Pertanyaan wawancara RM

1. Introduksi diri !
My name Yaniar Uzlifatin. I am 28 years old. I came from malang. But now I live in Surabaya with my
husband and my daughter. I was graduated from medical faculty of unibraw in 2013. I have been working in
RS Mitra Keluarga Suarabaya since November 2014 till now. I have a family with one daughter. My
daughter Thariza now is 2 years old. My husband works as electro lecturer in ITS. My father was pension
from his works as school supervisor in malang distric. My mother has been working as biologi teacher in
SMA 1 Malang till now.
2. Mengapa berminat di RM (motivasi), koq g ambil obg/bedah yang banyak duitnya ?
- I am interested in PMR medicine because PMR medicine treats patient as whole human. It sees patient
not only based on the disease but also from the function. Besides, PMR medicine give hopes to the patient
especially with disability ones to live with optimal quality of life with his remaining potentials and how to
reintegrate in society. It also gives the patient, along with his family, an encouragement to be involved
actively in achieving best condition for his health and life.
- In my working life, i really enjoy the process when i give advice and education to the patient how to
improve their health status and overcome their disease/disability with life style modifocation, physical
therapy, and exercise so that they dont depend on medicine.
- My mother feel the importance of PMR medicine. Since 2017 My mother have a osteoarthritis that make
my mother morning stiffnes and pain in her bilateral knee. At the time, make her productivity to teach
decrease especially for up and down stairs in her school. But, after a couple time of PMR treatment in
RSSA Malang, she feel huge improvement. At the point, i am falling in love PMR medicine more . If this
science can help me getting trough my mother impairment and disability, by being PMR medicine, i
believe i can help as many people getting trough their impairment and disability in the future.
3. Motto hidup ?
I life for caring. In my opinion, we can’t live alone and with helping others, i can achieve my inner piece.
4. Punya hobi? Apa arti hobi bagi Anda?
My Hobby is recreational activity during one’s leisure time with a lot of benefits. Hobbies provide a way
to release stress, help us unite with the others, and have physical and mental health benefits. My hobby is
playing with my daughter, watching movies, browsing.
5. Kalau keterima di RM, ortu/ istri bagaimana ?
I’ve had a conversation with my family about my decision to take PMR study here. Fortunately, they are
very supportive because they want to see me as a better person.
6. Apa rencanamu setelah lulus SpKFR?
I have not had any plan yet, because i dont have working commitment with any institutions. But, if i may
choose, i’ll choose malang regency. Why? Because malang is my hometown so i want to develop PMR
medicine there. Second, there is lack of PMR specialist in Malang regency. Whereas, Malang regency is a
large area with 33 district divide into four major part (north, esast, west, and south). Third, I want to
accompany my parent, because my brother and sister stay away from my parents.
7. Biaya sekolah ? I’ll use my bank savings to pay my study. If there’s any shortage, my family is willing to
support me financially 100 %.
8. Kenapa memilih unair ? It also became one of first established PMR education center in Indonesia. RS dr.
soetomo is one of the biggest hospital in east region of Indonesia and become referal center from east region
of Indonesia. So, this combination will be a great opportunity for me to increase my knowledge and skill in
PMR medicine.
Why not jakarta ? Because the situation in jakarta is not condusive enough for studying. Rush hour, high
living cost, sociocultural and life style and air pollution are many reason that make me not to choose jakarta.
9. Kelebihan ?
a. I have good empathy and a good listener so i can sit long enough to hear people’s problems & difficulty
b. I am hard worker and a focus person in pursuing my dream and job
c. I am a person with great responsibility and loyalty.
 d. I can work in team.
Kelemahan :
a. I am a perfectionist so that i sometimes too careful to make decision
b. I am a sensitive person
c. I am a shy person
10. Jumlah lulusan dr rm dan persebaranya ?

