Archive for June, 2012


An 82-year-old man has 6 months of worsening memory loss. His family is concerned, and he is taken to a physician. Following an extensive evaluation and neuropsychological testing, he is diagnosed with dementia. Which of the following is the most common cause of dementia in the general population?

a. Epilepsy

b. Vascular disease

c. Alzheimer’s disease

d. Parkinson’s disease

e. Head trauma

the answer is below…

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An 80-year-old man has had a gradual memory decline over the past 10 years. A reversible cause of dementia cannot be found, and PET scan supports the diagnosis of Alzheimer’s disease. In the dementia associated with Alzheimer’s disease, the EEG will usually show which of the following?

a. Spike-and-wave discharges

b. Periodic frontal lobe discharges

c. Focal slowing

d. Generalized background slowing

e. An isoelectric record

the answer is below…

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A patient undergoes ventriculoperitoneal shunt placement for hydrocephalus. He is discharged 2 days later, his gait and cognition much improved. The following morning, his wife finds him lying in bed, very confused and complaining of a headache. He is unable to walk. The surgeon who performed the procedure is concerned that these new symptoms are due to which of the following?

a. Chemical meningitis

b. Subdural hematoma

c. Epidural hematoma

d. Seizures

e. Bacterial ventriculitis

the answer is below…

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Wheeey..
Sudah lama ndak nge-blog, sekalinya nge-blog saya akan bahas Medical App. Apa tho Medical App itu?

Nah, begini. Prinsip dasar Medical App adalah sebuah aplikasi yang memuat konten medis bagi gadget dengan tingkat mobilitas tinggi. Problemnya, kita sering menyebut semua aplikasi berbau medis adalah Medical App. Padahal sebenarnya tidak. Untuk lebih jelasnya, FDA yang akan meregulasi Medical App di US memilah mana yang Medical App dan mana yang tidak.

Definisi Medical App Oleh FDA

Draft US FDA Guideline for Mobile Medical Applications

Dari ilustrasi di atas, jelas ternyata bahwa yang masuk kategori Medical App hanyalah yang aplikasi yang mampu menggantikan peran dokter dalam berbagai aktifitas. Dalam berbagai kesempatan. Misalnya: penetapan diagnosis dan terapi. Yang termasuk aplikasi medis juga yang mampu mengunduh data rekam medis.

Sebuah ilustrasi:

Kasus 1: dr. A adalah seorang dokter jaga UGD sebuah RS. Suatu ketika datang pasien dengan keluhan nyeri perut. Setelah dilakukan pemeriksaan, maka dr. A ragu akan planning-nya. Pemeriksaan apa yang harus dilakukan. Terapi apa yang dibutuhkan. Maka dr. A pun menyalakan tablet dan membuka aplikasi Medscape. Beliau baca kembali literatur yang ada. Meneliti differential diagnosis yang mungkin. Setelah itu beliau menulis di status pasien planning diagnosis, therapy, monitoring.

Kasus 2: dr. B adalah seorang dokter jaga UGD sebuah RS. Suatu ketika datang pasien dengan keluhan kaki bengkak dan sesak napas. Pasien ini adalah pasien dr. SpPD-KGH. Pasien ini memang sering masuk rumah sakit. Karena kasusnya cukup kompleks, maka dr. A pun membuka tabletnya. Beliau membuka aplikasi dari RS untuk mengakses database rekam medis pasien. Dari sana, beliau mendapatkan riwayat terapi dari SpPD, dan mendapatkan kontak (ternyata SpPD sedang menghadiri simposium di Korea) untuk konsultasi. Konsultasi dilakukan secara real-time bahkan dapat mengirimkan foto kondisi pasien melalui aplikasi yang sama. Hasil lab maupun rontgen dapat langsung diinput dan diakses oleh SpPD dan memberikan instruksi untuk dr. A. Maka dr. A pun dapat menetapkan planning diagnosis, therapy, monitoring yang paripurna.

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A 14-year-old boy is brought to the physician because he told his mother he wished he were dead. He has been irritable for the past several weeks, and has been isolating himself in his room, avoiding his friends. He has been complaining of general aches and pains as well. Which of the following statements is true about this disorder?

a. It is rare in children

b. Its presentation in children is similar to that in adults

c. Medications are not the treatment of choice

d. Psychotic symptoms are common

e. Questions about suicide will increase the likelihood of self-destructive behavior

the answer is below…

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A 5-year-old boy shows no interest in other children and ignores adults other than his parents. He spends hours lining up his toy cars or spinning their wheels but does not use them for “make-believe” play. He rarely uses speech to communicate, and his parents state that he has never done so. Physical examination indicates that his head is of normal circumference and his gait is normal. Which of the following is the most likely diagnosis for this boy?

a. Obsessive-compulsive disorder

b. Asperger’s syndrome

c. Childhood disintegrative disorder

d. Autism

e. Rett’s disorder

the answer is below…

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