PracticeVideosBlogFlashcardsEspañol
All Practice Exams

Free Practice Questions for UKOM Penata Anestesi

Exam-style questions and explanations by OpenExamPrep.

✓ No registration✓ No credit card
100+ Questions
100% Free

Loading practice questions...

Exam Review

Key Facts: UKOM Penata Anestesi Exam

CBT

Current national knowledge-assessment component confirmed

2026 UKOMNAS Penata Anestesi reporting

OSCE

Current national performance-assessment component confirmed

2026 UKOMNAS Penata Anestesi reporting

KMK 722/2020

Ministry of Health Decree on Standar Profesi Penata Anestesi

Kementerian Kesehatan Republik Indonesia

CBT + OSCE

Official dual assessment format for professional certification

Kolegium Penata Anestesi Indonesia

The current UKOM Penata Anestesi includes CBT and OSCE components and draws scope from KMK No. HK.01.07/MENKES/722/2020. This independent OpenExamPrep bank is a 100-question English-language MCQ study adaptation for knowledge review; it is not an official translation or a substitute for OSCE practice.

Sample UKOM Penata Anestesi Practice Questions

Try these sample questions to review concepts for the UKOM Penata Anestesi exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A 28-year-old male is scheduled for an elective inguinal hernia repair under general anesthesia at 10:00 AM. During the pre-anesthetic assessment (pengkajian pra-anestesi) at 07:30 AM, he reports having consumed a glass of plain water at 07:00 AM. According to standard pre-anesthetic fasting guidelines (puasa pra-anestesi), what is the most appropriate action by the Penata Anestesi?
A.Proceed with the scheduled surgery time as clear liquids are permitted up to 2 hours before induction
B.Cancel the surgical procedure immediately due to an acute violation of fasting rules
C.Postpone the surgery for a minimum of 8 hours from the time of water intake
D.Insert a nasogastric tube immediately to aspirate gastric contents before induction
Explanation: Standard ASA and national anesthesia guidelines permit the intake of clear liquids (water, fruit juices without pulp, black coffee, clear tea) up to 2 hours prior to elective induction of anesthesia. Because the patient consumed plain water at 07:00 AM and surgery is planned for 10:00 AM (3 hours later), he has met the minimum fasting requirement. The Penata Anestesi can confirm that induction may safely proceed on schedule without routine gastric decompression.
2During the pre-anesthetic visit for a 45-year-old woman scheduled for elective laparoscopic cholecystectomy at 08:00 AM, the patient states she ate two slices of buttered toast and drank a cup of coffee with whole milk at 05:00 AM. What is the recommended management regarding her fasting status?
A.Postpone the induction of anesthesia until at least 11:00 AM to allow a full 6-hour fasting period
B.Proceed with surgery as scheduled because toast is considered a light breakfast requiring only 2 hours
C.Postpone the induction until at least 01:00 PM because butter and whole milk require a minimum of 8 hours
D.Administer IV metoclopramide and proceed with immediate rapid sequence induction
Explanation: A light meal such as plain toast and clear tea or coffee without milk requires a minimum fasting period of 6 hours. However, milk contains fat and protein, and butter contains fat, which delays gastric emptying. While a heavy meal with fried or fatty foods requires 8 hours, standard clinical consensus classifies toast with butter and milk as requiring at least 6 hours of fasting (until 11:00 AM). The surgery must therefore be rescheduled or delayed to mitigate pulmonary aspiration risk.
3A 6-month-old infant is scheduled for elective cleft lip repair under general endotracheal anesthesia. During pre-anesthesia data collection, the mother asks when she must stop breastfeeding her baby before surgery. What is the correct fasting instruction?
A.Breast milk must be withheld for at least 4 hours prior to induction of anesthesia
B.Breast milk must be withheld for at least 6 hours prior to induction of anesthesia
C.Breast milk must be withheld for at least 2 hours prior to induction of anesthesia
D.Breast milk must be withheld for at least 8 hours prior to induction of anesthesia
Explanation: According to standard pediatric anesthesia fasting guidelines, breast milk is digested more rapidly than infant formula or solid foods and requires a minimum fasting interval of 4 hours. Clear liquids require 2 hours, infant formula requires 6 hours, and non-human milk or solid foods require 6 hours. Withholding breast milk for 4 hours ensures sufficient gastric emptying while avoiding dehydration and hypoglycemia in infants.
4A 35-year-old male with a 10 pack-year smoking history and well-controlled mild essential hypertension (BP 128/82 mmHg on amlodipine 5 mg daily) presents for elective knee arthroscopy. He exercises regularly without functional limitation. According to the ASA Physical Status classification, which category is most accurate for this patient?
A.ASA Physical Status II
B.ASA Physical Status I
C.ASA Physical Status III
D.ASA Physical Status IV
Explanation: ASA Physical Status II is defined as a patient with mild systemic disease without substantial functional limitation. Well-controlled hypertension, current cigarette smoking, mild obesity (BMI 30-39), and well-controlled diabetes mellitus are classic examples of ASA II. Because this patient has well-controlled hypertension and a smoking history without activity limitation, he is categorized as ASA II.