ABOUT RM
11. Siapakah Airlangga? Dr.Soetomo? Dr.Moestopo?
Dr. Moestopo was indonesian dentist and national hero of indonesia. Born in kediri. Famous as a
freedom fighter in battle of surabaya. He also the founder of moestopo university in jakarta.
Dr. Soetomo is a medical doctor and national hero of indonesia. He is founder of Budi Utomo
organization in 1908.
Airlangga is the only king of the kingdom of kahuripan (estuarine of brantas river around modern
surabaya and pasuruan)
Unair is second oldest university in Indonesia. Established in 1954. Begins from NIAS (1913) and
STOVIT (1928). In 1948 NIAS is reopen again as a distant branch of the University of Indonesia. And
then in 10 November 1954 (9th Memorial Hero’s Day in Surabaya) Unair diresmikan oleh Presiden
Soekarno. The faculty of medicine has been around since the established of unair.
The name Airlangga is taken from the name of the reigning king of East Java in 1019–1042, Rakai Halu Sri
Lokeswara Dharmawangsa Airlangga Anantawikramattungadewa (well known as Prabu Airlangga). The symbol
of Universitas Airlangga is the mythical bird Garuda ("Garudamukha") — the magical bird ridden by Vishnu —
who carries an urn containing the eternal water "Amrta". This symbol represents Universitas Airlangga as the
source of eternal knowledge.
Brawijaya is Raden Wijaya known as Kertarajasa Jayawardhana), the founder & the first monarch
of Majapahit empire. The history of his founding of Majapahit was written in several records, including
Pararaton & Negarakertagama. His rule was marked by the victory against the army & the navy of
Kublai Khan's Yuan dynasty, division of the Mongol Empire. The son of Mahisa Campaka, prince
of Singhasari.
Unibraw established in 5 januari 1963. This name derived from title of kings of majapahit, a great
kingdom in Indonesia from the 12th to 15th centuries. The Faculty of Medicine has officially been under
University of Brawijaya since 1974.
Universitas Brawijaya emblem has pentagonal shape with black as a blackground. There’s image of
Raden Wijaya (Prabu Brawijaya) in yellow gold as incarnation of Dewa Wisynu having 4 hands while
holding a lamp, snail, qada, and cakra, wearing Candra Kapala as acrown. There are Dewa Perwara
stand in side of him as his servants.
Makna Lambang :
a) Yellow gold  pioneering spirit of Raden Wijaya (Prabu Brawijaya)  wisdom and glory
b) Uphold the philosophy of pancasila  segilima berwarna kuning emas.
c) Exposing thing that is not right/unfair  mahkota candra kapala.
d) Law enforcer  gada.
e) Eradicate the unfair things cakra.
f) Act as Custodian with purity  siput.
g) Believe on living matter  bentuk lampu.
h) Dengan demikian lambang tersebut menggambarkan penjiwaan keseluruhan watak Raden Wijaya
(Prabu Brawijaya) yang senantiasa dilandasi moral Pancasila.
12. Dokter yang paling berjasa dalam perkembangan/pelopor Rehab Medik di Indonesia (lulusan Unair/
NIAS)  prof. Dr. Soeharso and dr. Oemijono Moestari
 a. 1951 > dr. Raden Soeharso,SpB lulusan Unair dari Solo menggagas Akademi fisioterapi di Surakarta
serta pendiri Rehabilitasi centrum di Surakarta yang menjadi cikal bakal RS Ortopedi dr.Soeharso
( hal ini terjadi karena beliau melihat banyak penyandang cacat post prang kemerdekaan RI 1945)
b. 1961 > dr. Raden Oemijono Moestari, SpN-Psikiatri lulusan Unair dari Ngawi, belajar PMR di NYU
dibimbing dr.Howard Rusk > mendirikan Unit Fisioterapi Bag.Neurologi-Psikiatri RSUD dr.Soetomo
(dipimpin Prof,Dr,H,R.M.Soejoenoes). hal ini terjadi karena beliau melihat kecacatan fisik pada
pasien poliomyelitis. Beliau juga berusaha mengirim para staf ke luar negeri (hongkong, india,
jepang, brazil) untuk menambah kemampuannya terutama dlm pembuatan ortese-protesa. Dengan
bantuan World Rehabilitation Fund mengirim dokter dari soetomo untuk ambil spRM di
manila/Filipina.
c. Tahun 1987 > pemerintah RI mengesahkan 3 pusat pendidikan RM (FKUI, FK Undip, FK Unair),
kemudian bertambah FK Unpad dan FK Unsrat.
13. Ceritakan mengenai pelayanan RM di kotamu/tempatmu bekerja.
a. Sudah cukup baik. Saat ini di RSSA sudah terdapat 6 dokter spesialis RM (Dr.Joko, dr.Eko,
dr.Ridwan, dr. Ani, dr.Rahmat, dan dr. Barlian).
b. Di Paviliyun RSSA pun juga didirakn MSC (Malang Sport Clinic) untuk memfasilitasi penanganan
cedera akibat olahraga baik professional maupun yg dilakukan oleh masyarakat umum. MSC dikelola
oleh bbrp disiplin ilmu kedokteran, salah satunya oleh PMR.
c. Bbrp rumah sakit swasta juga terdapat pelayanan PMR (RS Persada – dr.Azizati, RS UMM –
dr.Rahmat, RSUB, RS Lavallete, RS Hermina, RS panti Nirmala)
14. Kenapa pemerintah mewajibkan semua RS di Indonesia ada unit RMnya?
Karena insiden kecacatan di Indonesia mengalami peningkatan (prevalensi mencapai 39%).
Terdapat perubahan pola penyakit dari infeksi menjadi degenerative karena dampak peningkatan
kesejahteraan masyarakat. Peningkatan jumlah populasi usia lanjut dgn penyakit komorbid yg
meingkatkan resiko kecacatan dan meningkatkan biaya perawatan. Selain itu juga banyak penyakit
kronis yang juga meningkatkan kecacatan. Hal ini menuntut kami sebagai dokter umum untuk mampu
melakukan deteksi dini kecacatan primer dan mencegah terjadinya komplikasi/kecacatan sekunder.
15. Masyarakat tidak percaya & sering menyalahkan dokter. Menurut anda mengapa? Bagaimana
mengatasinya?
Hal ini terjadi karena kurangnya KIE (Komunikasi-Informasi-Edukasi) yang diberikan dokter saat
bertemu lgsg dengan pasien. Kurangnya edukasi menyebabkan kurangnya pengetahuan pasien mengenai
penyakit yang dideritanya. Apalagi skrg banyak bertebaran social media yang memudahkan pasien
mengakses informasi dengan muda tanpa menyaring terlebih dahulu. Untuk mengatasinya, sebagai
seorang dokter kita harus pandai KIE kepada pasien & terus meng-update ilmu yang ada. Sehingga apa
yang diperlukan pasien bias kita sampaikan.
16. Untuk yang dipelajari untuk belajar RM ?
Anatomi, fisiologi, biokinetik/kinesiologi, geriatric, pediatry, neuroanatomy
17. Tim RM ?
PMR specialyst, nurse in PMR field, physiotherapist, psychologist, speech therapist, occupational
therapist, orthotics-prothesis specialist, social worker, nutrionist.
18. Pengalaman bertemu pasien apa yang berkaitan dengan RM ? Stroke, OA, HNP, and frozen shoulder

MUSKULOSKELETAL
19. Sebutkan otot-otot pernafasan primer dan sekunder.
Inspirasi : Primer (Normal)  M. Intercostalis ext, Diapraghm
Secunder (Active)  M. Scalenus Anterior/Posterior, M. SCM, Pectoralis mayor, M.
Intercostalis Parasternalis
Ekspirasi : Normal  Relaxation of M. Intercostalis ext and Diapraghm
Primer (Active)  M. Intercostalis Internus and Subcostal
Sekunder  Abdominalis muscles (M. Rectus Abdominis, M. Transversus abdominis,
Obliqus externus/internus)
20. Fungsi dari :
M.hamstring  hip estensor, Knee Flexor
M.gluteus maximus hip extension and hyperextension, lateral rotation (?)
M.bisceps brachialis  fleksi of elbow, shoulder flexion, supination
M.triceps brachialis  elbow extension, shoulder extension
M.iliopsoas  hip flexion
M.quadriceps femoris  knee extensor and hip flexion
M.gastrocnemius  plantar flexion (mostly), soleus  plantar flexion when knee in flexion position
21. Jelaskan ROM dari sendi lutut.
Knee joint is the largest joint in the body and it classified as a synovial hinge joint. The motion possible
at the knee are flexion and extension. From 0 degrees of extension there are approximately 120-135
degrees of flexion. But not true hinge joint because it has rotational component.
22. Beda strain dan sprain
Sprains and strains are two types of soft tissue injury or damage. A sprain is a joint injury that
involves tearing of the ligaments and joint capsule. A strain is an injury to muscle or tendons. First aid
includes rest, ice, compression with bandages and elevation (RICE).
23. M. Iliopsoas di mana? Fungsinya? (harus diperagakan)
M. Iliopsoas terdiri dari Psoas Major dan Iliacus
Fungsi : Hip Flexi

