58.

Choose the most probable diagnosis

from the list of option: A six month
old baby present with high fever,
breathless, cough and feeding
difficulties. Chest examination
reveals dull percussion note over the
right base posteriorly with bronchial
breath sounds on auscultation.

A. BRONCHIOLITIS
SOAL

TEXTBOOK

6 month old

< 2 tahun

High Fever

Subfebris , jarang demam tinggi 38,5 39 0C

Breathless

Sesak nafas (+)

Batuk

Batuk Pilek (+)

Feeding Difficulties

Kesulitan makan (+) akibat sesak nafas

Dull Percussion

(-)

Bronchial breath sounds

Ekspirasi memanjang disertai Wheezing

Bisa juga ditemukan Rhonki

DIAGNOSIS BRONCHIOLITIS
DAPAT DISINGKIRKAN

B. CROUP
SOAL

TEXTBOOK

6 month old

Paling sering 1-2 tahun, 6 bulan

6 tahun

High Fever

Subfebris

Breathless

Sesak nafas (+)

Batuk

Batuk menggonggong (+)

Feeding Difficulties

Kesulitan makan jarang / ringan

Dull Percussion

(-)

Bronchial breath sounds

(-)

DIAGNOSIS CROUP
DAPAT DISINGKIRKAN

C. PNEUMONIA
SOAL

TEXTBOOK

6 month old

bisa menyerang semua usia

High Fever

Demam tinggi

Breathless

Sesak nafas (+)

Batuk

Batuk (+)

Feeding Difficulties

Kesulitan makan (+) akibat sesak nafas

Dull Percussion

(+) akibat konsolidasi /infiltrat.

paling sering di paru kanan

Bronchial breath sounds

(+)

DIAGNOSIS PNEUMONIA
DAPAT DITEGAKKAN

D. INFLUENZA
SOAL

TEXTBOOK

6 month old

Semua usia

High Fever

Demam ringan/tidak ada

Breathless

jarang

Batuk

Batuk (+)/(-)

Feeding Difficulties

Kesulitan makan jarang

Dull Percussion

(-)

Bronchial breath sounds

(-)

DIAGNOSIS INFLUENZA
DAPAT DISINGKIRKAN

E. EPIGLOSITIS
SOAL

TEXTBOOK

6 month old

Semua usia

High Fever

Demam Tinggi

Breathless

Sesak nafas (+), Stridor

Batuk

Batuk jarang

Feeding Difficulties

Kesulitan makan (+) berat

Dull Percussion

(-)

Bronchial breath sounds

(-)

DIAGNOSIS EPIGLOSITIS
DAPAT DISINGKIRKAN

59.
Choose of the most probable
diagnosis from the list of option: A 1
year old baby boy is wheezy,
coughing, cyanosed and breathless
with intercostal recession:

A. ASTHMA
SOAL

TEXTBOOK

1 year old

> 2 tahun, sulit didiagnosa jika <

5 tahun,

Wheezing

(+)

Breathless

Sesak nafas (+)

Batuk

Batuk (+) kering, terutama malam hari

Cyanosis

Tidak ada, kecuali serangan berat

Intercostal recession

(+)

DIAGNOSIS ASTHMA
DAPAT DISINGKIRKAN

A. BRONCHIOLITIS
SOAL

TEXTBOOK

1 year old

< 2 tahun

Wheezing

(+)

Breathless

Sesak nafas (+)

Batuk

Batuk (+)

Cyanosis

(+)

Intercostal recession

(+)

DIAGNOSIS BRONCHIOLITIS
DAPAT DITEGAKKAN

C. CROUP
SOAL

TEXTBOOK

1 year old

Paling sering 1-2 tahun, 6 bulan

6 tahun

Wheezing

(-), STRIDOR

Breathless

Sesak nafas (+)

Batuk

Batuk menggonggong (+)

Cyanosis

Tidak ada

Intercostal recession

Retraksi (+)

DIAGNOSIS CROUP
DAPAT DISINGKIRKAN

D. EPIGLOSITIS
SOAL

TEXTBOOK

1 year old

Semua usia

Wheezing

(-), STRIDOR

Breathless

Sesak nafas (+)

