuan di farin$ dan larin$. A#a dia$n%sis #enyaki tersebut& a. 'B #aru b. Br%nk%#neum%ia c. ,indr%m cr%u# d. Difteri e. 'rake%malasia
128.,e%ran$ laki7laki men$eluh nyeri menelan- suara serak- dida#atkan membrane kelabu. '' dalam batas n%rmal. Dia$n%sis #asien& a. '%nsillitis difteri b. arin$itis Akut You're Reading a Preview
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129. ,e%ran$ anak usia 10 tahun men$eluh nyeri menelan dan su bernafas dan demam. 5eluhan disertai #ada #emeriksaan fis dida#atkan membrane ber+arna #utih keabuan disertai den$ Read Free Foron 30this Days Sign up to vote title bullneck. A#a tera#i yan$ te#at untuk kasus ini& Useful Not useful Cancel anytime. Special offer for students: Only $4.99/month. a. Antibi%tic
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Pada #emeriksaan fisik dida#atkan t%nsil membesar tidak hi#eremis kri#ta melebar- detritus . A#akah dia$n%sis yan$ #alin$ mun$kin& a. '%nsillitis lentikuler b. '%nsillitis atr%fi c. '%nsillitis kr%nik eksaserbasi akut d. '%nsillitis akut e. '%nslitis kr%nik
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MATA
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a. 5ekeruhan lensa b. Pemanan$an axis b%la mata c. 5ekeruhan k%rnea d. 5elemahan ak%m%dasi lensa e. 5elemahan k%n>er$ensi mata
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b. eitis e. )nd%ftalmitis
13?. ,e%ran$ +anita 3; tahun men$eluh #en$lihatan terasa kabur- seak 3 tahun yan$ lalu. 5eluhan terasa semakin kabur dan keluhan mat merah disan$kal. Pemeriksaan >isus 8/30- sulit dik%reksi- dan tidak membaik den$an #inh%le. Pemeriksaan fisik dalam batas n%rmal. '(: 21-9 . fundus reflex - #a#il ! (( batas te$as den$an cu# and disc rati% 0-4 . A#akah dia$n%sis #ada kasus tersebut & a. i#ertensi %kuler b.
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nya& A. *%m#uter >isi%ns syndr%me
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A. keratitis bakterialis B. keratitis amur *. k%nun$ti>itis bakterialis D. ulkus k%rnea
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d. i#ertensi essensial e. )klam#sia
181. Perem#uan 3 tahun- hamil ? bulan. Datan$ den$an keluhan kedu tun$kai memben$kak seak 1 bulan yan$ lalu. "i+ayat hi#ertens sebelum kehamilan . 'D 10/110 mm$- #retibial edema /- 'C 2 cm dari simfisis #ubis. D@@ 114x/m. Albuminuria . Dia$n% #asien tersebut adalah & a. i#ertensi kr%nis b. ,u#erim#%sed #reeclam#sia c. P)" d. P)B e. eklam#sia
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d. Budes%nid inhalasi
184. ,e%ran$ +anita 2 tahun $3#2a0- sudah 2 am in#artu- aterm dan memiliki ri+ayat ,* 2 tahun yan$ lalu. Pasien sudah di#im#in untuk #ersalinan namun tidak mau. Daari #emeriksaan dalam teraba tan$an dan letak belakan$ ke#ala. Penelasan a#a yan$ akan anda berikan men$enai tindakan #ada #asien diatas& a. Persalinan #erc%baab b. ,* c. akum ekstraksi d. %rce#s ekstraksi e. :bser>asi #ersalinan #er>a$inam
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b. Di#im#in meneran 1 am la$i c. Bantu #ersalinan den$an f%rce#s d. Bantu #ersalinan den$an mend%r%n$ fundus Master your semester with Scribd Read Free Foron 30this Days Sign up to vote title e. Bantu #ersalinan den$an >acuum & The New York Times Useful Not useful Special offer for students: Only $4.99/month.
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,e%ran$ +anita #%st #artum 2 am dari bidan- datan$ den$a
keluhan #erdarahan terus menerus. Dilakukan #emeriksaan terda#a
r%bekan #erineum- menca#ai %t%t #erineum. 6an$kah a+al yan$ harus dilakukan& a. @ahit luka b. Ditutu# den$an tam#%n c. Asam traneksamat i> d. Pemberian antibi%tik e. "uuk ke s#esialis kandun$an 18.
