BAGIAN ILMU KESEHATAN THT-KL

FK UNDATA-RSUD UNDATA
PALU
Sekretariat Bersama: Jl. Suharso No. 14 Telp. (0451) 421270-421370 Fax 0451 - 421370

LEMBAR PENILAIAN UJIAN BAGIAN

Nama :
Stambuk :
No. Komponen yang dinilai Nilai
I Pemeriksaan THT-KL (30 Point)
II Penilaian Status Penderita THT-KL (30 Point)
III Penilaian Penguasaan Ilmu Kesehatan THT-KL Sesuai Standar
Kompetensi Dokter Umum
1. Otologi (10 Point)
a……………………………………………………………………….
b……………………………………………………………………….
c………………………………………………………………………..
d……………………………………………………………………….
e………………………………………………………………………

2. Rhinologi (10 Point)

a………………………………………………………………………
b……………………………………………………………………...
c……………………………………………………………………….
d………………………………………………………………………
e………………………………………………………………………

3. Laring-Faring (10 Point)

a……………………………………………………………………..
b……………………………………………………………………
c……………………………………………………………………..
d…………………………………………………………………….
e…………………………………………………………………….

4. B.E (Bronko-Esophagology) (5 Point)

a…………………………………………………………………….
b…………………………………………………………………….
c…………………………………………………………………….
d…………………………………………………………………….
e…………………………………………………………………….

5. Oncology (5 Point)
a…………………………………………………………………….
b…………………………………………………………………....
c……………………………………………………………………..
d……………………………………………………………………..
e……………………………………………………………………..

Ket: 0 = Tidak menjawab Pertanyaan Total Nilai :

1 = Jawaban tidak lengkap Nilai :
2 = Jawaban benar

Palu,……………………………….. 2018
Dokter Penguji

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