1. 2. . #. (. *. -. 1. 4.

Water is importance component in the body? The kidney plays a pivotal role in the maintenance of water homeostasis Hypovolemia? A condition of body fluids lacking in volume !ehydration? "s water decreases wo the electrolytes $ne of the statement below can be used to diagnose %&? 'dema anasarca that caused by decrease of colloid osmotic pressure The condition below can be appeared in renal failure? )etabolic acidosis Hypernatremia? +ould happen when water e,cretion passes beyond sodium e,cretion .otassium is electrolyte in the body? The function is membrane depolari/ation 0 insulin can stimulate potassium enter into the cell $ne of statements below hypokalemia? &erum potassium 2 mmol3l is life threatening symptoms +linical manifestations of hyperkalemia? )uscle cramp

15. )etabolic acidosis? +ould happen in uncontrolled !) 11. The diseases that could cause primary glomerulonephritis is? .haringitis caused by streptococcus 12. The condition that occur 6uick deterioration of renal function in glomerulonephritis patient is? 7apidly renal failure 1 . .athogenesis of immune glomerulonephritis is? "mmune comple, deposition in kidney 1#. 8upus nephritis? Triggered by formation of immune comple,es w glomerular capillary wall 1(. %&? 'dema anasarca9hypoalbuminemia9hypercholesterolemia9nephrotic proteinuria 1*. %& has good prognosis? )inimal change disease :)+!; 1-. A man< 2 yo..the appropriate diagnosis? Acute nephritic syndrome 11. The additional e,amination to support this diagnosis is? 7enal biopsy 14. !rug of choice to releave such a disease is? &teroid 25. The renal function of this case? Abnormal< because creatinin clearence decrease 21. )rs. +inta< 21 yo< presents w left lower 6uadrant mass. !iagnosis? !ermoid cyst 22. What = of these tumors are bilateral? 15>2(= 2 . What is your management for this case? +ystectomy

2#. A 1 yo woman is seen for evaluation of a swelling in her right vulva.. diagnosis for this case? ?artholin cyst 2(. What is the treatment? "ncision 2*. What is your suggestion for this case? "mprove personal hygiene 2-. )rs. @irgin< #* yo< comes to u< complaining of menometrorrhagia..diagnose? uterine fibroid 21. What is your ne,t e,amination? Tumor marker 24. What is the appropriate management for this case? Hysterectomy 5. %e,t concern after surgical theraphy? Histopathological e,am 1. 8eydig cell? 8ocated in seminiferus tubule 2. &eminal vesicle? +utoplasm containing lipochrom pigment . +orpora amylose? 7ound on shape #. +omper gland? 'pithel cytoplasm contain lipid (. 'Aaculatory ductus? &imple columnar epithel3stratified pseudo *. Brafian follicle?corona radiate aviable -. The process of follicle to be broken is caused by? 'n/yme activity 1. +orpus luteum secretes hormone? .rogesterone 4. The longest part of uterine tube? Ampulla #5. The role of hormone progesterone in fuctioning tube is as? ovum transportation #1. "nflammation on urinary bladder caused by &chistosoma haematobium tend to behigh risk for s6uamous cell carcinomaCs occurence by? &6uamous metaplasia in transitional cells #2. 7etention urine is rarely found in prostate malignancy because? )alignancy is more common in peripheral /one # . These following microscopic featuresD proliferation of acini and stroma..can found in prostate hyperplasia ##. A -5 yo male came to a medical clinic w a chief complain of urine retention. The most possible disorder in this patient? .rostate carcinoma #(. These following are microscopic featuresD s6uamous papilloma< found in a penis disorder? ?owen disease #*. "nflammation on testis can cause infertility due to? Eibrosis 0 atrophy of seminiferus tubules