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18?. Wanita #%st #artum di bidan diruuk ke d%kter den$an keluha Download With Free Trial
#erdarahan dari alan lahir terus menerus. Pasien terlihat le#as. ,aat d
lihat terda#at r%bekan sam#ai sfin$ter ani eksterna. Deraat bera#a laserasi #erineumnya& a. 1 Master your semester with Scribd b. 2 & The New York Times Special offer for students: Only $4.99/month.
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c. idramni%n d. idr%se#halus e. idr%#s fetal
191. ,e%ran$ +anita akan melahirkan. ,aat #emeriksaan 6e%#%ld ((( ba$ia lunak. Presentasi b%k%n$. Puskesmas tersebut tidak memiliki fasilitas kamar %#erasi. A#akah syarat7syarat untuk melahirkan bayi tersebut & a. 'idak *PD- #embukaan len$ka# dan his kuat b. 'idak *PD- Pembukaan lebih dari cm- his kuat c. 'idak *PD- #embukaan len$ka#- tersedia ekstrakt%r >akum d. 'idak *PD- masuk kala (( fase laten e. 'idak *PD- masuk kala (( fase aktif
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bulan. Wanita tersebut men$aku tidak ada $elembun$7$elembu Download With Free Trial
yan$ keluar dari alan lahir dan tidak merasakan nyeri #erut ya
hebat. Pada #emeriksaan dida#atkan #%rti% tertutu#. A#a dia$n%si kasus tersebut& a. Ab%rtus iminens Master your semester with Scribd & The New York Times b. Ab%rtus insi#iens Special offer for students: Only $4.99/month.
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yan$ keluar dari alan lahir dan tidak merasakan nyeri #erut ya
hebat. 'a#i sem#at keluar $um#alan sebesar telur ayam da
kemaluannya- #ada #emeriksaan fisik dida#atkan #%rti% terbuka dan teraba sedikit sisa arin$an. A#a dia$n%sis kasus tersebut& a. Ab%rtus k%m#lit b. Ab%rtus ink%m#lit c. 5ehamilan ekt%#ik d. %la hidatid%sa e. Ab%rtus iminens
194. Wanita 24 tahun datan$ den$an keluhan keluar bercak darah 4 am yan$ lalu. 5eluhan disertai den$an mulas dan telat menstruasi 3 bulan Pada #emeriksaan fisik120/0 - nadi 4x/m- res#irasi 20x/m You're'D Reading a Preview suhu 39-8. Pemeriksaan $inek%l%$i :C) tertutu#. Ba$aiman Unlock full access with a free trial. #enatalaksanaan #asien tersebut & a. 'irah barin$ Download With Free Trial b. 5uretase c. 6a#ar%t%mi d. 6a#ar%sk%#i Master your semester with Scribd e. Pemberian cairan infus & The New York Times Special offer for students: Only $4.99/month.
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Wanita datan$ den$an keluhan siklus menstruasi tidak terat
Dia$n%sanya& A. Amen%re B. en%ra$ia *. etr%ra$ia D. :li$%men%re
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e. chlamydia 19.
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Perem#uan 23 tahun datan$ ke d%kter s#esialis %b$yn den$
keluhan #erdarahan dari alan lahir. #asien meru#akan <1P0
den$an usia kehamilan 2; min$$u. 5eluhan diserai den$an nyeri d ba$ian #erutnya. a#a dia$n%sa #asien tersebut&
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*. asa #re>ia
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1;0. ,e%ran$ +anita #%st #artum diruuk ke ", setelah melahirkan di bidan
5eluar #erdarahan terus menerus- darah menyembur- saat dilakukan #emeriksaan uterus teraba keras. Pemeriksaan a#a yan$ ak saudara lakukan untuk mene$akkan dia$n%sis& a. (ns#eksi b. (ns#ekul% c. 6a#arat%mi d. 6a#ar%sk%#i e. ister%sk%#i
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B. Pil k%mbinasi Download With Free Trial *. Pil #r%$ester%n D. (m#lan ). ,untik
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k%ntrase#si. Pasien baru saa melahirkan anak #ertama- 4 bulan yan$
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1;3. ,e%ran$ +anita 2; tahun P1A0- mem#unyai ri+ayat hi#ertensi. (n$i men$ikuti #r%$ram 5B. 5%ntrase#si yan$ dianurkan adalahI a. Pil 5B b. ,untik tia# 1 bulan c. ,untik tia# 3 bulan d. (CD e. (m#lant 1;4.
