SSS Pt.2

A 20 year-old woman presents nasal block and purulent discharge since 3 months. She also complains facial pain and headache. Nasal examination shows hipertrophic inferior turbinate and mucopurulent discharge in nasal cavity. Throat examination reveals post nasal drip. What is the most often risk factor of this disease?

A 42-year-old female with history of 15-year of hormonal contraception injection came with decreased visual acuity on both eyes. Physical examinations show AVODS 0,5 dan RAPD (+). MRI of the brain shows mass on optic chiasm. The appropriate visual field on this patient is:

A 25-year-old women came to ENT clinic in Siloam hospital with a chief complaint of runny nose, reduced smelling, nasal congestion, with a greenish discharge which smell bad since 6 month ago. She had taken flu tablets for this condition. On anterior rhinoscopy doctor found hypotrofic conchae media and inferior, greenish secret, crust with bad smell. What is diagnosis for this condition?

A 40 year-old male was consulted to the dermatology department with disseminated pustular lesions. He was admitted to the hospital with diagnosis of urinary tract infection and treated with ciprofloxacin 2 week ago. On seventh day, he presented with a pruritic, erythematous maculopapular eruption affecting the abdomen, neck and skin folds. One day later, he developed disseminated pustular lesions and his temperature was 380C. Gram staining from the pustules shows no bacteria. What is the most likely diagnosis for this patient?

A 12-year-old boy was brought to the clinic complaining of right ear hearing decreased since two weeks ago. On examination with tuning fork (garputala) he can only heard if tuning fork placed on the mastoid process. Whether the reaction is most likely to happen if tuning fork was placed in the middle of the head?

A 56- year old male came to his physician with an ulcerative, darkly pigmented skin in his right heel. Neither painful nor pruritic was indicated at this area. The biopsy and the microscopic found that the lesion consists of characteristic proliferation melanoblast cells. The melanoblast cells formed a few nests with various size and shapes and they invaded from the epidermis until the dermis,more than 1 mm micron from the upper surface epithelial. The nuclei of the cells are found anaplastic. Which of among the following occupations the gentleman had in his earlier life?

A 16 year old male came to polyclinic complain of itch on his neck, fossa cubiti and fossa popliteal. We found multiple papules, erythema with poor demarcation and crust on physical examination. He has family history of asthma and allergic rhinitis. Which of the following laboratory examination result is likely to be found in this patient?

A 72-year-old woman has come to your clinic, with main complaint about hearing loss, especially in crowded places. Ear examination shows right and left tympanic membranes are intact, normal light reflex. Audiometry examination reveals air conduction AD/S 56 dB; and bone conduction AD/S 45 dB (especially for high notes). According to the case above, what is the location of lesions in the cochlea?

A 25-year-old male, working as a driver, came with pruritic erythematous wheal on the trunk that appear 1 day ago. The lesions appeared suddenly 1 hour after he ate shrimps. There are no involvement of the lips and periorbital area. Which type of antihistamine that have minimal sedation effect should be preferred for this patient?

9-year-old female with left nasal pain with fever for 4 days prior to presentation. Her left eye was swollen and red, seemed to be worsening. The patient also stated that it had been more difficult to open her left eye and there had been some mattering on her eyelids. She also noticed diplopia in all gazes. Ophthalmological status revealed proptosis in the left eye with 20/20 vision in both eyes. What is the possible diagnosis?

A 30-year old man presented with a small discrete papules and pustules in a periorificial region. He felt slight itchy. In anamnesis, the doctor found out that he has atopic dermatitis and often used steroid topical for his skin condition. What is the possible diagnosis for this patient?

A 5-year-old girl went to clinic with complaining about her right ear draining some liquid since 10 days ago. She got coughs and colds for 1 week. She suffer a very painful right ear which is relief after the ear discharged liquid. What is he suspected diagnose after this anamnesis?

A 20 year-old woman presents nasal block and purulent discharge since 3 months. She also complains facial pain and headache. Nasal examination shows hipertrophic inferior turbinate and mucopurulent discharge in nasal cavity. Throat examination reveals post nasal drip. What is the mechanism can cause the disease of the patient above?

51-year-old male seen in consultation from the internal medicine service for evaluation and management of dry and red eyes. He had previous history of palpitation and mild tremor. On presentation to the eye clinic, he was complaining of horizontal binocular diplopia on extreme up-gaze. He was not bothered by the diplopia. He had complaint of his “staring” eye. Physical examination showed restriction in upper ocular motility and exophthalmus. What is your next initial diagnostic testing?

A 30 years-old-lady, came to the DV clinic with a red thicken scaly patches itchy on her knee, elbow, and her back. Doctor found erythematous plaque with sharp border in different shape and size with thick scale, Both Auspitz sign and candle grease sign are positive What is the most likely diagnosis of this patient’s condition?

The organ of Corti lies on which of the following structures?

A 28 year-old man presents decrease sense of smell and nasal congestion for 4 months. Doctor diagnoses him with chronic rhinosinusitis. From the case above, patient only can smells better if he sniffs. What explanation statement is correct about this patient?

A man comes to the emergency room after traffic accident. He has no decrease conciousness and had moderate head injury. A week after the accident he has diplopia and hirschberg test shown the left eye 150 esotropia. Most probably he had paralysis of which cranial nerve?

A 35-year old woman referred to the DV clinic because of extensive red papules and pustules appear mainly on the trunk, shoulders, and upper arms. The lesions is not itchy and not painful. She is recently being diagnosed as SLE and undergoing therapy from the internist for almost 1 month. What is the possible diagnosis for this patient?