#-. The testis malignancy w the following characteristicsD high incidence where fre6uently related to cryptorchidism and testis enlargement..?seminoma #1. A disorder in testis w microscopicD &chiller>duval bodies..?yolk sac tumor #4. ',strophy on anterior wall of urinary bladder because? &6uamous metaplasmCs recurrence infection (5. $ne of prognostic parameters in transitional cell carcinoma of urinary bladder? Eungating type of carcinoma (1. The histologic section of the uterine cervi, showes koliocytosis< infection w? Human papillomavirus (2. A 24 yo female presents w severe pain during menstruation< which one of following was present in the biopsy sample of the endometrium? .lasma cell ( . Which one of endometrial abnormalities has the greatest risk of developing into endometrial cancer? Atypical hyperplasia (#. A 2( yo female present w lower abdominal pain< fever 0 vaginal discharge. +ause? .elvic inflammatory disease ((. Which one of the listed hormone has stimulation in an adult female increase risk of development endometrial hyperplasia 0 subse6uent carcinoma? 'strogen (*. .seudomy,oma peritonei is most likely to be associated w? )ucinous tumor of the ovary (-. A 2 yo female presents w oligomenorrhea followed by amenorrhea..ovarian tumor symptoms? &tromal tumor (1. What is the most common cause of ."!? Bonorrhea (4. What are the common locations of endometriosis? Fterine ligaments< rectovaginal septum *5. What is the most common benign uterine tumor w estrogen sensitive..? leiomyoma *1. 7enal change in the kidney in a patient w !) result in? Thickening of the glomerular basement membrane *2. Which of the following is involved in glomerular filtration? Eiltration slits between adAacent andothelial cells * . Which found e,clusively in the renal medulla? Thin loops of Henle *#. )icroscopics structure of ureter? $uter smooth muscle layer is a circular layer *(. The renal corpusle contaiings cells that contributing in defans mechanism in renal? )esangial cells **. $uter medulla of ren? Ascending thick seg

*-. .ars radiata corte, of ren is contain? +ollecting ducts *1. .arietal layer epithelium of corpusculum renalis? ?ecome continous w the wall of pro,imal segment of renal tubule *4. &tructure of pro,imal convulted tubule? 8ongest< most convulted segment of nephron -5. Histofisiology of nephron? Antidiuretic hormone regulate permeability of collecting tubule to water -1. +ongenital cause of urinary obstruction 0 stasis? &pina bifida -2. Treatment of urinary obstruction? 7elief of ostruction3surgery - . ?.H is cause urinary obstruction at the level of? )id tract -#. 'tiology of urinary stone disease? %ucleation -(. Treatment of urinary stone disease w shock wave? ',tracoporeal shock wave lithotripsy -*. 7isk factor of the bladder carcinoma? +yclophosphamide --. &ymptom of renal carcinoma? Bross hematuria -1. "ritative symptom of ?.H? Frgency< fre6uency 0 nocturia -4. Treatment of mild symptoms ?.H? Watchfull waiting 15. &urgical treatment of ?.H? Frinary retention 11. $ne of the statements below about congenital anomalies? "n adults< 15= of chronic renal failure is due to adult polycystic kidney disease 12. Adult polycystic kidney disease has one of the following features? Bross morphology revealsD kidney are bilaterally enlarged 1 . A child who has been suffering from sore throat< fever 0 fati6ue< presented w mild proteinuria< pretibial edema. !iagnose? .ost>streptococcal glomerulonephritis 1#. 7apidly progressive glomerulopathy has a feature below? .resence of pulmonary hemorrhage 0 crescents formation in ?owman capsule 1(. A patient was admitted to hospital w generali/ed edema< hyperlipidemia..diagnose? membranous glomerulopathy 1*. Henoch &chonlein .urpura has one of the following featuresD the patient has strong background of atopy 1-. !iabetic nephropathy has one of the following features below? )ost striking morphologic changes areD diffuse 0 nodular glomerulosclerosis0capillary basement membrane thickening

11. &8' shows? "mpares renal function due to in situ or circulating immune comple, 14. Acute tubular necrosis is characteri/ed by? "ncreased urine out put 45. .yelonephritis has one of the following characteristics? )ostly affecting tubules 0 interstitium 41. 7obi< male< #.(yo< taken to outpatient care because of pain during micturition..diagnosis? interstitialis nephritis 42. Bold standard e,am to establish diagnosis? Frine culture 4 . The suitable dosage for trimetoprim? #5 mg3?W3d 4#. The most fre6uent species appear as aetiology? '. +oli 4(. The suitable e,am to determine @F7? @+FB 4*. The most fre6uent anatomical anomaly appear as predisposing factor of FT"? @esicoureteral reflu, 4-. Acute pyelonephritis could be complicated by? +hronic glomerulonephritis 41. 7adiology imaging to detect early stages of pyelonephritis 0 renal scar? 7enal cortical seintigraphy 44. 7eflu, reach the renal pelvis no dilation of calyces? @F7 grade " 155. The most common aetiology for haemorrhagic cystitis? '. +oli