24. M. Hamstring, terdiri dari apa saja, fungsi.

- Biceps Femoris - Semi Tendenosus - Semi Membranous
- Fungsi : Hip Extensi + Knee Flexi
25. Otot-otot quadriceps femoris  ekstensor knee
a. vastus lateralis
b. vastus intermedius
c. vastus medialis
d. rectus femoris
26. M. Tricepsurae : M. Soleus (the deepest one) & Gastrocnemius
Gastrocnemius : Fleksi Knee + Ankle Plantar Flexi
Soleus : Ankle Plantar Flexi
27. M. Ekstensor hallucis longus, diinervasi nervus apa ?
Inervasi : N.Peroneal Profundus (Deep Peroneal Nerve) – L4 L5 S1
Fungsi : Extensi Jari Kaki 1, Inversi + Dorsoflksi ankle
28. Rotator Cuff muscle :
a. M. Supraspinatus  shoulder abduction
b. M. Infraspinatus  shoulder lateral rotation, horizontal abduction
c. M. Tere Minor  shoulder lateral rotation, horizontal abducton
d. M. Subscapularis  shoulder medial rotation
29. M. Deltoideus, menggerakkan sendi apa?
Glenohumeral Joint, Inervasi : N. Axilaris
 Ada 3 Jenis :
- M. Deltoid Anterior
- M. Deltoid Medius
- M.Deltoid Posterior
30. Mengambil bolpoin diatas meja, gerakannya apa saja ?
- Elbow Flexi :
o M. Biceps Brahii
o M. Brachialis
o M. Brachioradialis
o M. Pronator teres
- Forarm pronasi :
o M. Pronator Quadratus
o M. Pronator teres
o Flexor Crapi ulnaris
- Wrist Flexi :
o M. Flexor Carpi Radialis
o M. Flexor Carpi Ulnaris
o M. Flexor Digitorum Superficialis
o M. Flexor Digitorum Profundus
o M. Flexor Policis Longus
o M. Longus Palmaris
- Finger Flexi :
o FDP
o FDS
o Flexor digiti minimi
o M. Lumbricalis
o M. Dorsal dan palmaris interossei
Tambahan :
- Elbow Extensi :
o M. Triceps
o M. Anconeus
- Forearm supinasi :
o Bicepss brachii
o M. Supinator
o Brachioradialis as the supinator longus
- Wrist extensi :
o M. Extensor Carpi radialis brevis
o M. Extensor Carpi radialis longus
o M. Extensor Carpi ulnaris
o M. Extensor digitorum
o M. Extensor digiti minimi
o M. Extensor policis longus
o M. Extensor Indicis
- Shoulder Flexi :
o M. Pectoralis Major
o M. Deltoid Anterior
o M. Corachobrachialis
o Biceps Brachii
- Shoukder Extensi :
o M. Pectoralis Major
o M. Deltoid Posterior
o M. Teres Major
o M. Latissimus Dorsi
 o Triceps
- Shoukder Internal Rotation :
o M. Subscapularis
o M. Pectoralis Major
o M. Deltoid Anterior
o M. Teres Major
o M. Latissimus Dorsi
- Shoulder External Rotation :
o M. Supraspinatus
o M. Infraspinatus
o M. Teres minor
o M. Deltoid Posterior
- Shoulder Abduksi :
o M. Supraspinatus
o M. Deltoid
- Shoulder Adduksi :
o M. Pectoralis major
o M. Lattisimus Dorsi
o M. Teres Minor
o M. Infraspinatus
o M. Deltoid Ant/Post
o M. Choracobrachialis
o M. Long Head of Triceps
- Ulnar Deviation : Flexor Carpi Ulnaris, Extensor Carpi uknaris
- Radial Deviation : Flexor Carpi Radialis, Extensor Carpi Radialis
31. Anatomi vertebrae
Cervical (8) – Thoracal (12) – Lumbal (5) – Sacral (5) – Coxigeal (1)
32. Saat Berdiri, Jinjit, Lompat otot apa saja yang bekerja ?
- Hip Extensi
o Gluteus Maximus
o Gluteus Medius
o Gluteus Minimus
o Hamstring Muscle : Biceps Femoris, Semi Membranous, Semitedenosus, Popliteus
o Piriformis
o Adductor Magnus
o Short external rotator of the hip  m. pyriformis, m. obturator internus, m. obturator externus, m.
gemellus superior, m. gemellus inferior, m. quadaratus femoris
- Knee Extensi
o Quadriceps Femoris : Rectus Femoris, Vastus Lateralis, Vastus Intermedius, Vastus medialis obliqus
- Ankle Plantar Flexi
o Inversi : Gastocnemius, Soleus, Plantaris, Tibialis Posterior, Flexor digitorum longus
o Eversi : Peroneus longus, Peroneus Brevis
Tambahan
- Hip Flexi
o Quadriceps femoris
o Tensor fasia lata
o Sartorius
o Iliopsoas
o Pegtinius
o Adductor Brevis
o Adductor Longus
o Adductor Magnus
- Knee Flexi
 o Hamstring
 Biceps femoris flexi dan external rotasi tibia
 Semitendinosus dan c. semimembranous  flexi knee dan internal rotasi tungkai bawah
o Gastrocnemius
o Popliteus
o Gracilis
o Sartorius
- Adductor Hip
o M. Adductor longus, brevis, magnus
o M. Gracilis
o M. Pectus
o M. obturator externus
o M. Gluteus Maximus
o Hamstring
- Abductor Hip
o Gluteus Maximus/Medius/Minimus
o Tensor Fascia Lata
o Sartorius
o Piriformis
- Ankle Dorsofleksi
o Invesi :Tibialis anterior, Extensor halucis longus
o Eversi : Peroneus tertius, extensor digitorum longus

