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Manuskrip PDF
Manuskrip PDF
Question 1
A. DiGeorge syndrome
B. Edward syndrome
C. Pierre–Robin sequence
D. Treacher Collins syndrome
E. Goldenhar syndrome
Question 2
A. Chancroid
B. Bartholinitis
C. Molluscum contagiousum
D. Genital herpes
E. Genital warts
Question 3
A 20-year-old woman, P0A0, came with a chief complaint of left quadrant
pain. She reports a sharp pain with associated discomfort most severe when
she lies on her left side that has progressed over the past 2-3 months. She is
sexually active with normal menstrual period cycle. Her last menstrual period
was 2 weeks ago. She denies any change in her bowel habits, urination or
weight. She has no significant past medical or gynecologic history of cancer.
The physical examination reveals a thin woman. Vital signs: BP 100/60 mmHg,
pulse 80/min and afebrile. Abdominal examination shows no ascites or
distention, there is slight tenderness to deep palpation in the left lower
quadrant without any masses or inguinal adenopathy and pelvic
examination reveals normal anatomy with a palpable, slightly tender, mobile
mass approximately 6 cm on bimanual examination on the left, with no
masses in the rectovaginal septum. A pelvic ultrasound performed 3 days
after her next menses which shows a complex left adnexal mass of 8 cm x 5
cm x 6 cm, a normal size uterus and right ovary, without any pelvic fluid noted
in the cul-de-sac. What is the most likely diagnosis for this patient?
A. Tubo-ovarian abscess
B. Ectopic pregnancy
C. Ovarian cyst
D. Endometrioma
E. Uterine fibroid
Question 4
Question 5
Question 6
Question 7
A 23-year-old woman come with missed period for 5 weeks. She also feel
breast tenderness and the color become darker. She took home pregnancy
tests which all results positive. Which one below is the right answer?
A. miscarriage
B. probable pregnancy
C. positive pregnancy
D. presumptive pregnancy
E. suspect pregnancy
Question 9
Question 10
Question 11
Question 12
What day of the ovarian cycle might you expect to see low levels of estrogren
and progresteron and high levels of FSH and LH ?
A. Day 21
B. Day 1
C. Day 14
D. Day 7
E. Day 28
Question 13
Question 14
Question 15
A 65-year-old woman complained about cervical mass and the biopsy result
was cervical keratinizing squamous cell carcinoma. During the operation, the
tumor mass has extended to the pelvic wall. The staging for this patient is...
A. Stage IIB
B. Stage IV
C. Stage III
D. Stage I
E. Stage IIA
Question 16
Baby boy was born from G4P3 mother in 39 weeks of gestation based on first
day of last menstruation. At first minute and five minutes of life the doctor
examines five criteria: activity (tone), pulse, grimace, appearance, and
respiration. The result show that the baby in a good condition after birth. The
doctor plans to do gestational age measurement after birth. What methods
can be used?
A. Mentzer Score
B. APGAR Score
C. New Ballard score
D. Downes Score
E. Tollner score
Question 17
A 32-year-old pregnant woman is referred by her midwife for her high blood
pressure. She is in her second month of pregnancy and reportedly to have
hypertension before. Which of the following drugs is absolutely
contraindicated in pregnancy?
A. Prazosin
B. Captopril
C. Atenolol
D. Propranolol
E. Methyldopa
Question 18
Question 19
Question 20
Mrs X, a 28-year-old primigravida has leaking of fluid per vaginam for the
past 3 h at 32 weeks of gestation. Per speculum examination confirms
leakage of clear amniotic fluid per vaginam. She is clinically stable with no
signs of infection. Ultrasound shows a singleton fetus in cephalic presentation,
appropriate for gestation with normal liquor and Dopplers. What is the correct
statement that supporting premature rupture of the membrane was occured
in this case?
Question 21
A. 1–2%
B. 30–40%
C. 0,2
D. 0,07
E. >50%
Question 22
Question 23
Question 24
A 2-day-old baby boy was brought to the hospital complaining of yellow skin
all over his body. Blood laboratory examination revealed only an increase in
indirect bilirubin. What is the most appropriate etiology of jaundice related to
the case?
A. Pre hepatic
B. Pre and post hepatic
C. Post hepatic
D. Pre and intra hepatic
E. Intra hepatic
Question 25
A. The ILCs numbers are increase so the metabolic regulation will also
increase
B. The NK cells will increase secretion of IFN gamma
C. Increase adhesion ability
D. The NK cells will depress inhibitory receptors
E. increase cytoplasmic granules and degranulation
Question 26
A. Learning disabilities
B. Visual impairment
C. All of the above
D. ;None of the above
E. Hearing loss
Question 27
Question 28
A 24-year-old woman diagnosed with G2P0A0–term parturient, the doctor
give her . Which of the following is the pharmacological property of this drug?
Question 29
Suppose a new treatment for pain relief is to be tested among patients with
disease X. The measure of pain relief will be the percent change in pain level
as reported by the patient after taking the medication for 1 month. What do
type II error mean in this situation?
Question 30
Describe the structure and function of the organs of the female internal
genitals The female reproductive system functions to produce gametes and
reproductive hormones, just like the male reproductive system; however, it
also has the additional task of supporting the developing fetus and delivering
it to the outside world. Unlike its male counterpart, the female reproductive
system is located primarily inside the pelvic cavity. What are the female
gonads called?
A. ovaries
B. ova
C. ovum
D. oviducts
Question 31
A 47-year-old female comes with pain following sexual activity with her
husband. Additionally, she complained of foul-smelling vaginal discharge. A
cytology test of the cervix revealed abnormal cells affecting one-third of the
cervical epitheliums thickness. What is the diagnosis of the patient?
A. CIN 2
B. CIN 4
C. CIN 3
D. CIN 1
E. Cervical cancer
Question 32
Mrs A, a 37-year-old primigravid consult to you about her baby condition, she
was felt the water is broke 2 hour ago. She did not felt any fever, the
movement of the baby is good. What is the best examination should be
performed to determine the diagnosis in the patient above?
A. Ferning test
B. Vaginal touche
C. Leopold test
D. Physiological examination
E. Per speculum
Question 33
A. cervical ectropion
B. cervical carcinoma
C. cervical polyps
D. cervical nabothian cysts
E. cervical infection
Question 34
Question 35
Question 36
A newborn girl, born at 35 weeks gestation, is brought to the transitional
nursery at 1 hour of life after the nurse concerned about her breathing. Her
mother is a 27-year-old primigravid with no significant past medical history.
The baby delivered vaginally and was occurred for 20 hours. The diagnose
was neonatal sepsis. What happened soon after birth in the neonates
immunology system?
Question 37
Question 38
Question 39
A. Cholesistitis
B. Retention Fever
C. Peritonitis
D. Mastitis
E. Endometritis
Question 40
A. Premature contraction
B. Hematology disorder
C. Fatty liver
D. Peptic Ulcer
E. Kidney stone
Question 41
A. 6 weeks postpartum
B. 3 weeks postpartum
C. 4 weeks postpartum
D. 2 weeks postpartum
E. 1 weeks postpartum
Question 42
A primiparous term pregnancy come with a blood-like fluid come with her
vagina. The symptomps felt for actually 2 days before. The patient didnt had
any sudden fluid flow from vagina. The fetal movement are still active. Her
vital sign are : BP 110/70 mmHg ; HR 88 bpm ; RR 20 bpm T 37,2oC. This is her
first experience. The midwife said that she is having a blood show. Following
statement is the most appropriate to explain the cause of the bleeding in this
patient
Question 43
A baby boy was born aterm, healthy, with body weight of 3000 grams. He and
his mom was discharged home at age 12 hours with the instruction to return
to pediatricians clinic in two days after discharge. After 2 days in home, he
was brought to clinic because the mother had noticed that her son is appear
more yellowish and weak, but still able to breastfeed.
A. ABO incompatibility
B. Rh incompatibility ?
C. Physiological jaundice
D. Neonatal hepatitis
E. G6PD enzyme deficiency
Question 44
A 2-day-old newborn female, brought by her mother to the clinic due to the
chief complaint of yellowish discoloration of her entire body. Initially, the
yellow color started appearing since birth. As the doctor in the clinic, you
suggest to do phototherapy. Which one that is the minor side effects of
phototherapy?
