Ppds Urologi [2021] — Soal

Mastering the "Soal PPDS Urologi": A Comprehensive Guide to Urology Residency Entrance Exams

By: Tim Medis Edukasi

Keywords: Soal PPDS Urologi, Ujian Spesialis Urologi, Kisi-kisi PPDS Bedah, Urologi Dasar, Soal CASUS Urologi

6. Key Preparation Tips for Indonesian Candidates

1. Master the National Exam (UKMPPD) level first: PPDS exams assume you know general surgery and internal medicine.
2. Focus on "Next Step" questions: Unlike med school, PPDS soal rarely ask simple facts. They ask: "What do you do immediately after finding X?"
3. Radiology is essential: 30% of questions involve a KUB, CT urogram, or retrograde pyelogram image.
4. Join local journal clubs: Many oral exam cases are taken from recent case reports in the Indonesian Journal of Urology.
5. Logistik: Be prepared for extremely high competition (often 5-10 spots for 100+ applicants per center).

B. Clinical/Oral Examination (OSCE & Viva Voce)

• OSCE (Objective Structured Clinical Examination): Residents rotate through stations assessing specific skills (e.g., catheterization, cystoscopy interpretation, ultrasound guided biopsy).
• Viva Voce (Oral Exam): Direct questioning by a panel of senior consultants. Questions often involve case presentations where the resident must defend their diagnosis and management plan.

Sample Question #1 (Anatomy/Embryology)

Question: Seorang bayi lahir dengan hipospadia tipe penoscrotal dan testis kanan tidak teraba di skrotum. Secara embriologi, kegagalan perkembangan struktur apa yang menyebabkan hipospadia? a) Sinus urogenitalis b) Lipatan labioskrotal c) Duktus mesonefrikus (Wolffian) d) Uretral fold e) Kloka soal ppds urologi

Correct Answer: D (Uretral fold) Rationale: Hipospadia terjadi karena kegagalan penutupan uretral fold secara ventral. Jangan tertukar dengan duktus mesonefrikus (berhubungan dengan epididimis).

1. Single Best Answer (SBA) – Pilihan Ganda Biasa

Ini adalah tipe paling umum. Satu pertanyaan, 5 pilihan jawaban (A-E). Mastering the "Soal PPDS Urologi": A Comprehensive Guide

Contoh: Seorang pria 45 tahun datang ke IGD dengan nyeri pinggang kanan hebat menjalar ke selangkangan. Nyeri skala 8/10. Pasien mual dan gelisah. Urinalisis: eritrosit 25-50/LPB. Apa tatalaksana awal yang paling tepat? A. Sistoskopi B. Litotripsi gelombang kejut (ESWL) C. Analgesik (NSAID) + hidrasi D. Ureteroskopi segera E. Nefrektomi

Jawaban: C. Prioritas pada kolik renal akut adalah kontrol nyeri (NSAID) dan hidrasi, bukan tindakan invasif. Master the National Exam (UKMPPD) level first: PPDS

Soal 2 (BPH – Retensi Urine Akut)

Pria 72 tahun dibawa ke IGD karena tidak bisa BAK selama 18 jam. Pasien riwayat BPH dengan IPSS 24. Pemeriksaan colok dubur: prostat membesar simetris, kenyal. Tindakan pertama? A. Sistostomi suprapubik B. Pasang kateter uretra (Foley) C. Beri tamsulosin 0,4 mg D. Lakukan TURP darurat E. Foley dengan panduan wire (coude catheter)

Jawaban: B. Standar emas retensi urine akut akibat BPH adalah kateterisasi uretra sederhana. Jika gagal, baru coude catheter atau sistostomi.

4. Uro-oncology (Staging is King)

• Bladder Cancer (TCC): "Hematuria gross total pada perokok berat. Cystoscopy: tumor papillary di lateral wall. CT Urography: No hydronephrosis. Management?"
  • Answer: TURBT (Transurethral Resection of Bladder Tumor). You do not do a radical cystectomy without a prior TURBT biopsy.
• Renal Cell Carcinoma (RCC): "Triad klasik RCC: Gross hematuria, flank mass, and flank pain." (Note: This triad is rare, <10% of cases).

B. Adaptive Learning Mode

• System tracks weak topics (e.g., low accuracy on "Kanker Prostat Hormon Refrakter").
• Generates daily quizzes focusing on those weak areas.
• "Predictive score" simulates passing probability for actual PPDS entrance exams.