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e. ,usuk
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b. ,en$$ama ter#utus c. Pil 5B d. asekt%mi
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1;?. Wanita- 32 tahun haid lebih dari 10 hari- nyeri haid terasa amat san$a
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d. 777 e. 777
11. WanitaWanita- baru melahirka melahirkan n 1 min$$u y$ lalu. DemamDemam- P dida#atkan dida#atkan " fisura ani interna- l%chia berbau busuk. Deraat cedera& a. Deraat 1 b. Deraat 2 c. Deraat 3 d. Deraat 4 e. Deraat 8 12. 12.
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c. Dermat Dermatitis itis k%nta k%ntak k aler$i aler$ika ka d. Dermat Dermatitis itis k%nta k%ntak k iritan iritan e. )rit )ritra ras sma
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d. 5%m#res 5%m#res b%%r+ate b%%r+aterr- antisk antiskabies abies dan antibi%t antibi%tic ic %ral
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b. rifam#i rifam#isin sin 900m$ 900m$ d%sis d%sis tun$$al/ tun$$al/bul bulan an Da#s%n Da#s%n 100m$/ 100m$/ har
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ne$ati>e dan tidak ditemnukan P!. 'erda#at clue cell. A mikr%%r$anisme #enyebab keluhan #ada #asien & a. 'rich%m%nas >a$inalis b. *lamidia trach%matis c. *andida albicans d. Pseud%m%nas aur%$in%sa e. a$inalis
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Penye Penyebab bab tera teradin dinya ya #eny #enyaki akitt diatas diatas& & $amba $ambarr k%ndil k%ndil%ma %ma a. , B. P *. tre#%nema Palidum
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dirasakan %leh an$$%ta keluar$a yan$ lain. lesi #a#ular. dia$n%sa& A. skabies B. Dermatitis *. Pedikul%sis k%r#%ris D. 'inea
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a#a yan$ teradi #ada #asien& A. hi#ersensiti>itas ti#e 1
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c. 3 d. 4 e. 8
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A. Aut%n%mi B. Beneficience *. !%n alificience D. @ustice ). er%city
210. Wanita datan$ ke klinik den$an keluhan nyeri saat BA5 serta ada cairan kunin$ yan$ keluar dari kemaluannya. D%kter menyatak
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*. !%n alificience D. @ustice
213. ,e%ran$ +anita 33 tahun datan$ den$an keluhan #erdarahan seak 2 hari yan$ lalu. Pasien belum mem#unyai anak. ,etelah dilakuka #emeriksaan d%kter menyarankan untuk dilakukan histerekt%mi. Dan d%kter menyuruh #asin untuk mem#ertimban$kannya bersam keluar$a. A#a as#ek etika yan$ di#ikirkan %leh d%kter tersebut& a. Beneficent b. !%n maleficent c. Aut%n%mi d. @ustice e. eracity
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a. "i$ht t% #r%tect the #ri>acy b. "i$ht t% sec%nd %#ini%n c. "i$ht t% inf%rmati%n
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d. enyetuui tidak memberitahukan mena$a #ri>asi #asien
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c. *)"DA, d. PA!DA( e. ')6ADA! 220. a. b. c. d. 221.
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*. Penyuluhan 3 Download With Free Trial 223. Pencemaran lin$kun$an di #erk%taan sudah san$at bany Penan$$ulan$an #alin$ efektif yan$ da#at dilakukan #emerinta setem#at&
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d. en$ambil data dari dinas kesehatan e. ,ur>ey lan$sun$ ke masyarakat
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Download With Free Trial 229. ,e%ran$ ena=ah #erem#uan berusia 23 tahun diantar keluar$a dan #%lisi untuk dilakukan #emeriksaan luar %leh d%kter. 5eluar mencuri$ai %asien meni$$al karena keracunan. Pada #emeriksaan lua dida#atkan muka dan bibir sian%sis. Ditemukan lebam mayat ber+arna merah cerah- dilakukan #enekanan #ada dada dan tercium ba amandel. Oat t%ksik a#akah yan$ menyebabkan kematian #asien&
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b. ,ianida
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a. 5eracunan timbale b. 5eracunan arsen c. 5eracunan insentisida d. 5eracunan sainida e. 5eracunan carb%nm%n%ksida
22.