A. Retinal damage
B. None of the above
C. Skin rash
D. Delayed development
E. Bronze baby syndrome
Question 45
Question 46
Question 47
A. Placenta previa
B. Fenestrated placenta
C. Placenta accreta
D. Succenturiate placenta
E. Vasa previa
Question 48
Describe the structure and function of the organs of the female internal
genitals Structurally, the urogenital triangle is complex, with a number of
fascial layers and pouches.
A. contains part of the urethra, external urethral sphincter, and the vagina
B. a layer of tough fascia, between deep pouch and superficial pouch
C. a potential space between the superficial perineal fascia
D. Which of the following statement is the most appropriate regarding the
perineal membrane
E. a potential space between the deep of the pelvic floor
Question 49
Question 50
A. Bed Rest
B. Antimicobial prophylaxis and Magnesium suphate to prevent infection
C. Amnioinfusion
D. Consideration of tocolytics and misoprostol to delay delivery
E. Corticosteroid administration
Question 51
A. 1000 mcg
B. 100 mcg
C. 200 mcg
D. 400 mcg
E. 600 mcg
Question 52
A. Gender
B. Promiscuity
C. Genetic
D. Hygiene
E. Age
Question 53
A 24-year-old woman come to the clinic of obstetric and gynecology with her
husband, she has late menstruation period for about three weeks. They are
longing for children; the doctor made a pregnancy test. What are the sample
for measure a beta HCG level as an indicator of pregnancy?
A. Urine, serum
B. Urine, amniotic fluid
C. Urine, Amniotic fluid
D. Amniotic fluid, serum
E. whole blood, plasma
Question 54
A. 63 kg
B. 61 kg
C. 59 kg
D. 75 kg
E. 70 kg
Question 55
Question 56
A term baby was born spontaneously from G2P1 mother. He was immediately
cried with good tones and did not need any rescucitation. After birth the baby
got early inisiation of breastfeeding. During pregnancy mother always in a
good condition and rountinly check up to the obstetrician. The doctor wants
to make management plan for the baby. When the best periode to screen
congenital hypotiroid?
Question 57
Question 58
A 37-year-old woman is pregnant with her third child. Her previous children
were both born by vaginal delivery. First trimester ultrasound confirmed her
menstrual dates and she is now 37 weeks. At her last appointment at 36
weeks gestation the doctor suspected that the baby was in breech
presentation.
If you want to do vaginal breech delivery, which one followed is the right
steps?
Question 59
A. Sporozoit
B. Cyst
C. Trophozoit
D. Egg
E. Larvae
Question 60
A. 2.26
B. 2.33
C. 2.35
D. 2.28
E. 2.31
Question 61
A. expectant management
B. cesarean section
C. external cephalic version
D. internal podalic version
E. oxytocin induction
Question 62
Describe the structure and function of the organs of the female internal
genitals The female reproductive system functions to produce gametes and
reproductive hormones, just like the male reproductive system; however, it
also has the additional task of supporting the developing fetus and delivering
it to the outside world. Unlike its male counterpart, the female reproductive
system is located primarily inside the pelvic cavity.
What is the name of structure who serve as the conduit of the oocyte from the
ovary to the uterus?
A. fallopian tubes
B. fornix
C. vagina
D. ampulla
Question 63
Question textA 25-year-old woman has had a grayish vaginal discharge with
a fishy odor for three days. The discharge is inspected and found to be
positive for the whiff test. What is the most likely transmission method of the
disease ?
A. air borne
B. Sexual intercourse
C. food borne
D. water borne
E. Physical touch
Question 64
Cervical cancer was the leading cause of death in North American women.
Cervical cancer also has high rate of metastase. which is the nearest cervical
cancer spread through the blood?
Question 65
A 24-year-old patient came to primary health facility to ask about
emergency contraceptives. She had unprotected sexual intercourse two days
before. She is given pills that contains 0,75 mg of levonogestrel. Which is the
best method to consume levonogestrell emergency contraceptives?
Question 66
A. Androgen
B. Estrone bukan ini? stuju
C. Cholesterol
D. Androstenedione
E. Pregnenolone
Question 67
A 30-year-old woman presents for her annual examination. She inquired
whether she should received the HPV vaccine. Which population would
benefit from receiving this vaccine?
A. only virginal woman and who have never had an abnormal papsmear
B. men
C. woman all ages
D. 9-26 years
E. pregnant woman or lactatinf woman
Question 68
Bob and Miriam Pataki walk in to your office with their 16 year-old daughter
Nina, who has not yet menstruated for the first time. Examination revealed a
thin girl with normal breast development and the normal presence of pubic
and axillary hair. On talking with Nina, you discover she is a junior in high
school and is very active in sports. She is the highschools track and field star,
and she is an avid swimmer. Because of her track practice, Nina stays up late
most nights to do her homework, consequently, she only gets five to six hours
Question 69
A. placental abruption
B. intrauterine growth restriction fetus
C. acute uteroplacental insufficiency
D. chronic uteroplacental insufficiency
E. All of the options are true
Question 70
A woman 29 years old had a positive pregnancy test 3 days ago after she
realized that she had missed a period. She had had regular cycles for 5 days
every 28 days. Her body weight is 40 kg with height 150 cm. This is her first
pregnancy. She has a platypelloid pelvic type. How should she delivered?
Question 71
A 26-year-old pregnant woman goes to the clinic for 4th week pregnancy
control. Pre pregnancy body weight was 56 kg and mother’s height is 165 cm.
How much recommended body weight in 12th weeks of pregnancy?
A. 56 kg
B. 65 kg
C. 63 kg
D. 60 kg
E. 58 kg
Question 72
Question 73
Question 74
Bob and Miriam Pataki walk in to your office with their 16 year-old daughter
Nina, who has not yet menstruated for the first time. Examination revealed a
thin girl with normal breast development and the normal presence of pubic
and axillary hair. On talking with Nina, you discover she is a junior in high
school and is very active in sports. She is the highschools track and field star,
and she is an avid swimmer. Because of her track practice, Nina stays up late
most nights to do her homework, consequently, she only gets five to six hours
of sleep a night. What is condition that describe Ninas problem ?
A. hypogonadotropic hypogonadism
B. hypogonadotropic hypergonadism
C. hypergonadotropic hypergonadism
D. hypergonadotropic hypogonadism
Question 75
The parents ask about future pregnancies and whether they have an
increased risk of having another child with Down syndrome. You recall that
the mother and father are 27 and 29 years old, respectively. Select the true
statement below about recurrence risk and trisomy 21 syndrome:
Question 76
A. Abdominal Circumference
B. Head Circumference
C. Biparietal diameter
D. Humerus Length
E. Femur length
Question 77
A. Non specific
B. Difficulty in urinating
C. Enlarged abdomen
D. Difficulty in breathing
E. Heavy menstrual bleedomh
Question 78
A. Vitamin D
B. Vitamin A
C. Iron
D. Calcium
E. Folic acid
Question 79
A baby with AB blood group was born at term gestation. Her mother has
blood group O, and Rh negative. On admission to the nursery, the nurses
thought that the babys skin had a yellow tinge. The physician believed this
was only very mild jaundice and chose to ignore it. An astute nurse, however,
took an STB at age 12 hours, the result of which was 9.2 mg/dL. Not very high,
responded by the physician. By the next day (28 hours) the STB value was 15
mg/dL. What would you do?
Question 80
A 10-day-old newborn need red cell transfusion for massive bleeding due to
Vit.K deficiency. The result of blood grouping test showed: Anti-A: Negative,
Anti-B: Negative, Anti-AB: Negative, Anti-Rh: Positive What is the blood group
of the newborn?
A. A Rh (-)
B. O Rh (-)
C. A Rh (+)
D. ;AB Rh (+) ini kan maksudnya?
E. O Rh (+)
Question 81
A. Mastitis
B. Breast cancer
C. Galactocele
D. Breast engorgement
E. Breast Abcess
Question 82
Question 83
Question 84
You are examined a term patient in the labor and delivery suite What regimen
is recommended for PROM,caused by Group B streptococcus?
A. Metronidazole
B. Cephalosporin 3rd generation
C. Pirymethamin
D. Cephalosporin 1st generation
E. Doxyciclin
Question 85
Question 86
A baby 2500 gr baby boy was born from 29 y.o, primigravida mother,
following toxoplasmosis infection that occured 19-20 weeks pregnancy.
