OBA MEDICAL BASED

QUESTION 1

hyper K ECG changes

QUESTION 2

QUESTION 3

60 year old, acute chest pain, unresponsive and pulse less. Sequence of defib after CPR..brp joules??

A. 100, 200, 360

B. 100, 200, 300
C. 200, 300, 360
D. 100, 300, 360

QUESTION 4

59 y/o chronic alcholic fit after consume alcohol for 12 hour. come to ed with cofusion then develop
fit again.
what management ?

A) phenytoine
B) phenobarbitine
C) diazepam
D) midazolam
E) no antiepileptic drug sesuai

QUESTION 5

Owing to profound hypoxamiea, pt drowning, and intubated. Pt fight and agitated.

What should we give

A. Normal saline
B. IV Mida
C. Sodium bicarbonate
D. Rectal diazepam
E. Restrain patient

QUESTION 6
QUESTION 7

A pregnant mother had Grave's disease and currently on prophylthiouracil. The aim for her thyroid
hormone level

A. Normal TSH, high-normal T4

B. Normal TSH, normal T4
C. Normal TSH, low-normal T4
D. ...

QUESTION 8

29 years old Nigerian man complain of unable to pass urine and purulent discharge for 10 days
duration. This happen after coming back from Bangkok where he had sexual relationship. He also
noticed lymphadenopathy.
What is the most common organism?

A. Treponema pallidum
B. Chlaymadia
C. Nesseria gonorrhea
D. HPV
E. Tricomonas vaginalis

QUESTION 9

48 years old man with long standing DM and ESRF come for dialysis. 1 hour after dialysis, patient
become confused. His BP 84/42. Most likely cause of post-haemodialysis hypotension is

A. Reduced temperature diasylate

B. Concomitant with antihypertensive agent
C. Impaired autonomic response
D. Poor dietary intake during dialysis
E. Hyperphosphataemia

QUESTION 10

54 y/o gentleman with 3 months history of upper abdominal pain with nausea. On physical
examination, the abdomen is non tender. Upper GI endoscopy show mucosal inflammation. Urease
test positive.

A Acute gastritis with septicemia

B peptic ulcer
C pernicious aneamia
D hyphoclorhydia
E acute gastroenteritis
QUESTION 11

QUESTION 12

The absolute contraindication for the use of thrombolytic agents in pt with ac. anterior infarction is.

A. Left carotid artery occlusion with hemiparesis for the past 1 mo.
B. Diabetic retinopathy.
C. CPR for 1 to 2 minutes.
D.
E. Pt on warfarin for a fib with inr 1.3

QUESTION 13
A 65 years old gentleman, chronic smoker admitted for pleural effusion. Obtained pleural fluid, the
MOST suggestive for tuberculosis findings;

A. Low glucose levels

B. Low protein levels
C. Normal LDH
D. Lymphocytes 50%
E. Pink tinge sputum

QUESTION 14
QUESTION 15

QUESTION 16

which is the most likely describe xray of lung tuberculosis.

QUESTION 17

Picture (LEPROSY )
How to treat:

A. Rifampicin
B. Ethambutol
C. Ciprofloxacin
D. Cefuroxime
E. Pyrazinamide
QUESTION 18

A young main presented to you complaining of a patch of hair loss. He denied pulling of hair and his
scalp is flaky and itchy. What is the treatment of this condition?

A. Selenium sulphide lotion daily for 4-8 weeks

B. Ketoconazole shampoo daily for 4-8 weeks
C. Clotrimazole cream twice daily for 4-8 weeks
D. Giseofulvin tablets daily for 4-8 weeks
E. Fluconazole tablets daily for 4-8 weeks

QUESTION 19

Pic A : scaly, red rash

Pic B : nail changes
Dx-psoriasis
Treatment apa ?!!!!

A) glucocroticoid
B) premitacro ......
C)penicillin
D)retinoid
E)mtx

QUESTION 20

A man was fished out from the lake. Which is the best indication for drowning

A. Red patch comes out from nose

B. Sand particles in stomach
C. Right ventricle heart dilate
D. Distended neck
E. Lung expansion with Ribs marking

QUESTION 21

10Y/o girl abused injury have abdominal injury. What most likely cause haemoperitoneal?

A) Liver
B) Spleen
C) Kidney
D) Intestine
E) Gallbladder
QUESTION 22

Shooting in class. Evidence of close range assault.

Ans gunpowder tattooing.