33. Saat Berjalan, berlari otot apa saja yang diperlukan ?

- Quadriceps Femoris
- Hamstring
- Iliopsoas
- Tricepsurae
- Pendukung : Biceps brachii, otot perut atas, otot perut bawah
- Tambahan : Intercostalis externa, intercotalis interna
34. Hip Abduksi
a. Gluteus medius
b. Gluteus minimus
c. Gluteus maximus
d. Tensor fascia lata
e. Sartorius
f. Piriformis
Hip Adduksi
a. Pectus
b. Gracilis
c. Adductor brevis
d. Adductor longus
e. Adductor magnus
f. Gluteus maximus
g. Obturator externus
h. Gracilis
i. Hamstring
35. M. Trapezius > Mengangkat rangka bahu
- Origo > Proc.SPinosus Vertebrae
- Insersio > Acromion Claviculae & Spina Scapulae Cranial – Caudal
- Inervasi > N IX (Accesorius)
- Fungsi > Elevasi, Retraksi, Depresi
M. Rhomboideus > Menyebabkan posisi tegak
- Origo > C7-T5 (Sepanjang Spina)
 - Insersio > Medial Scapula
- Inervasi > VC5
Lattisimus Dorsii
- Origo > Prosesus spinosus ke 6, V.Thoracalis, V.Lumbalis
- Insersio > Tendon datar yang mengelilingi M.Teres Major pada Crista Tuberculi
- Inervasi >N. Plexus Brachialis
- Fungsi > Menarik shoulder ke medial-Inferior dan costae atas
36. N. Ischiadicus > Serabut saraf terbesar dalam tubuh & Berasal dari Plexus sacralis
a. N. Tibialis > N. Plantaris Medialis & N. Plantaris Lateralis
b. N. Peroneus Communis > N.P. Superficilais & N.P. Profundus

NERVOUS SYSTEM
37. Anatomi CNS (dari cortex cerebri sampai medula spinalis)
a. Brain
- Cerebrum > Cortex cerebri, Basal ganglia, Amigdala, Hipocampus
- Cerebellum
- Brainstem > Midbrain, Pons, Medulla Oblongata
- Diencephalon > Thalamus & Hipothalamus
b. Medula Spinalis
38. Sebutkan ke-12 nn. Cranialis. Mana yang murni sensoris? Yang murni motoris?
Nervus Sifat Fungsi
I S Olfactorius
S : fungsi indera penciuman
II S Opticus
S: ketajaman penglihatan
III M Oculomotorius
M : m.rectus medialis, inferior, superior, obliqus
inferior, levator palpabrae, m. spingter pupil dan m.
Siliaris
IV M Trochlearis
M : m. obliqus superior
V S, M Trigeminus
S : sensoris V1 oftalmikus, V2 maxillaris, V3
mandibularis
M : m. masseter, m. temporalis, m. pterogideus
medialis, m. pteriogedius lateralis
Reflek kornea dan jaw reflek
VI M Abducens
M : m. rectus lateralis
VII S, M, A Facialis
S : pengecapan 2/3 depan lidah
M : gerakan wajah  kerutan dahi, kelopak mata,
lipatan mata, orbicularis oris.
A (parasimpatis) : kelanjar air mata dan m. stapedius
VIII S Vestibucochlearis (auditori dan vestibularis)
S : fungsi pendenganran dan keseimbangan
IX S, M Glossofaringeus
S : 1/3 belakang lidah, reflek muntah
M : gerakan lidah
X S, M, A Vagus
S, M  seperti n. IX
A : organ-organ visceral
XI M Asesorius
M : m. trapezius dan sternokleidomastedius
 XII M Hipoglosus  otot intrinsic dan ekstrinsik lidah
M : gerakan lidah.

39. Ada berapa pasang nn.spinalis? 31 pairs. Umumnya bersifat apa? Sensoris
40. Beda kelumpuhan UMN dan LMN
UMN LMN
REFLEKS Hiper Hipo/arefleksia
TONUS Hiper/spastik Hipo/flaksid
REFLEKS PATOL (+) (-)
CLONUS (+) (-)
FASIKULASI, ATROFI (-) disuse atrofi (+)

41. Apa efek dari Peroneal Nerve Palsy? Drop foot  Steppage gait.
42. Trigeminal Neuralgia (Tic Doulourex)  gangguan pada n.trigeminal yang menyebabkan sudden,
severe, stabbing, sharp, shooting, electric shock like pain pada satu sisi wajah.
43. Peragakan drop hand. Akibat kerusakan nervus apa? N. Radialis mengatur otot apa ?
Motorik
- Triceps - Extensor Digitorum
- Brachioradialis - Extensor Digiti Minimi
- Supinator - Abductor policis longus
- Extensor Carpi radialis longus - Extensor Policis Brevis
- Extensor carpi radialis brevis - Extensor Indicis
- Extensor Carpi Ulnaris
Sensorik
Sepanjang medial lengan atas dan bawah
44. N. Medianus ?
Motorik
- Pronator Teres - Abductor Policis Brevis
- Flexor Carpi Radialis - Flexor Policis Brevis
- Palmaris Longus - Opponens Policis
- Flexor Digitorum Superficialis - Lumbrical 1 dan 2
Sensorik
3 ½ jari medial ( Jari 1,2,3 dan ½ jari 4)
45. N. Ulnaris ?
Motorik
- Flexor Carpi Ulnaris - 1st Dorsal inter osseus
- Flexor Digitorum Profundus III & IV- 1st Palmar inter osseus
- Adductor Policis - Lumbrical 3 & 4
- Flexor Policis Brevis - Abductor/Opponen/Flexor Digiti Minimi
Sensorik
Sepanjang lateral lengan bawah dan 1 ½ jari lateral (1/2 jari 4 dan jari 5)