During physical exam the baby found that macrochepaly and congenital
cataract. What is the mode of transmission of the infection occurred in this
case?
Question 87
A 35-year-old woman, P2A0 comes to the gynaecological clinic with the chief
complaint fever since 4 days before, after delivering a baby girl 6 days prior,
with a normal spontaneous vaginal delivery at term She also felt slightly
bilateral lower abdominal tenderness .On laboratory exam, she was found to
have a normal amount of foul-smelling lochia. The labs showed an elevated
white blood cell (WBC) count and anemia. 1. Following organ associated with
the chief complaint , EXCEPT :
A. Involution uterine
B. Remodelling cervix
C. Urine retention
D. Constriction salphyng (cava)
E. Edematous vagina and vulva
Question 88
A. Her age
B. her underweight
C. the family history of breast cancer
D. Having multiple children
E. her thyroid problems
Question 89
A 32-year-old woman presents at her physicians office complaining of
nausea and vomiting. The history reveals that her symptoms have been
present for over a month and that they seem to be worse in the morning. A
urine sample is taken and shows that the woman is pregnant Which of the
following physiological changes that occur in this woman now?
Question 90
A 13-year-old boy was involved in a traffic accident and was taken to the
hospital. The patient requires a blood transfusion. Blood group revealed B Rh+
blood group. What is the blood group that acts as universal donor for the
patient?
A. O
B. AB
C. B
D. A
E. D
Question 91
A. Cefixime
B. Ceftriaxone
C. Metronidazole
D. Doxycycline
E. Erythromicine
Question 92
A. F > F1, n – 4, 1 – α
B. F > F1, n – 2, 1 – α
C. F > F1, n – 5, 1 – α
D. F > F1, n – 3, 1 – α
E. F > F1, n – 1, 1 – α
Question 93
A 45-year-old woman went to primary health care presents with pain after
sexual intercourse with her husband. She also complained about foul smelled
vaginal discharge. She was examined and diagnosed as cervical cancer
Which of the following stage can be treated with surgery?
A. Stage IIIIB
B. Stage I
C. Stage IIIA
D. Stage IIIIC
E. Stage IV
Question 94
Question 95
Question 96
A newborn girl, born at 35 weeks gestation, is brought to the transitional
nursery at 1 hour of life after the nurse is concerned about her breathing. Her
mother is a 27-year-old primigravid and she had fever four weeks before
delivery. The baby delivered vaginally and was occurred for 20 hours. The
birth weight is 2200 grams. The working diagnosis for the baby is neonatal
sepsis. Which is true about immune system in a newborn baby?
Question 97
A. Cervical adenocarcinoma
B. CIN III
C. Cervical polyp
D. Cervical squamous cell carcinoma
E. Microinvasive Ca Cervix
Question 98
Question 99
A 27-year-old woman has left ovarian tumor. She was done the ovarectomy
and the tumor sent to Pathology lab. Macroscopically shows cystic mass,
diameter 7 cm and its content of chocolate color mass. Microscopically
shows ovarian stromal lined by ulcerated epithelial surrounding by
hemosiderin laden macrophage. Which is the most likely diagnosis ?
A. Follicular cyst
B. Endometriosis cyst kayanya ini
C. Paraovarial cyst
D. Simple cyst
E. Luteal cysrt
Question 100
Mrs. Yanti 30 years, had been married for 3 years and has not had any
children yet. She visit obgyn clinic. From general physical examination there
are no abnormalities found. From USG examination, there is a blockage in her
uterine tube due to infection, and disturbance in motility. What is the
histological feature that is responsible in uterine tube motility : What is the
histological feature that is responsible in uterine tube motility :
A. Stereocilia
B. Cilia
C. Microcillia
D. Villi
E. Microvilli
Question 101
A. Escherichia coli
B. Haemophilus spp.
C. Listeria monocytogenes
D. Klebsiella spp
E. Enterobacter spp
Question 102
What has developed at the ends of respiratory bronchioles and lung tissue is
well vascularized?
A. Primordial alveoli
B. Primordial alveolar ducts
C. Lumina of bronchi
D. Terminal bronchioles
E. Respiratory bronchioles
Question 103
At birth, the lungs are approximately half filled with fluid. What route the fluid
in the lungs is cleared at birth?
A. By Swallowed
B. Into the cardiac circulation
C. By pressure on the thorax
D. By Inhalation
E. Into the pulmonary circulation
Question 104
Describe the structure and function of the organs of the female internal
genitals In clinical practice, the term perineum is frequently used to describe
the area between the external genitalia and the anus. However, in anatomical
terms, the perineum is a diamond-shape structure. Which of the following
structure divides the perineum into urogenital and anal triangles?
A. ischial tuberosities
B. ischial fossa
C. ischial transverse
D. ischial tubercle
Question 105
How will you manage this woman for the last trimester of pregnancy?
Question 106
Question 107
Question 108
A. Vitamin D
B. Vitamin C
C. Folic Acid
D. Acetosal
E. Magnesium
Question 109
A. Give IVIG
B. Antibiotic is given after blood culture result is revealed
C. Give surfactant
D. Postponed nutritional therapy
E. Empirical antibiotic therapy was given immediately
Question 110
A. LH
B. hCG
C. Progesterone
D. Estrogen and progesterone
E. Estrogen
Question 111
Question 112
A baby with AB blood group was born at term gestation. Her mother has
blood group O, and Rh negative. On admission to the nursery, the nurses
thought that the babys skin had a yellow tinge. The physician believed this
was only very mild jaundice and chose to ignore it. An astute nurse, however,
took an STB at age 12 hours, the result of which was 9.2 mg/dL. Not very high,
responded by the physician. By the next day (28 hours) the STB value was 15
mg/dL. Which one of the following answer is correct about neonatal
hematopoiesis?
A. The red cells of the newborn are microcytic, MCV reaching adult values
by the 4th week
B. The blood volume per kilogram decreases over weeks.
C. hemoglobin and hematocrit values deflate in the first several hours
after birth
D. Red Blood charactertic : microcytic normochromic cells,
normochromasia, and a lot of nucleated red blood cells
E. By 3 -5 days after birth, nucleated red blood cells are normally found
in the blood
Question 113
Question 114
A 45-year-old woman went to primary health care presents with pain after
sexual intercourse with her husband. She also complains about foul smelled
vaginal discharge. Doctor advised her to do visual inspection with acetic as a
cervical cancer screening. Which of the most correct way to prepere the
solution?
Question 115
A. Oral contraceptives
B. ;minipills
C. Cervical cap
D. Male condoms
E. IUD
Question 116
Question 117
On the fourteenth day of the menstrual cycle, the pituitary gland releases a
hormone which allows the ovary to release a matured egg. This egg is then
swept into the fallopian tube. What phase of the menstrual cycle
encompasses these events?
A. Luteal phase
B. Ovulatory phase
C. Menstrual phase
D. Follicular phase
Question 118
Question 119
Question 120
A 27-year-old women came to the clinic for second visit continuing the
control of her anemia therapy. She had received iron supplementation for 3
months according to the dosage. Physical examination showed normal BMI
and anemia. Her blood laboratory examination showed low iron serum level
which is the same like her first previous result. What is the most correct
molecule involved and found in low level in her blood?
A. Erythropoietin
B. Vitamin C
C. ;Hepcidin
D. GDF-15
E. Albumin
Question 121
A 27-year-old female came to Dermato-venereology clinic because of
vaginal discharge. The symptoms had first appeared since 2 weeks. The
patient had history having sexual intercourse without using condom. The
complaint accompanied by dyspareunia and dysuria. Venereological
examination revealed strawberry cervix with yellow-green frothy vaginal
discharge. Which of the following is a first line treatment for patient?
A. Doxycycline
B. Cefixime
C. Ceftriaxone
D. Metronidazole
E. Erythromicine
Question 122
Question 123
A 20-year-old patient presents with cyclic, midline pain, low back pain and
pelvic fullness. Difficulty in defecating and urinating is also present. This
patient has not been able to have a mentrual period. A palpable abdominal
and pelvic mass is found during physical examination Which of the following
is the most likely diagnosis?
