Sémiologie Preparation (Pr. Chak Thida)

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1 / 52

The annual influenza vaccination the older adult is to prevent:

a. Pneumococcal disease

b. Hospitalization rates

c. Post herpetic neuralgia

d. Herpes Zoster disease

2 / 52

What is the correct statement about 10 min geriatric screener?

a. Long but easily to use by staff

b. Brief and used easily by staff

c. Too difficult to use by people

d. Brief but quite complicated

e. Too long and too complex

3 / 52

When the weight loss screening is positive in 10-min geriatric screener?

a. Lost 50 Ibs over the past 6 months without trying to do anything

b. Lost 10 Ibs over the past 6 months without trying to do anything

c. Lost 40 Ibs over the past 6 months without trying to do anything

d. Lost 30 Ibs over the past 6 months without trying to do anything

e. Lost 20 Ibs over the past 6 months without trying to do anything

4 / 52

How do you descript the skin examination?

a. Warm and moist

b. Black or white

c. Black spots on the face

d. Some scars on the skin

e. Some acnes on the face

5 / 52

To assess incontinence we think about DIAPERS, what is the letter ‘I’ refer to?

a. Intake of salt

b. Impossible

c. Immobility

d. Inbalance

e. Infection

6 / 52

Each year, how often of healthy community-dwelling older adults experience falls?

a. Approximately 35% to 40%

b. Approximately 45% to 50%

c. Approximately 30% to 35%

d. Approximately 50% to 55%

e. Approximately 40% to 45%

7 / 52

Health promotion (HP) for older adult is the process of enabling people to increase control over, and to improve, their health. HP focus on:

a. The illness physical symptoms

b. The financial intervention

c. The environment intervention

d. The individual behavior

8 / 52

What are you looking for in thorax and lungs examination?

a. Thorax symmetric

b. Any scars on the lateral

c. Any tattoos on the skin

d. Observation of the throat

e. Look carefully at inspiration

9 / 52

In recording the physical examination, what is the appropriate phrase you should start?

a. Always by the name (Mr,Ms)

b. Never start by chief complaint

c. Often start with present illness

d. First by the profession

e. Often by the gender

10 / 52

10)

Counseling the elderly most often requires:

a. Emphasizing their strengths

b. Developing dependence

c. Emphasizing their weakness

d. Developing independence

11 / 52

11)

When the vision screening is positive in 10-min geriatric screener?

a. Inability to read is greater than 30/40 on Snellen chart

b. Inability to read is greater than 15/40 on Snellen chart

c. Inability to read is greater than 5/40 on Snellen chart

d. Inability to read is greater than 20/40 on Snellen chart

e. Inability to read is greater than 10/40 on Snellen chart

12 / 52

12)

Before taking history of older adult, select the right statement?

a. Address patients by their past history

b. Address patients by a name of theirchildren

c. Address patients by an appropriatetitle and their last name

d. Address patients by their family reputation

13 / 52

13)

Which of those proposition below is the most appropriate about older adult health history?

a. Focus on their monthly income

b. Speaking and writing

c. Ask about past holiday and work

d. Detect alcohol use disorder

e. Daily fatty acid consumption

14 / 52

14)

What are you looking for in neck examination?

a. Lymph nodes

b. All the above

c. Thyroid lobe

d. Trachea midline

e. Range of motion

15 / 52

15)

A 65 years old man, comes to the health clinic because of headache, palpitation, irritable, aggressive, upset, fatigue, body pain, insomnia..etc for more than 2 years. His medical condition could not detected. What are the most probably mental illnesses for this patient?

a. Mood disorders

b. Somatoform disorders

c. Anxiety disorders

d. Depressive disorders

16 / 52

16)

What is the main purpose of the screening in vision and hearing for older adult?

a. To prepare treatment

b. To prevent eye/ear disease

c. To get better health condition

d. To maintain optimal function

17 / 52

17)