CARDIOVASKULAR
46. Rumus cardiac output. Berapa harga normalnya?
CO = SVxHR
Normal SV is 70cc, nomal HR is 70-80 bpm.
Harga normal CO 4900-5600 ml/minute.
Normal 5 L/menit, exercise 20-25 L/minute (cardiac reserve)
47. Apakah stroke volume itu?
Amount of blood ejected by left ventricle in one contraction (about 1 cc/kgBW)

TUMBUH KEMBANG
48. Sampai umur berapa manusia tumbuh?
49. Tumbuh kembang bayi ? tahap-tahap sesuai umur
Tahap-tahap tumbuh kembang
 1. Masa Pranatal
a. Embrio : Konsepsi – 8 minggu
b. Janin : 9 Minggu – lahir
2. Masa Bayi :
a. Neonatal : 0 – 28
1. : Neonatal dini : 0 – 7 hari
2. : Neonatal lanjut : 8 – 28 hari
b. Pasca Natal : 29 hari – 1 tahun
3. Masa pra sekolah : 1 – 6 tahun
4. Masa sekolah : 6 – 18/20 tahun
a. Pra remaja : 6 – 10 tahun
b. Remaja :
b.1 Remaja dini b.2 Remaja lanjut
♂ : 10 – 15 tahun ♂ : 15-20 tahun
♀ : 8 – 13 tahun ♀ : 13-18 tahun

50. Definisi Cerebral Palsy, otak matur/berkembang maksimal pada umur berapa?
CP is posture and movement disorder result from non progresif lesion on immature brain.

SPESIFIC DISEASE
51. Poliomyelitis (etiologi, penularan, vaksin)  infantile paralysis (95% pada anak < 4 thn)
Acute poliomyelitis is a disease of the anterior horn motor neurons of the spinal cord and brain stem
caused by poliovirus with manifestation flaccid asymmetry weakness and muscle atrophy.
Vaksin Polio : 0 bulan – 2 bulan – 4 ulan – 6 bulan -1,5 tahun – 5 tahun
52. Morbus Hansen (patofisiologi, simptom, pemeriksaan, terapi)
Patofisiologi
Merupakan penyakit infeksi kronik yang ditularkan oleh M. Leprae yang bersifat intraseluler obligat.
Patogenesitas rendah. Meskipun jumlah bakteri yang masuk banyak tidak akan memperburuk keadaan
penyakit. Sehingga penyakit ini disebut penyakit imunologik. Gejala klinisnya sebanding dengan tingkat
reaksi selularnya daripada intensitas infeksinya.
Saraf perifer sebagai afinitas utama lalu kulit dan mukosa tractus respiratorius bagian atas
kemudian menuju organ lain kecuali SSP.

Simptomp
Multibasilar (LL, BL, BB) : Indeks bakteri >2+ (Kerokan BTA +)
Pausibasilar (TT, BT, I) : Indeks bakteri <2+ (Kerokan BTA -)
Ada juga tipe Neural murni
 No PB MB
1. Lesi Kulit (Makula datar, papul - 1-5 lesi - > 5 Lesi
yang meninggi, nodus) - Hipopigmentasi/Eritema - Distribusi lebih simetris
- Distribusi tak simetris - Hilang sensasi tak jelas
- Hilang sensasi jelas
2. Kerusakan saraf - Hanya 1 cabang saraf - Banyak cabang saraf
(Menyebabkan hilangnya
sensasi/kelemahan otot yg
dipersarafi o/ saraf yg terkena)

Pemeriksaan
1. Fisik
Sensasi Nyeri > Dengan jarum
Sensasi Raba > Dengan kapas
Sensasi Panas + Dingin > Menggunakan tabung yang berbeda suhunya
2. Penunjang
Bakteriologis
Histopatologis
Serologis
Terapi
1. Oral > DDS, Rifampicin, Klofazimin, Protionamid, Ofloksasin, Minosiklin, Klaritomisin,
Kortikosteroid
2. Pencegahan kecacatan > POD (Prevention of Disabilities)

People without disability: Prevention of occurrence of disability

People with disability: Prevention of worsening of existing disability (limitation of disability)

53. Stroke (etiologi, simptom yang mungkin terjadi, faktor resiko)

54. CVA atau CVD? Kenapa?
55. HNP dan LBP (anatomi vertebrae)
56. Kasus RM di obgyn ? penanganan ?
57. Angka kematian ibu dan anak nasional ? upaya penanganan ?

