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MCQ Tutorial C. Stemianteroseptalkillip Ii: 4. Muffle Heart Sound Dan Basal Ralespadakasusinimenunjukkanterjadinya
MCQ Tutorial C. Stemianteroseptalkillip Ii: 4. Muffle Heart Sound Dan Basal Ralespadakasusinimenunjukkanterjadinya
MCQ Tutorial
Mr. Karmin, 48 years old, a porter, comes to hospital because he has
been having chest pain since three hours ago while he was working
at the train station. The pain was radiated to his back and lower jaw,
and it felt like burning. He also complained shortness of breath,
sweating, and nauseous. About 3 month ago he felt pain on his left
chest while he was working, then he met the doctor. His doctor asked
him to have treadmill examination but he refused because he
couldnt pay for it. He has no history of hypertension. He is a heavy
smoker.
Physical exam:
Dyspnea, height: 170 cm, body weight: 92 kg, BP: 100/70 mmHg,
HR 115 bpm regular. PR: 115 bpm, regular, equal. RR: 24x/min.
Pallor, diaphoresis, JVP (5-2) cmH2O, muffle heart sounds, basal
rales (+), wheezing (-), liver: not palpable, ankle edema (-)
Laboratory result:
Hemoglobin: 14 g/dl, WBC: 9800/mm3, diff count: 0/2/5/65/22/6,
ESR 20/mm3, platelet: 214.000/mm3
Total cholesterol 345 mg%, triglyceride 180 mg%, LDL 194 mg%,
HDL 38 mg%
Blood glucose 155 mg/dl, urine glucose (-), sediment: normal
findings
CK NAC 373 U/L, CK MB 67 U/L, troponin I: 0,2ng/ml
Additional exam:
Chest X-ray: cor: CTR < 50%, normal shape. Lungs:
bronchovascular pattern is normal.
ECG: sinus rhythm, normal axis, HR: 117 bpm, regular, normal Q
wave, ST elevation in lead V1-V4, ST depression in lead II,III,aVF
1. Apakah diagnosis Mr. Karmin yang paling tepat...
a. Perikarditis
7. Rabecca
8. Oonk
9. Agung
10. Untukmengetahuiapakahterjadigagaljantungpadakasusini,
makapemeriksaanpenunjang yang paling tepatadalah
a. Holter monitoring
b. Treadmill stress test
c. Coronary angiography
d. Echocardiography
11.
Pengobatanpadakasustuankarimditujukanuntukmenegahkomplikasi.
Berikut yang bukantermasukkomplikasipadakasusiniadalah:
a. trombus formation pd ventrikelkiri
b. cardiac arrest
c. syokkardiogenik
d. blok AV derajat 3
12. Kadek
13. Pemeriksaanbakuemasuntukpenyakitjantungkoroneradalah ...
a. EKG
b. Treadmill stress test
c. Coronary angiopathy
d. Echocardiography
14. Padakasusnyeri dada dimanaditemukangambaran EKG berupa
ST elevasipadasadapan II, III, AVF maka diagnosis pada EKG adalah
a. STEMI anteroseptal
b. STEMI high lateral
c. STEMI inferior
d. STEMI posterior
15. Hiday
16.
Padabapaktersebutdidapatkankelumpuhanseparuhbadandikarenakank
erusakanotak...
a. oksipitaldan parietal
b. frontal dan temporal
c. parietal dan temporal
d. frontal dan parietal
18. makanan yang dapatmeningkatkan HDL adalah...
a. makanan saturated fat
b.makanan monounsaturated fat
19. faktorresikocardioemboli stroke
a. penderita diabetes dandislipidemia
b. penderitahipotensi
c. penderitahipoperfusi
d. pendarahanintraserebral
21. Kemungkinan yang terjadipadapasieniniadalah (pasien stroke)
A. lesitipesentral, afasia global
B. lesitipeperifer, afasia global
C. lesitipesentral, afasiamotorik
D. lesitipeperifer, afasiamotorik
22. Apakah diagnosis etiologipadakasusdiatas?
a. Stroke trombosis
b. Stroke perdarahan
c. Stroke kardioemboli
d. Stroke perdarahan subarachnoid
23. KDU dalamkasusini (stroke kardioemboli) :
a. Diagnosis + tatalaksanapendahuluanlalurujuk k spesialis
(kasustdkgawatdarurat)
b. Diagnosis + tatalaksanapendahuluanlalurujuk k
spesialis (kasusgawatdarurat)
c. Diagnosis + tatalaksanasampaiselesai
(kasustdkgawatdarurat)
d. Diagnosis + tatalaksanasampaiselesai (kasusgawatdarurat)
31. KelainanpadaZuhroterjadiakibatterjadinyaalirandarahdarimana?
a. atrium kirike atrium kanan
b. ventrikelkirikeventrikelkanan
c.
d
24. padapemeriksaanfisikkasusdiatasdidapatkan.
a. hipertensiderajat 2
b. pulsus deficit
c. semuabenar
d. semuasalah
27. Berapaskorsirirajpadakasusdiatas
a. 1
b. 3
c. 5
d. 7
36. Apakelainanjantunganaktersebut?
a. Trunkusarteriosus
b. Atresiapulmonal
c. Tetralogy of fallot
d. Double outlet right ventricular
37. Pemeriksaanpenunjanguntukmemastikandiagnosaadalah...
a. EKG
b. CT Scan
c. Echocardiography
d. All correct
30. padaskenario,ketikaterjadibootshape,
makabatasjantungkiriadalah....
a. midclavicularis
b. ics 5 padapergeserankirimidclaviculariskiri
c. ics5 padapergeserankananmidclaviculariskiri
d. midsternaliskiri