1. A 36 y/o man has been hospitalized for Nasopharyngeal Carcinoma.

The tumor is quiet large as he had s allo ing difficulty for solid food. Anthropometric e!am re"ealed his height 16#cm$ eight %&'g. ()AC *1.% cm. blood assay sho ed +b 1,.# g/dl$ serum Albumin *.#g/dl$ total lymphocyte count 11-&mol/mm3 .hich of the follo ing statements is correct/ A. N0T is needed for enteral feeding 1. Total paraenteral nutrition is required to increase eight C. +is 1(2 is 1#.3 4. 5o T5C is due to decrease serum Albumin 6. 2ron 7upplementation ould normalize +b *. A omen aged 66 is admitted to hospital for late stage colon cancer. 4ietary e!am re"eals she is se"erely undernourished 1(2 13.- ith inta'e less that 898 of calorie requirement. 7he gi"es history of inadequate "eges and fruit inta'e .hich of the follo ing statements regarding her dietary management is correct/ A. The patient needs peripheral :arenteral nutrition 1$ Total calorie requirement can be achie"ed through nutrition per oral C. Total calorie requirement can be achie"ed through enteral nutrition 4. :arenteral nutrition is to gi"e as the main source calorie 6. 4ietary treatments goal is to attain ma!imum inta'e of -,8 calorie requirement 3. A 6- year old oman is seen in hospital ard for late stage of o"ary carcinoma ith ascites. Anthropo e!am sho s height 1-6cm$ eight after correction ascites is 36 ;0 and ()AC is 1#cm. 4ietary e!am re"eals her inta'e is only %3-;cal <about *38 of calorie need9. 7he complains feels fullness after a lil food and epigastric pain. 7he refuses tube feeding .hich of the follo ing dietary management for this patient can be applied/ A. Nutrition per oral should be terminated 1. Nutrition per oral should ma!imal gi"en C. 6nteral nutrition should be gi"en in small amount but frequent 4. Total parenteral nutrition "ia central "ein should be gi"en e!clusi"ely 6. Nutririon per oral should be combined ith peripheral or central parenteral nutrition %. A man aged 6% years old has been hospitalized for hepatoma. :hysical e!am re"eals enlarged li"er ith a stormy=hard consistency$ nodular surface and ascites. +e also reports ha"ing alcoholic faeces. Anthropo e!am sho s height 16& cm$ eight %& 'g. >edema for dorsum pedis is re"ealed on physical e!am. Clinical in"estigation re"eals increased 70>T?$ 70:T$ albumin@ *.& g/dl. and +b 1,.- g/dl .hich of the follo ing dietary management for this patient are correct/ A. increase fat inta'e 1. 7upplemented oth (CT <medium chain triglyceride9 C. 1mi is 1%.& 4. Acolis fieces is associated ith ele"ated bile acid secretion 6. Carcumin could be the agent cause of the hepatoma -. Aood :lays role in pre"ention of carcinogenesis in hich of the follo ing stage/ A. 2nitiation 1. :romotion C. :rogression 4. 2nitiation and progression

6. 2nitiations$ promotion and progression 6. (ineral as a strong antio!idant and in"ol"es in a cancer pre"ention and probably also in particularly in early stage of cancer is/ A. (agnesium 1. Natrium C. 7elenium 4. ;alium 6. :hosphor &. +ypernephroma arises from A. Beneal tubular epithelium 1. Benal capsule C. 2nta=renal adrenal rests 4. Benal medula 6. Benal pel"is #. .hich of the follo ing is N>T a ad"isable in patients suspected of ha"ing upper tract transitional cell carcinoma/ A. )70 1. ;)1/2C) C. Betrograde pyelography 4. Antegrade pyelography 6. CT scan 3. .hich is the most common cancer of the urinary ladder/. A. 7arcoma. 1. TCC C. Adenocarcinoma 4.7CC 6. Clear cell carcinoma 1,. The follo ing are not high ris' factors for de"elopment of carcinoma urinary bladder A. Chemical Carcinogens 1. Cigarette smo'ing C. Artificial 7 eeteners 4. Coffee drin'ing 6. Tea drin'ing A. *1 years old man presented ith the history of chronic retention of urine ith o"erflo incontinence. +e had dysuria and frequency of urinated since last many years. +is blood urea as 1,,mgr8 and serum creatineine as %$- mgr8. There is no history of any systemic disease 11. .hich of the follo ing is the most probable diagnosis/ A. 7tricture urethra 1. 1enign prostatic hyperplasia C. Carcinoma bladder 4. Cesical calculus 6. Cesical di"erticulum 1*. .hich of the follo ing us the in"estigation of choice/ A. ;)1/2C) 1. )70