A. Meigg Syndrome
B. .Hematometra
C. Ovarian cyst
D. Leimyoma
E. Ovarian cancer kt tim mde
Question 124
A. LSIL
B. HSIL
C. AGC
D. SCC
E. ASC-US
Question 125
A. Mefenamic acid
B. Salicylate
C. Paracetamol
D. Ibuprofen
E. Metampyrone
Question 126
Define the pelvic girdle and describe the bones and ligaments of the pelvis
Explain the three regions of the hip bone and identify their bony landmarks
Describe the openings of the pelvis and the boundaries of the greater and
lesser pelvis The pelvic girdle (hip girdle) is formed by a single bone, the hip
bone or coxal bone or coxae (coxal = hip), which serves as the attachment
point for each lower limb. Each hip bone, in turn, is firmly joined to the axial
skeleton. The right and left hip bones also converge anteriorly to attach to
each other.
The hip bone, or coxal bone, forms the pelvic girdle portion of the pelvis. The
paired hip bones are the large, curved bones that form the lateral and
anterior aspects of the pelvis.
A. The slightly curved posterior margin of the ischium above the ischial
tuberosity is
B. lesser sciatic foramen
C. lesser sciatic notch
D. greater sciatic notch
E. sciatic canal
Question 127
A 28-year-old woman want to use progestin only pills to protect her from
pregnancy. Which of the following condition would be an absolute
contraindication for her to use it?
A. Having a diabetes
B. Breastfeeding
C. BMI 20-35
D. Suspect breast cancer
E. Blood pressure 130/80 mmHg
Question 128
A fetus does not have a fully developed immunologic system and needs to
receive help from the maternal system. Which immunoglobulins can cross
through the placenta to provide passive immunity for the fetus?
A. Only IgA
B. IgA and IgG
C. IgM and IgG
D. Only IgG
E. IgE and IgM
Question 129
Question 130
Mrs Nana, a 28–year-old G2P1A0, her blood pressure is 160 /90 mmHg. Which
of the following is the appropriate drug and its regimen dosage ?
Question 131
A 20-year-old patient complained about painless mass on her labia located
on the 7 oclock direction. She has no fever. 1 year ago, she also has the same
complain and admitted to the hospital What is the risk factor of this disease?
A. Nutrition
B. Hygiene
C. Age
D. Genetics
E. Promiscuity
Question 132
Describe the structure and function of the organs of the female internal
genitals In clinical practice, the term perineum is frequently used to describe
the area between the external genitalia and the anus. However, in anatomical
terms, the perineum is a diamond-shape structure.
Question 134
At age 5 days, a baby become lethargic and refused to nurse. The baby
suddenly had seizures and the parents took the baby to the emergency room.
The triage nurse exclaimed: This baby looks like a pumpkin! While waiting to
be seen by a doctor, the baby became apneic and required intubation and
ventilation. Phenobarbital was administered, and 1.5 hours later the STB was
reported as 35 mg/dL. What is the correct possible diagnosis of the baby?
A. Pneumonia
B. Bilirubin encephalopathy bkn ini?
C. Epilepsy
D. Respiratory failure
E. Neonatal sepsis
Question 135
Mrs. Eva, a 35-year-old female, came to the emergency with chief complaint
acute onset pain on lower abdominal area. Physical examination found a
palpable mass at the right lower quadrant, with 10 cm of diameter. Bimanual
exam showed slightly enlarged 10x10x10 cm cystic mass, mobile, tenderness
(+), utery within normal limit. Urine test of pregnancy was negative. which is
most likely structure of pelvic adnexa affected?
A. cervix
B. appendix
C. ovaries
D. fallopian tube
E. uterus
Question 136
A 45-year-old woman went to primary health care presents with pain after
sexual intercourse with her husband. She also complains about foul smelled
vaginal discharge. Doctor advised her to do visual inspection with acetic as a
cervical cancer screening. Which of the following is eligible for the test?
Question 137
Define the pelvic girdle and describe the bones and ligaments of the pelvis
Explain the three regions of the hip bone and identify their bony landmarks
Describe the openings of the pelvis and the boundaries of the greater and
lesser pelvis The pelvic girdle (hip girdle) is formed by a single bone, the hip
bone or coxal bone or coxae (coxal = hip), which serves as the attachment
point for each lower limb. Each hip bone, in turn, is firmly joined to the axial
skeleton. The right and left hip bones also converge anteriorly to attach to
each other. The hip bone, or coxal bone, forms the pelvic girdle portion of the
pelvis. The paired hip bones are the large, curved bones that form the lateral
and anterior aspects of the pelvis. When you place your hands on your waist,
you can feel the arching, superior margin of the ilium along your waistline.
This curved, superior margin of the ilium is the ....
A. iliac crest
B. iliac ramus
C. iliac tuberosity
D. iliac spine
Question 138
She also consult about the contraceptive method. As a doctor, your answer
and explanation based on your knowledge. Which is the following statement
appopriate for her consultion : Reducing breastfeeding duration or frequency
and introducing supplementary feeds are all associated with earlier return of
ovulation
Describe the structure and function of the organs of the female internal
genitals The mons pubis is a pad of fat that is located at the anterior, over the
pubic bone. After puberty, it becomes covered in pubic hair. The labia majora
(labia = lips; majora = larger) are folds of hair-covered skin that begin just
posterior to the mons pubis. The thinner and more pigmented labia minora
(labia = lips; minora = smaller) extend medial to the labia majora.
A. vagina
B. vulva
C. clitoris
D. perineum
Question 140
A 6-year-old girl is seen for a 10 day history of intense vulvar itching leading
to excoriation, the vulva are noted to be diffusely inflamed. What is the most
probable cause of these symptoms?
A. Enterobious vermicularis
B. Candida albicans infection
C. Atophic vulvitis
D. Sexual assault
E. Foreign body
Question 141
Which of the following is the most appropriate terms for the pelvic type with
small posterior sagittal diameter, convergent sidewalls, prominent ischial
spines, and narrow pubic arch?
A. Platypelloid.
B. Android.
C. Anthropoid.
D. Gynecoid.
E. Mixed.
Question 142
A. Oogenesis
B. Spermatocytogenesis
C. Fertilization
D. Spermatogenesis
E. Ovulation
Question 143
A. vaginal delivery
B. Prolonged rupture of membranes (20 hours)
C. Female
D. primigravida
E. Chorioamnionitis
Question 144
Describe the structure and function of the organs of the female internal
genitals In clinical practice, the term perineum is frequently used to describe
the area between the external genitalia and the anus. However, in anatomical
terms, the perineum is a diamond-shape structure. Where does fertilization of
the egg by the sperm typically occur?
A. ovaries
B. vagina
C. corpus luteum
D. oviducts
Question 145
A 2-day-old baby boy was brought to the hospital complaining of yellow skin
all over his body. What is the most appropriate patological process related to
the case?
A. Juvenille Gallstones
B. Hemolytic Uremic Syndrome
C. ABO Incompatibility
D. Idopathic Thrombocytopenic Purpura
E. Thrombotic Thrombocytopenia Purpura
Question 146
A. 1, 2, 3, 5, 4
B. 4, 2, 3, 1, 5
C. 1, 2, 3, 4, 5
D. 4, 2, 3, 5, 1
E. 1, 3, 2, 5, 4
Question 147
The pudendal nerve is formed from the sacral plexus. After re-entering the
pelvis, it accompanies the internal pudendal artery and vein, coursing
anterosuperiorly through pudendal canal. Pudendal canal is a structure
formed by ..
Question 149
A. Fetal-growth restrict
B. breech presentation
C. Oligohydramnios Respiratory distress syndrome
D. Early labor
E. Twin gestation
Question 150
Question 151
A 15-year-old boy was involved in a traffic accident and was taken to the
hospital. The patient requires a blood transfusion. Blood group revealed B Rh+
blood group. What is the blood group that acts as recipient donor
A. O
B. D
C. .B
D. AB
E. A
Question 152
A male baby was born from a 20-year-old primigravida mother by vaginal
delivery with head presentation. Birthweight was 3700gr. The delivery was
rather difficult, as the mother could not push properly. On examination you
notice the head was bulging and on palpation you can feel the bulge extend
across sutures. What is the most possible diagnosis of your finding?
