FINAL PHOP VIII stimulating, growth promoting ways

Selasa, 10 Mei 2011 D. fitting into the community of school age families in constructive ways
E. maintaining kin ties with older and younger generations

13. If Sule's family success in this stage (no 11), they will enter to the next
A.caring for whole spectrum age groups stage. What is the next stage?
B.holistic approach A. preschool children
C.emphasis on preventive medicine B. teenager
D.patient centered care C. launching young adult
E.conducting home visit D. middle aged
E. aging family members
1. The family physician should recognize the contribution of social &
psychosocial problems in treating the patient.. 14. Berdasarkan Duvall, Parto termasuk dalam stage apa?
a. childbearing
2. Good communication and relationship between doctor and patient b. pre-school
c. teenager
3. the family should emphasis on care for family in every stage of life d. aging-family members
cycle e. middle-age

4-7 15. Family illness trajectory based on Sule's family genogram?

A.dedicated to the person A. onset of illness
B.understand the context of illness B. reaction to diagnosis
C.all contact with patient and opportunity for prevention and health C. major therapeutic effect
education D. early adjustment to outcome
D.the practice as a population at risk E. adjustment to permanent disability
E.live in community/a part of the complex of family relationship
F.does community networking 16. What is the reaction of family members on this stage (no. 15)?
G.subjective aspect of medicine (sensitivity to feelings,emotional) A. convince the doctor that something is wrong
B. shck & overwhelming anxiety
4. deploy resources from the community for the benefit of the people in C. uncertainity about the outcome
community D. feel the second crisis occur because of permanency and disability
E. not emotional equipped to undertake some forms of therapy
5. This principle means that if one of their patients who haven't been
immunizedshould be as much as a concern as one who is attending for 17. What is the role of family doctor on this stage (no. 15)?
well baby care. A. alert to the potential problems of the illnes
B. ease the patient and family's anxiety & concern
6. self-reflective C. responsible for making a clinical judgment about the amount of
information the patient can absorb
7.the family physician's is not limited by type of health problem physician D. anticipate the second crisis of adaptation to permanency of the
is available for any health problem in a person. outcome
E. encourage to clear the nature of illness
8. Continuity care for the patient and the family is very important.
Continuity is the sense of overall direct and coordinative responsibility 18. Experiencing her father's disease, Wati has the feeling of being
for the different medical needs of the patient over time. It can be done by vulnerable to her father's disease. For Wati's conditon, which is the best
keeping good medical records. What dimension of this continuity of care procedure of investigating the meaning of illness?
is based on Hennen’s Five Dimentions of Continuity? A. semantic illness network
A. interpersonal B. the patient's explanatory model
B. Chronological C. health belief model
C. Interdisciplinary D. the family member's meaning of illness
D. Informational E. transtheoretical model
E. Geographical
For number 19-21
9. Research has shown young widowers have 12x increased than A. developmental task
comparable married people for TB. This is one of 6 main effects of health B. thinking family
to family members : C. functional family
A. Family affects morbidity and mortality D. dysfunctional family
B. family is important in recovery from illness E. family life cycle
C. Infectious diseases spreads in families
D. Genetic influences 19. Family members are encourages to develop their own life goals and
E. Family is crucial in child development emotional independence while staying connected with the family as a
whole
10. Which is the activity that included in the assessment of GRR?
A. smoking cessation 20. Being sensitive to unmentioned family stress that often lies behind
B. screening and case finding depression and somatic symptoms
C. reduction of serum cholesterol
D. coping ability 21. Family members are involved in the nurturing of children from birth
E. nutrition education to maturity