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22?. Bayi usia 8 menit. " 130x/menit- menan$is- t%nus %t%t baik- ref merintih- kulit hi#eremis- ekstremitas sian%sis. Bera#a AP
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a. i#erkalemia b. i#erma$nesemia c. i#%ksemia d. i#%$likemia e. i#erka#neu
231. Anak datan$ den$an 5C terlihat men$antuk. 5eluhan disertai bat berdahak- #ilek- demam- takikardia dan taki#neu. Dari #emeriksaan lab dida#atkan leuk%sit 1.000. A#a tindakan yan$ te#at untuk #as tersebut & a. "a+at (*C dan beri antibi%tic %ral b. "a+at (*C dan beri antibi%tic ( dan k%rtik%ster%id ( c. "a+at ina# dan beri Reading antibi%tic ( You're a Preview Unlock access with a free trial. d. "a+at ina# dan berifullk%rtik%ster%id ( dan antibi%tic %ral
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232. ,e%ran$ ibu men$antar anaknya ke klinik den$an keluhan #ana badan yan$ tidak turun- meski sudah diberi %bat #enurun #anas Panas badan 3? *. lain7lain dalam batas n%rmal. Anak masih da#a Read Free Foron 30this Days bermain. A#a nasihat yan$ #erlu disam#aikan untuk ibu #asien& Sign up to vote title Useful Not useful Cancel anytime. a. emberikan cairan yan$ cuku# dan memantau $eala lain yan$ Special offer for students: Only $4.99/month. timbul
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233. ,e%ran$ anak laki7laki 11 tahun datan$ ke unit darurat den$an keluhan sesak- kerin$at din$in dan batuk. Pemeriksaan a#akah yan$ da#a menunan$ dia$n%sis diatas& a. ,er%l%$i b. B*< c. 'uberculin d. *' ,can e. C,<
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238. Anak usia 10 tahunDownload sesak na#as. 1 tahun yan$ lalu u$a #ern With Free Trial men$alami sesak na#as. Pada #emeriksaan fisiki dida#atkan +hee=in$ /. Dia$n%sis #asien tersebut adalah & a. Br%nkhi%litis b. Pneum%nia Master your semester with Scribd c. Asma #ersisten sedan$ & The New York Times Special offer for students: Only $4.99/month. d. Asma #ersisten rin$an
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23;. Anak- diare- +arna kunin$- nyem#r%t- masih ada ham#as. 'era tambahan sesuai W:& a. Antibi%tic b. Pr%bi%tik c. ,u#lemen =inc
23. Anak 8 tahun datan$ den$an keluhan demam- nyeri saat BA5. Dar #emeriksaan radi%l%$i- dida#atkan hidr%nefr%sis rin$an. Creum da kreatinin dalam batas n%rmal. A#akah #emeriksaan lanutan ya da#at dilakukan& a. emat%l%$i rutin b. Crin rutin c. A,': d. P*" You're Reading a Preview
e. C,< abd%men
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sebelumnya memiliki ri+ayat nyeri menelan- dia$n%sa& A.
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A. ,indr%m nefr%tik
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c. Piel%nefritis akut 242.