A. Subdural haemorrhage
B. Epidural hemorrhage
C. Subgaleal hematoma
D. Cephal hematoma
E. Caput succedaneum
Question 153
A baby with AB blood group was born at term gestation. Her mother has
blood group O, and Rh negative. On admission to the nursery, the nurses
thought that the babys skin had a yellow tinge. The physician believed this
was only very mild jaundice and chose to ignore it. An astute nurse, however,
took an STB at age 12 hours, the result of which was 9.2 mg/dL. Not very high,
responded by the physician. By the next day (28 hours) the STB value was 15
mg/dL. Which one of the following answer is correct about the physiology of
bilirubin?
A 2-day-old baby boy was brought to the hospital complaining of yellow skin
all over his body. Blood laboratory examination revealed an increase in
indirect bilirubin. What is the most appropriate underlying cause related to
the case?
Question 155
She is gravida 3 para 2. She used contraceptive pills but stopped 3 years ago.
There is no gynaecological history. She is fit medically. The abdomen non
distended but tender suprapubically. The cervical os is closed and products
conception still inside.
One medical student wants to test a hypothesis that women with higher
childhood socioeconomic status (SES) have earlier age at menarche.
Suppose she identifies 40 girls with low childhood SES and 30 girls with high
childhood SES and observes mean age at menarche for girls with low and
high childhood SES are 13.4 years with standard deviation of 1.4 years and 12.9
years with standard deviation of 1.5 years, respectively. It is assumed that the
variances of the two groups are equal. If the assumptions for parametric test
are not met, which of the following is the correct alternative test?
Question 157
A 21-day-old male infant was born at 30 weeks gestation with a birth weight
of 1200 grams. His history is notable for respiratory distress syndrome, he was
treated with surfactant. He remains intubated on conventional ventilator
support. Caffeine therapy was initiated. He received a 7-day course of
ampicillin and cefotaxime for presumed sepsis at birth and another 5-day
course of cefotaxime at 2 weeks of age. The infant continues to deteriorate
over the next 48 hours. His new CBC is notable for a white blood cell count of
5000/mL and a platelet count of 32,000/mL. Which of the following is not a
known risk factor for late onset sepsis in this infant?
Question 158
Bob and Miriam Pataki walk in to your office with their 16 year-old daughter
Nina, who has not yet menstruated for the first time. Examination revealed a
thin girl with normal breast development and the normal presence of pubic
and axillary hair. On talking with Nina, you discover she is a junior in high
school and is very active in sports. She is the highschools track and field star,
and she is an avid swimmer. Because of her track practice, Nina stays up late
most nights to do her homework, consequently, she only gets five to six hours
of sleep a night. What is the improper secretion of which of the following
hormones do you suspect to be the original culprit of Ninas amenorrhea?
A. Estradiol
B. luteinizing hormone (LH)
C. gonadotrophin releasing Hormone ( GnRH)
D. folicle stimulating hormone (FSH)
Question 159
Suppose a new treatment for pain relief is to be tested among patients with
disease X. The measure of pain relief will be the percent change in pain level
as reported by the patient after taking the medication for 1 month. What do
type I error mean in this situation?
Question 160
Describe the pelvic innervation The pudendal nerve is formed from the sacral
plexus. After its formation, pudendal nerve descends and leaves the pelvis
through the lower part of greater sciatic foramen and then re-enters the
pelvis through the lesser sciatic foramen.
A. sacroiliac ligament
B. sacrococcyx ligament
C. sacropubic ligament
D. sacrospinous ligament
E. Before re-entering the pelvis, pudendal nerve crosses the …
Question 161
A. Mefenamic acid
B. Ritordin
C. MgSO4
D. Methyl ergonovin
E. Misoprostol
Question 162
A. 2 weeks
B. 3 weeks
C. ;4 weeks
D. 5 weeks
E. 1 week
Question 163
One medical student wants to test a hypothesis that women with higher
childhood socioeconomic status (SES) have earlier age at menarche.
Suppose she identifies 40 girls with low childhood SES and 30 girls with high
childhood SES and observes mean age at menarche for girls with low and
high childhood SES are 13.4 years with standard deviation of 1.4 years and 12.9
years with standard deviation of 1.5 years, respectively. It is assumed that the
variances of the two groups are equal. What is the value of the test statistic?
A. 1.45
B. 1.43
C. 1.42
D. 1.41
E. 1.44
Question 164
You are a doctor in a primary health facility. You have a case where there is a
baby girl, 20 hours of experiencing jaundice with yellow symptoms that have
reached the palms of the hands and soles of the feet. Which action or
treatment is right for the baby?
Question 165
Mrs Rara, a 25-year-old G1P0A0, with 10 weeks gestational age, present at PKM
due to nausea-vomiting every morning. She works as a teller of a private
bank. Which is the most appropriate antiemetic for her ?
A. Thiamine 25 mg
B. Diphenhydramine 25 mg
C. Doxylamin 25 mg
D. Meziklin 25 mg
E. Diphenhidrinate 50mg
Question 166
Question 167
A. Tramadol
B. Ibuprofen
C. Prednisone
D. Paracetamol
E. Diclofenac
Question 168
Question 170
This is her second pregnancy, and the patient regularly checks her pregnancy
to the midwife. Two weeks ago, at the last examination, revealed that the
baby was in breech position with 29 weeks of pregnancy. From the physical
examination :
- General appearance in good condition, mild ill, moderate pain when labor
pain felt
- Vital sign and general status within normal limit
Obstetric examination :
- Fundal height is 30 cm
- The baby in breech position, back on the left
- Fetal heart rate 148-152 bpm
- Uterine contraction 2x/10 minutes, each contraction sustain for 30 second,
strong intensity
- Estimated birth weight is 1900 grams
From the vaginal examination, the buttock is palpable without palpable
babys feet, the baby is in
A. Compound presentation
B. Kneeling presentation
C. Footling-frank breech presentation
D. Frank breech presentation
E. Footling presentation
Question 171
active labor
Question 172
A. Oogenesis
B. Fertilization
C. Spermatogenesis
D. Spermatocytogenesis
E. Ovulation
Question 173
A 10-day-old newborn need red cell transfusion for massive bleeding due to
Vit.K deficiency. The result of blood grouping test showed: Anti-A: Negative,
Anti-B: Negative, Anti-AB: Negative, Anti-Rh: Positive What is the examination
for pretransfusion testing related to the case above?
A. Crossmatch test
B. Indole-test
C. LE test
D. Coombs test
E. HAMs Test
Question 174
A. Toxoplasma gondii
B. Trichomonas vaginalis
C. Gardenalla vagnalis
D. Proteus mirabilis
E. Candida albican
Question 175
Question 176
A 10-day-old newborn need red cell transfusion for massive bleeding due to
Vit.K deficiency. The result of blood grouping test showed: Anti-A: Negative,
Anti-B: Negative, Anti-AB: Negative, Anti-Rh: Positive What coagulant factor
mostly affected related to the case?
A. Factor II
B. Factor XII
C. Factor XIII
D. Factor III
E. Factor VIII
Question 177
Question 178
Question 179
A. 1 mg
B. 600 mcg
C. 800 mcg
D. 100 mcg
E. 6 mg
Question 181
Question 182
A 40-year-old woman just delivered a week ago to a healthy child. She
delivered spontaneously. She has a bloody discharge. She need to change
tampon 5 times a day. She doesnt feel any pain just weak. What should you
do?
Question 183
A. Anal
B. Posterior Fornix
C. Labia
D. Endocervix
E. Ectocervix
Question 184
A. Risk of overweight
B. Risk of obesity
C. Well nourished
D. Obesity
E. Overweight
Question 185
Question 186
Question 187
A mother and her 16-years old daughter present to your office because the
daughter has not yet menstruated. They are very concerned that something
is wrong. By applying principles of puberty to this patient, it is possible to
determine if the teen is simply undergoing a slightly delayed puberty versus
potentially manifesting a significant endocrine or anatomical problem. Which
of the following sequence of conditions should be happen in this patient if she
is normal?
Question 188
A woman 27 years old at 20-22 weeks gestation. She had had regular cycles
for 5 days every 28 days. She had no irregular bleeding or any abdominal
pain. She is on her third pregnancy. All her previous children delivered
spontaneously. If you do physical examination, where would you feel the
fundus at?
Question 189
Describe the pelvic innervation The pudendal nerve is formed from the sacral
plexus. After its formation, pudendal nerve descends and leaves the pelvis
through the lower part of greater sciatic foramen and then re-enters the
pelvis through the lesser sciatic foramen.
