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    Rizki Hattaputra
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    13 views11 pages

    Soal Tramuma 2016

    Uploaded by

    Rizki Hattaputra

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 11
    ypTRAUMA 016 este of maxilofaal on. women who had vost lances re = ox 2K Sen inte femergeney roo the et ep a sweteent burn ny bel 1 cone h mot Nac nue ® eee Covered with sofratul gauze © Open care "Sut atau enisjnis aka berdasarkan ct de” emtrannya. pada trauma edaton hd ah 8. ka lecet, Lika memar dan Luka robek Gh lect ger, uta lect tekan dn loka leet ores 1. ka saya, Luka tusk dn Luka cok Wha saya ka tusuk, Luka bacok sera ht ‘embak masuk dan uta tembsk klar dae nak petra tajam 24 Hematothorats ders ‘5, AZ3 yearscd man comes tothe EX devered by his (arty ny complaints of right sided low back pln 1 tour before entering the hoxptal the patent had an cident wie drving » motereyse cring nto Intenction he patient bounced an the ght Ne ME an ec pole. From he est of the pearysereey (ASCO hear, val signs tension 300/79 meme. put 110. bpm minute weak, respiration 24 tem, temprature 36.8, urological stata Regio nk extra ble hematoms ameter of 20 em, supra pub tendemess porte, minimal bulging erethat qxterma wn nema Rewts 20° minutes oer eamination, the patients consciousness at decrenid, the patient complains that he cannot inate S minutes before. Then the doctor insted & ower cateter no 18 F ine came out 600 cof fesh re. From Mustain stove the most probable diagnos fortis patents |A. Posterior wetra rupture par babes 18 Paral bladder rupture - D. Complete bladder rupture ‘5. yang berkewaliban dan memilli kewenangan dalam ‘meminta keterangan sakst ahi (Visum Et Repartum) ‘menurut KUNAP pasal 133 adalah A Hokie, Cakes D.Pengncare E._Korban/Kelusrea 7. Ammale 28 yeas ol came tothe emergency room ia ‘2 weak condition afta fang from a motoreee two hour ago. Vital sign, 8P 90/50 mmig. There found ‘brases and pin in the left hypocanrum. Pain also {elt at the of the left shoulder (Kehr sign} Palpable mass In the left abdomen with dull percussion and abdominal detenslon. The dlagnosis ofthis patent A. Gastric trauma 18. Ascendent colon injury 1. ver trauma © Left kidney trauma ‘8. Which one below the spasmohic rugs that his hypotension and sleepiness fects. A Ranitidine 3. Simetisine Thandie D. az © Pesiin ‘9. yang meruptan ins operas asin dengan EDM sah. A. Perdrohan dengan volume> 30 mt 18. etebalanEOM mancapal2,cm Mian sift» Sm papas gta asso 10. the gold standar of anamination for dgnosing rt ractures/facl actress ‘A. Bimanal palpation test 1B. Tongue blade test © one Pain fms . 11. At the end ofthe exam the group of student with ‘ther lcturer went to tht Beach £0 retreeh. When on the fod fudenty thee cr had accdentty. One of ‘the students bounced and his head hit he asphalt. The student was dlagnosed by Doctor with capitis trauma, Which of the things In capitis trauma that often aise and need tobe careful for? 1 Cervical fractures Thorac fractures & Lumbar fractures ©. Coxae fractures 12. The result on palpation of physical examination on ‘maxilfacal trauma except? Tenderness ‘sep ott Fecal stabaiy crepitis aoe sexo f hse examination rest oq yo woumatas foal ognon ts rest sesre'© emited an cranial nerve injury edemess 4 septs Captus 1 What portion of mandibule Is most ermal fractured 4 boty tne! «conte Symp © Roms 1S Baganpemberitan atau hasil pemeritsaan dart ‘sum erapertum memilk cif atau beri! tentang, 4h ‘faa yong ditemukan_ seorang, otter Seéuartan has pemertsaan meds dan ‘era subjetit 16, Drugs that works to block neuromuscular have some side effects, xcept 2. Respiratory paras 1. Histamine release Myperalemia 4. Emess 117i yang ii aka memar adalah ‘Merit berghak pata parmyutaan huts seta perdarhan ubeuti dan tk stem ‘anda patah uang atau keusatan organ vat Rambut terpotong dengan kerssatan epi! ut pad permtaan uta Menimbutian perdaahan hebat pad Terdapatjembstan jringan/ jerbatan ta dengan png teh aka ak ata 18, A32 yo man had a history of stab wounds Injury im the lower night abdomen. Patents treated at the hospital, He complains that he cannot defecate and stfered nausea, vormit and Aatulence. On BNO examination the picture lok’ ke 2 “PIGURAT of the abdominal wall. The ‘agnosis inthis pation? 