Batuk

Batuk jarang

Cyanosis

(+)/(-)

Intercostal recession

Retraksi (+)

DIAGNOSIS EPIGLOSITIS
DAPAT DISINGKIRKAN

E. PNEUMONIA
SOAL

TEXTBOOK

1 year old

Semua usia

Wheezing

(-)

Breathless

Sesak nafas (+)

Batuk

Batuk (+)

Cyanosis

(+)/(-)

Intercostal recession

Retraksi (+)

DIAGNOSIS PNEUMONIA
DAPAT DISINGKIRKAN

60.
All of the infections diseases described below
occur in children. For each one, select the most
likely underlying causative agent from the list
of options: A 4 month old female infant is
brought to the hospital with severe respiratory
distress. Five days previously, the had a cough
and rhinitis. On examination her temperature
is 38.9 C , pulse 180/min and the respiratory
rate 80/min. She had subcostal retractions and
nasal faring. On auscultation, there are ronchi
and wheezes all over her chest

A. Epstein-Barr virus
SOAL

TEXTBOOK (PNEUMONIA)

4 month old

5 tahun remaja

Female

L=P

Batuk & Rhinitis

(+)

Demam 38,9 0C

Demam tinggi

Pulse 180x/m

Takikardi

RR 80x/m

Takipneu

Respiratory Distress

(+)

Wheezing

(-)

Rhonki

(+)

Subcostal retraction

(+)

DIAGNOSIS PNEUMONIA DAPAT DISINGKIRKAN

ETIOLOGI PNEUMONIA DAPAT DISINGKIRKAN

B. ESCHERICHIA COLI
SOAL

TEXTBOOK (PNEUMONIA)

4 month old

Lahir -20 hari

Female

L=P

Batuk & Rhinitis

(+)

Demam 38,9 0C

Demam tinggi

Pulse 180x/m

Takikardi

RR 80x/m

Takipneu

Respiratory Distress

(+)

Wheezing

(-)

Rhonki

(+)

Subcostal retraction

(+)

DIAGNOSIS PNEUMONIA DAPAT DISINGKIRKAN

ETIOLOGI PNEUMONIA DAPAT DISINGKIRKAN

C. PSEUDOMONAS
AERUGINOSA
SOAL

TEXTBOOK (HOSPITAL
PNEUMONIA/ NOSKOMIAL)

4 month old

Semua usia

Female

L=P

Batuk & Rhinitis

(+)

Demam 38,9 0C

Demam tinggi

Pulse 180x/m

Takikardi

RR 80x/m

Takipneu

Respiratory Distress

(+)

Wheezing

(-)

Rhonki

(+)

Subcostal retraction

(+)

DIAGNOSIS PNEUMONIA DAPAT DISINGKIRKAN

ETIOLOGI PNEUMONIA DAPAT DISINGKIRKAN

D. RESPIRATORY SYNCYTIAL
VIRUS
SOAL

TEXTBOOK
(BRONCHIOLITIS/PNEUMON
IA)

4 month old

< 2 tahun

Female

L=P

Batuk & Rhinitis

(+)

Demam 38,9 0C

38,5 39 0C(+)

Pulse 180x/m

Takikardia

RR 80x/m

Takipneu

Respiratory Distress

(+)

Wheezing

(+)

Rhonki

(+)

Subcostal retraction

(+)

DIAGNOSIS BRONCHIOLITIS DAPAT DITEGAKKAN

ETIOLOGI BRONCHIOLITIS DAPAT DITEGAKKAN

E. STREPTOCOCCUS
PNEUMONIAE
SOAL

TEXTBOOK (Pneumonia)

4 month old

Semua usia

Female

L=P

Batuk & Rhinitis

(+)

Demam 38,9 0C

Demam tinggi

Pulse 180x/m

Takikardi

RR 80x/m

Takipneu

Respiratory Distress

(+)

Wheezing

(-)

Rhonki

(+)

Subcostal retraction

(+)

DIAGNOSIS PNEUMONIA DAPAT DISINGKIRKAN

ETIOLOGI PNEUMONIA DAPAT DISINGKIRKAN