A. inferior rectal nerve, perineal nerve, ventral nerve of the penis or clitoris
B. The pudendal nerve supplies sensation to external genitals of both
sexes and the skin around the anus, anal canal, and perineum through
it branches:
C. inferior rectal nerve, perineal nerve, dorsal nerve of the penis or
clitoris
D. superior rectal nerve, perineal nerve, caudal nerve of the penis or clitoris
E. superior rectal nerve, perineal nerve, ventral nerve of the penis or clitoris
Question 190
The cervix is the least mobile part of the uterus because of the passive
support provided by attached condensations of endopelvic (ligaments),
which may also contain smooth muscle what is the most correct explained?
Question 191
A. Hegar dilator
B. Loop electrode
C. Ayre spatula bkn ini? Antara ini sm e, kl ini di ambil di portio
D. Speculum
E. Cytobrush kl ini di endocervix
Question 192
Define the pelvic girdle and describe the bones and ligaments of the pelvis
Explain the three regions of the hip bone and identify their bony landmarks
Describe the openings of the pelvis and the boundaries of the greater and
lesser pelvis The pelvic girdle (hip girdle) is formed by a single bone, the hip
bone or coxal bone or coxae (coxal = hip), which serves as the attachment
point for each lower limb. Each hip bone, in turn, is firmly joined to the axial
skeleton. The right and left hip bones also converge anteriorly to attach to
each other.
The hip bone, or coxal bone, forms the pelvic girdle portion of the pelvis. The
paired hip bones are the large, curved bones that form the lateral and
anterior aspects of the pelvis.
The pubis forms the anterior portion of the hip bone. The enlarged medial
portion of the pubis is the pubic body. Located superiorly on the pubic body is
a small bump called the …
A. ischiopubic ramus
B. pubic tubercle
C. superior pubic ramus
D. pubic arch
Question 193
Question 194
A 37-weeks gestation woman was admitted from clinic yesterday. This is her
second pregnancy. Her first child was born spontaneously 10 years ago. She
remmaried. Her blood pressure at 13 weeks was 139/75mmHg. Her blood tests
were unremarkable. 2 weeks ago her blood pressure 140/83 mmHg. Her
urinalysis result was normal. The blood pressure was repeated 2 days later
(140/85mmHg). Two days ago she did further appointment with blood
pressure 147/100 mmHg. Her legs was swollen. She denies any headache or
blurring vision.
A few minutes ago suddenly she has seizure. What is your interpretation and
further management needed?
Question 195
A woman just do MR imaging after her HSG results showed dibverging horns
on her uterine. It is confirmed she had bicornuate uterus. What are adverse
obstetrical outcomes below, EXCEPT:
A. preterm birth
B. malpresentation
C. malposition
D. microsomia
E. Misscarriage
Question 196
Define the pelvic girdle and describe the bones and ligaments of the pelvis
Explain the three regions of the hip bone and identify their bony landmarks
Describe the openings of the pelvis and the boundaries of the greater and
lesser pelvis The pelvic girdle (hip girdle) is formed by a single bone, the hip
bone or coxal bone or coxae (coxal = hip), which serves as the attachment
point for each lower limb. Each hip bone, in turn, is firmly joined to the axial
skeleton. The right and left hip bones also converge anteriorly to attach to
each other.
The hip bone, or coxal bone, forms the pelvic girdle portion of the pelvis. The
paired hip bones are the large, curved bones that form the lateral and
anterior aspects of the pelvis.
Question 197
A 22-year-old primigravida presents in active labor at 4 cm dilation. Her
membranes are intact, the fetus is cephalic, and the fetal tracing is category I.
Two hours later, she is still 4 cm dilated. Her contractions are every 7 minutes.
What is the best next step in labor management?
A. Oxytocin augmentation
B. Amniotomy and oxytocin
C. Continued observation
D. Cesarean section for failure to progress
E. Amniotomy
Question 198
A 28-year-old G2P1A0 at 12th week gestational age came to the doctor for her
first prenatal care. Based on the screening for TORCH the patient was
diagnosed with maternal acute toxoplasmosis. The USG result showed no
abnormality of the fetus. The patient was treated with oral Spiramycin. What is
the mechanism of action of the drug given to this patient?
Question 199
Question 200
A. Contraceptive implant
B. Combination progesterone and estrogen
C. Progestin only pills
D. Contraceptive pills with bi-phasic regimen
E. Estrogen only pills
CRP → 40590
Question 1
An important hypothesis in hypertension research is that the sodium restriction may
lower blood pressure. However, it is difficult to achieve sodium restriction over long
term, and dietary counseling in a group settfing is sometimes used to achieve this goal.
The investigators measures the urinary sodium excretion (mEq/8hr) from 25 subjects at
baseline and after 1 week of dietary counseling. At baseline, the mean and the standard
deviation of the sodium excretion are 17.65 mEq/8hr and 10.56 mEq/8hr, respectively.
After one week, the mean and the standard deviation of the sodium excretion are 16.5
mEq/8hr and 11.63, respectively. The standard deviation of the difference is 12.22.
What is the value of the test statistic?
A. -0.77
B. -0.47
C. -0.67
D. -0.57
E. -0.37
Question 2
An important hypothesis in hypertension research is that the sodium restriction may
lower blood pressure. However, it is difficult to achieve sodium restriction over long
term, and dietary counseling in a group setting is sometimes used to achieve this goal.
The investigators measures the urinary sodium excretion (mEq/8hr) from 25 subjects at
baseline and after 1 week of dietary counseling. At baseline, the mean and the standard
deviation of the sodium excretion are 17.65 mEq/8hr and 10.56 mEq/8hr, respectively.
After one week, the mean and the standard deviation of the sodium excretion are 16.5
mEq/8hr and 11.63, respectively. The standard deviation of the difference is 12.22. If the
assumptions for parametric test are not met, which of the following is the correct
alternative test?
Question 3
The Womens CARE study examined the use of OCs as a risk factor for breast cancer in
women ages 35 to 64. One of the findings described as follow: from women who were
diagnosed with breast cancer, 200 of them were current user and 1032 were non-user.
From women who did not have breast cancer, 172 of them were current user and 980
were non-user. Current use was defined as use of combination oral contraceptives
within six months preceding the reference date. What is the expected count for non-user
among case group?
A. 192.2
B. 1039.8 ini deh kan (2,012 x 1,232)/2,384
C. 2384.6
D. 972.2
E. 179.8
Question 4
The Womens CARE study examined the use of OCs as a risk factor for breast cancer in
women ages 35 to 64. One of the findings described as follow: from women who were
diagnosed with breast cancer, 200 of them were current user and 1032 were non-user.
From women who did not have breast cancer, 172 of them were current user and 980
were non-user. Current use was defined as use of combination oral contraceptives
within six months preceding the reference date. What is the value of the test statistic?
A. 0.78
B. 0.79
C. 0.45
D. 0.67
E. 0.56
Question 5
Because of increased rates of respiratory complications, elective cesarean delivery is
discouraged before 39 weeks of gestation unless there is evidence of fetal lung
maturity. Based on the background, the investigators assessed associations between
elective cesarean delivery at term (37 weeks of gestation or longer) but before 39
weeks of gestation and neonatal outcomes. Which of the following are the dependent
and independent variables for the study?
Question 6
According to the Table 8, which of the following statements is appropriate?
A. There are nine qualitative data, five with ordinal scale and four with nominal scale
B. There are nine qualitative data, seven with ordinal scale and two with nominal
scale
C. There are nine qualitative data, four with ordinal scale and five with nominal scale
D. There are four quantitative data and five qualitative data
E. There are nine qualitative data, six with ordinal scale and three with nominal
scale
Question 8
Suppose a new treatment for pain relief is to be tested among patients with disease X.
The measure of pain relief will be the percent change in pain level as reported by the
patient after taking the medication for 1 month. What do type II error mean in this
situation?
A. To conclude that the treatment has an effect when in fact it has an effect
B. To conclude that the treatment doesnt have an effect when in fact it has an effect
→ bener? iyaaa
C. To conclude that the treatment doesnt have an effect when in fact it doesnt have
an effect
D. To conclude that the treatment has an effect when in fact it doesnt have an effect
E. To conclude that the treatment has an effect using inappropriate statistical
method
Question 9
According to the Table 13, which of the following statements is appropriate?
