Archive for January, 2013


Injuries to the macula or fovea centralis typically affect vision by producing which of the following?

  1. Bitemporal hemianopsia
  2.  Nyctalopia (night blindness)
  3. Scintillating scotomas
  4. Mild loss of visual acuity
  5. Severe loss of visual acuity

the answer is below…

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After a recent news segment about scoliosis, the mother of several of your female patients calls to ask about the condition. You explain to her that idiopathic scoliosis would be most commonly found in her daughters in which age range?

  1.  Birth to 3 years
  2. 4 to 10 years
  3. 11 to 18 years
  4. 19 to 25 years
  5. >25 years

the answer is below…

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A 16-year-old girl, accompanied by her mother, is in your office for a well-adolescent visit. The mother asks about drug and alcohol abuse. You explain that the warning signs of abuse include which of the following?

  1. Excessive concern for weight and body configuration
  2. Improved school performance
  3. Recent changes from age-appropriate, acceptable friends to younger associates
  4. Deterioration in personal habits, hygiene, dress, grooming, speech patterns, and fluency of expression
  5. Improvement in relationships with adults, siblings, and authority figures

the answer is below…

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A chubby 6-month-old boy is noted by his father to have a “small” penis. He has been growing well and appears to be healthy otherwise. Which of the following is the most appropriate first step in management of this child?

  1.  Surgical consultation
  2.  Evaluation after retracting the skin and fat lateral to the penile shaft
  3.  Ultrasound for uterus and ovaries
  4.  Weight loss
  5.  Serum testosterone levels

the answer is below…

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After a recent suicide by one of his students, the local high school principal asks you to talk with teachers and students about adolescent suicide. Which of the statements is appropriate to include in the discussion?

  1. Girls tend to use more lethal means
  2. The number of attempted suicides is much higher among boys
  3. Those who are successful have a history of a prior attempt or prior serious suicidal ideation
  4. Inquiry by pediatricians, high school teachers, parents, or friends about suicidal thoughts precipitates the act
  5. The number of suicides in adolescents 10 to 19 years of age has decreased significantly since the 1950s

the answer is below…

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Sekilas Tentang Andrologi

Ah, sembari menunggu pasien, saya ingin cerita-cerita sedikit tentang passion medis saya. Cita-cita saya ingin menjadi dokter spesialis apa. Dan tentang apa spesialis itu.

Tapi sebelum mulai, saya mau bercerita tentang serial film CSI. Dalam sebuah episode, CSI ini bercerita tentang pembunuhan seorang dokter, dan yang menarik adalah, pelakunya merupakan kembar identik, tidak satu tetapi empat! Bagaimana kisahnya? Simak yaa…

Alkisah terjadi pembunuhan terhadap seorang dokter di sebuah Casino. Dari pemeriksaan tim CSI (Crime Scene Investigation) ternyata pelakunya adalah seorang laki-laki dengan baju jingga. Maka segera dilakukan pencarian dan ternyata ditemukan laki-laki berbaju jingga yang tampak di CCTV, tidak hanya satu, tetapi ada tiga laki-laki pria dengan wajah sama, mengenakan baju jingga di lokasi kejadian.

Tiga orang laki-laki dengan wajah sama, memiliki DNA yang sama, namun lahir di waktu yang berbeda, dan lokasi yang berbeda pula. Disinilah twist-nya. Ternyata mereka adalah embrio-embrio bayi tabung yang ditanam ke rahim pasangan lain tanpa ijin sang empunya embrio. Ternyata ketika sang empunya embrio melakukan proses IVF (In Vitro Fertilization), tercipta empat embrio. Satu embrio diberikan kepada sang empunya. Tiga lainnya yang seharusnya disimpan, oleh sang dokter di’jual’ kepada dua pasangan lain. Satu lagi? Diberikan kepada istrinya dan lahirlah menjadi anak sang dokter.

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A child has a 2-week history of spiking fevers, which have been as high as 40°C (104°F). She has spindle-shaped swelling of finger joints and complains of upper sternal pain. When she has fever, the parents note a faint salmon-colored rash that resolves with the resolution of the fever. She has had no conjunctivitis or mucositis, but her heart sounds are muffled and she has increased pulsus paradoxus. Which of the following is the most likely diagnosis?

a. Rheumatic fever

b. Juvenile rheumatoid arthritis

c. Toxic synovitis

d. Septic arthritis

e. Osteoarthritis

the answer is below…

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A 4-year-old girl is brought to the pediatrician’s office. Her father reports that she suddenly became pale and stopped running while he had been playfully chasing her and her pet Chihuahua. After 30 min, she was no longer pale and wanted to resume the game. She has never had a previous episode and has never been cyanotic. Her physical examination was normal, as were her chest x-ray and echocardiogram. The electrocardiographic pattern in the figure shows the configuration of preexcitation, which indicates which of the following?

a. Paroxysmal ventricular tachycardia

b. Paroxysmal supraventricular tachycardia

c. Wolff-Parkinson-White syndrome

d. Stokes-Adams pattern

e. Excessive stress during play

the answer is below…

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Dokter itu wajib mengasah rasa.

Apa itu Dok mengasah rasa?

Hehe… para rekan pembaca sekalian. Mau menyapa dulu ah… Yang masih belajar di kampus, angkat tangaaan? Yang koass, manaaa? Kalau yang sudah dokter, suaranya manaaaa? Berasa konser aja… hehee…

Sebelum mulai, mau nanya dulu nih. Kira-kira yang sudah dapat pengalaman dengan kematian siapa yaa… gimana? Gimana rasanya? Kematian di klinik dengan fasilitas minim? Kematian di puskesmas PTT? Kematian di bangsal rumah sakit yang kapasitasnya puluhan pasien? Kematian pasien home visite? Kematian pasien VIP di pavilyun?

Semua kematian itu, kawan, kian sering, apakah kian biasa? Kian tidak berkesan? Pada akhirnya, kematian hanya seperti bunyi bising motor modifikasi, berisik, keras, menyakitkan sebentar, lalu wusss… hilang.

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“What profession would you pursue if you couldn’t do anything related to medicine?”

Nah!
Pernah mikir seperti ini?

Saya? Sering. Bahkan dulu ketika saya belum masuk FK pun, meski bercita-cita menjadi dokter, saya harus siap kalau-kalau saya tidak diterima di FK. Pilihan saya saat itu, menjadi psikolog!!

Hehe… sama dengan dokter kan? Sama-sama menghadapi manusia. Saya mengenal diri saya sepenuhnya bahwa saya suka berhadapan dengan manusia. Sebagai rekan tim, rekan kerja, bahkan pasien.

Setelah menjalani pendidikan di FK, saya menyadari satu lagi gairah yang membakar semangat saya. Passion saya adalah menjadi seorang speaker alias pembicara. Berdiri di depan banyak orang, menyampaikan banyak hal, mengubah pola pikir banyak orang dengan kekuatan kata-kata kita, menyaksikan para pendengar kita tersenyum, tertawa, menangis mendengar lontaran kata kita.

Berawal dari aktif di banyak kegiatan mahasiswa, beberapa kali diminta adik kelas mengisi materi motivational training ataupun materi-materi kemahasiswaan, saya begitu mencintai kesempatan untuk berbicara di depan banyak orang. Sayang kesibukan koass sempat membuat saya kesulitan menerima tawaran mengisi materi.

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