soal fk tahun 2012

5
SOAL DEFISIENSI VITAMIN A, IRON AND IODINE A 5 years old boy came to your private practice with main complain of not be able to see in dim light or at twilight. 1. The possibility diagnosis of the case is: a. Vitamin A deficiency b. Iron deficiency Anemia c. Vitamin A deficiency and iron deficiency anemia d. Vitamin B12 deficiency e. Folic acid deficiency 2. Primary deficiencies of vitamin A result from: a. Inadequate intakes of preformed vitamin A or provitamin A carotenoids. b. Malabsorption caused by insufficient dietary fat c. Liver diseases d. Protein energy malnutrition e. Zinc deficiency 3. The X2 stage of primary WHO classification of vitamin A is: a. Xerosis conjunctiva b. Bitot spot and xerosis conjunctiva c. Keratomalacea d. Xerosis cornea e. Ulcerasi cornea 4. The treatment of deficiency vitamin A in the first day is: a. Single doses oral of 30,000 RAE of vitamin A b. Single doses oral of 60,000 RAE of vitamin A c. Single doses injection of 60,000 RAE of vitamin A d. Single doses oral of 100.000 IU of vitamin A e. Single doses injection of 200.000 IU of vitamin A The boy also suffer from Iron deficiency Anemia with main complains of decreased work performance and exercise tolerance, fatigue and anorexia since 2 moths ago, he looks pale. 5. . The most of storage iron in the body is in the form of: a. Myoglobin b. Hemoglobin c. Ferritin d. Hemosiderin e. Transferin 6. The dietary reference intakes 0f Iron in children 1-3 year is: a. 0.27 mg/day b. 7 mg - 9 mg/day c. 12 mg/day d.10 mg/day e. 11 mg/day 7. The most sensitive parameter of negative iron balence is: a. Quantity of serum or plasma ferritin b. Quantity of serum or plasma iron c. Quantity of total circulating transferin d. Percent saturation of circulating transferrin e. Percent saturation of ferritin with iron 8. Stage 2 of iron deficiency is: a. Moderate depletion of iron store no dysfunction b. Severe depletion of iron stores no dysfunction c. Iron deficiency d. Iron deficiency and dysfunction e. Iron deficiency, dysfunction and anemia An infant came to the hospital with symptom and sign include the following : decreased activity, large anterior fontanelle, poor feeding and weight gain, small stature or poor growth, macroglossia, umbilical. These syndrome is cretinism. 9. Deficiency of iodine characterized by: a. Increase synthesis of thyroid hormone

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SOAL DEFISIENSI VITAMIN A, IRON AND IODINEA 5 years old boy came to your priate practice !it" mai# complai# o$ #ot be able to see i# dim li%"t or at t!ili%"t& '& T"e possibility dia%#osis o$ t"e case is(a& Vitami# A de$icie#cyb& Iro# de$icie#cy A#emiac& Vitami# A de$icie#cy a#d iro# de$icie#cy a#emiad& Vitami# )'* de$icie#cye& Folic acid de$icie#cy*& +rimary de$icie#cies o$ itami# A result $rom(a& I#ade,uate i#ta-es o$ pre$ormed itami# A or proitami# A carote#oids&b& Malabsorptio# caused by i#su$$icie#t dietary $atc& Lier diseasesd& +rotei# e#er%y mal#utritio#e& .i#c de$icie#cy/& T"e 0* sta%e o$ primary 12O classi$icatio# o$ itami# A is(a&0erosis co#3u#ctiab& )itot spot a#d 4erosis co#3u#ctiac& 5eratomalacead& 0erosis cor#eae& 6lcerasi cor#ea7& T"e treatme#t o$ de$icie#cy itami# A i# t"e $irst day is(a& Si#%le doses oral o$ /8,888 RAE o$ itami# Ab& Si#%le doses oral o$ 98,888 RAE o$ itami# Ac& Si#%le doses i#3ectio# o$ 98,888 RAE o$ itami# Ad& Si#%le doses oral o$ '88&888 I6 o$ itami# Ae& Si#%le doses i#3ectio# o$ *88&888 I6 o$ itami# AT"e boy also su$$er $rom Iro# de$icie#cy A#emia !it" mai# complai#s o$ decreased !or- per$orma#ce a#d e4ercise tolera#ce, $ati%ue a#d a#ore4ia si#ce * mot"s a%o, "e loo-s pale&5& & T"e most o$ stora%e iro# i# t"e body is i# t"e $orm o$(a& Myo%lobi#b& 2emo%lobi#c& Ferriti#d& 2emosideri#e& Tra#s$eri#9& T"e dietary re$ere#ce i#ta-es 8$ Iro# i# c"ildre# ':/ year is(a& 8&*; m%