Skin, Nails, and Hair changes of Aging:

a. Lax/ lighter skin

b. Nial may red

c. Hard Turgor skin

d. Transparent

18 / 52

18)

What is the right statement during your taking history?

a. Using the pocket talker

b. Using the sunglasses when you start asking

c. Take off the dentures while communicating

d. Adopt low speaking tones

e. Hearing aid is not important

19 / 52

19)

What is the correct statement about adjusting the office environment?

a. The office must be cold

b. Put the patient in ease first

c. Face the patient laterally

d. Sit below the patient’ eye level

e. Make too bright in the room

20 / 52

20)

What is the right statement after the experience of fall for older adult?

a. Recovery is often seen after fall

b. They will not risk any problem

c. All the above

d. Postfall anxiety impair full recovery

21 / 52

21)

When the memory screening is positive in 10-min geriatric screener?

a. Unable to remember all three items after 1 minute

b. Unable to remember all three items after 4 minute

c. Unable to remember all three items after 3 minute

d. Unable to remember all three items after 5 minute

e. Unable to remember all three items after 2 minute

22 / 52

22)

What is the right statement after the experience of fall for older adult?

a. Fall is not dangerous for older people

b. Postfall anxiety impair full recovery

c. They will not risk any problem

d. Recovery is often seen after fall

e. Three above are right

23 / 52

23)

Which of those propositionn below is the most appropriate about older adult interview?

a. Focus on activities of daily living

b. Think about number of children

c. Focus on their daily food

d. Think about cholesterol intake daily

e. Focus on their money each month

24 / 52

24)

A symptom is a phenomenon that:

a. Detected by doctor

b. Detected by the relative

c. Told by the patient

d. Told by The family

25 / 52

25)

The 10-minute geriatric screener covers important domains of geriatric assessment, which of these answer is right ?

a. Cognitive

b. Physical

c. All the above

d. Psycho-social

26 / 52

26)

During your discussion with the hearing deficit patient, what should you do?

a. Use the paper write down

b. Use the pocket talker

c. Use the gesture language

d. Speak loudly or shout

e. Talk normally with them

27 / 52

27)

In the hospital setting, before discussing what things should be ready?

a. The room must be quiet

b. The music should be not too loud

c. The relax song should be played

d. The radio is turning on

e. The TV should be in health channel

28 / 52

28)

What is the tip for communicating effectively with older adults?

a. Speak loudly and gentle

b. Chairs must be higher than examining table

c. Using music to help them

d. Warm setting with the noisy background

e. Provide a well-lit

29 / 52

29)

Before taking history of older adult, select the right statement?

a. Address patients by their family reputation

b. Address patients by a name of their children

c. Address patients by their friends’ name

d. Address patients by title and their last name

e. Address patients by their past history

30 / 52

30)

In the record finding, what you will write about vision problem?

a. Complaint of loss of concentration

b. All the above

c. Complaint of fatigue

d. Complaint of difficult reading

31 / 52

31)

What is the right statement about effective discussion with elderly patients?

a. Talk or ask as much as you can

b. Let the family wait outside the office

c. Allow time for open-ended questions

d. Let the patient descript his lifetime

e. Ask the patient to rest at least 30min

32 / 52

32)

a. Upset

b. Insomnia

c. Irritable

d. Aggressive

33 / 52

33)

In the record finding, what you will write about hearing problem?

a. Can complaint of headache in the morning

b. Can not hear whispered voice in either ear

c. Can hear properly in audioscope from 10-20Hz

d. Can not hear the voice outside the office

e. Can understand well what you talk about

34 / 52

34)

a. Body pain

b. Fatigue

c. Insomnia

d. Irritable

35 / 52

35)

When the body active exercise, could be explain as:

a. Less oxygen-rich blood

b. More oxygen-rich blood

c. The pulse is lower rate

d. Heart rate is increase

36 / 52

36)