JENIS TES
 Tes Froment’s sign adalAh tes menilai kekuatan m. adductor pollicis oblique (moved the thumb toward the
palmar) yang diinervasi n. ulnaris dengan cara memungut kertas dengan adduksi ibu jari pada telunjuk 
dikatakan (+) (pada ulnar nerve palsy)  phalang distal ibu jari bengkok karena ada kerusakan n. ulnaris
sehingga m. flexor pollicis (n. medianus) dipakai untuk adduksi ibu jari .
 ACL (Anterior Cruciatum Ligamentum)  mulai dari anterior medial tibia ke permukaan medial dari
condylus lateralis femoris  berfungsi untuk mencegah rotasi external abnormal, menstabilkan lutut saat
extensi dan mencegah hyperextensi. Tes diagnostic injuri ACL  1. Anterior Drawer Test, 2. Lachman
test, 3. Pivot’s test
 Carpal Tunnel Syndrome  neuropathy pada n. medianus akibat kompresi n.medianus di carpal tunnel.
Etiologi  idiophatic process, increased canal volume, decreased canal volume, double crush syndrome.
Gejala klinis  abnormal sensasi pada area yang dipersarafi, kelemahan pada otot LOAF (lumbricalis 1 dan
2, Oppones pollicis, Abductor pollicis brevis. Provocative test  1. Tinel test, 2. Phalen test, 3. Reverse
Phalen;s test/Prayer test, 4. Torniquet test, 5. Carpal compression test
 Cubital Tunnel Syndrome  ulnar neuropathy akibat adanya kompresi pada n.ulnaris di daerah elbow ec
1. Arcade of stuthers, 2. Hypermobility of n.ulnaris, 3. Excessive valgus force di elbow, 4. Osteofit dan
loose bodies.
 Diagnostic test for Sacroiliac Joint Dysfunction/ Sacroilitis
a. Gaenslen test  SI joint pain is reproduced with extension of the involved leg off the table by the
examiner while the contralateral hip is held in flexion.
b. Fabere (Patrick’s test)  Pain reproduction with Flexion, ABduction, External Rotation of the hip
joint, and Extension of the leg (downward force by the examiner). Ipsilateral pain occurs in a degenerative
hip; contralateral pain occurs in the dysfunctional SI joint
c. Iliac Compression test  SI joint pain with downward force placed on the iliac crest with the patient in
a decubitus postion
d. Yeomasn’s test (non provocative)  SI joint pain with hip extension and ilium rotation.
e. Gillet’s test (non provocative)  Monitor posterior superior iliac spine (PSIS) motion when the patient
raises the leg to 90°. The PSIS on raised leg should rotate down. Restriction of this motion is considered
abnormal.
f. Seated Flexion test (non provocative)  Monitor the PSIS of the seated patient as they bend forward.
Asymmetric cephalad motion of the PSIS indicates a sacroiliac dysfunction. Use the Standing Flexion Test
to distinguish the side of the dysfunction.
 Thomas test  to assess Hip Flexion Contractures. Perform this test with the patient supine, flex one hip
filly reducing the lumbar spine lordosism stabilizing the lumbar spine and pelvis, extend the opposite hip. If
that hip does not fully extend, a flexion contracture is present.
 Ober test  to contraction of the tensor fascia lata/iliotibial band tightness. With the patient side lying with
the uninvolved leg on the table, flex the knee to 90°, extend the hip to 0°, and abduct the involved leg as far
as possible. The leg is then lowered from full abduction. • If the thigh remains abducted, there may be a
contracture of the tensor fascia lata or iliotibial band.
 Trendelenburg test  for Gluteus Medius weakness
 Ely’s test (Femoral Nerve Stecth test)  for Femoral Nerve irritation
 Hip Dysplasia test >
o Barlow > Kaki Bayi diluruskan > akan terjadi dislokasi hip joint
o Ortholani > Kaki Bayi kembali di fleksikan pelan pelan arahkan ke anterior > koitn akan masuk lagi
ke mangkuknya
LATIHAN PENGUATAN
a. Isometric / static exercise
Ada kontraksi otot, tidak ada gerakan sendi (statis).
Dikatakan cukup kontraksi optimal selama 6 detik satu kali sehari.
Hati-hati pada penderita hipertensi / gangguan kardiovaskuler.
Contoh :
Quadricep Isometric
b. Isotonic exercise
Kontraksi otot (+) bersamaan gerak sendi (+)
- Concentric contraction : kontraksi memendek.
- Eccentric contraction : kontraksi memanjang.
- Progressive Resistance Exercise (PRE), beban meningkat secara bertahap.
c. Isokinetic
Gabungan isometric dan isotonic, sehingga hasil optimal.
Perlu alat khusus yang dapat mengatur beban secara dinamik tetapi kecepatan gerak tetap (static) sepanjang
waktu latihan

PENGENALAN IKFR
1. Falsafah IKFR :
- Kedokteran Fisik adalah penggunaan modalitas fisik seperti cahaya, panas, dingin, air, listrik,
pijat, manipulasi, latihan dan alat-alat mekanik untuk tujuan diagnostik dan terapeutik seperti
terapifisis, terapi okupasional, dan rehabilitasi fisis.
- Rehabilitasi merupakan penerapan ilmu kedokteran fisik dan teknik untuk membantu
pasien mencapai fungsi maksimal dan penyesuaian diri secara fisis, mental, sosial dan vokasional
untuk mencapai kehidupan yang lengkap sesuai dengan kemampuan dan disabilitasnya.
- Falsafah Kedokteran Fisik dan Rehabilitasi adalah meningkatkan kemampuan fungsional seseorang
sesuai dengan potensi yang dimiliki untuk mempertahankan dan atau meningkatkan kualitas hidup
dengan cara mencegah atau mengurangi hendaya, disabilitas dan kecacatan semaksimal mungkin.
- Disfungsi dapat terjadi ketika terdapat gangguan pada proses adaptasi. Aktivitas fungsional dapat
membantu proses adaptasi.

2. Definisi :
Pada awalnya kita memakai definisi yang dipakai oleh AAPMR (American Academy of Physical
Medicine and Rehabilitation), yaitu :
PHYSICAL MEDICINE and REHABILITATION IS A BRANCH OF MEDICINE CONCERNING
WITH THE COMPREHENSIVE MANAGEMENT OF DISABILITIES ARISING FROM DISEASE OR
INJURY OF THE NEURO-MUSCULO-SKELETAL AND CARDIO-RESPIRATORY SYSTEMS AND THE
PSYCHO-SOCIO-VOCATIONAL DISRUPTIONS CONCOMITANT WITH THEM
Kemudian pada beberapa tahun terakhir ini definisi tersebut menurut ABPMR (American Board of
Physical Medicine and Rehabilitation) dirubah redaksinya menjadi :
PHYSICAL MEDICINE and REHABILITATION (PM&R), ALSO REFERRED TO AS
PHYSIATRY, IS A MEDICAL SPECIALTY CONCERNED WITH DIAGNOSIS, EVALUATION AND
MANAGEMENT OF PERSONS OF ALL AGES WITH PHYSICAL AND/OR COGNITIVE IMPAIRMENT
AND DISABILITY. THIS SPECIALTY INVOLVES DIAGNOSIS AND TREATMENT OF PATIENTS
WITH PAINFUL OR FUNCTIONALLY LIMITING CONDITIONS, THE MANAGEMENT OF
COMORBIDITIES AND CO-IMPAIRMENTS, DIAGNOSTIC AND THERAPEUTIC INJECTION
PROCEDURES, ELECTRODIAGNOSTIC MEDICINE AND EMPHASIS ON PREVENTION OF
COMPLICATIONS OF DISABILITY FROM SECONDARY CONDITIONS
3. Penanganan kecacatan fisik (Level of Prevention) berjenjang dalam tiga tingkat, yaitu :
a) Pencegahan cacat tingkat I :
Yaitu mencegah agar tidak sakit yang menyebabkan kecacatan, misal vaksinasi Polio, praktek
mempergunakan tulang punggung berdasarkan biomekanika yang benar agar tidak mengalami Low
Back Pain kronis, dsb
b) Pencegahan cacat tingkat II :
Yaitu ketika sudah mengalami penyakit yang dapat menyebabkan cacat fisik maka segera ditangani
sedini mungkin untuk meminimalkan kecacatan dan segera mengaktifkan penderita pada aktifitas
fisik semaksimal mungkin
c) Pencegahan cacat tingkat III :
Yaitu mencegah kecacatan yang berat menjadi lebih berat lagi dan menolong penderita semaksimal
mungkin untuk bisa mandiri menolong dirinya sendiri