A 35-year old woman referred to the DV clinic because of extensive red papules and pustules appear mainly on the trunk, shoulders, and upper arms. The lesions is not itchy and not painful. She is recently being diagnosed as SLE and undergoing therapy from the internist for almost 1 month. What is the best treatment for the patient above?

A 23 years old man came to outpatient department with main complaint rash over his arm and fever. IgG and IgM for dengue positive and low platelets count also found in laboratory tests. Which following dermatological sign will be found in this patient?

A 5 month old baby boy was brought to the dermatology clinic by his mother with chief complaint of eczema on both of his cheeks since 1 week ago along with itch. The mother said that his son always try to rub his skin and become irritable at night. This symptoms have been experienced by the boy since 2 months old intermittently. Both of his parents have history of bronchial asthma and allergic rhinitis. What topical therapy should be use for this patient?

A 10-year-old boy came with history of blurred vision only in the evening. He has difficulty to recognize thing surround him. What was the possible diagnosis?

A 6 year old boy was brought to the clinic because he refused to eat since 1 week ago. He also had fever of 38oC, painful when swallow and malaise, myalgia, sneezing, coughing. From the examination found inflamed pharynx, enlarged lymph node, tongue was clean, T1-T1, no rash on the skin. What is the most possible cause in this patient?

A 17 years-old-girl, came to the DV clinic with a skin rash on her back, chest, arm and thigh since 1 week ago which was not so itchy. On examination doctor found many small patches of pink or red, flaky, oval-shaped erythematous rash appear on the torso following the rib line like christmas tree, upper arm and thigh, with fine scale and herald patch positive. What is the most likely diagnosis?

A 54 year-old-man came to emergency room in Siloam hospital with a chief complaint of nose bleed since a couple hours ago. The bleeding was massive and the blood could be seen through the back of the mouth. The source of the bleeding could not be easily found. The patient also had a history of high blood pressure. What is the appropriate management of this patient?

A 40-year-old woman came to the clinic with complaints malodorous greyish vaginal discharge. She had not sexual intercourse because her husband has died. Recently she felt much depressed. What is the most likely diagnosis for this patient?

What skin diseases is caused by human papilloma virus?

A mother and 14 years-old male presented to dermatology clinic complaining of four days macular rash with multiple bullae extending from the trunk toward proximal part of the extremities. He also experienced swallowing pain, eye redness and urination pain. The only medication used by the patient was tetracycline for two weeks as treatment for facial acne. What sign on physical examination could indicate any dislodgement of the epidermis in this case?

A 70 year old patient have blurred vision in his right eye. During examination patient has lens hazyness, the iris bowed to the front and the IOP was 40 mmHg. Drugs below have relative contraindication when use with condition in patient:

A 21-year-old man comes to ENT because he loss of taste and appetite since 3 days ago. After doing some physical examination and treatment the doctor give some explanation about physiology of taste. What explanation statement is correct about the taster?

A 38 year-old woman comes to outpatient clinic with complain about nasal block since 6 months. Anterior rhinoscopy reveals polyp mass fills almost all of the nasal cavity. What is the pathophysiology of this disease?

A 37 year old male, his job is in property marketing, come to polyclinic with complaint of inttermitten itch on his left foot. On examination, we find hyperpigmented patch with lichenification. What is the diagnosis of the patient?

A 10-year-old man went to hospital, complaining about his right ear hearing level was decreased since 3 day ago. Physical examination reveals tympanic membrane of left ear was hiperemis and retraction (+). Right ear was normal. Audiometry examination reveals that there is a gap audiometry hearing 25 dB, where BC and AC 10 dB 45 dB. From the statement above, what is the condition for this patient?

A 67-year-old female came with pain, redness and watery on both eyes. Physical examination showed eyelid margin rolled toward eyeball causing trichiasis. The pathophysiology process causing this abnormality is:

A 5-year-old is brought to doctor because of snoring and sleep deprivation. Turns out he breathes through mouth and there is abnormality of his face. He also has recurrent upper respiratory infection and effusion otitis media. What is the diagnosis of this patient?

A 5-year-old girl presents to a dermatology clinic with her mother, complaining of skin rash over her body. At first there are some rash on her chest and spreading to the limb. On examination doctor found some early sign and secondary sign of skin lesion and give a diagnosis as Varicella. What kind of primary lesions can lead to the diagnosis?

A 27-year-old woman came to DV clinic with complaint of a pruritic, erythematous and contagious lesion that appeared three weeks prior on the dorsal surface of the right leg. Her physical and systemic examinations were normal. She had given an account of her recent trip to Sumba, which was one month ago, during which time she wore sandals. On examining the skin, we found a 5-6 cm linear, erythematous, serpiginous localized lesion characteristic of a papulonodular tip on the dorsal surface of the right foot. What is the common etiology for the disease?

17 Years old boy come to the dentist because she is not happy with the dark brown colour of all the teeth. Medical history show that the boy‘s mother took antibiotic during pregnancy. What is the antibiotic that can cause this problem?

A 5 month old baby boy was brought to the dermatology clinic by his mother with chief complaint of eczema on both of his cheeks since 1 week ago along with itch. The mother said that his son always try to rub his skin and become irritable at night. This symptoms have been experienced by the boy since 2 months old intermittently. Both of his parents have history of bronchial asthma and allergic rhinitis. According to the case above, the baby probably have been using topical steroid for a long time because of the disease. What is the local side effect that can occur after prolonged use of topical steroid? a.Suppression of the hypothalamic-pituitary-adrenal axis