151. 8ong>term treatment w a glucocorticoid usually re6uired for the treatment of autoimmune disorders..side effects? )oon face< adrenal atrophy< hyperglycemia< muscle wasting< osteoporosis 152. Blucocorticoids.. Which is not the metabolic effect? !ecreased transcription of genes for many cytokines 15 . +yclosporine is widely used as an immunosuppressant..effect? cyclophilin< a member of immunophilins 15#. $ne of the listed immunosuppressants below is a cytoto,ic drug? )ethotre,ate 15(. +hoose one of the following effects which is not the side effect of cyclosporine? ?one marrow suppresion 15*. ..which has the most potent anti>inflammatory effect? !e,amethasone

15-. The listed drugs below are all immunosuppressive drugs. Which is a pro> drug? A/athioprine 151. Adalimumab< etanercept 0 infli,imab for rheumatoid arthritis. They are categori/ed as? "mmunosuppressive monoclonal antibodies

154. +yclophosphamide the most efficacious immunosuppressive drugs effect? !estroying proliferating lymphoid cells 115. 111. 112. 'rythroblastosis foetalis can be prevented by? Anti 7h antibody Which one of the following antiseptics is used for protatisma? )ethenamine This drug is used to reduce pain in FT"? .hena/opheridine

11 . Which of the following antiseptics is contraindicated for breastfedding? %alidi,ic acid 11#. Which of the following antiseptics can reduces .henytoin serum? %itrofurantoin 11(. $ne of side effects the following antibiotics is Bray syndrome? +hloramphenicol 11*. Antacid :Al; reduces one of the following antibiotics? .heflo,acine

11-. $ne of following antibiotics cannt be given together w diary products? Tetracycline 111. $ne of side effects of antibiotics is dysphagia? +yproflo,acine

114. Which one of the following indications of +ontrimo,a/ole is false? Thyphoid fever 125. Which one of the following statements about Ampicillin is false? Have nephroto,icity effect 121. Acute glomerulonephritis in children often occurs after infection of the throat by? &treptoccus ? hamolyticus group A 122. Anti>streptolysin $ response is poor in patient w .&AB% associated w? "mpetigo 12 . 12#. 12(. 12*. !ecreased + titer can be found in patient w? Henoch shonlein nephritis %ormal + titer can be found in patient w? Henoch &honlein %ephritis Heredity disease>associated glomerulonephritis? Alport syndrome Bross hematuria is a rare complication in patient w? )+%&

12-. (= children w .& AB% can occur a severe complication from? Acute renal failure 121. !esi< (o girl was admitted at !epartment of childhealth w %&.. treated w prenisone w dose? 2 mg3?W3d 124. After weeks of treatment the symptoms of %& of !esi subsided..base on response to prednisone< %& !esi classified as? )+%&

1 5. After 21days treatment< dose of streoid was decrease to? 23 of the initial dose 1 1. A medical student< 2 yo evaluation of renal function. His complaints were fatigue< weakness.. this patient above might be suffered from? Blomerulonephritis 1 2. 1 . The patient above now suffering from? %& "t is better to lower phosphor.. food to avoid in lower phosphate? +hocolate

1 #. The mortality risk associated w low serum creatinine increases? 2 4mg3d8 in individuals on )H! 1 (. Activated vit ! analogues are prescribed if evidence of? Teriary hyperparathyroidism 1 *. &uppose< the patient is ordere to have a 2(55mg salt diet. )ust consume sodium? 21555mg 1 -. Eoodstuff should be avoided? %ut processed w pork