Question 10
According to the Table above, which of the following statements is appropriate?
uestion 11
Symptoms of gastroesophageal reflux are common in pregnancy, but there are limited
data on the risk of birth defects associated with exposure to proton-pump inhibitors
(PPIs) in early pregnancy. The investigators conducted a cohort study to assess the
association between exposure to PPIs during early pregnancy and the risk of major birth
defects among all infants born alive in Denmark between January 1996 and September
2008. Which of the following are the dependent and independent variables for the
study?
Question 12
Suppose serum-cholesterol levels in spouse pairs (husband and wife) are measures to
determine whether there is correlation between cholesterol levels in spouses. Suppose
that the coefficient of correlation is 0.31 based on 51 spouse pairs. What is the value of
the test statistics?
A. 2.33
B. 2.26
C. 2.31
D. 2.28
E. 2.35
Question 13
The Womens CARE study examined the use of OCs as a risk factor for breast cancer in
women ages 35 to 64. One of the findings described as follow: from women who were
diagnosed with breast cancer, 200 of them were current user and 1032 were non-user.
From women who did not have breast cancer, 172 of them were current user and 980
were non-user. Current use was defined as use of combination oral contraceptives
within six months preceding the reference date. Which of the following is the proportion
of current user among control group?
A. 0.156
B. 0.162
C. 0.167
D. 0.149
E. 0.174
Question 14
According to the Table 7, which of the following statements is appropriate?
Question 15
The Womens CARE study examined the use of OCs as a risk factor for breast cancer in
women ages 35 to 64. One of the findings described as follow: from women who were
diagnosed with breast cancer, 200 of them were current user and 1032 were non-user.
From women who did not have breast cancer, 172 of them were current user and 980
were non-user. Current use was defined as use of combination oral contraceptives
within six months preceding the reference date. Which of the following is the proportion
of current user among case group?
A. 0.162
B. 0.167
C. 0.174
D. 0.149
E. 0.156
Question 16
According to the Table 3, which of the following statements is appropriate?
A. There are five qualitative data with nominal scale
B. There are two quantitative data
C. There are two qualitative data with ordinal scale
D. There are seven qualitative data with nominal scale
E. There are five qualitative data with ordinal scale
Question 17
Childbearing is an established risk factor for urinary incontinence among young and
middle-aged women. It has been suggested that vaginal delivery is the main
contributing factor, possibly because of damage to important muscle tissue or nerves.
However, pregnancy itself may causes mechanical changes, hormonal changes, or both
that can lead to urinary incontinence. Results of epidemiologic and pathophysiological
studies assessing the relation between the mode of delivery and incontinence have
been inconclusive. A methodologic problem in many studies is the relatively small
number of participants, who are sometimes drawn from selected populations. The
investigators studied women in the Norwegian Epidemiology of Incontinence in the
County of Nord Trondelag (EPINCONT) study, a large community-based study, to
evaluate the risks of incontinence associated with cesarean section and vaginal
delivery. Which of the following are the dependent and independent variables for the
study?
Question 18
The Womens CARE study examined the use of OCs as a risk factor for breast cancer in
women ages 35 to 64. One of the findings described as follow: from women who were
diagnosed with breast cancer, 200 of them were current user and 1032 were non-user.
From women who did not have breast cancer, 172 of them were current user and 980
were non-user. Current use was defined as use of combination oral contraceptives
within six months preceding the reference date. What is the expected count for current
user among case group?
A. 2384.6
B. 192.2
C. 1039.8
D. 972.2
E. 179.8
Question 19
Question 20
The Womens CARE study examined the use of OCs as a risk factor for breast cancer in
women ages 35 to 64. One of the findings described as follow: from women who were
diagnosed with breast cancer, 200 of them were current user and 1032 were non-user.
From women who did not have breast cancer, 172 of them were current user and 980
were non-user. Current use was defined as use of combination oral contraceptives
within six months preceding the reference date. What is the expected count for current
user among control group?
A. 972.2
B. 1039.8
C. 2384.6
D. 179.8
E. 192.2
Question 21
According to the Table 10, which of the following statements is appropriate?
A. There are four quantitative data and four qualitative data with ordinal scale
B. There are three quantitative data and five qualitative data with nominal scale
C. There are five quantitative data and three qualitative data with ordinal scale
D. There are three quantitative data and five qualitative data with ordinal scale
E. There are four quantitative data and four qualitative data with nominal scale
Question 22
In simple linear regression, to test the hypothesis H0: β1 = 0 versus H1: β1 ≠ 0, with
significance level α, which of the following is the correct decision rule to reject H0 using t
test?
Question 23
According to the Table 9, which of the following statements is appropriate?
Question 24
According to the Table above, which of the following statements is appropriate?
A. There are three qualitative data with ordinal scale
B. There are four qualitative data with ordinal scale
C. There are two qualitative data with nominal scale
D. There are two qualitative data with ordinal scale
E. There are three qualitative data with nominal scale
Question 25
The Womens CARE study examined the use of OCs as a risk factor for breast cancer in
women ages 35 to 64. One of the findings described as follow: from women who were
diagnosed with breast cancer, 200 of them were current user and 1032 were non-user.
From women who did not have breast cancer, 172 of them were current user and 980
were non-user. Current use was defined as use of combination oral contraceptives
within six months preceding the reference date. What is the point estimate and a 95%
CI for OR relating OC use and risk of breast cancer?
Question 26
One medical student wants to test a hypothesis that birthweight of an infant is
associated with smoking status of the mother during first semester of pregnancy. She
records birthweights of infants (grams) and smoking status of the mother and divides
the smoking status into four groups: non-smoker, ex-smoker, current smoker and
smokes less than 1 pack per day, and current smoker and smokes 1 pack per day or
more. If the assumptions for parametric test are not met, which of the following is the
correct alternative test?
Question 27
According to the Table 14, which of the following statements is appropriate?
A. There are nine qualitative data, four with ordinal scale and five with nominal scale
B. There are nine qualitative data, three with ordinal scale and six with nominal
scale
C. There are nine qualitative data, six with ordinal scale and three with nominal
scale
D. There are nine qualitative data, seven with ordinal scale and two with nominal
scale
E. There are nine qualitative data, five with ordinal scale and four with nominal scale
Question 28
One medical student wants to test a hypothesis that women with higher childhood
socioeconomic status (SES) have earlier age at menarche. Suppose she identifies 40
girls with low childhood SES and 30 girls with high childhood SES and observes mean
age at menarche for girls with low and high childhood SES are 13.4 years with standard
deviation of 1.4 years and 12.9 years with standard deviation of 1.5 years, respectively.
It is assumed that the variances of the two groups are equal. What is the value of the
test statistic?
A. 1.43
B. 1.42
C. 1.44
D. 1.45
E. 1.41
Question 29
Which of the following is the correct property of correlation coefficient?
A. Its magnitude indicates how close the points are to the curve line
B. Its sign indicates the proportion of the variability of the relationship
C. Variable X and Y can be interchangeable without affecting its magnitude
D. Its value is valid only within the range of values of X and Y in the population
E. Correlation between x and y does necessarily imply a cause – effect relationship
Knp ga ini setuju iniii → harusnya ga ada sebab akibat (pembahasan cava)
Question 30
One medical student wants to test a hypothesis that there is a score difference given
from two examiners during SOOCA examination in Faculty of Medicine, University Y (for
one examination room only). If the assumptions for parametric test are not met, which of
the following is the correct alternative test?
Question 31
A randomized trial was done to answer whether the knowledge of fetal oxygen
saturation, as an adjunct to electronic fetal monitoring, is associated with a change in
the rate of cesarean deliveries or the infants condition at birth. The investigators
randomly assigned 5341 nulliparous women who were at term and in early labor to
either open or masked fetal pulse oximetry. In the open group, fetal oxygen saturation
values were displayed to the clinician. In the masked group, the fetal oxygen sensor
was inserted and the values were recorded by computer, but the data were hidden.
Which of the following are the dependent and independent variables for the study?
Question 32
According to the Table 6, which of the following statements is appropriate?
Question 33
Benign breast disease is an important risk factor for breast cancer. One historical cohort
study was conducted using large group of women with benign breast disease to obtain
reliable estimates of this risk. The conclusion was that risk factors for breast cancer
after the diagnosis of benign breast disease include the histologic classification of a
benign breast lesion and a family history of breast cancer. Suppose one medical student
wants to conduct a case control study to identify risk of breast cancer among women in
her region based on the previous study results. Which of the following are the
dependent and independent variables for her study?