In Western societies, systolic blood pressure tends to rise from childhood through old age. The aorta and large arteries become:

a. Atherosclerotic

b. Strong Stiffen

c. Softer Capillary

d. Too distensible

37 / 52

37)

In the record finding, what will you write about vision problem?

a. Complaint of vomiting after meal

b. Complaint of fatigue in the morning

c. Complaint of sleepless at night

d. Complaint of difficult reading

e. Complaint of headache

38 / 52

38)

In the mental health literature, physical symptoms are often termed:

a. Physical illness

b. Psychological symptoms

c. Somatic symptoms

d. Psychological illness

39 / 52

39)

The 10-minute geriatric screener covers important domains of geriatric assessment, which of these answer is right?

a. Physical

b. All are rights

c. Psychology

d. Cognitive

e. Social

40 / 52

40)

Which of those propositionn below is the most appropriate about older adult health history?

a. Ask about pastholiday and work

b. Daily fattyacidcomsumption

c. Detectalcohol use disorder

d. Speaking and writing

41 / 52

41)

Tip for communicating effectively with older adults?

a. Warm setting with the noisy background

b. Chairs must behigherthanexamining table

c. Provide a well-lit

d. Speakloudly and gentle

42 / 52

42)

Which vital sign below is needed for your recording?

a. All the above

b. Temperature

c. Respiratory rate

d. Blood pressure

e. Pulses

43 / 52

43)

What is the right proposition about physical disability?

a. Can drive the car for hours

b. Can play sport without difficulty

c. Can do everything without assistant

d. Can walk fast but cannot ride a bicycle

e. Can do a jogging with friends

44 / 52

44)

When the leg mobility (walk, turn back and sit down) screening is positive in 10-min geriatric screener?

a. Unable to complete take in 35 sec

b. Unable to complete take in 30 sec

c. Unable to complete task in 15 sec

d. Unable to complete take in 20 sec

e. Unable to complete take in 10 sec

45 / 52

45)

Erections become more dependent on tactile stimulus for male aging and vaginal dryness for the woman aging. The biological change could be:

a. Symptoms and behavior

b. Estrogen stimulation falls(woman)

c. Testosterone levels falls(man)

d. Estrogen stimulation increase(woman)

e. Testosterone levels increase(man)

46 / 52

46)

How you descript the skin examination?

a. Some scars on the skin

b. Black or white

c. Some acnes on the face

d. Warm and moist

47 / 52

47)

A sign is a phenomenon that:

a. Detected by doctor

b. Told by The family

c. Told by the patient

d. Detected by the relative

48 / 52

48)

When the hearing screening is positive in 10-min geriatric screener?

a. Inability to hear 4000 Hz in both ears

b. Inability to hear 3500 Hz in both ears

c. Inability to hear 1000 Hz in one ear

d. Inability to hear 2000 Hz in one ear

e. Inability to hear 3000 Hz in both ears

49 / 52

49)

What is the recommendation purpose for older adult regular exercise?

a. Running in old age degree

b. Aerobic exercise

c. Physical rehabilitation

d. Swimming exercise

50 / 52

50)

The older adult has hearing deficit, how often you can meet in the office?

a. greater than 50%

b. greater than 60%

c. greater than 90%

d. greater than 70%

e. greater than 80%

51 / 52

51)

What is the vital sign you will write down in your record finding?

a. Blood pressure

b. Incontinent

c. Urines quantity

d. High Fever

e. Dyspnea

52 / 52

52)

The respiration rate (RR) is the number of breaths a person takes per minute. RR may increase with:

a. Person with body

b. Some medical condition

c. Person temperature 37 oC

d. Person had migraine

Your score is

The average score is 77%

Any comments?

Any problems/errors or mistakes found while testing, please let us know for modification!

និស្សិតអាចប្រាប់មកកាន់ពួកយើងបានដើម្បីកែកំហុស ឬអំពីបញ្ហាដោយអចេតនាណាមួយដែលកើតមានកំឡុងពេលធ្វើតេស្ត