60 Soal dan Jawaban TKA Bahasa Inggris Kelas 9 SMP/MTs Ujian Akhir Untuk ke Jenjang SMA

10. Last week, Maria said, “I am preparing my research presentation for the international conference.”
Which of the following sentences is correct in reported speech?
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

11. A 30-year-old female presents with recurrent episodes of unilateral throbbing headache associated with nausea, vomiting, and photophobia.
Which neurotransmitter imbalance plays a central role in the pathophysiology of this disorder?
A. Dopamine
B. Acetylcholine
C. Serotonin
D. GABA
E. Glutamate
Answer: C

12. A 65-year-old patient has difficulty understanding spoken language but can speak fluently, although the words often lack meaning.
Which area is most likely affected?
A. Broca’s area
B. Wernicke’s area
C. Angular gyrus
D. Prefrontal cortex
E. Supplementary motor area
Answer: B

13. A 40-year-old man presents with sudden, severe, “thunderclap” headache described as the worst headache of his life. CT scan shows no abnormalities.
What is the next best diagnostic step?
A. MRI of the brain
B. Lumbar puncture
C. Carotid Doppler ultrasound
D. Electroencephalogram
E. Cerebral angiography
Answer: B

14. Despite the importance of renewable energy, many governments don’t invest enough funds, which leads to slow progress in combating climate change.
Which of the following options makes the sentence grammatically correct?
A. Many governments doesn’t invest enough funds
B. Many governments don’t invests enough funds
C. Many governments doesn’t invests enough funds
D. Many governments don’t invest enough funds
E. Many governments didn’t invest enough funds
Answer: D

15. A 58-year-old male with a history of uncontrolled hypertension suddenly collapses and becomes unresponsive. CT scan reveals a massive intracerebral hemorrhage.
Which brain structure is most commonly affected in hypertensive hemorrhages?
A. Cerebellum
B. Basal ganglia
C. Medulla oblongata
D. Thalamus
E. Occipital lobe
Answer: B

16. By the time the new library was officially opened, students had already borrowed digital resources provided by the school’s online system.
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

17. In a neurology ward, a patient presents with sudden weakness on the left side of the body, slurred speech, and facial drooping.
Which artery is most likely occluded in this clinical scenario?
A. Middle cerebral artery
B. Anterior cerebral artery
C. Basilar artery
D. Posterior communicating artery
E. Vertebral artery
Answer: A

18. A 64-year-old patient has spastic paralysis, hyperreflexia, and a positive Babinski sign on the right side.
Which of the following locations is most likely involved?
A. Anterior horn of spinal cord
B. Cerebral cortex
C. Neuromuscular junction
D. Peripheral nerves
E. Muscle fibers
Answer: B

19. A patient is diagnosed with Parkinson’s disease after showing symptoms of resting tremor, bradykinesia, and rigidity.
Which specific brain region is primarily affected?
A. Substantia nigra pars compacta
B. Hippocampus
C. Amygdala
D. Subthalamic nucleus
E. Caudate nucleus
Answer: A

20. A public health officer is evaluating the effectiveness of a vaccination program against measles in a rural community.
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

21. The synonym of “happy” is …
A. sad
B. glad
C. angry
D. afraid
Answerd: B

22. The antonym of “difficult” is …
A. easy
B. hard
C. strong
D. weak
Answerd: A

23. Yesterday, my father … me to the hospital because I was sick.
A. take
B. took
C. taken
D. taking
Answerd: B

24. Which sentence is correct?
A. She don’t like coffee.
B. She doesn’t like coffee.
C. She not like coffee.
D. She didn’t likes coffee.
Answerd: B