1 Obstructive ileus 1 Diventicuis Enterocottis 19, A 20 years old man came t the emergency ‘room RSPBA with complains can not urinate since ‘hours ago, one day belote entering hospital. The patient experiaced fall trom a duran’ tree, The patient can walk from the rebut of extmination, fawamess compos ments, vital ign within normal limits, urologcal.back region, suprapubic region tenderness, bulging (normal urethral eterna. ‘After instaling the dewey catheter 50 ec wine ‘comes out. possible diagnoses inthis cals? 12 Rupur bladder 1. Urethral rupture Acute kidney flare Grade? Fenal rire 20.1 you help 2 person that ser unconscious drowning, he breathe spontaneously bat with dation sounds tke seoring: Then what sould youdo? 1 sustleave tbecause l'sbphysilogcal ‘brake the suction device then do ston in the oral eat © 00 a head te chin ftthan install an ‘oropharynges tobe 4. erform endotracheal tube instalation Perform navogatie tbe instalation 21. hr yang dil aa lect? 2. Meri bengtak pada permukaon Iuka dengan tersakan eit tlt pode ermukaan tka b. Rambut terpotong dengan terusatan ptt lt pada permukaan lke |& Pinggir dan permakaan fata tidak rata atts ‘teraba kana arena eruapeeTUSAN vite it ‘4 Menimbultan perdarshan hebat Bawah jolt fe Membentk bane rong ka (bert ka terbut) srt permukaan tidak ata 22. A ASyear-old man came to the RSPBA ‘emergency f00m by hi amy with complaints of burns on both upper aems and the entire chest. From the examination result obtained vital signs: blood pressure 130/90 mmitg, pulse 90 bpm, respiration 22 bpm, temperature 37,2C locale status appear: bullae +) on both arms ofthe upper hand and chest, pain (+). 1 50% of the required ‘uid is given within the fst 8 hours, how many cof lid shouldbe glen tothe patient with £0 kgs of ody weit? 2 ae be s2Moee © 80ce 4. m60ce 1620ce 23. A car devercrashng into intersection rood while driving in drunk. The patient did not use seatbet, 50 that his head suflened severe trauma, Im your opinion, the patient had maxilary fracture But didnot teach the orbital cay. What ‘ype of te Fort fracture id the patient have? c tefort3 Lefont fe. Lefont 14. DF Bawah Ini pernyatean yang paling benar rengenal musibah massal adalah? 1 Penderta yang datang —melebi 4. Penderta yang — dating melebty ‘kemampvan lokal dan Triage dlarahkan ‘untuk memigh pasienpasien wersebut berdasarkan belenghapan perlatan, untuk rmenuruntan angla_ematian dan wesskiton emampuan tnternasional dan Triage darabtan untuk meilah pasn-pasien tereebut berdasarkan kegawatany, untuk smenuruntananghaKematian an 25, Perbedaan dari cri umum pada uka-uka shat Trauma Tumpul dengan taluta abibat Trauma aja? {8 Wwhauka trauma tumpul_ mem aka penyert lianya (Wika kotor), sedanghon Iuka trauma tam tidak mer ak ‘enya lannys (uk kotor) be. Lukauka trum tumpul meni iat Joka terbuka sedangkan tukauks trauma ajar mers sifat loka terbula dan ‘tert nding loka yang rata sedangtan ‘that her right has 2 burn wound, 1 hour before centering the hospital, the patent was stung by 2 chipped electric cable. From examination found general condition locked moderate pain, compost ‘mentist consciousness, Vital sgn wn 90/65mmne. 2avment, regional dex manus: the appearance of an electric shock burn is matched witha colored int (inlet low) with 2 partially necrotic wound edge land & wound base inthe muscle with a diameter {min diameter. The frst intial management ofthe patient performed inthe ER is? 1 Caeulate the area of a burn 1b. Debridement cleans necroti tissue 2. Install 8 Dowercateter forthe evaluation of urine products Provides analgesies and antibiotics 27. A 45-yearsold man came, to the RSPEA emergency room by hs family with complaints of ‘burns on both Upper arms and the entire chest From the examination result obtained Wtal signs blood pressure 130/80 mmHe, pulse 90 bom, respiration 22 bpm, temperature 37,2. locaze tatus appear: bulla +) on both arms ofthe Upper hand and’ chet, pala (HH 80% of the recent ‘tai given within te est 8 our, Naw many ce of lu should be gen tothe patient with 60 ks of body welt? 320 © 1080ce 4 200c 28. 