Question 34
The investigators want to compare cholesterol level of the children whose fathers have
died from heart disease versus the children whose fathers do not have a history of heart
disease. Suppose from 100 children whose fathers have died from heart disease, the
observed mean and standard deviation of the cholesterol level are 207.3 mg/dl and 35.6
mg/dl. Another 80 children whose fathers do not have a history of heart disease are also
identified and the observed mean and standard deviation of the cholesterol level are
193.4 mg/dl and 17.3 mg/dl. It is assumed that the variances of the two groups are not
equal. If the assumptions for parametric test are not met, which of the following is the
correct alternative test?
A. Friedman test
B. Wilcoxon signed-rank test
C. Kruskal – Wallis test
D. Wilcoxon sum-rank test
E. Kolmogorov – Smirnov test
Question 35
In simple linear regression, which of the following is true if H0: β1 = 0 is rejected?
A. Assuming that we do not commit a type I error, the relationship between X and Y
is not linear. Some curvilinear model provides a better fit to the data
B. ;Assuming that we do commit a type I error, the relationship is linear and
sufficient strength to justify the use of sample regression equation to predict and
estimate Y for given value of X
C. Assuming that we do not commit a type I error, the relationship is linear and
sufficient strength to justify the use of sample regression equation to predict and
estimate Y for given value of X
D. Assuming that we do not commit a type I error, although the relationship between
X and Y may be linear it is not strong enough for X to be of much value in
predicting and estimating Y
E. Assuming that we do commit a type I error, there is a good fit of the data to a
linear model, but some curvilinear model might provide an even better fit
Question 36
According to the Table 8, which of the following statements is appropriate?
Question 37
The Womens CARE study examined the use of OCs as a risk factor for breast cancer in
women ages 35 to 64. One of the findings described as follow: from women who were
diagnosed with breast cancer, 200 of them were current user and 1032 were non-user.
From women who did not have breast cancer, 172 of them were current user and 980
were non-user. Current use was defined as use of combination oral contraceptives
within six months preceding the reference date. What is the expected count for non-user
among control group?
A. 2384.6
B. 1039.8
C. 179.8
D. 972.2
E. 192.2
Question 38
The investigators want to compare cholesterol level of the children whose fathers have
died from heart disease versus the children whose fathers do not have a history of heart
disease. Suppose from 100 children whose fathers have died from heart disease, the
observed mean and standard deviation of the cholesterol level are 207.3 mg/dl and 35.6
mg/dl. Another 80 children whose fathers do not have a history of heart disease are also
identified and the observed mean and standard deviation of the cholesterol level are
193.4 mg/dl and 17.3 mg/dl. It is assumed that the variances of the two groups are not
equal. What is the value of the test statistic?
A. 3.2
B. 3.43
C. 3.53
D. 3.6
E. 3.3
Question 39
Question 40
Suppose the investigator want to compare fasting serum-cholesterol levels among
recent immigrants to country A with typical levels found in the general population of
country X. Suppose it is assumed that the cholesterol levels in general population are
approximately normally distributed with mean 190 mg/dl. Blood test are performed on
100 immigrants, and it is observed that the mean is 181.52 mg/dl, with standard
deviation = 30 mg/dl. What is the value of the test statistic?
A. -2.63
B. -2.83
C. -2.73
D. -2.53
E. -2.43
Question 41
According to the Table 13, which of the following statements is appropriate?
A. There are five quantitative data
B. There are two quantitative data
C. There are four quantitative data
D. There are six quantitative data
E. There are three quantitative data
uestion 42
According to the Table 4, which of the following statements is appropriate?
A. There are thirteen quantitative data
B. There are eleven quantitative data
C. There are twelve quantitative data
D. There are fourteen quantitative data
E. There are fifteen quantitative data
Question 43
In simple linear regression, to test the hypothesis H0: β1 = 0 versus H1: β1 ≠ 0, with
significance level α, which of the following is the correct decision rule to reject H0 using
F test?
A. F > F1, n – 5, 1 – α
B. F > F1, n – 1, 1 – α
C. F > F1, n – 3, 1 – α
D. F > F1, n – 2, 1 – α
E. F > F1, n – 4, 1 – α
Question 44
According to the Table 11, which of the following statements is appropriate?
Question 45
One medical student wants test a hypothesis that there is a correlation between variable
X and Y. To test the hypothesis H0: ρ = 0 versus H1: ρ ≠ 0, with significance level α,
which of the following is the correct decision rule to reject H0 using t test?
Question 46
In simple linear regression, which of the following is true if H0: β1 = 0 is not rejected?
A. Assuming that we have made a type II error, although the relationship between X
and Y may be linear it is not strong enough for X to be of much value in
predicting and estimating Y
B. Assuming that we have not made a type II error, the relationship between X and
Y is not linear. Some curvilinear model provides a better fit to the data
C. Assuming that we have not made a type II error, There is a good fit of the data to
a linear model, but some curvilinear model might provide an even better fit
D. Assuming that we have not made a type II error, The relationship is linear and
sufficient strength to justify the use of sample regression equation to predict and
estimate Y for given value of X
E. Assuming that we have made a type II error, the relationship between X and Y is
not linear. Some curvilinear model provides a better fit to the data
Question 47
One medical student wants to test a hypothesis that women with higher childhood
socioeconomic status (SES) have earlier age at menarche. Suppose she identifies 40
girls with low childhood SES and 30 girls with high childhood SES and observes mean
age at menarche for girls with low and high childhood SES are 13.4 years with standard
deviation of 1.4 years and 12.9 years with standard deviation of 1.5 years, respectively.
It is assumed that the variances of the two groups are equal. If the assumptions for
parametric test are not met, which of the following is the correct alternative test?
Question 48
Suppose a new treatment for pain relief is to be tested among patients with disease X.
The measure of pain relief will be the percent change in pain level as reported by the
patient after taking the medication for 1 month. What do type I error mean in this
situation?
A. To conclude that the treatment has an effect when in fact it has an effect
B. To conclude that the treatment has an effect when in fact it doesnt have an effect
C. To conclude that the treatment has an effect using inappropriate statistical
method
D. To conclude that the treatment doesnt have an effect when in fact it has an effect
E. To conclude that the treatment doesnt have an effect when in fact it doesnt have
an effect
Question 49
According to the Table 4, which of the following statements is appropriate?
BHP
40623
Case 1
● Ibu A, 35 tahun adalah ibu dari empat orang anak perempuan.
Anak paling kecil berusia tiga tahun. Dia mengalami anemia
ringan, mengatakan dia sering lelah. Dia tinggal bersama
suaminya di rumah yang sederhana di pedesaan. Mereka hidup
dari bercocok tanam, memberi makan beberapa hewan
peliharaan, mengumpulkan kayu bakar, dan membawa beberapa
produk ke pasar local di kota terdekat.
● Dia datang ke klinik Keluarga Berencana terdekat dan meminta
dokter D untuk mensterilkannya karena dia merasa dengan
alasan kesehatan dan kemampuan keluarga yang terbatas, dia
tidak dapat mengatasi kehamilan serta membesarkan anak lagi.
● Dia mengatakan bisa membayar prosedur tindakan medis dari
tabungannya tetapi dia meminta dokter D dan staf klinik tidak
akan memberi tahu suaminya karena dia bisa melakukan
kekerasan dan selalu ingin menjadi ayah seorang anak laki-laki.
Dalam budaya lokal, para suami mengharapkan untuk
dikonsultasikan tentang perawatan medis istri mereka, tetapi hal
ini tidak diwajibkan secara hukum.
o Pertimbangkanbeneficencedannonmaleficence
09.45 disubmitt
4. Buatlah analisis berdasarkan wawasan bioetika dan
humaniora! Ini autonomy beneficence non maleficence sama
justice ditulis semua? Iyaaa, di pdf ada ga? Kaga ada
Justice: menjaga kerahasiaan pasien seperti dokter. D
memberikan perlakuan kepada seluruh pasien. Tidak
membeda-bedakan dengan kasus apapun dan harus
berkonsultasi terkait kondisi kesehatan dengan
pasien/keluarga/orang yang merawat pasien.