1 1. &odium intake must be restricted for patient< because high sodium intake? "ncrease albumin e,cretion 1 4. The patient above is then sent to laboratory facility for checking .TH. Wrong for indication of checking .TH? Hypophospataemia 1#5. &uppose the patient above is becoming worse 0 worse? +reatinine serum

1#1. The student above has already finished his study 0 now becoming as a part> timer doctor at a 2# hours clinic.. +G! is defined as either? &erum creatinine H 1.(mg3dl for man 1#2. Eood to avoid in #5g protein intake per day is? Iogurt

1# . 'ating meal containing #5g protein implied consuming phosphor at average? -55mg 1##. 1#(. .recribing 1gr sodium means to order table salt as much as? 2(55mg Biving furosemide means patient the risk of hypokalemia..? raisin

1#*. ?ecause of this hypertension 0 high sodium serum. The food should advice? ?anana 1#-. To monitor compliance w this protein restriction diet..? urea nitrogen appearance 1#1. "n order to balance water input0output< shouldnt be taken into account? Water produced by food metabolism 1#4. The mortality risk associated w this patientCs serum creatinine? "ncrease

1(5. The following are some general guidelines for planning a phosphorus controlled die? ',clude any si/e of egg 1(1. &uppose< the patient above is underweight..? none of the above answer

1(2. An indicator of the balance between sodium 0 water? &erum sodium concentration 1( . 1(#. %utritional assessment is important in renal disease..? all true ?asic for determining the need to restrict protein intake? All true

1((. A nonhospitali/ed patient putting on water..e,cept? put lemon Auice in ice cubs 1(*. Biving fusemide to +G! patient means to risk him to undergo? Hyperkalemia

1(-. All kind of diuretic drugs< but potassium sparing diuretics bring side effect<e,cept? Hypokalemia 1(1. Eactors influencing dietary intake in renal failure? An increase in the ability e,crete sodium or conserve sodium w changes in dietary sodium 1(4. "n case of urolithiasis< the most specific stone incidence goes to calcium o,alate..conditions associated w hypercalciuria? @it ! poisoning

1; 8aboratory in gonorrhea? "ntra 0 e,traceluller gram J diplococcus 2; Area spesifikasi 0 sensitivitas paling tinggi pada gram stain u3 deteksi genital 0 anogenital tanpa komplikasi? $F' ; &creening of sifilis disease can be done w nontreponema serologic e,am? @!78 #; pria< ( yo< ulkus di penis< kontak seksual dg .&G minggu lalu..? chancre sifilis primer (; small papul< diameter >(mm to 15>1( mm< fles colored< smooth< dome shape< caseosa matri,< lessi found? )oluscum contagi *; woman dg ada li6uid< white colour< thick< smelly< pH #.(< clue cell? ?acterio vaginosis -; the correct statement about primary genital herpes? H 5 day incubation 1; colpitis macularis finding for? Trichomonas vaginalis 4; there is li6uid from vagina< white solored< thick consistency< smelly from laboratory finding the pH H #.(..? vaginalis bacteria 15; one of these diuretics working at branch of descendense hense henle? $smotic

11; one of these dillveties has hypercalcemia side effects? Triamteren 12; one of these diuretics is indicated for mountain sickness occur? +arbonic anhidrase inhibitor 1 ; flat dose response? ?enroflumeta/id 1#; the effect glucocorticoid to fat metabolism? )eningkatkan lipolisis 1(; one of these diuretics is moderate work glucocorticoid? Triamsinolone 1*; glucocorticoid effect to cardiocascular system? !ecreasing response of perifer vascular 1-; one of diuretic causes hyperchlormatic metabolisme hypokalemia? Eurosemid 11; side effects endogen hydrocortism disturbance? 7elaps of cured disease? 14; Blucocorticoid use in immunosppresion disease? &8' 25; A college student feel painful urination 0 creamy colored e,udate..? FT" 21; .ria< -1 yo< retensi urine akut. hari kemudian demam 0 nyeri suprapubic..? '.coli 22; !iare berdarah< hemorragic abnormal..bacteri? '.coli 2 ; A - yo< bloody diare is admitted after lab result indicating anemia0abnormal kidney function? @eroto,in 2#; Wanita< (5 yo to have pyelonephritis w shaking cills 0 fever..? '. +oli 2(; ?ladder stone 0 e,tropy anterior wall of urinary bladder..? &6uamouse cell carcinoma 2*; The lesion which is formed is penis w microcoscop< s6uamous papilloma..? condyloma acuminate 2-; .rostate malignancy occurs commonly in peripheral /one? The malignancy is rarely found in early stage 21; "nflammation on testis can cause infertility due to? Eibrosis 0 atropi of seminiferus tubules 24; 8esi Ainak prostate tapi besar risiko ke malignant? ?.H 5; This fre6uent condition is often discovered incidentally not only in woman..? microglandular hyperplasia 1; Hormone has stimulation effect in adult female raise risk hyperplasia endometrium? 'strogen 2; 5 yo< oligomenore< infertile< hirsutism associated w polycystic ovarian disease? 8uteining/ation of ca interna ; # yo< %& 0 renal biopsy shows..imunofluorense shows? )esangial "g A deposit