genogram utk soal no 14 dan 15 For number 22-24

A. family dynamic
B. family genogram
C. family tree
11. Berdasarkan Duvall, Sule termasuk dalam stage apa? D. family map
a. childbearing E. BATHE rechnique
b. pre-school
c. teenager 22. It helps to draw out the quiet patient and provide structure of when
d. middle-aged to move on to talkactive patient
e. launching the adult
23. It helps the attending physician to diagnose the disease and dis-ease
12. Based on the stage, what is the development task for Sule's family? of the patient
A. establishing postparental interests and careers as growing parents
B. having adjusting to and encouraging the development of toddlers 24. It helps to rule out the family relationship
C. adapting to the critical needs and interests of preschool chldren in
25. What is the family structure of Sule's family? B. physical care
A. Nuclear family C. psychological care
B. Extended family D. symptom control
C. Blended family
39. in caring terminal patient, family physician must be able to cope with
26. What is the family history of Azis? dying patients emotions and reaction, especially in the first stage of
A. His grandmother from father's side had myocard infarct dying. What is the first stage of dying?
B. His grandmother from father's side had hypertension A. Acceptance
C. His grandmother from mother's side had allergy B. anger
D. His mother has obesity C. bargaining
E. His mother has depression D. Denial
E. Depresion
27. True from Sule's family genogram?
A. Sule-Wati : close relationship 40. WOTF is correct about palliative care?
B. Sule-Wati : conflict relationship A.
C. Sule-Parto : distance relationship B. hospital is the only place for palliative care
D. Sule-Parto : close relationship C. cure is not possible
E. Sule-Wati : distance relationship D. more concern about quantity rather than quality

For number 41-43

28. What is the family structure of Yoyo's family? A. primary prevention
A. Nuclear family B. secondary prevention
B. Extended family C. tertiary prevention
C. Blended family D. risk avoidance
E. risk reduction
29. WOTF is correct?
A. Yoyo separated from 1st wife 41. Management of established disease, in order to minimalize the
B. Yoyo & Marni have dizygotic twins disabilities
C. Jihan has abortion 42. identify those with high risk to modify the risk factors
D. Jihan is pregnant 43. early detection
E. Yoyo has unmarried relationship
soal no. 44-46
30. Who is the index patient in the genogram? A. DPT
A. Primus B. Hep A
B. Jihan C. Measles
C. Yoyo D. Hib
D. Toto E. Pneumococcal
E. Warni F. Tetanus

For number 31-34 44. Should be given to Warna (12 y.o.)

A. frail elderly 45. Contraindicated for Jihan (pregnant)
B. homeostenosis 46. This immunization is given in two doses
C. homeostasis
D. terminal end soal no. 47-49
E. mental status assessment A. B6
F. functional status assessment B. Thiamin
G. social status assessment C. Fluoride
D. Erythromycin oinment
31. To assess decision making capacity E. Folic acid
F. Hormone replacement therapy
32. In the absence of disease, this process should not cause symptoms or
impose restrictions on ADL 47. Given to Jihan to prevent neural tube defect
48. Will be given to Jihan's future baby
33. Increased risk of disability abd death from minor external causes 49. Given to Marni (hipertensi, 54 thn)

34. This assessment can be an indicator of possible caregiver stress For number 50-52
A. Mammography
35. what is the consequence of age related physiologic change of eye in B. Pap smear
the elderly? C. Fecal occult blood
A. blindness D. Sigmoidoscopy
B. Presbiopy E. Vision, hearing
C. Lens opacification F. Lead screening
D. decresasing of accomodation
E. miopi 50. The screening should be performed by Marni every 1-3 years until
age 65, and stop if normal
36. A 84 y.o. women comes with her family with terminal stage of breast
cancer and bone metastasis. What will you do as a family physician? 51. Performed annually to find the risk of colon cancer
A. continue chemotherapy treatment
B. give her pain killer 52. Warni should perform this screening
C. sent her to other hospital for next treatment
D. no other management For number 53-57
A. formal consultation
37. what is the goal for patient’s management? B. informal consultation
A. cure the patient C. interval referral
B. prevent other complication D. collateral referral
C. focus on quality of life E. cross referral
D. prepare for breavement process F. split referral