4. Tim pelayanan rehabilitasi medik

a) Layanan Rehabilitasi Medik (batasan PB PERDOSRI):
b) Layanan Fisioterapi (batasan Ikatan Fisioterapis Indonesia)  untuk mengembangkan, memelihara
dan memulihkan gerak dan fungsi tubuh dengan menggunakan penanganan secara manual,
peningkatan gerak,peralatan (fisik, elektroterapeutis dan mekanis), pelatihan fungsi dan komunikasi.
c) Layanan Terapi Wicara (batasan Ikatan Ahli Terapi Wicara Indonesia) untuk memulihkan dan
mengupayakan kompensasi/ adaptasi fungsi komunikasi, bicara dan menelan dengan melalui
pelatihan remediasi, stimulasi dan fasilitasi (fisik, elektroterapeutis dan mekanis).
d) Layanan Terapi Okupasi (batasan Ikatan Okupasi Terapi Indonesia)  memulihkan fungsi dan/atau
mengupayakan kompensasi/ adaptasi untuk aktivitas sehari-hari, produktivitas dan waktu luang
melalui pelatihan remediasi, stimulasi dan fasilitasi.
e) Layanan Ortotis-Prostetis (batasan Ikatan Ortotik-Prostetik Indonesia)  untuk merancang,
membuat dan memasang alat bantu guna pemeliharaan dan pemulihan fungsi atau pengganti anggota
gerak.
f) Layanan Psikologis
g) Layanan Perawat
h) Layanan Pekerja Sosial Medis

5. Sedangkan yang dimaksud dengan kecacatan menurut definisi dari WHO (World Health Organization)
dalam dokumen ICIDH (International Classification of Impairment, Disability and Handicap) tahun 1980
adalah sbb :
a. Impairment :
Is any loss or abnormality of psychological, physiological or anatomical structure or function.
Impairment is considered to occur at the level of organ or system function.
Di sini letak gangguan hanya pada level organ atau sistem
b. Disability :
Is any restriction or lack (resulting from an impairment) of ability to perform an activity in the manner
or within the range considered normal (depending on age, sex and social and cultural factors) for tha
individual.
Di sini masalah yang terjadi adalah pada level manusia dimana fungsi aktifitasnya sebagai seorang
manusia sudah tidak normal seperti biasanya
c. Handicap :
 Is a disadvantage for a given individual, resulting from an impairment or a disability, that limits or
prevents the fulfillment of a role that is normal (depending on age, sex and social and cultural factors)
for that individual.
Di sini masalah yang terjadi adalah pada level lingkungan  tidak mampu lagi melakukan aktifitasnya
dalam lingkungannya dia berada

6. Fungsi Fisioterapi
Mengembalikan fungsi tubuh setelah terkena penyakit atau cedera. Jika tubuh mengalami cedera permanen
fisioterapi berfungsi untuk mengurangi komplikasi lebih lanjut
Fisioterapi = Physic + Terapi (Terapi Fisik)
Terdiri dari :
- Terapi Dingin / Cold Therapy/ Cryotherapy
- Terapi Panas
1. Cara radiant :
- Sinar infra merah
- Sinar matahari.
2. Cara konduktif :
- Air panas
- Pasir panas
- Uap panas
- Parafin wax
- Heated pad
3. Cara konversi :
- Short Wave Diathermi ( SWD )
- Micro Wave Diathermi ( MWD )
- Ultra Sound Diathermi (USD )
7. Tugas dokter PMR
8. Penyakit yang ditangani di PMR
9. Quality of Life
QoL is define as a person’s subjective or objective perception towards their physical condition,
phychological, social, and environmental circumtances in their daily lives
10. Komplikasi tirah baring
11. Penanganan PMR pada OA
12. Hubungan PMR dan Kejang demam

ORTHOPEDI
1. Spondiloarthritis / Spondiloarthrosis / Spondilolisthesis / Spondilosis ?
2. Px Fracture kapan mobilisasi ? Impairment ? Disability ?
3. Fr. Femur
a. Patofisiologi
b. Anatomi
c. Tipe fracture
d. Terapi pada pasien
e. Siapa yang melakukan traksi
f. Terapi yang dilakukan GP sebelum di rujuk
g. Evaluasi post op
h. Jika fracture di caput ? Body ? Gimana ?

LAIN – LAIN
1. TB
a. Diagnosis
b. Screening
c. Tx di PMR
2. Fisiologi nafas
3. Retensio urin dan persyarafan miksi

PHYSICAL REHABILITATION MEDICINE ENROLLMENT TEST 2007

The test will be held at least a week, so prepare your time.

There will be some tests, interview by 6 doctor, including motivation and knowledge, and psycho-test with
psychologist.