C. Benal 7can 4. )roflo metry 6. (B2 13. .hich of the follo ing is the biomar'er in"estigation of choice/ A. AA: 1.C6A C. :7A 4. 1=+C0 6. 54+ 13 years old girl come to hospital because there is lump at right shoulder hich notice since 'indergarten. :hysical e!am the consistency of the lump is firm and ell defined border. The finger can put in bet een the lump and the humerus and from != ray lump gro th from metaphysic to diaphysis. 1%. The follo ing signs are benign tumor e!cept@ A. The size tumor a marble size 1. The size tumor a tennis ball size C. 7lo gro th 4. 2ll define 6. No pain 1-. Arom the history abo"e$ other information should get from !=ray to support diagnose@ A. Cauliflo er appearances 1. 7unburst appearances C. >nion s'in appearances 4. Codman triangle 6. Nidus 16.The diagnosis is A. >steogenic 7arcoma 1. 6 ingDs sarcoma C. >steoid osteoma 4. >steochindroma 6. Condroma 1& All the follo ing are indication of operation e!cept@ A. Compression to neuro"ascular bundle 1. Cosmetic C. (alignant danger 4. The doctor ant operate 6. The patient need 1* year old boy came to hospital because of right tibia fracture as a result of slip and fell. The boy already felt some pain since a ee' ago and especially at night. The result of biopsy is Bound cell tumor. Arom physical e!amination there is s ellingat tibia ith ill define border and increase of temperature compare to the noral site. Arom E=ray sho n there is fracture at the middle of tibia and onion s'in appearances 1#. :athologic fracture because of A. 2t happen at 1* years old 1. 1ecause of chronic osteomyelitis C. 1ecause tri"ial trauma

4. :ossibility of bone T1C 6. 2t happens at a boy 13. The follo ing signs are (alignant tumor e!cept@ A. The size tumor a marble size 1. The size tumor a tennis ball size C. 7lo gro th 4. 2ll define 6. No pain *,. The diagnosis is A. >steogenic sarcoma 1. 6 ingDs sarcoma C. >steod oesteoma 4. >steochondroma 6. Chondroma 1- years old came to the hospital because of s elling at her right 'nee hich she suffers for 3 months. At the beginning the size li'e a marble ball and increasing until the size li'e a ta'ra ball. Arom physical e!am there are "enectasis at the mass$ the colour dar'er and temperature armer than adFacent side. Consistency is bony hard$ ill define and pain on palpation. E=ray sho n the tumour at the metaphysic of the fermur ith osteolytic and osteoblastic area. *1. 2nformation that e should be found to confirm the diagnosis is A. Cauliflo er appearaces 1. 7unburst appearance C. >nion s'in appearance 4. Codman triangle 6. Nidus **. The lab findings hich can support the diagnosis A. Al'ali phosphate increase 1. Al'ali phosphate decrease C. Acid phosphate increase 4. Acid phosphate decrease 6. 6rythrocyte sediment rate increase *3 The diagnosis is A. >steogenic sarcoma 1. 6 ingDs sarcoma C. >stiod oestoma 4. >steochondroma 6. Chondroma *%=*#

