Sémiologie Preparation (Pr. Chak Thida)

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2125

1 / 54

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

a. Think about cholesterol intake daily

b. Think about number of children

c. Focus on activities of daily living

d. Focus on their daily food

e. Focus on their money each month

2 / 54

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

a. Let the patient descript his lifetime

b. Ask the patient to rest at least 30min

c. Allow time for open-ended questions

d. Talk or ask as much as you can

e. Let the family wait outside the office

3 / 54

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

a. Incontinent

b. Blood pressure

c. Urines quantity

d. Dyspnea

e. High Fever

4 / 54

What are you looking for in neck examination?

a. Thyroid lobe

b. All the above

c. Range of motion

d. Trachea midline

e. Lymph nodes

5 / 54

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

a. greater than 80%

b. greater than 90%

c. greater than 70%

d. greater than 50%

e. greater than 60%

6 / 54

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

a. Approximately 50% to 55%

b. Approximately 30% to 35%

c. Approximately 40% to 45%

d. Approximately 35% to 40%

e. Approximately 45% to 50%

7 / 54

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

a. Unable to complete take in 30 sec

b. Unable to complete take in 10 sec

c. Unable to complete take in 35 sec

d. Unable to complete task in 15 sec

e. Unable to complete take in 20 sec

8 / 54

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

a. Estrogen stimulation increase(woman)

b. Testosterone levels falls(man)

c. Testosterone levels increase(man)

d. Symptoms and behavior

e. Estrogen stimulation falls(woman)

9 / 54

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. Depressive disorders

c. Anxiety disorders

d. Somatoform disorders

10 / 54

10)

Tip for communicating effectively with older adults?

a. Speakloudly and gentle

b. Warm setting with the noisy background

c. Chairs must behigherthanexamining table

d. Provide a well-lit

11 / 54

11)

What is the correct statement about 10 min geriatric screener?

a. Too long and too complex

b. Brief and used easily by staff

c. Brief but quite complicated

d. Long but easily to use by staff

e. Too difficult to use by people

12 / 54

12)

What is the right proposition about physical disability?

a. Can do everything without assistant

b. Can drive the car for hours

c. Can play sport without difficulty

d. Can do a jogging with friends

e. Can walk fast but cannot ride a bicycle

13 / 54

13)

How do you descript the skin examination?

a. Some scars on the skin

b. Black or white

c. Warm and moist

d. Black spots on the face

e. Some acnes on the face

14 / 54

14)

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

a. Person had migraine

b. Person temperature 37 oC

c. Some medical condition

d. Person with body

15 / 54

15)

a. Aggressive

b. Irritable

c. Insomnia

d. Upset

16 / 54

16)

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

a. Complaint of vomiting after meal

b. Complaint of headache

c. Complaint of sleepless at night

d. Complaint of fatigue in the morning

e. Complaint of difficult reading

17 / 54

17)

The annual influenza vaccination the older adult is to prevent:

a. Herpes Zoster disease

b. Post herpetic neuralgia

c. Hospitalization rates

d. Pneumococcal disease

18 / 54

18)

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

a. Complaint of fatigue

b. Complaint of difficult reading

c. All the above

d. Complaint of loss of concentration

19 / 54

19)

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

a. Detect alcohol use disorder

b. Focus on their monthly income

c. Ask about past holiday and work

d. Daily fatty acid consumption

e. Speaking and writing

20 / 54

20)

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

a. To prevent eye/ear disease

b. To maintain optimal function

c. To get better health condition

d. To prepare treatment

21 / 54

21)

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

a. The TV should be in health channel

b. The music should be not too loud

c. The room must be quiet

d. The radio is turning on

e. The relax song should be played

22 / 54

22)

What is the recommendation purpose for older adult regular exercise?

a. Physical rehabilitation

b. Aerobic exercise

c. Swimming exercise

d. Running in old age degree

23 / 54

23)

Skin, Nails, and Hair changes of Aging:

a. Hard Turgor skin

b. Lax/ lighter skin

c. Transparent

d. Nial may red

24 / 54

24)

When the body active exercise, could be explain as:

a. Less oxygen-rich blood

b. The pulse is lower rate

c. Heart rate is increase

d. More oxygen-rich blood

25 / 54

25)

Counseling the elderly most often requires:

a. Developing independence

b. Developing dependence

c. Emphasizing their weakness

d. Emphasizing their strengths

26 / 54

26)

What is the correct statement about adjusting the office environment?

a. Face the patient laterally

b. Put the patient in ease first

c. The office must be cold

d. Sit below the patient’ eye level

e. Make too bright in the room

27 / 54

27)