5A 62-year-old female is scheduled for elective total hip replacement. She has poorly controlled type 2 diabetes mellitus (HbA1c 9.4%), moderate chronic obstructive pulmonary disease (COPD) with chronic dyspnea on climbing one flight of stairs, and a history of myocardial infarction 8 months ago. How should this patient be categorized under the ASA Physical Status system?
A.ASA Physical Status III
B.ASA Physical Status II
C.ASA Physical Status IV
D.ASA Physical Status V
Explanation: ASA Physical Status III represents a patient with severe systemic disease that causes substantive functional limitations (one or more moderate-to-severe diseases). Examples include poorly controlled diabetes mellitus (HbA1c >8.5%), COPD with exertional dyspnea, history (>3 months) of myocardial infarction, or morbid obesity (BMI ≥40). This patient exhibits multiple poorly controlled conditions with definite functional limitation, fitting ASA III.
6A 71-year-old male with end-stage renal disease on hemodialysis presents for emergency exploration of an incarcerated femoral hernia. He experienced an acute anterior myocardial infarction 4 weeks ago and continues to have episodes of angina at rest and resting dyspnea. What is his correct ASA classification?
A.ASA Physical Status IV E
B.ASA Physical Status III E
C.ASA Physical Status V E
D.ASA Physical Status IV
Explanation: ASA Physical Status IV is defined as a patient with severe systemic disease that is a constant threat to life. Key criteria include a recent myocardial infarction (<3 months), ongoing cardiac ischemia or angina at rest, severe valve dysfunction, or end-stage disease with ongoing instability. Because the surgery is an emergency for an incarcerated hernia, the emergency modifier 'E' must be appended, making the classification ASA IV E.
7A 21-year-old healthy female college athlete presents to the emergency room with acute suppurative appendicitis and is scheduled for immediate laparoscopic appendectomy. She takes no medications, has no chronic medical conditions, and has normal laboratory findings. What is her ASA classification?
A.ASA Physical Status I E
B.ASA Physical Status II E
C.ASA Physical Status I
D.ASA Physical Status III E
Explanation: The patient is a healthy individual without systemic disease, which corresponds to ASA Physical Status I. Because the surgical procedure is an emergency that cannot be safely delayed without increasing morbidity or mortality, the letter 'E' is appended to denote an emergency procedure, yielding ASA I E.
8During pre-anesthetic airway evaluation (pemeriksaan jalan napas), the Penata Anestesi instructs the seated patient to open their mouth wide and maximally protrude the tongue without phonating. The soft palate, fauces, uvula, and bilateral anterior and posterior tonsillar pillars are clearly visible. According to the modified Mallampati classification, what is this finding?
A.Mallampati Class I
B.Mallampati Class II
C.Mallampati Class III
D.Mallampati Class IV
Explanation: Modified Mallampati Class I is characterized by complete visibility of the soft palate, fauces, uvula, and both anterior and posterior tonsillar pillars. It predicts a high likelihood of easy direct laryngoscopy (Cormack-Lehane grade 1). Phonation must be avoided because saying 'ah' elevates the soft palate and artificially underestimates the class.
9A Penata Anestesi conducts a pre-anesthesia airway assessment on a 50-year-old male scheduled for gastrectomy. With the patient upright, mouth wide open, and tongue protruded without phonation, only the hard palate is visible. The soft palate is completely hidden. What is the Mallampati score and its clinical implication?
A.Mallampati Class IV; strongly correlates with anticipated difficult laryngoscopy and intubation
B.Mallampati Class III; indicates an uncomplicated airway requiring no specialized equipment
C.Mallampati Class II; suggests normal glottic visualization during direct laryngoscopy
D.Mallampati Class IV; indicates mandatory surgical tracheostomy prior to induction
Explanation: When only the hard palate is visualized and the soft palate is completely hidden by the tongue, the airway is classified as Mallampati Class IV. This is a recognized predictor of difficult direct laryngoscopy and endotracheal intubation. The anesthesia team must anticipate a difficult airway and ensure immediate availability of video laryngoscopes, supraglottic devices, and difficult airway equipment.
10During the pre-anesthetic airway examination of an adult female, the thyromental distance (jarak tiroid-mental) is measured from the prominence of the thyroid notch to the inside tip of the mandibular mentum with the head fully extended. The distance measures 5.0 cm (less than 3 fingerbreadths). How should the Penata Anestesi interpret this measurement?
A.A thyromental distance of less than 6.0 cm indicates a receded mandible and predicts potential difficulty with direct laryngoscopy
B.A thyromental distance of 5.0 cm is considered completely normal and guarantees easy intubation
C.Thyromental distance is only clinically relevant in pediatric patients below 5 years of age
D.A measurement under 6.0 cm indicates an elongated pharyngeal axis with excellent laryngeal exposure
Explanation: In adults, a normal thyromental distance with head fully extended is typically greater than 6.5 cm (or approximately 3 fingerbreadths). A thyromental distance of less than 6.0 cm indicates a short mandibular space, which reduces the area into which the tongue can be displaced during direct laryngoscopy, creating an acute angle between the oral and pharyngeal axes and predicting difficult laryngoscopic visualization.