*3. the diagnosis of this case is N:C so the headache is caused by @ A. tumor in"asi"e to 6ustachian tubeD 1. intracranial infiltration of tumor C. tumor in"asion to nasal ca"ity 4. paralyses of cranial ner"e 6. tumor metastasis in the brain The patient 6, year old$has history of hea"y smo'er and alcoholism$ admitted in hospital ith complain hoarseness and stridor. The suspected diagnose laryngeal cancer. 3,. hen he lump at lateral nec'$ hich lymph node is in"ol"ed A. Gugularis profunda superior 1. G1 mediana C. G1 inferior 4. spinal accessory 6. supracla"icular lymph node 31. 2f the biopsy sho s squamos cell carcinoma$ the treatment for this malignancy is A. :artial laryngectomy 1. Total laryngectomy ith radical nec' dissection C. Badiotherapy 4. Chemotherapy 6. :alliati"e therapy A boy 1* year came to dr .ahidin hospital ith cheif complain of nasal obstruction and recurrent epita!is 3*. these symptoms should be different diagnose hich of the follo ing disease/ i9 nasopharyngeal carcinoma ii9 massi"e nasal polyposis iii9 nasophryngeal angiofibroma i"9 foreign body 33. 2f he as another symptom li'e lump at the lateral nec'$ the possibility diagnosis is A. (assi"e nasal polyposis 1. nasophryngeal angiofibroma C. nasopharyngeal carcinoma 4. sinonasal carcinoma 6. foreign body 3%. Analgesic drugs used for cancer pain management A. pro"ide relief inless than -,8 cases 1. should be used hen necessary rather than gi"en by the initially C. should usually continued ith sedati"eD 4. should be gi"en orally hen possible 6. should be ithheld until the patient has a short life .... 3-. Aemale -- Hears >ld ith ad"anced carcinoma cer"i! complain pel"ic pain ith pain intensity & by "isual analog score. .hich drug combination suitable for the patient @ A. paracetamol$ codien and tramadol 1. paracetamol and tramadol C. 'etorolac$tramadol and bisacodyl 4. paracetamol$orphine and bisacodyl 6. ;etorolac and morphine

36. (ale$ &-yo has been diagnosed :rostatic Carcinoma by 7urgeon came to public health centre ith lo er abdomen pain. There is problem ith communication as cogniti"e disorder ith the old patient. .hich pain assessment tool can be used for measurement pain intensity of this patient/ A. Numerical Bating 7cale 1. Cisual analogue scale C. Cerbal Bating scale 4. Aace pain rating scale 6. (c 0rill pain questionnaire 3&. (orphine as analgesic drug@ A. 2s the ea' opiod of choice in cancer pain 1. :oorly absorbed after oral admin C. Amount required is determined by pain relief 4. +as inacti"e metabolites that can be accumulated 6. (odified release preparation for brea'through pain 3#. Clinical characteristic of neuropathic pain in cancer patients A. Aching$ Throbbing 1. 0na ing$ cramping C. burning$ electric li'e 4. ell localized 6. hyperalgesia 33. 4isad"antages of tramadol as cancer I in equitable dosage A. more respiratory depression 1. associated ith seizure C. a controlled drug 4. more constipation 6. more sedation %,. :rogress in the field of radiotherapy triggered by@ A. Badioacti"e in"ention 1. Technological progress C. 0ro th of elementary medical science 4. 0ro th of computer technology 6. All abo"e correct %1. Cancer therapy recognized in this time is@ A. 7urgical 1. Chemotherapy C. Badiotherapy 4... 6. All abo"e correct %*. Non inclusi"e of a %B in radiotherapy A. Bepopulation 1. Badiosensiti"e C. Bedistribution 4. Bepair 6. Beo!ygenation

