DERMATOMUSCULOSKELETAL SUMMATIVE 1

(FMUI 2018) 2. 47 yo woman, painful nodules, pus. superficial, single, well

localized. what is the etiology
DISCLAIMER:
A. microbacterium infection
1. ​This is a supplement for your study. DO NOT blindly
B. staphylococcus infection
remember the answers.
C. Streptococcus infection
2. ​Some of the question and the answer need some
D. E. coli
deciphering. We are human after all.
E. Vibrio
3. ​Use this with discretion. Keep this within the FMUI,
try not to leave a hard copy of this
Dari ciri2nya itu abscess (superficial, single, well localized).
4. ​The department wishes all of you good luck and
Abscess disebabin karna staphylococcus aureus.
fight for the best!

3. Fibrosis kapaan?
LAYOUT + PEMBAHASAN :IU
A. 6-8 hours
!!! yang gue jawab dan gue bahas disini yang gue anggap
B. 2-3 days
benar dan sesuai sama yg gue jawab pas summa yaa, kalo
C. 4-5 days
tau yg lebih bener boleh ditambahin jawaban pake warna
D. 2-4 months
lain!!!
E. 6-9 months

1. Pruritis sensation in scabies patient happened due to..

Fibrosis bagian dari process scarring. Ada 3 process di wound
A. Burrowing of the tunnel
healing,
B. Secondary infection
1. Inflammation phase (first 24 hours).
C. Mating of the sarcoptei scabiei
2. Proliferation phase (1-3 weeks) (sbnrnya dosennya ngmg
D. Part of the sarcoptei scabiei body part
+7 days) tp ada jg yg blg +4 hari udah mulai ada migrasi sel2
E. Result of type IV hypersenstitivity
inflamasi (leukocyte neutrophil dll + mesenchymal cell).
3. Maturation phase (9-12 months)
Jadi kalo di scabies itu dia reactionnya delayed type IV
hypersensitivity karena dari pertama kali dia kena paparan
sarcoptei scabiei sampe onset of the disease (symptompsnya
4. Persistent itch in scabies caused by?
keluar) itu butuh waktu lama 4-8 weeks. Nah pruritusnya
A. CD 8
disebabinkarna delayed reactionnnya ini
B. CD 4
 C. NK cells Nah kalo ini mungkin bakal ngira herpes simplex virus type 1
D. Neutrophils karna kan dia ngasitau jelas deket mulut, tp dia ngmg kl dia
E. Macrophages setahun yg lalu abis kena dan ditempat yg sama jadi curiga itu
zoster karna VZV bakal ngumpet tuh si vitus di ganglion trs
Sbnrnya ini gak yakin sih cuman kan scabies itu tadi udah abis ngumpet kl immun system orgnya rendah dia bisa
dibahas tadi karna delayed type IV hypersensitivity → berarti kambuh lagi tp ngasi efek ke dermatom itu aja
kan sbnrnya kemungkinannya dua bisa CD 8 atau CD 4 nah
kalo CD 8 itu killer cell jadi biasanya dia lgsg diancurin jadi 7. A woman came and tested her vagina, and found
efek pruritusnya ga keluar. out that there are many lactobacillus bacteria in her
vagina, what is the condition of this woman?
5. Which epidermal layer that prevents water entering A. Normal
our skin? B. Vaginosis
A. Stratum corneum C. Vagina candiasis
B. Stratum basale
C. Stratum granulosum Normal ya ini karna lactobacilli can be found most abundant in
D. Stratum lucidum vagina
E. Stratum spinosum
8. drug of choice for CLM
Jadi s. Granulosum itu ada granules namanya keratohyaline A. Permethrine
yg bakal ngebantu ngebuat sheets of lipid sheets yg ngasi B. Albendazole
waterproof feature. C. Mebendazole
D. Ethyl chloride
6. A woman have a cluster of vesicles around her E. Anti-histamine
mouth, she had this same lesion a year ago. what is
the disease of the patient? Sbnrnya di PPTnya tuh ada albendazole, mebendazole tp kl
A. Herpes simplex virus type 1 dari dua itu pertama yg dipilih mebendazole dulu makanya gue
B. Herpes simplex virus type 2 milih mebendazole + kalo ethyl chloride itu kan dinginbgtt efek
C. Herpes Zooster sampingnya ntr di tempat yg di semprot itu bakal jadi lesion →
D. PoxVirus bullae jadi bisa dipake cmn kl lesionnya kecil atau dikit kyk
E. Papiloma cmn 1 gt
 9. The difference between a papule and a nodule is? C. G2
A. Surface D. S
B. Depth E. M
C. Shape Hepatocyte itu stabile tissue, jadi dia bakal stay di G0
D. Border Ada 3 types of tissue :
E. number 1. Labile tissue → di S1 → Bone marrow, skin, GI
epithelium
The difference between papule and nodule is the depth and 2. Stabile tissue → di G0 → kidney, liver, pancreas
size, nodule is deeper and larger than papule 3. Permanent tissue → before G0 → neuron, heart
muscle
10. Vehiculum in order of highest cutaneus penetration
A.​ Ointment - Cream - Gel - Solution 13. What is true about GAG?
B. Cream - Ointment - Gel - Solution A. There are ten types of GAG
C. Solution - Ointment - Cream - Gel B. All GAG bound by covalent bonds
D. Gel - Solution - Cream - Ointment C. Hyaluronic acid is the smallest GAG
E. Cream - Solution - Ointment - Gel D. All types of GAG are different by its
monoscharide sequence
Cukup jelas ya tinggal diafal
11. Other than nose Klabsiella normally found in? GAG ada more than 7 types. The difference between all GAG
A. Skin is in their monosacharride sequence.
B. mucous
C. Lungs
D. Mouth 14. [ada foto di punggung, nanti dimasukin] What kind
E. Colon of vehiculum to be used?
A. Powder
Selain di nose klabsiella bisa ditemukan di intestine B. Ointment
C. Gel
12. In what phase is hepatocyte after one month of D. Cream
regeneration? E. Solution
A. G0
B. G1
Kalo kering di compress sbnrnya tapi karna gakada pilihannya e. sharp obect
jadi solution paling memungkinkan
Kalo warts gini bisa transfer lewat direct contact aja karna dia
kan papiloma dan papiloma itu non-systemic spread.
15. A woman is diagnosed with Tinea Capitis. What is Inget ya teman2
the most appropiate vehiculum to be given to this non-Systemic spread → papiloma, poxvirus (moluscum
woman? contagiusum), poxvirus from sheep
A. Ointment Systemic spread → all selain yg diatas hehe
B. Cream W/O
C. Cream O/W 18. One of the functions of the skin is for Vit D
D. Solution metabolism. This is carried out by layers ...
E. Gel A. S. granulosum and spinosum
B. S. Basale and spinosum
Tinea capitis kan di kepala artinya banyak rambut, kalau gel C. S. Corneum and granulosum
paling cocok buat rambut biar gak clumping D. S. Lucidium and corneum or smth