Pasien anak datan$ den$an muka m%n$%l%id- telin$a diba+a
mata si#it- e#icanthal f%ld- simian crease. Dia$n%sanya adalah& A. ,indr%m D%+n
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keluhan ben%lan #ada ke#ala. Bayi tersebut lahir #er >a$inam di bidan
dan lan$sun$ menan$is. Pemeriksaan fisik dida#atkan ben%lan difus
#ada ke#ala yan$ melin$asi sutura sa$italis- lembek- dan tidak nyer
tekan. 5eaadaan umum bayi baik- tidak #ucat- dan minum asi den$an baik. Penyebab ben%lan di ke#ala yan$ #alin$ mun$kin adalah& A. 5a#ut suksedanium B. ,efal hemat%ma *. emat%ma sub$aleal D. Perdarahan intraserebral You're Reading a Preview ). raktur ten$k%rak Unlock full access with a free trial. Download With Free Trial
244. Pasien +anita 22 tahun 1 am yan$ lalu baru melahirkan an #ertamanya- anak menan$is kuat dan ada ben%lan di ke#ala mele+at $aris ten$ah ke#ala- dia$n%sis& a. raktur ke#ala
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a. Autism ti#e khas b. ADD ti#e hi#eraktif c. Autism ti#e tidak khas d. )nuresis n%n %r$anic e. )nuresis %r$anic
249. ,e%ran$ ibu hamil- anak hidr%ce#halus. Pada #emeriksaan da umbilikus ditemukan tr%f%=%id bentuk bulan sabit den$an salah 1 uun$ tum#ul. Dia$n%sis& a. '%x%#lasm%sis 24;.
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beralan. #ada tun$kai nyeri ketika ditekan. Paman #asien terse menin$$al #ada usia 18 tahun akibat keluhan yan$ sama. A dia$n%sis #asien& A. #%li%myelitis You're Reading a Preview B. Duchene muscular distr%#hy Unlock full access with a free trial. Download With Free Trial
24. ,e%ran$ anak ketika berlarian menabrak #intu- mimisan te menerus. Diberi kassa tidak berhenti. ,ebelumnya ada ri+ayat serin$ mimisan dan bila #erdarahan sulit berhenti. 5ecuri$aan dia$n%sis& a. em%#hilia b. 'halasemia c. D Read Free Foron 30this Days d. ('P Sign up to vote title e. ,6) Useful Not useful Cancel anytime.
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24?.
,e%ran$ bayi 9 bln diba+a den$an keluhan kunin$ 1 min$$u yl. (bu
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280. Anak 8 tahun 3 bulan- BB6 3400 $ram- PB 82 cm. sedan$ melakuka #emeriksaan ant%#%metri rutin. Berat saat ini BB ?k$ 'B 110cm anak tam#ak san$at kurus dan +aah se#erti %ran$ tua. Dida#atkan edema #ada kedua tun$kai. A#akah dia$n%se anak tersebutF a. Cnder+ei$ht b. 5uran$ $i=i c. arasmus d. 5+arsi%rk%r e. arasmus k+arsi%rk%r
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d. Prednis%l%n e. itamin B12
283. ,e%ran$ #ria berusia 98 tahun datan$ den$an keluhan sulit beral saat akan beralan $erak menadi se#erti r%b%t- #ada #emeriksaan d da#atkan mask face dan ri$idity #ada %t%t- tera#i yan$ te#at adalah& a. 6e>%d%#a b. Prednis%ne c. *etiri=in d. etild%#a e. is%#r%st%l
284. ,e%ran$ laki7laki berusia 38 tahun datan$ den$an keluhan len$an dan tun$kai kanan ber$etar terus menerus. 5eluhan dirasakan sudah 2 You're Reading a Preview bulan. ,etia# keluhan 2 menit. 5eluhan timbul 374x #er min$$u. Pasien Unlock full access with a free trial. #ernah men$alami trauma ke#ala karena 566 4 bulan yll. Pemeriksaan #enunan$ & Download With Free Trial
a. %t% #%l%s ke#ala b. )e$ c. An$i%$rafi
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d. enin$itis ase#tic e. enin$itis kre#t%c%ccus
289. 6aki7laki 38 tahun men$eluh nyeri leher seak 2 bulan yan$ lalu- nyer bertambah bila kera lembur. Waktu #emeriksaan fisik d%kt melakukan #emeriksaan den$an memirin$kan ke#ala ke kanan dan ke kiri lalu men$adahh dan menunduk sambil melakukan k%m#resi #ada leher. A#a nama #rasatnya& a. 'es laseEue b. 'es lermitte c. 'es #hallen d. 'es tinnel e. 'ess na>sie$er