%3. Combination bet een chemo and radio can be in form of A. Neo adFu"ant chemo 1. AdFu"ant chemo C. Concomitant chemo 4. Concurrent chemo 6. All abo"e correct %%. Cell 4amage hich is the most happened because of ionizing radiation A. 4irectly damage at 4NA 1. damage in nucleus C. damage in "acuela 4. indirectly damage in the form of free radical 6. damage in cell membrane %-. Acute complication of radiation A. teloangiectasis 1. Aibrosis C. mucositis 4. a and b correct 6. a$ b$ c correct %6. The case hich cannot be gi"en radiation A. mamma carcinoma 1. nasopharyn! carcinoma C. malignant carcinoma 4. 7CC 6. (alignum lymphoma %&. Cer"ical cancer stage 222a can be therapy by A. e!ternal beam radiation 1. surgical C. brachyteraphy 4. all abo"e correct 6. a and c correct %#. Cancer that has radio responsi"e character A. (alignum 5ymphoma 1. 6 ings sarcoma C. 7CC 4. 7oft tissue carcinoma 6. none correct %3. :erioperati"e radiation mean@ A. Badiation gi"en -=6 after surgically 1. 0enerally in brachytheraphy form C. Applicator is installation done in operating room 4. All abo"e correct 6. A and C correct -,. A 1% year old boy came to the eye clinic ith the complain of proptosis of the right eye that had been undergone for 6 months$ slo ly$ accompanied by ptosis symptoms. 6ye mo"ement as bloc'ed for all direction. Arom the slit lamp e!am clear hite hyperaemic conFuncti"a$ pupil and dilation$ clear lens$ C>4 *,/%, C>7 *,/*, no history of trauma and infection

.hat is the best diagnose for the case abo"e/ A. Betinoblastoma 1. Adenocystic carcinoma C. 1asal cell carcinoma

4. Bhamdomyosarcoma 6. (elagnoma (aligna

-1. A6, yo omen is complaining the lump at the superior palpebra ith the size !!!! cm$ lumpy surface$ easily bleed$ attachJ ith the surrounding tissue. The result of biopsy is 7CC .hat is the best management for the case abo"e/ A. .ide e!cision ith Arozen 7ection 1. Tumor e!tirpation C. 6ye ball surgery 4. Chemo 6. Badiotherapy

-*. A * yo child ith hite spot on the left pupil that has been appeared since 1 year. The result of e!am of eye ball anterior segment oblique illumination is normal. Aollo ing target <=9 right eye normal. family history ith the disease <=9 the ct scan re"ealed tumor that filled ith all the eye ball .hat is the most probable diagnosis of this patient abo"e/ A. Betinoblastoma 2 4. Betinoblastoma 2C 1. Betinoblastoma 22 6. Betinoblastoma C C. Betinoblastoma 222 -3. 2n the case abo"e$ the result of enucleation in"aded the optic ner"e. .hat is the appropriate ad"ance management for this patient/ A. Badiotheraphy 4. Cryoteraphy 1. Chemotherapy 6. A"astion C. 1rachiotheraphy -%. A 6- yo man$ farmer came to the dermatology clinic ith the complain of pimple around right chic' that et bigger e"eryday. This had been e!perienced for 3 year. 1leed if scratches and there as ulcer un the mid of the lesion. 4ermatology appeared erythematic papule ith ulcer at the central lesion$ blac' crest$ lesion on the right chic'. .hat is the diagnosis/ A. 1asal Cell carcinoma nodular type 1. 7CC C. (elanoma maligna 4. 1CC (orpheus type 6. 4ermal ne"us

--. Boden ulcer is included in basal cell carcinoma type/ A. 7uperficial 4. ulcer 1. (orpheus 6. Nodular C. :igmented -6. A boy hospitalized ith the diagnosis of ilmDs tumor. The complaint hile entering the hospital as enlarge abdomens since # months ago accompanied by hematuria and reducement of body eight. .hat data that finds to be completed to help confirming the dianogsis/ A. +unger 4. Aeeling full of abdomen 1. Aeeling hot at the abdomen 6. Abdominal pain C. Aeeling thic' at the abdomen