38. The care for this patient should relief the total suffering. Her family
physician must manage patient in the context of the family. Her need
must belanced against family’s need. What is care given by the family
physician?
A. psychosocial care
53. In referring the patients for surgery, if the patients develop a
respiratory infection following thes surgery, the surgeon can ask for
family physician's advice in dealing with that respiratory problem.
54. Dr. Amin intends to ask for the second opinion and he writes the
letter for his colleague including all patient's significant problem,state the E. various of health care according to need and demand of population and
physician's main findings the inverstigation that have been carried out,all scarcuty of resources (prevention, promotion, curative, rehabilitation)
medication, and the purpose of consultation.
67. Disadvantages of group practice? d.potential conflict
55. Mr. David is referred by dr. Henry because of his prostate cancer. For
better care, it is essential taht after referral only a surgeon should 68. WOTF sentence is the most correct to evaluate input in evaluation of
prescribe treatment. performance?
A. disease pattern
56. The responsibility of patient is divided more or less evenly between B. resources
two or more physician. C. total patients
D. patient satisfaction
57. Mrs. Ani is referred by dr. Nadia for long-term treatment of glaucoma. E. audit of records
Dr. Nadia retains overall responsibility, but refers the patient only for
care SOME SPECIFIC PROBLEM. Jadi jawabannya yang D - Collateral 69. Managers has 3 clusters of role : leadership role, informational role,
referral decisional role. WOTF is the leadership role?
A. Monitor
For number 58-60 B. Figurehead
A. planning C. Disseminator
B. organizing D. Spokesman
C. leading E. Entrepreneurship
D. control
70. decisional role?
58. This is the process of influencing staff to meet predetermined A. Monitor
objectives. B. Figurehead
C. Disseminator
59. This is a process of ensuring that things happen according to plan and D. Spokesman
taking corrective actions where necessary. E. Entrepreneurship

60. This is a process of getting activities, people, materials structured to

meet organizational objectives.

61. Leadership is the process whereby one person influences the

thoughts and behaviours of others. WOTF sentence is the most correct for
personal leadership style according to theory X?
A. theory x is more effective than theory Y
B. theory X have positive assumption
C. managers may be motivating
D. usually task oriented
E. more self responsibility

62. WOTF sentence is the most correct example for effective leadership
depends on group needs?
A. the leader should seek to discover what each member wants from the
group objectives or he will lose the confidence of the group
B. a leader must be seen to strive to achieve group
C. measures for meeting individual needs are coaching, counseling,
motivating, and staff development
D. team spirit and morale are very important
E. the needs may be satisfied through planning, allocating duties, giving
targets to individuals, and setting standards

63. Manager has three skills set are conceptual, human, and technical.
WOTF sentence is most likely for technical skills?
A. skills in managing things rather than people and are often learned
through on the job training programmes
B. perceiving how the parts of the organization link together in structure
and processes
C. involved in working with people, often as a member of a group
D. involved people in decision making
E. to motivate people to contribute their best to get work done

64. Urutan dari proses menejemen untuk dokter keluarga?

--> objektif --> practice population --> assess kebutuhan dan sumber daya
--> alokasi --> penentuan kebijakan (policy or health care) --> evaluasi

65. WOTF sentence most likely step about practice population ...
A. more specific to prevention and manage disease
B. preservation of doctor-patient relationship
C. The List is compiled by going through the practice records and entering
all patients who have need the prac
D.The resources include the physical plan, communication system,
physician, staff, the attached personel, hospital and community resources
E. various of health care according to need and demand of population and
scarcuty of resources (prevention, promotion, curative, rehabilitation)

66. WOTF sentence most likely step assessment of need, demand, and
resources...
A. more specific to prevention and manage disease
B. preservation of doctor-patient relationship
C. The List is compiled by going through the practice records and entering
all patients who have need the prac
D.The resources include the physical plan, communication system,
physician, staff, the attached personel, hospital and community resources