You're Reading Preview 28;. ,e%ran$ #ria 30 tahun datan$ ke aklinik den$an keluhan nyeri #in$$ yan$ menalar ke kaki. 'anda Unlock full access>ital with adalam free trial. batas n%rmal. Dimanakah kelainan yan$ teradi& Download With Free Trial
a. Plexus lumbalis b. "adix lumbalis
c. %t%r dan neur%n
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Pasien den$an keluhan sakit ke#ala sebelah- berdenyut di sebela
kanan. ,elain itu setia# sakit ke#ala keluar air mata di sebelah kanan Dia$n%sisnya& A. *luster ty#e headache B. '' *. i$raine
290. Wanita 31 tahun- datan$ den$an keluhan lemah #ada seluruh bada 5eluhan disertai den$an sulit berbicara dan lain7lain. ,eak 1 am yan$ lalu. 5eluhan u$a diisertai den$an nyeri ke#ala sebelah kana Dia$n%sis #ada #asien tersebut adalah a. i$ren sim#leks b. i$ren k%m#likata c. i$ren as%siasi d. i$ren dis%siasi You're Reading a Preview
e. ii$ren den$an aura
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291. ,e%ran$ +anita men$eluh nyeri ke#ala- terutama saat haid- ny ke#ala berdenyut terutama sebelah kiri. 5eluhan disertai f%t%f%bia dan #h%n%f%bia. "i+ayat $an$$uan #en$lihatan- hem%#arese disan$ka Dia$n%sis yan$ te#at adalah& a. *%mm%n mi$raine Master your semester with Scribd b. *lassic mi$raine & The New York Times Special offer for students: Only $4.99/month.
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b. i$raine c. 'ensi%n ty#e headache d. BPP
293. Perem#uan 23 tahun men$eluh nyeri ke#ala yan$ dirasak berdenyut. Pasien memiliki #ekeraan yan$ harus dilakukan. 5eluhan ini #ernah dirasakan sebelumnya dan dirasakan terutama #ada sis kanan ke#ala. 5eluhan dirasakan seak #asien masih ,A. 5eluhan disertai den$an mual dan muntah. 5eluhan tidak disertai den$a $an$$uan #en$lihatan dan kesemutan. Pemeriksaan fisik dalam batas n%rmal. Dia$n%sis #asien tersebut adalah & a. 'ensi%n 'y#e eadache b. i$rain den$an aura c. i$rain tan#a aura d. !yeri ke#ala cluster
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e. !yeri ke#ala sekunder
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294.
Pasien anak diba+a %leh %ran$ tuanya den$an keluhan ser
melamun di kelasnya- dan mata nya serin$ berkedi#. A#a dia$n%sa #ada #asien& A. )#ile#sy Master your semester with Scribd B.
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299. ,e%ran$ anak berusia 11 tahun diantar %leh tetan$$anya kare ditemukan sedan$ kean$ sebanyak 10x dalam 1 am. Pasien diketahu memiliki ri+ayat e#ile#sy namun sudah berhenti ber%bat. :bat a#a yan$ akan diberikan #ada #asien tersebut & a. enit%in im b. enit%in i> c. Dia=e#am im d. Dia=e#am i> e. 29;. ,e%ran$ anak #erem#uan tiba2 ben$%n$- di#an$$il tidak mena+ teradi sekitar 20x sehari. ,ebaiknya dilakukan #emeriksaan a#a& a. "( b. *' scan c. Pem darah d. 77 e. ))< You're Reading a Preview
29. ,e%ran$ anak #erem#uan tiba2 ben$%n$- di#an$$il tidak mena+ Unlock full access with a free trial. teradi sekitar 20x sehari. Pemeriksaan neur%l%$is dan refleks #at%l%$i n%rmal. Dia$n%sis& Download With Free Trial a. ban$kitan lena b. abstinence e#ile#si c. kean$ at%nik d. e#ile#si f%kal sederhana e. e#ile#si f%kal k%m#leks
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2;0. Pasien #erem#uan usia 28 tahun datan$ c%ntr%l setelah dira+a menin$%ensefalitis datan$ den$an keluhan #enurunan kesadara ben$%n$ selama bebera#a detik. ,etelahnya #asien terlihat bin$un$ 5eadaan umum baik. Dia$n%sis #ada #asien tersebut adalah& a. Absence sei=ure b. *%m#lex #artial sei=ure c. ebrile sei=ure d.