-&. 6!am that can be perform confirming the diagnosis of the cancer abo"e is A. C7A 4. 2C: 1. 6C0 6. 660 C. Goint fluid -#. (anagement that can be performed to the diagnosis of the case abo"e A. Chemo K 7urgery K antimicrobial K blood transfusion 1. Chemo K Badiotherapy K 7urgery C. Badiotherapy K Chemo K 2mmunotherapy 4. 7urgery K Badiotherapy K 1lood transfusions 6. 7urgery K Benal Transplantation K Badiotherapy -3. A %,yo man came to the hospital ith the complaint of seizure. The patient as a hea"y smo'er. The result of (B2 e!am is there is a multinodal mass at the lobes temporalis sometimes that absorbed the contrast and creat a se"ere oedema to the brain. This tumor is suspected not a primer tumor so e performs complete blood e!am and thora! and abdominal CT scan that re"ised normal result. .hat diagnostic e!am that is ad"ised for this case/ A. 5umbar punction 4. 660 1. 0astroscopy and colonoscopy 6. Conser"ati"e L obser"e (B2 C. 6!cision biopsy 6,. 33 yo man comes ith the complaint of repeated seizure that is usually controlled by standard seizure therapy. The e!am re"eal -cm temporal mass in (B2. (B2 T1 hipodens and not accompanied by contrast enhance or mass effect. The histopathology e!am re"eal an oliga osteositoma .+> grade 22. .hat is the best management for this case/ A. 7trict >bser"ation 1. Badiotherapy C. Chemo 4. Badiotherphy K adFu"ant chemotherapy <:CC9 61. .hat is the central ner"ous system tumor that one of the predipositional factors is hereditary factor/ A. (eningioma 1. Astrocytoma C. Neurofiromatosis type 2 4. >ligodendriglioma 6*. .hich of the follo ing statements is true for oligodendriglioma tumor/ A. >04 prognosis is better then astrocytoma 1. :rimary therapy should be chemo because it is chemo sensiti"e C. Aor progressi"e >04 e should consider radiotherapy 4. NeoadFu"ant therapy ith :CC has been sho ed impro"ising >04 patient life quantity 6. A L C correct A 3# year old man came to the clinic ith the complain of lump at the lect armpit ith the size of a table tennis ball since 1 ee' ago. >ne month before he as complaining if lump at the inguinal that as painless. There is fe"er$ producti"e cough$ decrease body eight and no appetite since 3 ee's ago. 5ab @ +T 1#gr8$ .1C 1%$,,, :5T 3-6$,,,.:A displayed lymphocyte 63. The most possible diagnosis for the case abo"e is A. 5ymphoma malignan +odg'in

1. 5ymphaadenitis tuberculosis C. 5N+ 4. 5imfadenitis ba'terima 6%. 1ased on the anamnesis and physical e!am the patient abo"e is in the stadium A. 22 A 1. 22 1 C. 222 A 4. 222 1 6-. 7upporti"e management for the patient abo"e is A. Analgesic 1. Anti emetic C. AntiI 66. 7ubstitution therapy that is also needed for the patient abo"e is A. Concentrati"e Thrombocyte Transfusion 1. Bed cell pac'age transfusion C. Aresh protein plasma transfusion 4. CryII transfusion A -6 years old oman ith colon cancer is being consulted to the haematology oncology department for chemo. The patient has undergone chemo and the result is colon cancer stadium 222. The result of physical e!am is 1: 11,/#,$ pulse #,/mins. 2(5 1&8 5ab +T 3,8 .1C 1*$,,, mm3$ :5T 1-,$,,,/mm3 6&. Chemo abo"e is an action of A. AdFu"ant 1. Neo adFu"ant C. 7upporti"e management 4. :alliati"e management 4. Antibiotic

