Sémiologie Test

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You will have 60 minutes to complete all the questions. After the timer reaches 60 minutes, the exam will end and be saved automatically. Good luck! *Fingers crossed*

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Sémiologie Test

1 / 60

Choose the correct statement about standard precautions.

a. To clean hand and selected PPE to use

b. Risk assessment should be performed only for susceptible host.

c. IPC standard precautions HCWs should be applied for all patients at all time

d. IPC standard precautions HCWs should be applied for selected patients not to all.

e. Standard precaution is not necessary for outpatient consultation.

2 / 60

What is the definition of Antimicrobial Resistance (AMR)?

a. It is the ability for chemicals to resist microorganism

b. It is the ability for human to resist microorganism

c. It is the ability for microorganism to resist chemicals that would normally kill or limit their growth

d. It is the ability for microorganism to resist human immune system

e. It is the ability for human to resist chemicals

3 / 60

Choose the correct statement for hand hygiene with soap and water and alcohol apply to:

a. Patient and patient's member included visitor

b. The doctors and nurses, but not for cleaning staffs.

c. Technical laboratory, pharmacist and people concern by washing your hands with soap & water.

d. All people who provided health care services, included patients and patient's family.

e. All cleaners and nurses by washing your hands with soap and water.

4 / 60

What type of Personal Protective Equipment (PPE) used or additional precaution for physician to examination the patient with a fever include cough and sneeze?

a. Disposable Gloves

b. Surgical mask and disposable glove

c. Surgical mask

d. Gown

e. Eyes protection

5 / 60

Why is it important to prevent SSI?

a. It may contributes to increased Antimicrobial Resistance (AMR)

b. It is an important cause of additional morbidity

c. It is an immediate threat to patient mortality

d. It can cause incremental cost to patients

e. All of the above

6 / 60

Choose the correct IPC standard precautions to apply:

a. Hand hygiene, safe handling of equipment, environment cleaning, health care waste management,

b. There are five componence: hand hygiene, PPE, safe handling of equipment, environmental cleaning and health care waste management.

c. hand hygiene, PPE selected, safe handling of equipment, environmental cleaning, prevention needle stick injury, health care waste management and coughing etiquette

d. Hand hygiene, safe handling of medical equipment, environmental cleaning and hospital cleaning or hygiene.

e. Hand hygiene and to select PPE to use

7 / 60

Choose the correct for vaccination at community to apply an injection safety and to prevent the needle stick injury.

a. Needles are thrown away in the trash can without lid

b. Doctor is wearing a mask, but not the gloves when injecting

c. Nurse close the cap of the needle after the injection procedure

d. Safety box or sharp box container and AD syringes.

e. None of the above

8 / 60

Choose the correct statement bacteria to comment infection gangrene:

a. Bacteria Gram (-): Anaerobia

b. Bacteria Gram (-): Pseudomonas

c. Bacteria Gram (+): Enterococcus

d. Bacteria Gram (+): Streptococcus

e. Bacteria Gram (+): Staphylococcus

9 / 60

How can HCF ensure the quality of water?

a. Regular monitoring and evaluation of water quality

b. Regular monitoring and evaluation of water supply

c. All of the above

d. Regular monitoring and evaluation of water treatment process

10 / 60

Choose that correct Personal Protection Equipment (PPE) HCWs use to taking blood sample from coughing patient.

a. Mask

b. Disposable glove and surgical mask

c. Gloves

d. Gown

e. Surgical mask

11 / 60

Choose the correct linkage of microorganism and its examples

a. Parasite – Escheria coli

b. Bacteria – Plasmodium falciparum

c. Fungi – Streptococcus

d. All of the above

e. Virus – Hepatitis .B

12 / 60

When do you recommend a man of 45 year old to start screening for prostate cancer?

a. In 6 years

b. In 7 years

c. In 5 years

d. In 4 years

e. In 3 years

13 / 60

Bronche de Nelson de bronche lobaire inférieur est autre nom de quelle bronche?

a. Bronche segmentairelatérobasale.

b. Bronche segmentaire paracardiaque

c. Bronche segmentaireantérobasale.

d. Bronche segmentaire postérobasale.

e. Bronche segmentaire apicale

14 / 60

La densité d’eau sur la coupe scanner est combien de unité de Hounsfield (UH)

a. -1000UH

b. +100UH – 400UH.

c. -10UH – +15UH.

d. +40UH – 80UH.

e. -50UH – 60UH.

15 / 60

Quelle incidence de radiographie thoracique simple est le plus standard?

a. Oblique

b. Profil.

c. Décubitus latérale

d. Postéroantérieur.

e. Antéro-postérieur

16 / 60

Radio-anatomie du sphère ORL, choisissez l’une image en étoile des suivants:

a. Larynx

b. Cavité buccale

c. Hypopharynx

d. Oropharynx

e. Nasopharynx

17 / 60

Radio-anatomie du sphère ORL, choisissez l’une image en étoile des suivants:

a. Oreille externe

b. Oreille moyenne

c. CAI

d. Oreille interne

e. CAE

18 / 60

Radio-anatomie du sphère ORL, choisissez l’une image en étoile des suivants:

a. Hypopharynx

b. Cavité buccale

c. Nasopharynx

d. Oropharynx

19 / 60

Radio-anatomie du sphère ORL, choisissez l’un des suivants:

a. Sinus éthmoïdal

b. Sinus frontal

c. Sinus sphénoidal

d. Sinus maxillaire

e. Cellule mastoïdienne

20 / 60

Choisissez seulement une phrase correcte ci-dessous (Picture12)

a. 4- Ligament interépineux

b. 1- Corps vertebral de L4

c. 3- Disque intervertebral

d. 2- Corps vertebral de L5

e. 5- sac dural

21 / 60

Choisissez seulement une phrase correcte ci-dessous (Picture3)

a. 3 – Lunatum

b. 2- Triquétrum

c. 4 – Trapèze

d. 1- Scaphoïde

e. 5 – Pisiforme

22 / 60

Choisissez seulement une phrase correcte ci-dessous (Picture1)

a. 3-Trochin

b. 5- Scapula

c. 1-Appophyse coracoïde

d. 4- Trochiter

e. 2- Acromion

23 / 60

which ONE of the following statements is true?

