20 Soal dan Jawaban TKA Bahasa Inggris SMA, Tes Evaluasi Jenjang Pendidikan

14. Last week, Maria said, “I am preparing my research presentation for the international conference.” Her teacher later reported this to the principal. You are asked to transform Maria’s direct speech into reported speech. Remember that tense changes are required when reporting past events, and pronouns should also be adjusted. Which of the following sentences is correct?

A.Maria said she prepares her research presentation
B. Maria said she was preparing her research presentation
C. Maria said she had prepared her research presentation
D. Maria said she is preparing her research presentation
E. Maria said she has prepared her research presentation

Answer: B

15. By the time the new library was officially opened, students had already borrowed digital resources provided by the school’s online system. This initiative showed that learners adapted quickly to technological changes in education. The text suggests that traditional facilities, though important, may not always be the primary source of knowledge in the modern era. What is the main emphasis of this passage?

A.Students no longer need a library for learning
B. Online resources are increasingly utilized before physical facilities
C. Libraries remain the only reliable source of knowledge
D. Digital resources are less effective than printed books
E. Students are reluctant to adapt to technology

Answer: B

16. In a clinical case, a 52-year-old man presents with persistent hypertension that does not improve despite lifestyle modifications and regular exercise. He reports a family history of cardiovascular disease and his BMI indicates overweight status. His blood pressure consistently measures above 150/95 mmHg over three separate visits. Considering the current guidelines, what is the most appropriate initial pharmacological management for this patient?

A. Lifestyle modifications only
B. Thiazide diuretics
C. Beta-blockers as first-line therapy
D. Calcium channel blockers
E. High-dose statins immediately

Answer: B

17. A researcher is studying the effects of nutrition on childhood obesity in a primary school population. He collects data on BMI, dietary habits, and physical activity levels. The study design involves following the same children for five years to see how their habits influence obesity risk. What type of research design is most appropriate to classify this study?

A. Cross-sectional study
B. Case-control study
C. Randomized controlled trial
D. Cohort study
E. Meta-analysis

Answer: D

18. A 68-year-old woman comes with complaints of frequent urination, excessive thirst, and unexplained weight loss over the last two months. Laboratory results show elevated fasting blood glucose at 180 mg/dL. The physician suspects type 2 diabetes mellitus. Which diagnostic test provides the strongest confirmation for the diagnosis?

A. Random blood glucose measurement
B. Oral glucose tolerance test (OGTT)
C. HbA1c test ≥ 6.5 persen
D. Fasting blood glucose on a single occasion
E. Urinalysis for glucose presence

Answer: C

19. A public health officer is evaluating the effectiveness of a vaccination program against measles in a rural community. He compares the incidence of measles cases before and after the vaccination campaign, using official health records. Which epidemiological measure is most suitable to determine the program’s success?

A. Case fatality rate
B. Prevalence rate
C. Incidence rate
D. Mortality rate
E. Relative risk

Answer: C

20. During a health policy debate, policymakers are considering mandatory labeling of packaged foods to include calorie counts and sugar content. The intention is to encourage healthier consumer choices and reduce obesity prevalence. Which principle of public health ethics is most relevant to justify this intervention?

A. Beneficence
B. Non-maleficence
C. Justice
D. Autonomy
E. Utility

Answer: A

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