6#. The obFecti"e of chemo for the case abo"e is as A. 7upporti"e therapy C. :alliati"e therapy 1. Curati"e therapy 4. Neo adFu"ant therapy 63. >ther supporti"e management that can be performed besides for chemo for this patient abo"e is A. Antibiotic C. +igh calorie higF protein diet 1$ Analgesic 4. +igh fat diet &,. A %# year old oman ith the diagnosis of breast cancer <49 cT%cN,(, stadium 222 b. After undergoing neoadFu"ant chemo for 3 cycles$ clinically the tumor is *-8 reduced. .hat is the chemo response/ A. Complete response M CB 1. :artial response M :B C. No change M NC 4. :rogressi"e disease M :4 &1. 2f a suspected malignant neoplasm patient come to the oncology clinic then the patient ill get a ser"ice is based on the malignant neoplasm patient management hich are determine consequently @ 4iagnosis$ staging$ appearance status$ management plan$ management e!ecution$ and e"aluation. .hich of the principle management that has the obFecti"e of determining the tumor e!tension$ management type$ and comparison of therapy result and prognosis/ A. 4iagnosis 4. (anagement plan 1. 7taging 6. 6"aluation C. Appearance status &*. A *6 years old man comes to the hospital ith the complaint of lump at the left mandible for # months$ slo ly and no other symptom. +istory of infection. At

palpation$ the consistency is solid mass$ diameter *cm. Badiology e!am @ noticed radiolucent appearance and radiopaque surrounding the eye edge .hat is the diagnosis of the abo"e case/ A. 4entigerous Cyst 4. >dontenigenic cyst 1. 4ermoid Cyst 6. Bacula cyst C. Aollicular Cyst &3. A %, year old man comes to the hospital ith the complaint of lump at the mandible. +istory of II.. and IIII.$ position of teeth on top of the tumor is irregular$ the tumor is felt and no pressure pain. The possible disorder of the case abo"e/ A. Neoplasma 4. Trauma 1. Neo Neoplasm 6. 7ali"ary gland disorder C. inflammation &%. -- years old man comes to the clinic ith the complain of ulcer at the right side of the II.. 7ince % months ago. 6"er medicated before but ne"er cured. +istory of smo'ing$ alcohol$ 2n clinical e!am ulcer K$ indurations K .hat e!am that is ad"ises to confirm the abo"e diagnosis/ A. 6!poliati"e cytology 4. 1iopsy 1. :ap smear 6. (onoclonal antibody C. Thlanide blue e!amination &-. A %, year old oman comes to the clinic ith the complaint of lump at the lect chic' in front of left ear$ slo ly gro $ painless and mobile. .hat is the possible diagnosis of the case abo"e/ A. 1enign Cyst 4. .athinDs tumor 1. 5ymphoepithelial 6. >ncocytoma C. :lemorphic Adenoma &6. A 3, year old oman ith the complaint of right breast lump$ suspected because of hormonal imbalance. The dominant morphologic changes are @ cyst formation and fibrotic epithelial hyperplasia sclerosing adenosis. .hat is the disorder of the breast abo"e/ A. Aibrocystic disorder 4. :apiloma intraductal 1. Aibroadenoma 6. Adenoma 7clerosis C. Tumor :hyloideus &&. A *% year old oman come to the clinic ith complain of left breast lump since * months ago$ round$ rubber consistency$ mobile$ painless$ diameter * cm. location the upper lateral quadrant .hat is the disorder of the breast abo"e/ A. Aibrocystic disorder 4. :apiloma intraductal 1. Aibroadenoma 6. Adenoma 7clerosis C. Tumor :hyloideus &#. A %& years old oman come to the oncology clinic ith the complain of breast lump since 6 months ago. +istory of left breast surgery 1 year ago ith histopathology Aibroadenoma. (arried but no children. 2n clinical e!am there is a s'in color changing of the breast$ dimpling ith solid breast diameter 3.-cm attached to the s'in. There is a regional gland enlargement. .hat is the supporti"e e!amination to confirm the diagnosis of this case/ A. Try cut needle aspiration 4. 2ncision 1iopsy 1. Aine needle aspiration 6. 6!cision biopsy C. Arozen section