Dr. Bayu, SpRM

Usually he gives a written test first.
Some of the questions are:
1. How much vertebrae that human being have?
2. What is the formula of cardiac output?
3. What is the meaning of Evidence based medicine? Evidence-based medicine (EBM) is an
approach to medical practice intended to optimize health decision-making by
emphasizing the use of evidence from well designed and conducted research.
4. Write down all the upper extremity’s muscles!
5. What is the difference between upper and lower motor neuron paresis?
6. What is the causing factor of poliomyelitis?
7. Some kind about paralysis and pathophysiology….. etc..

The 2nd test is about your files. You will be inquired about yourself.
Starting from the name of your father until your references.
You will be questioned about your university, about its philosophy, birthday etc.
And prepare yourself in what subject you got A or B in the transcript of GPA.
And the most important is your motivation, just be brief and convince him that you are really interested in this
division.

The 3rd test is interview about the theory.

Usually you will be questioned about anatomy first, neuro-anatomy and muscles of extremities.
Some of the questions :
1. Show me all flexor muscle of upper arm, the name, the innervating nerve and the function of the
muscles.
2. Show me the hamstring muscles, where is the insertion of them?
3. Draw the circle of Willisi of the brain.
4. Tell me about Brachial plexus. etc

Some others theory :

1. CVA is the most favorite topic beside poliomyelitis. Be prepare
Such as : the differences between CVA infarct and bleeding, what are the signs if the lesion of CVA is in
the dominant hemisphere?
Except the written test, you have to speak english and don’t bargain it.

Dr. Ratna Soebadi, SpRM

Basically she will ask the same questions.
And she will give you a topic in, you have to read and summarize it.

Dr. Hening, SpRM, dr. Reny, SpRM, dr. Meiwulan, SpRM

If they have time, they will concert an interview together.
The questions are not much different from the others interviewers.
You will be asked about yourself, motivation and basic knowledge and philosophy of rehabilitation medicine.
Usually you will be questioned about your experience in handling patient who needs rehabilitation medicine
treatment.
About anatomy, you will be shown a picture, and you have to figure it.

Dr. Abdurrahman, SpRM

Just the same question, but he usually asked about poliomyelitis and CVA.
Good luck..

PHYSICAL REHABILITATION MEDICINE ENROLLMENT TEST 2009

References: 1. Diktat DM
2. Kinesiology

Must Know
- Definition of physical medicine and rehabilitation by AAPMR
(a branch of medicine concerning with the study of the comprehension management of disability arising from
disease or injury of neuromusculosceletal and cardiorespiratory system and the psychososiovocational
disruption that concomitant with them)
- Definition of health, impairment, disability and handicap by WHO

Should Know
This question will be asked related with your work experiences before. Sometimes they will ask you for said it
(you can choose), but the others will directly ask you and you won’t have another choice except answer it. So,
check this out!
LBP, OA, RA, CVA, BP, CP, CRS, FS, SCI, COPD, HF, Leprosy, Acute poliomyelitis, Osteoporosis,
Fracture.
From its definition, classification, patophysiology (muscles, nerves that involved, what kind of reaction that
happen actually), how to diagnose..., treatment (generally and specifically by IKFR). With other words:
everything about anatomy, physiology and neurology that related with them.

Nice to know
Dr. Bayu: Always change his questions. The newest one is the founder of IKFR UNAIR
– dr.R.Oemijono Moestari.
Dr. Haning Based on Diktat DM and your knowledge about neuroanatomy.
Dr. Reni and Just keep strength your mental! They’ll just ask common question with little
friends demonstration from you.
E.g. Where is the attachment of levator scapulae? (You answer the origin and
insertion) What is the function? Show us the movement!
Dr. Fatur The real lecture! He likes to use Indonesian and tell us the patophysiology of
some diseases. But make sure that you’re not answer if the question is not for
you!!! Factually, he seldom says our name so we must look at his eyes to make
sure to whom the question is given.

Good luck!!!
Ujian masuk rehab periode oktober 2010.
1. Ujian TPA,bahasa inggris & psikologi. (3 hari)
2. Ujian di bagian rehab
a. Ujian tulis (hari I)
- Materi dr.Bayu (bhs Indonesia,essay) :
Definisi sehat menurut WHO
Health is a state of complete physical, mental and social well-being and not merely the
absence of disease or infirmity.
Definisi cacat,impairment,handicap
Sejarah rehab medic
Penyakit2 rehab (OA,stroke,polio)
Bagan neuromuscular junction
Menyebutkan otot2 ekstremitas

- Materi dr.Hening (bhs Inggris,MCQ)

Anatomi otot2 gerak, fisiologi gerak, neurologi yang berhubungan dengan gerak

b. Ujian lisan (hari II - III)

Peserta ujian dibagi dalam 2 kelompok. Hari ini Kelompok 1 masuk ruang A,kelompok 2 masuk
ruang B. Hari berikutnya bertukar tempat.
Peserta akan dipanggil satu persatu masuk ke ruang ujian. Waktunya kurang lebih 15 menit/orang.
Di dalam ruangan sudah ada 3-4 dosen penguji. (Jadi 1 lawan 4 deh,hiks,dikeroyok).
Ruang A (ruang MR) :
Sudah menunggu dr. Subagjo, dr. Reny, dr. Abdurochman, dr. Hening. Beliau2 ini bertanya
bergiliran tentang :
- Motivasi, keluarga, rumahnya dimana, dan basa-basi lainnya
- Materi rehab : anatomi otot plus gerakannya, fisiologi otot2 ekstremitas, penyakit2 rehab
- Ada juga yang diminta membaca x-foto lumbal.

Ruang B : dr. Bayu, dr. Ratna, dr. Meissy

Ada yang penting, yaitu segala hal tentang rs.dr. soetomo (siapa dr.soetomo itu,apa motto nya, visi
misi,nama direkturnya), dan segala hal tentang asal universitas asal (kalo misal dari unair : lambang
nya unair apa, artinya apa,siapa rektornya,mottonya apa).
Pertanyaan lainnya kurang lebih sama.

NB : untuk mempelajari gerakan2 otot bisa belajar di

www.getbodysmart.com
www.innerbody.com