4-4 years 16 eh had Burm inury with 2 araysh base wound and the ede ofthe partial necrosis ullse (Which one the eomect gree cof bun injury bow a adegrce b 2 degree (6B degree (shallow) 4, 2 degree (een) agree 29, An 18 years old woman coming tothe RSPBA, ergency room after relred by 3 type C private hospital with »dlagnoss of suspected Kidney trauma, From the rest of supporting examinations in RSPBA, ‘expertie was obtained from radolops. He found the from of subscapular hematoma, renal laceration (022m) does not iste electing system. The mest appropriate diggnosisfor hs as Grade 2 ena wou Grade adn ary Grade Sidney nny 30. Here the tut statement about orbital fracture 2 Emphysema subcutan’ be stp off inraortital deformity Anasthesia, diplopia, anc enophtats” ans Coretve ‘2 Alaboveare wrong -31 423 years ld man, brought by the police due to.2 trafic accident During accident the chest wat hit motoreyde’s handlebar. On physial examination {ound injury on te left chest there ae left reething ‘movement Inthe lft chest, hypersonor percussion and we eas ever chest was hyperuscent. Thee right diagnosis es ase «Tension Premotorax ». Preumotorax Hematotorax 6. Pieurisy «e Hematopneumotorax ‘aan years old gle came to the RSPBA, emergency roam by her parents, she complanning that her right rand had a bum wound, 1 hour before entening the respi, the patient was stung by a chipped electric abe. From the examination found a general condition locked moderate pain, Compost mentis consciousness, vial sign : blood pressure SO/65 mma, pulse n2a/minutes, breathing, Z2x/minutes, temperatore 378. On localist status, regional extra mands: TS appearance ofan electric shock burns matched wth? trey colored inet inet flaw) wh 2 patel ete und edge base in the muscle waa metro back to the RSPBA emerBency FOR eucalyptus o ‘reqvent fainting. The parents oni ‘bing each time the child fainted, and regained ‘consciousness: From the examination of tal sins thn normal ints. The wound sti looks wet and has us, fer that he doctor dean it with Cl 096 And ‘nstaling VFO RL 24tvm. Cfoti 500 mg Iv/ 22 ours, paracetaal syrup 3 tes 3th What cause feng the cae? wacko ds Pain ena ection ier drs 3.x ates aka bersarkan et dan metanmebenurannya pace tama’ tm dapat ‘shedlan enix actuka tera don ata ett fk aka maar, muta obek tut eet ges, ba cet tek, dan aa ore cub aya hk suk waa Boh, Serta fia tenbak et, don RAB Combe aaa anak ot ae 134, A years 30 old. man i taken toa hospital wth 2 previous history of accidents. The patents chest was tb an electric pole. On physica examination theres Iejory to the right hemithorax . Deep anc fast breathing. Dulness percusion on right chest and theweat of breath sounds. On the ronigen picture there ls 2 radiopacque In the right lower lng region. ‘The diagnosis in this patients? | Hematothorax Massive pleural effusion pneumotorax «4 nematopneumotorsx ‘e pleurisy 135, A 66 years old patient came with complaint of let chest pain refered tothe neck and armsfor hour. On ‘phil examination obtained 8° 110/70, MR 11066, AR 22 bpm T 37C . To reduce the chest pain. ocr |s2ve ISON 5 img in 3 times, but the paint doesnt 89 ‘way. The next pain medicine that wil be even BY # ctor? ‘d. Morphine 8550 36, An 18 years old get came tothe RSPBA emergency room with complaints of Bleeding from hi went. 1 ay betore entering hospital, the patient suffered fal from a bicycle and the patients gon els hit the biyle handlepost, from the result of physcal examination Vital sign within normat tts, the uretheal utow fresh blood dripping, scrotum appearing edema, perines! butrfly hemetome. What actions should be done by the ER guard? b. Conduct eystowretrosraphic examination Urine drainage by instaling « dower cateter to avoid urinary retention <4. Blast puncture ce: FAsT ultrasound e 20 years 01, was hospitalized due 10°* rovorec clin wth cr 30 eins ET ix conscious after being in the Rosa OP tere are found teston 10 He the forehead 37, Ma tipper ign abdomen and nies 20 area, After 18 mintes being In the hott, GCS= 2VaI3. Aer laparotomy surgery, tea nth er was found. The folowing statements below f not 2 trauma mechan nthe case above. {1 A sudo Inereaseintraabdominal pressure bs Sheainginury «Compression inary 1, Aceriondeceleraton sharp tum 38, atthe end ofthe exam, the rou of stadt ith thei lectarer went t the beach to res. When on the road sudden thal eat had acdentaly- One of ‘the students Dovnced end his herd It the asphalt ‘The student was dagnosed by doctor with eapits trauma. Which of the things capt tama that ten ase and ned tobe caret? Conical ractire tb orca racures

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