&3. A -, year old oman comes to the hospital ith the complaint of lump and ulcer at the left breast. )lcer is e!perienced since 3 months ago$ lump history since 1 year ago. Airst menstruation at 1* years old$ married$ one child <1* years old9. Aamily history of the same disease <=9. 2n clinical e!am there is a breast s'in color changing$ peau dDorange <K9$ ulcer <K9. :alpated a solid hard tumor mass$ at tge upper lateral quadrant$ attached to the s'in but not the the thora! all$ diameter - cm$gland enlargement <K9 ith the diameter of * cm and mobile. +istopathology e!am@ in"asi"e ductal carcinoma. The patient is diagnosed ith ulcer carcinoma mamma. 1ased on )2CC/AGCC$ hat is the TN( clinical classification of the case abo"e/ A. cT*N1(, C. cT3N1(, 6. cT%N1(! 1. cT*N1(! 4. cT3N1(! #,. A -6 years old oman$ multipara$ post menopause$ come to the hospital ith the complain of slightly smelly flour albus$ sometimes thereDs a "aginal bleeding especially after intercourse. This has been e!perienced since 3 months ago. 2n inspeculo e!amination there is a higher portion ith irregular surface$ accompanied ith blood. (artial history@ (arried at 13 years old. .hat is the important e!am if there is a porsio condition as the case abo"e/ A. :ap smear 4. 1iopsy 1. Colposcopy 6. >peration C. ANA #1. The histopathology result for the case abo"e is carcinoma cer"i!. 2n "aginal touchJ there is nodular lesion limited in the cer"i! ith the diameter less than % cm .hat is the stadium of this case/. A. 7tadium , 4. 7tadium 222 1. 7tadium 2 6. 7tadium 2C C. 7tadium 22 #*. A 3# year old oman$ paritu of 3$ comes to the clinic ith the complaing of flour albus$ itchy since 3 months ago. 7ometimes there is a slight bleeding. The pap smear result is inconclusi"e. The result of the ne!t pap smear after 3 months is still inconclusi"e. .hat is the ne!t e!am to 'no the cause of the patient complain/ A. :ap smear 4. +yesteroscopy 1. Caginoscopy 6. 1iopsy C. Colposcopy #3. A 3# year old oman$ parity of 3$ comes to the clinic ith the complaint of flour albus$ itchy$ since 3 months ago. 7ometimes there is a slight bleeding. The :ap smear result is inconclusi"e. The result of the ne!t pap smear after 3 months is still inconclusi"e. >ne ee' later the patient come comes ith the result of histopathology e!am@ abnormal cells are found in the hole epithelial layer$ basal membrane is intact. .hat is the diagnosis for the patient abo"e/ A. C2N 2 4. (icroin"asi"e carcinoma 1. C2N 22 6. 2n"asi"e carcinoma C. C2N 222 #%. A *6 years old oman$ parity of 1$ comes to the clinic ith the complain of "aginal bleeding since 1 months ago. The patient has been curettage before because of mola hidatinosa. .hat is the e!am that is needed for this disease/ A. 1=+C0 tumor mar'er e!am 4. CT 1. Thora! !=ray 6. (B2 e!am