2;1. Pasien laki7laki 32 tahun- sebelumnya kecelakaan m%bil hin$ terbalik. Pasien tidak menahan kencin$ dan BAB. Pada #emeriksaan sensiti>itas berkuran$ dari umbilicus sam#ai ke kaki. Di manakah letak kelainan yan$ menyebabkan keluhan tersebut & You're Reading a Preview
a. *8 b. *9
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c. '10 d. '11 e. 68
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dan sesudah atuh #asien sadar. 'anda >ital dalam batas n%rma
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e. raktur c%ccy$eus
2;3.
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2;8.
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e. Area +ernick
2;;. Pasien men$eluh sulit membentuk kalimat- #asien men$aku men$er #embicaraan- saat diminta menulis #asien da#at melakukanny Dimana letak kelainannya& a. Br%adman 40741 b. Br%adman 3? c. Br%adman 1971; d. Br%cha
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#usar sam#ai tun$kai. eru#akan kelainan dari traktus& You're Reading a Preview A. ,#hin%thalamic
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,e%ran$ #asien #erem#uan berusia 2 tahun- men$eluhkan saa
ban$un tidur da#at membuka mata- namun setelah ia berakti>i matanya menadi menutu# dan sulit dibuka. !amun ika #asi
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Dia$n%sa& A. i$rain B. '' *. *luster headache D. ,ec%ndary headache ). ascular headache
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a. *entral b. Perifer c. !euritis >estibular
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d. Punksi lumbal e. Bi%kimia darah
24. ,e%ran$ laki7laki usia 30 tahun datan$ den$an keluhan #enuruna kesadarah seak 4 hari yan$ lalu. 5eluhan disertai den$an keluarnya cairan di telin$a kanan seak 2 min$$u yan$ lalu. Dari #emeriksaan dida#atkan 'D 180/?0 !adi 4x/menit- "es#i 19x/menit. )2>3m4. 'es brud=inski - %#enheim kanan . Pemeriksaan #enunan$ a#a yan$ akan anda usulkan& a. 6umbal #un$si b. *' scan ke#ala tan#a k%ntras c. *' scan ke#ala den$an k%ntras d. %t% #%l%s ke#ala e. ))< You're Reading a Preview full access with a free trial.keluar$anya ke unit $a+ 28. ,e%ran$ laki7laki- 88Unlock tahundiba+a %leh
darurat den$an keluhan merasakan sakit ke#ala hebat 1 am yan$ lalu Download With Free Trial
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tidak sadarkan diri- tidak ada muntah sebelumnya- #asien di r%t$en
dida#atkan hasil r%t$ennya terda#at hi#erdens berbentuk bik%n>eks arteri a#a yan$ ter$an$$u& a. Arteri menin$eal media 2.
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2?0. ,e%ran$ #ria usia 28 tahun datan$ ke Cital 'D 100/;0 !adi ?0- " 24 suhu 39-8. Pada dada kiri terda#at luka tusuk selebar 1 cm #ada (*, 3 linea midcla>icularis sinistra. Dida#atkan #er$erakan dada tertin$$al- #erkusi dada kiri redu# dan suara nafas #aru kiri menurun Dia$n%sis #ada #asien tersebut adalah&
Master your semester with Scribd a. Pneum%th%rax sinistra & The New York Times
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b. 6ien c. Csus besar d. Csus kecil e. diafra$ma
2?2. ,e%ran$ #ria de+asa kecelakaan m%t%r- atuh terduduk di tr%t%a Dirasakan sakit #ada #in$$an$ kiri- tun$kai kiri sakit bila di$erakan 6an$kah #ertama& a. Bidai b. bantuan hidu# dasar c. f%t% x ray d. "( e.
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2?4.
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keluar #erdarahan dari meatus uretra eksterna. 'am#ak lemas dan
kesakitan. 'D 110/;0 ! 0x/menit tindakan a#a yan$ harus dilakukan& Master your semester with Scribd Read Free Foron 30this Days Sign up to vote title a. kateter urin & The New York Times Useful Not useful b. su#ra#ubic #uncture Special offer for students: Only $4.99/month. c. infus "6
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d. ,truma n%d%sa t%xic e. ,truma multin%d%sa
2?9.
