1. An-8-year-old girl sustains a large laceration contaminated with dirt after falling from her bike.

Her mother can’t recall how many doses of tetanus toxoid her daughter has received.
Management of tetanus prophylaxis in this situation of unknown history of prior doses of
tetanus toxoid includes:
A. Adult-type dT
B. TIG
C. dT and TIG
D. Haemophilus influenzae type b conjugate vaccine containing tetanus toxoid and TIG
E. DPT

Answer: C

2. If this patient developed seizures, what substance have responsible in this patient?
A. Tetanospasmin
B. Tetanolisin
C. Adenylate cyclase toxin
D. Fillamentous hemagglutinin
E. Pertactin
Answer: A

3. A 10-month-old healthy male infant travelling with his family to Africa was exposed 4 days ago
to his 4-year-old native African cousin who was ill at the time with fever, cough, coryza and
conjunctivitis. The baby was at risk to get infected by:
A. Corynebacterium diphtheriae.
B. Haemophilus influenzae
C. Bordetella pertussis
D. Morbilivirus
E. Coxsackievirus

Answer: D

4. Her mother makes an overseas phone call to your office asking your advice. Appropriate
management of this patient includes:
A. Immune globuline
B. MMR vaccine administration
C. Measurement of IgG antibody serum
D. Measurement of IgM antibody serum
E. Antibiotics
Answer: A

5. A 3-year-old boy was brought to emergency unit Tangerang Hospital with stridor, dyspnea, and
“croupy” cough.
 What is your most likely diagnosis?
A. Bordetella pertussis infection
B. Haemophilus influenzae infection
C. Coxsackievirus infection
D. B. Parapertussis infection
E. Corynebacterium diphtheriae infection

Answer: E

6. What laboratory test to confirm the diagnosis in this patient?

A. Blood culture
B. Throat swab
C. Chest X-ray
D. Measurement of IgG antibody serum
E. Complete blood count

Answer: B

7. A 2-year-old boy was brought to emergency unit Balaraja Hospital with difficulty in breathing,
choking, gasping, and whoop cough.
What is your most likely diagnosis?
A. Bordetella pertussis infection
B. Haemophilus influenzae infection
C. Coxsackievirus infection
D. Adenovirus infection
E. Corynebacterium diphtheriae infection
Answer: A

8. In this case all the family members should get the prophylaxis antibiotics as follow:
A. Amoxicillin 30-50 mg/kg/day p.o. for 14 days
B. Amoxicillin 30-50 mg/kg/day p.o. for 7 days
C. Erithromycin 40-50 mg/kg/day p.o. for 14 days
D. Erithromycin 40-50 mg/kg/day p.o. for 7 days
E. Tetrasiklin 25-50 mg/kg/day p.o. for 7 days

Answer: C