C. )70 #- A *6 years old oman$ parity of 1$ comes to the clinic ith the complain of "aginal bleeding since 1 months ago. The patient has been curettage before because of mola hidatinosa. .hat is the management for this case if the diagnosis is (alignant Trophoblast disease A. >bser"ation 4. Chemo 1. Curretage 6. Badiation C. +ysterectomy #6. A *- years old oman$ no parity$ comes to the clinic ith the complaint of lump at the lo er abdomen since 6 months ago. (arried 3 years ago. Bepeatedly come to the doctor to ha"e children$ 1ody eight drastically decrease ithin last * months .hat is the most possible diagnosis of this case/ A. Cer"ical Carcinoma C. (alignant trpophoblast 1. >"arian Carcinoma 4. Tube carcinoma 6. 6ndometrium Carcinoma #&. A -# years old oman comes to the clinic ith post menopause bleeding. 6ndometrium biopsy sho s adenocarcinoma. Total hysterectomy and bilateral pel"ic lymphadenectomy is performed. The pathology e!am result after operation re"eal tumor has further to cer"i!. 5ymph sho s no malignancy cell/ .hat is the stadium of endometrial carcinoma of the case/ A. 7tadium , C. 7tadium 222 1. 7tadium 2 4. 7tadium 2C C. 7tadium 22 ##. A 6- years old oman comes to the clinic ith the complaining of abdominal distended for 3 month. 2n abdominal percussion there is III of lymph ith the tympani sound. 2n pel"ic e!am there isII at the I.. ith diameter of # cm nodular and limited on the pel"ic. I.. not palpated. 1lood chemistry$ urinalysis$ pap smear$ and chest !=ray is normal/ .hich mar'er than has to be e!amined to diagnose this case diagnosis/ A. CA1*4. 1=+C0 1. 7CC Ag 6. C6A C. AA: #3. To find out a ris' factor for a oman ith diagnosis of lung cancer$ e ha"e to point out in anamnesis about A. +o long time suffers 4. Carcinogenic food consump 1. :assi"e smo'er or not <husband smo'es9 6. +istory of gas e!poses C. +o much body eight loss 3,. A man -- years old come to clinic ith coughing 7ince - days ago$ accompanied ith chest pain. +as been ha"e cough about * months$ body eight loss about -'g$ a history of smo'er and has been long time or' in cement factory. Thora! photo sho ed a mass in the right lung ith diameter about - cm. :hysical e!am are normal .hich of the follo ing statement is the cause of coughing/ A. 7mo'e 4. 7econdary infection 1. Bespiratory obstruction 6. :rolong cough C. 2rritation of bronchial "ascularisations 31. A man$ 63 years old came to surgery policlinic ith abdomen pain$ history of frequent obstipation$ frequent feeling of fullness and if flatus$ he fell getting betting. 4efecation sometimes ith fresh bloody pain$ and ne"er satisfied

The e!amination that you should do as the first appropriating diagnosis is/ A. Total Colonoscopy 4. Bectal touchJ 1. :lain E=ray abdomen 6. (esentrical angiography C. 4ouble contrast barium enema 33. The most possible diagnosus of this case abo"e is A. 1/3 :ro!imal Bectum Carcinoma 4. Bectal 1. 1/3 (id Bectum Carcinoma 6. 4escendens Colon Carcinoma C. 1/3 4istal Bectum Carcinoma 1* years old boy came to hospital ith chief complain diaphysis right tibia pain since/ .ee' ago. The result pathology e!am is round cell tumor ith malignant charachteristics 3%. The possible diagnosis A. >steomyelitis 1. >steosarcoma C. Chondrosarcoma 3-. E=ray from the diagnosis abo"e@ A. Codman triangle 1. 7un rays appearance C. >nion 7'in appearance 4. Codman triangle and sun rays appearance 6. Cliacha// A 6, years old oman come to doctor because pain in all the ody and feel fatigue. :unch out lesion as found from radiologic e!am 36. 4iagnosis possible@ A. (ultiple mioloma 1. Tumor (etastases C. >steosarcoma 4. >steoporosis 6. >steochondroma 4. 6 ingDs sarcoma 6. >steochondroma

3&. The 'ind of e!am that e need to support the diagnosis abo"e is A. CT scan 4. 1ence=Gones protein 1. (B2 6. Al'ai :hosphate C. 3#. The type of disease abo"e included in group of A. +ematogen 4. Bound cell tumor 1. >steoporosis 6. Nutrition disorder C. (etastases 33. According to ;obler Boss states that - step physicologic reaction hen patient getting cancer in stage 22 A. 4enial 4.7hoc' 1. 4epression 6. Acceptance C. Angry 1,,. Cancer 7tage 2C is A. 4enial 1. 4epression C. Angry 4. 7hoc' 6. Acceptance