About the UKOM Penata Anestesi Exam

The UKOM Penata Anestesi is the national exit competency examination for eligible applied-bachelor anesthesia-care graduates in Indonesia. Current professional registration is handled through the national health-council system under implementing health rules.

Exam sponsor: Komite Nasional Uji Kompetensi Mahasiswa Bidang Kesehatan, Kolegium Penata Anestesi Indonesia (KPAI), and DPP IPAI. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

The national assessment includes a knowledge-focused CBT and a practical OSCE. This bank covers knowledge and clinical reasoning only and does not simulate performance stations.

Time Limit

Not published in the official sources reviewed.

Passing Score

Not published in the official sources reviewed.

Exam / Certification Fees

Not published in the official sources reviewed.

Exam sponsor website

Reported exam pass rate: Not published in the official sources reviewed.. Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

25 of 100 practice questions

Pelayanan Asuhan Kepenataan Pra-Anestesi

Pre-anesthetic data collection, ASA physical status staging, airway examination (Mallampati, thyromental distance, ULBT, mouth opening), fasting intervals, informed consent verification, medication review, and psychological preparation.

30 of 100 practice questions

Pelayanan Asuhan Kepenataan Intra-Anestesi

Anesthesia machine safety tests, standard intraoperative monitoring (ECG, NIBP, SpO2, capnography, temperature), airway equipment, rapid sequence induction (RSI), intravenous induction drugs, muscle relaxants and reversals, volatile anesthetics, regional block assistance, and fluid therapy.