QUESTION 23

Muscle hardening due to chemical changes -rivor mortis

QUESTION 24

During Medical interview, patient appears did not answer throughly about the question
How do you manage during the interview

A) Give more direct question

B) ask in medical term that patient can understand
C) Redirect the question
D) Give open ended question

QUESTION 25

You are involve in motor vehicle accident, you late 1 hr to see your patient, when you enter the
room, he looks very angry, what are appropriate patient center

A) explain why so he understand

B) acknowledge the his anger, you seem angry
C) hear his anger and help him to deal with his problem
D) explore the anger if he confess
E) redirect anger toward his illness not you

QUESTION 26

30 y/o male with HIV presented with sudden bilateral loss of vision. Possible causes?

A. Kaposi's sarcoma
B. Candidiasis
C. Chlamydia
D. CMV
E. Gonococca
QUESTION 27

Elderly man come with parotid Swelling, rapid enlarge within 3 wk. The skin is stretch and shiny over
the mass. Wht is dx?

A. Mumps
B. Pleomorphic adenoma
C. Bacteria parotitis
D. Parotid gland ca

QUESTION 28

IVDU upper quadrant pain, pulsatile liver and pansystolic mumur along left sternal edge
What type mumur

A) AR
B) AS
C) TR
D) MR
E) TR

QUESTION 29

45 years old man presented waekness and numbness on lower limbs. He just recovered from
pneumonia. On examination revelaed absent deep tendon reflex and reduced sensation. CSF shows
normal glucose level and increased protein level.
What is most likely diagnosis

A.
B. Sarcoidosis
C. Transverse myelitis
D. Gullain Barre Syndrome
E. Syphillis

QUESTION 30
QUESTION 31

18mo girl c/o sob, diff in feeding and low for 3w. Pt previously well. One week b4, pt had cold and
mild diarrhea. O/e pt temp 37.9, pr 190, rr 50, spo2 92%. Pt has mild recession, b/l basal creps,
gallop rhythm and hepatomegaly 4cm

A.
B. Pneumonia w hyperinflated thorax
C. Heart failure w viral myocarditis
D. Large vsd with heart failure
E. Bronchiectasis

QUESTION 32

2yo presented suspected measles. Presentation generalized morbiliform rash. How to treat?

A) treat with broad spectrum abx and find cause

B) IV IG
C) Parenteral steroids
D) Vitamin A

QUESTION 33

5 year old boy, always plays with bricks and he not make any friends in the school. The teacher told
his mother regarding his son...answer (autism)

QUESTION 34

QUESTION 35

A 4 month old came to the ED with projectile vomiting. No blood stain no bilious. Initially patient
was alert, then he became lethargy . Patient became hungry after feeding. Patient lost 400g weight
in 4 weeks. What is the diagnosis?

A) Uti
B) Meningitis
C) Pyloric stenosis
D) Age

\
QUESTION 36

In down syndrome

A) commom heart defect avsd

B) single palmar crease is pathognomonic
C) palpebral fissure is downward slopping
D) brushfield retina
E) Microglossia is cause of delay speech

QUESTION 37

QUESTION 38

QUESTION 39

Sequence of outbreak ix by public health

a)Determine endemic>Classify in range>establish diagnosis>initiate control measure

QUESTION 40

The bacteria count of one parameters indication of control drinking water :

C . E.Coli

QUESTION 41

QUESTION 42

QUESTION 43

QUESTION 44

Secandory prevention antenatal

QUESTION 45

QUESTION 46

\40 year old, schizophrenia on medication. Pt develop seizure and reveal agranulocytosis..which
medication cause that?

A.Quetipine
B. clozapine
C. Olanzapine
D. risperidone,
QUESTION 47

2 years old, always scream at night, he apear sit up, look through his father but they can not wake
him up. he did not remember the insidnece on the morning

A) PTSD
B) nightmare
C) sleep terror disoder
D) sleep paralysis

QUESTION 48

Pt develop inability to maintain eye downward because asyik rolled upward after taking Haloperidol
What antidote?

A. Lithium
B. Naltrexone
C. Carbamazepine
D. Procyclin hydrochloride??

QUESTION 49

QUESTION 50

In a psychiatry clinic, communication between a doctor and a patient

Doctor : What is your name?

Patient : Abu, Abu, Abu
Doctor : where do you live?
Patient : Abu, Abu, Abu

What type of ... is this?

A.
B. Perseverity
C.
D.