#; .ria< 12 yo< has %& an low complement level..diagnosis? membranousproliferative (; Adult polycystic kidney disease has? Bross morphology K kidney are bilateral 0 enlarge *; Gidney? 7enal corpuscle of Au,tamedullary nephron is located in the corte, -; (( yo< history !)2< microalbuminuria< renal function normal..? penebalan basemant membrane 1; Acute tubular necrosis characteri/ed by? !estruction of tubular epithelial 0 acute renal failure 4; .eningkatan permeabilitas endotel glomerulus histology? .edicle of podocyte cell #5; !eposit subepitel 0 spike like B?)< gnereli/ed edema< hyperlipidemia..? membranous glomerulopati #1; &tructure of renal corpuscle? The glomerulus is upplied blood by straight efferent glomerular arteriole #2; What do you know of the biological behavior? ?enign tumor caused direct problem # ; )icroscopic structure of glomerulus? Eormed as several as anastomosing capillaries ##; 'pitel pelapis pro,imal tubule? +uboid epithel #(; )icroscopic structure glomerular basal lamina? +onsisting of the inner layer< the lamina densa 0 outer layer lamina #*; .ars cortical of collectivus tubule? 8ocated in medullary rays #-; 'pithelium lining thin of henle loop is composed of? &imple s6uamous epithelial #1; )acula densa modified region? !istal tubule #4; Hypovolemia? +ondition of body fluids lacking in volume (5; Water is important for body? Gidney plays a pivotal role in maintaining homeostasis (1; 7enal failure? Hypercalemia (2; Hypokalemia? Triggered by formation of immune comple,es within glomerulus capillary wall ( ; +audal growth of urogenital sinus becomes? @agina vestibulum (#; High ?.? The best treatment is A+' inhibitor ((; &inovaginal bulb growth up 0 form? The lower third of vagina (*; A&$ response is poor in patient w A.&B% associated w? Acute pharyngitis (-; 7educed plasma albumin in patient w %& lead to? )eningkat plasma renin aktivitas

(1; The most common cause of primary idiophatic %&? )+ (4; A patient w +7E has several sigh< fairly specific? Anemia *5; +haracteristic finding in obstructive urophaty of ?.H? &uprapubic discomfort *1; +oncerning association between potassium 0 bicarbonate<true? 7egulate potassium occurs largely in the loop of henle 0 this is why loop diuretics cause hypokalemia *2; &erum creatinin tergantung? )assa otot * ; .ada pemeriksaan ?%$>"@. menilai? Eungsi 0 anatomi ginAal *#; .emeriksaan radiologist u3 menilai FT yg tidak memerlukan persiapan khusus? F&B *(; Anterograde pielografi? )enilai fungsi ginAal **; )+F? )enilai refluks *-; Fretrocele dapat dilihat Aelas dg "@.< memberikan tanda khas? +obra head *1; Which force filtration? Blomerulo capillary pressure *4; %ot function of the kidney? !eactivate vit ! 0 stimulate activity osteoclast -5; "ndikasi pemakaian .TH? Hypofosfatemia -1; The first sign of nephropaty? )icroalbuminuria -2; Tubulus ke kapiler? 7eabsorpsi - ; +rohnCs disease< batu ginAalnya Aenis apa? &turit