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Nama: ____________________ Tanggal: ____________
1.Mudah
Why are undescended testes (cryptorchidism) corrected surgically in early childhood?
ATo stop the testis from producing too much testosterone in puberty
BBecause an undescended testis causes severe daily pain in infancy
CTo protect fertility and allow the testis to be checked for cancer
DBecause an undescended testis leads to kidney failure if left untreated
2.Mudah
What is the cause of Hirschsprung disease?
AInflammation of the bowel lining after a viral infection
BOne part of the bowel telescoping into the next part
CMissing nerve (ganglion) cells in part of the bowel
DThickening of the muscle at the outlet of the stomach
3.Mudah
Which drug is used to keep the ductus arteriosus open in a newborn with a duct-dependent heart defect?
AIntravenous indomethacin
BFurosemide
CDigoxin
DProstaglandin E1
4.Sedang
A 6-year-old with a life-limiting illness asks the nurse, "Am I going to die?" What is the best response?
AFind out what prompted the question, then answer honestly and simply, with the family
BTell the child that only the doctor is allowed to talk about this subject with children
CChange the subject quickly so the child is not upset
DTell the child firmly that this will not happen
5.Sedang
Seorang anak dengan dugaan epiglotitis mengeluarkan air liur dan duduk condong ke depan. Tindakan mana yang harus dihindari?
AMembiarkan anak tetap bersama orang tua
BMemanggil tim yang terampil dalam penanganan jalan napas
CMembiarkan anak duduk dalam posisi yang dipilihnya
DMemeriksa tenggorok dengan spatel lidah
6.Sedang
Which advice is first-line for a school-age child with functional constipation?
AMore fibre and fluids, a regular toilet time after meals and laxatives if prescribed
BDaily enemas given at home by the parents for several months, without other changes
CCutting out all fruit and vegetables to soften the stools
DAvoiding the toilet at school until the problem has settled
7.Sulit
Seorang bayi berusia 5 minggu dengan stenosis pilorus dijadwalkan untuk operasi. Pemeriksaan darah menunjukkan klorida rendah dan alkalosis metabolik. Apa prioritas sebelum operasi?
AMengoreksi dehidrasi dan ketidakseimbangan elektrolit dengan cairan IV sesuai resep
BMemberikan antasida
CSegera membawa bayi ke kamar operasi
DMemberi susu dalam jumlah banyak sebelum operasi untuk membangun kekuatan dan berat badan bayi
8.Sulit
An infant with heart failure is breathing fast and working hard. Which position helps most?
AFlat on the back with the legs raised
BLying flat on the left side only
CProne with the head turned to the side
DSemi-upright, with the head and chest raised
Kunci jawaban
1. C · To protect fertility and allow the testis to be checked for cancer
2. C · Missing nerve (ganglion) cells in part of the bowel
3. D · Prostaglandin E1
4. A · Find out what prompted the question, then answer honestly and simply, with the family
5. D · Memeriksa tenggorok dengan spatel lidah
6. A · More fibre and fluids, a regular toilet time after meals and laxatives if prescribed
7. A · Mengoreksi dehidrasi dan ketidakseimbangan elektrolit dengan cairan IV sesuai resep
8. D · Semi-upright, with the head and chest raised
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