16. Allergic reaction, what cell is activated? Jadi precursor dari vit D itu 7-dehidrokolestrol.
A. IgE activation 7-dehidrokolestrol adanya di S. basalis & S. spinosum dan
B. IgG and IgM activation disitu juga keratinocyte actively mitosis.
C. IgA activation
D. CD4+ 19. For lesion that is wet and has pustule, what is the
E. CD8+ best vehiculum for topical treatment?
A. Cream O/W
Kalo type I hypersensitivity pasti IgE activated B. Cream W/O
C. Gel
17. y/o girl has wart on her finger kayaknya. D. Solution
transmissionnya lewat apa? E. Powder
a. airborne
b. blood Kata kuncinya WET, kalo basah inget ya pake compress tp
c. droplet karna gakada jadi solution
d. direct contact
 20. Peptide that is released that induce the neuronal A. Clostridium tetani
pain? B. Clostridium perfringes
A. Neurokinin C. Staph aureus
B. Opioid D. Strep epidirmidis
C. Gamma butyric acid E. Pseudomonas aeruginosa
D. Glysine

Ini sbnrnya afalan tapi bisa diliat dari options B,C, & D itu Inget ya gangerene, necrotizing fascitis, & myonecrosis itu
inhibitory neuron jadi fungsinya akan menghibit jadi gak akan biasanya karna bacteri anaerob atau clostridium nah
nge induce. clostridium PERFRINGES itu bikin BAU BUSUK kalo tetani
efeknya di neuron
21. What is the TRUE statement for hand hygine?
A. Must be perform after gloves removal
B. Paramedic that usually have good hygine is not 23. What cells causes itchiness (sensitization)
obligated to wear gloves when have contact with blood A. Schwann
C. Hand wash only be performed in soiled hands B. Astrocyte
D. Hand rub is must for soiled hand C. Microglia
D. Oligodendrocyte
Udah jelas ya harus bersih cuci tangan terus between patients E. Ependymal
and after contact with patient’s blood, body fluid, equipments.
Ada 5 saat yg harus bgt cuci tangan : Jadi kalo sensitization pas ada itch nanti dia bakal nge aktifin
1. Before touching the patient glial cell yg ada disekitar cell yg aktif nah si glial cell ini bakal
2. Before antiseptic performance aktifin another cell yg sblmnya in active
3. After body fluid contact risk
4. After touching the patient 24. What is the most suitable predilection for
5. After leaving the patient’s environment cutaneous larva migrans?
A. Neck fold
22. A man has history of hypertension and diabetes. B. Buttocks
The wound on his right toe is developing gangrene C. Facial skin
which is smelly, dirty, and wet. What is the common D. Scalp
etiology of this lesion? E. Axillae
Di tmpt yg memungkinkan untuk kena animal hookworm ya

24. scabies incubation period first infestation

A. 5-6 weeks
B. 2-3 weeks
C. 3-4 days
D. 2-3 months

Sbnrnya 4-8 weeks guys

25. Which is TRUE statement for collagen?

A. Glycine always in 3rd position of polypeptide chain
B. Crosslinking happens because assimilation
C. Glycosilation happens before hydroxylation

26. Multiple confluens lesion of papule is called…

A. Vesicle
B. Nodule
C. Papule
D. Macule
E. Plaque

27. Candida albicans is normally found in GI and?

A. Colon
B. Vagina
C. Skin
D. Mouth
E. buttocks