25 of 100 practice questions

Pelayanan Asuhan Kepenataan Pasca-Anestesi & PACU

PACU handoff using SBAR, recovery scoring systems (Aldrete, Bromage, Steward), airway management, post-extubation complications (laryngospasm, negative pressure pulmonary edema), PONV, hypothermia/shivering, and discharge criteria.

10 of 100 practice questions

Anesthesia Emergencies, Critical Care & Resuscitation

Difficult airway algorithms and CICO management, severe bronchospasm, Local Anesthetic Systemic Toxicity (LAST) and lipid rescue, Malignant Hyperthermia recognition and dantrolene therapy, anaphylactic shock, and intraoperative ACLS.

10 of 100 practice questions

Professional Ethics, Legal Aspects & Patient Safety

Professional practice standards under KMK No. HK.01.07/MENKES/722/2020, scope of delegated and mandated tasks under anesthesiologist supervision, WHO surgical safety checklist, anesthesia documentation, and infection control (PPI).

Preparing for the UKOM Penata Anestesi Exam

What You Need to Know

  • Passing score: Not published in the official sources reviewed.
  • Assessment: The national assessment includes a knowledge-focused CBT and a practical OSCE. This bank covers knowledge and clinical reasoning only and does not simulate performance stations.
  • Time limit: Not published in the official sources reviewed.
  • Exam / certification fees: Not published in the official sources reviewed. Official sources

Using Our Practice Resources

  • Work through all 100 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

UKOM Penata Anestesi: Suggested Study Strategy

1Master the core clinical scoring systems tested repeatedly on the exam: Modified Aldrete score for general recovery, Bromage score for spinal motor recovery, and Steward score for pediatric emergence.
2Review the distinct phases and specific criteria of the WHO Surgical Safety Checklist (Sign In before induction, Time Out before skin incision, and Sign Out before leaving the OR).
3Memorize the essential emergency rescue protocols: 20% Lipid Emulsion dosing for LAST (1.5 mL/kg bolus, 0.25 mL/kg/min infusion) and Dantrolene for Malignant Hyperthermia (2.5 mg/kg IV push).
4Understand capnography waveform interpretations, including circuit disconnection (sudden zero), curare cleft (spontaneous breath during mechanical ventilation), and shark-fin patterns (bronchospasm/COPD).
5Familiarize yourself with the exact legal boundaries and delegatory relationship between the Penata Anestesi and the Dokter Spesialis Anestesiologi under KMK No. HK.01.07/MENKES/722/2020.

Frequently Asked Questions

What is the UKOM Penata Anestesi?

The UKOM Penata Anestesi is the national competency examination for eligible graduates of Sarjana Terapan (D-IV) Keperawatan Anestesiologi / Kepenataan Anestesi programs in Indonesia. Registration now follows the current post-2023 health-law framework; candidates should use current Konsil Kesehatan Indonesia and Ministry of Health guidance rather than older KTKI terminology.

What is the structure of the official UKOM Penata Anestesi examination?

Current 2026 sources confirm Computer-Based Testing and an Objective Structured Clinical Examination. The official item count, option count, duration and station count were not published in the sources reviewed.

What regulatory guidelines govern the scope of practice of a Penata Anestesi?

The scope of practice is regulated by Keputusan Menteri Kesehatan (KMK) No. HK.01.07/MENKES/722/2020 tentang Standar Profesi Penata Anestesi and KMK No. HK.01.07/MENKES/1416/2023, outlining duties across pre-, intra-, and post-anesthetic care in collaboration with and under the delegation of a Dokter Spesialis Anestesiologi (Sp.An).

What is the passing score for the UKOM Penata Anestesi CBT?

The current passing score and standard-setting method were not published in the official sources reviewed; candidates should confirm with the examination provider.

Is this practice question bank an official simulation of the UKOM examination?

No. This practice question bank is an independent English-language MCQ study adaptation created by OpenExamPrep for self-directed study and review. It is not an official translation, examination simulation, or endorsed by the national examination committee.