Pasien datan$ stetelah
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b. Antik%a$ulan c. 'r%mb%litik d. asciat%mi
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2?. Pasien sulit BA5 seak 1 hari- #ada #emeriksaan ditemukan batu #ada
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a. Asam urat b. 5alsium %ksalat c. 5%lester%l d. Jantin e. ,istein
300. Pasien nyeri #in$$an$ kanan- demam 7- nyeri ket%k *A #emeriksaan urin terda#at kalsium %ksalat. A#akah yan$ bi dilakukan& a. B!: b. B!: dan C,< abd%men c. *' ,can d. "(
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301.
Pasien laik7laki 40 tahun datan$ setelah kecelakaan terbentur
m%bil. terda#at nyeri di #erut kiri atas. 'ekanan darah ?0/90 mm$
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*. ru#tur he#ar
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c. C,< abd%men d. *' ,can abd%men e. Bi%#sy rectum
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c. e#atitis a d. A#endisitis
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e. Blumber$ si$n
30;. ,e%ran$ laki7laki 30 tahun datan$ ke #uskesmas den$an keluhan nye #erut- hilan$ timbul seak 1 bulan yan$ lalu. 5eluhan disertai demam yan$ hilan$ timbul. Pada #emeriksaan fisik dida#atkan limfaden%#at #ada li#at #aha- #ada #emeriksaan #erkusi abd%men terda#at #ekak dan tim#ani berselan$ selin$. A#akah dia$n%sis yan$ #alin$ mun$kin #ada #asien tersebut & a. Pancreatitis akut b. A##endicitis akut c. Perit%nitis 'B d. 'um%r abd%men e. (leus %bstruktif
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d. Demam tif%id e. Perit%nitis
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b. Pasan$ infuse "6
312. ,e%ran$ anak 3 tahun diba+a ke C
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313. 6aki7laki terkena luka bakar- ada nyeri- eritema dan mulai muncul bula
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a. Ph%bia s#esifik
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yan$ teradi #ada suami #asien tersebut adalah& A. as%kisme B. entihisme *. s%d%mas%kisme
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e.
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a. ," #aran%id b. ," hebefrenik c. ," katat%nik d. ," sim#lek e. ," tak terinci
320. 6aki7laki 30 tahun men$eluh marah7marah- dan mencuri$ai istriny #unya lelaki idaman lain. Pasien memiliki halusinasi akustik sehin$$a menden$ar sesuatu merasa men$ancam dirinya.
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321. Pasien 30 tahun diba+a ke C
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bulan. Pemeriksaan fisik dalam batas n%rmal. ental mekanism yan$ #ada #asien adalah & a. Cnd%in$ b. (ntr%yeksi c. Pr%yeksi d. Dis#lacement e. ,ubmit
323. ,e%ran$ laki7laki- 48 tahun datan$ den$an keluhan merasa takut mat
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keluhan teradi saat #asien #anik. Pasien sudah memeriksakan diri ke d%kter- hasil )5< tidak ada kelainan. Dia$n%sis #alin$ te#at& A. ,eran$an antun$ teraembunyi hidden B. ,eran$an #sik%$enik You're Reading a Preview *. ,eran$an s%matic Unlock full access with a free trial. D. ,eran$an #anic ). ,eran$an kecemasan Download With Free Trial
324. 8 %ran$ #asien diba+a ke C
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Asam
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329. ,e%ran$ +anita 30 tahun datan$ diantar suaminya karena #asi #ernah in$in membunuh anak bayinya. Pasien sebelumnya tel melahirkan 3 bulan yan$ lalu- a#akah dia$n%sis #asien& a. P%st baby blues b. Baby blues c. P%st #artum de#resi
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32;. ,e%ran$ #asien datan$ den$an keluhan demam- sesak na#as- batu berdahak. 'ekanan darah ?0/90- suhu 3;- - "" taki#neu. el #ada th%raks kanan. Dia$n%sis #asien & a. Abses #aru b. Pneum%k%niasis c. 5ista #aru You're Reading a Preview
d. etastasis tum%r
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32. ,e%ran$ #erem#uan men$eluh sesak #%st mastekt%mi. Dida#atka $ambaran #erselubun$an di basal menutu#i sudut c%st%#renikus dan #in$$an$ antun$. A#a dia$n%sis #asien tersebut &
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