What is the correct statement about the record of your finding after physical examination?

a. Don’t record in video because it’s too easy to play back

b. Try to remember without any notes

c. Use tape during assessment then play it back

d. Take a quick look all things in the room

e. Do not use sentences to describe your findings

28 / 54

28)

A symptom is a phenomenon that:

a. Told by The family

b. Told by the patient

c. Detected by the relative

d. Detected by doctor

29 / 54

29)

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

a. Immobility

b. Intake of salt

c. Infection

d. Inbalance

e. Impossible

30 / 54

30)

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

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

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

c. Lost 20 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 40 Ibs over the past 6 months without trying to do anything

31 / 54

31)

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

a. Address patients by a name of their children

b. Address patients by title and their last name

c. Address patients by their family reputation

d. Address patients by their friends’ name

e. Address patients by their past history

32 / 54

32)

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

a. Daily fattyacidcomsumption

b. Detectalcohol use disorder

c. Speaking and writing

d. Ask about pastholiday and work

33 / 54

33)

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

a. Physical

b. All the above

c. Cognitive

d. Psycho-social

34 / 54

34)

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 individual behavior

b. The financial intervention

c. The environment intervention

d. The illness physical symptoms

35 / 54

35)

What is the tip for communicating effectively with older adults?

a. Provide a well-lit

b. Warm setting with the noisy background

c. Chairs must be higher than examining table

d. Speak loudly and gentle

e. Using music to help them

36 / 54

36)

What is the correct statement about the record of your finding after physical examination?

a. Record in video because its easy to play back

b. All the above

c. Use sentences to describe your findings

d. Use tape during assessement then play it back

37 / 54

37)

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

a. Psychological symptoms

b. Physical illness

c. Somatic symptoms

d. Psychological illness

38 / 54

38)

How you descript the skin examination?

a. Warm and moist

b. Black or white

c. Some scars on the skin

d. Some acnes on the face

39 / 54

39)

A sign is a phenomenon that:

a. Told by The family

b. Detected by the relative

c. Told by the patient

d. Detected by doctor

40 / 54

40)

a. Fatigue

b. Insomnia

c. Irritable

d. Body pain

41 / 54

41)

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

a. Too distensible

b. Strong Stiffen

c. Softer Capillary

d. Atherosclerotic

42 / 54

42)

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

a. Inability to hear 3000 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 4000 Hz in both ears

43 / 54

43)

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

a. Social

b. All are rights

c. Physical

d. Cognitive

e. Psychology

44 / 54

44)

What are you looking for in thorax and lungs examination?

a. Thorax symmetric

b. Look carefully at inspiration

c. Observation of the throat

d. Any scars on the lateral

e. Any tattoos on the skin

45 / 54

45)

Which vital sign below is needed for your recording?

a. All the above

b. Pulses

c. Respiratory rate

d. Temperature

e. Blood pressure

46 / 54

46)

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

a. Address patients by a name of theirchildren

b. Address patients by their family reputation

c. Address patients by their past history

d. Address patients by an appropriatetitle and their last name

47 / 54

47)

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

a. Never start by chief complaint

b. Always by the name (Mr,Ms)

c. Often start with present illness

d. First by the profession

e. Often by the gender

48 / 54

48)

What is the right statement during your taking history?

a. Hearing aid is not important

b. Adopt low speaking tones

c. Take off the dentures while communicating

d. Using the pocket talker

e. Using the sunglasses when you start asking

49 / 54

49)

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

a. Talk normally with them

b. Speak loudly or shout

c. Use the pocket talker

d. Use the gesture language

e. Use the paper write down

50 / 54

50)

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

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

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

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

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

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

51 / 54

51)

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

a. They will not risk any problem

b. Recovery is often seen after fall

c. Three above are right

d. Fall is not dangerous for older people

e. Postfall anxiety impair full recovery

52 / 54

52)

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

53 / 54

53)

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

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

b. Can understand well what you talk about

c. Can not hear the voice outside the office

d. Can not hear whispered voice in either ear

e. Can complaint of headache in the morning

54 / 54

54)

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

a. Unable to remember all three items after 2 minute

b. Unable to remember all three items after 5 minute

c. Unable to remember all three items after 4 minute

d. Unable to remember all three items after 1 minute

e. Unable to remember all three items after 3 minute

Your score is

The average score is 91%

Any comments?

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

និស្សិតអាចប្រាប់មកកាន់ពួកយើងបានដើម្បីកែកំហុស ឬអំពីបញ្ហាដោយអចេតនាណាមួយដែលកើតមានកំឡុងពេលធ្វើតេស្ត