a. Sensitive questions are nonjudgmental used appropriate language and document carefully.

b. Sensitive questions are respect patient privacy, direct and firm, avoid confrontation, nonjudgmental, appropriate language, and document carefully.

c. Sensitive questions guideline respect patient privacy and document carefully.

d. Sensitive questions are used patient’s words as possible, avoid confrontation and be direct and firm.

e. Sensitive questions guidelines are respect patient privacy, be direct and firm and avoid confrontation.

24 / 60

បុរសម្នាក់មកបន្ទប់ពិគ្រោះជម្ងឺ ហើយរៀបរាប់ប្រាប់គ្រូពេទ្យថាគាត់ស្រកទម្ងន់ច្រើនក្នុងរយៈពេលប៉ុន្មានថ្ងៃនេះ។ តើចំលើយណាត្រឹមត្រូវជាងគេ។

a. Chronic cardiac, pulmonary, or renal failure

b. Gastrointestinal diseases

c. Chronic infections

d. All above are correct.

e. Endocrine disorders (diabetes mellitus, hyperthyroidism, adrenal insufficiency)

25 / 60

ថ្នាំណាខ្លះ អាចអោយកំដៅក្នុងខ្លួនមនុស្សចុះភ្លាមៗ៖

a. Diuretic

b. Antiseptic

c. Aspirin

d. Anti hypertension

e. Antibiotic

26 / 60

ក្នុងបណ្តារ symptoms ខាងក្រោម តើsymptom មួយណាដែលមានទំនាក់ទំនងជាមួយនិង Respiratory system disorders?

a. Swelling in calves

b. Stiffness in the neck

c. Palpitations

d. Wheezing

27 / 60

បុរសម្នាក់អាយុ៦៥ឆ្នាំ ត្រូវបានគេបញ្ជូនមកមន្ទីរពេទ្យជាបន្ទាន់ដោយសារចុកទ្រូង។ ការសាកសួរប្រវត្តិជម្ងឺបានបង្ហាញថាប្រមាណ១ម៉ោងមុននេះ អ្នកជម្ងឺមានអាការៈចុកទ្រូងពេលគាត់ឡើងជណ្តើរផ្ទះ កូនគាត់ដែលនៅជាន់ទី៣។មុនដំបូងពេលគាត់ឡើងដល់ ជាន់ទី២គាត់មានអារម្មណ៍ថាណែនទ្រូង និងហត់ពេលគាត់ខំឡើងបន្តបាន៦កាំទៀតគាត់ចុកយ៉ាងខ្លាំង នៅចំកណ្តាលទ្រូងមានលក្ខណៈដូចគេគាបហើយចាក់ទៅថ្គាម ស្មារនិង ដៃឆ្វេង ពិបាកដកដង្ហើម បែកញើស និងត្រជាក់ចុងដៃចុងជើង។ ក្នុងបណ្តារសម្មតិកម្មខាងក្រោម តើសម្មតិកម្មណាមួយដែលបញ្ជាក់ពីTiming?

a. អ្នកជម្ងឺឈឺខ្លាំង នៅចំកណ្តាលទ្រូង

b. អ្នកជម្ងឺចាប់ផ្តើមឈឺ ប្រមាណ១ម៉ោង មុនមកដល់មន្ទីរពេទ្យ

c. អ្នកជម្ងឺឈឺទ្រូង មានលក្ខណៈដូចគេគាប

d. អ្នកជម្ងឺឈឺទ្រូងចាក់ទៅថ្គាម ស្មារ និង ដៃឆ្វេង

28 / 60

ក្នុងបណ្តារ techniques of examination ខាងក្រោម តើtechnique ណាមួយដែលអាចវាយតំល heart murmurបាន?

a. Auscultation

b. Percussion

c. Inspection

d. Palpation

29 / 60

ក្នុងបណ្តារ ការវាយតំលែខាងក្រោម តើការវាយតំលែណាមួយដែលត្រូវគ្នាជាមួយរូបភាពភ្ជាប់មកជាមួយ?

a. Assess the abdominal aorta

b. Assess the liver

c. Assess the spleen

d. Assess costovertebral angle tenderness

30 / 60

a. អ្នកជម្ងឺឈឺទ្រូងមានលក្ខណៈដូចគេគាប

b. អ្នកជម្ងឺឈឺខ្លាំងនៅចំកណ្តាលទ្រូង

c. អ្នកជម្ងឺចាប់ផ្តើមណែនទ្រូងពេលគាត់ខំឡើងជណ្តើរដល់ជាន់ទី២

d. អ្នកជម្ងឺឈឺទ្រូងចាក់ទៅថ្គាម ស្មារ និង ដៃឆ្វេង

31 / 60

a. Assess the liver

b. Assess costovertebral angle tenderness

c. Assess the spleen

d. Assess the abdominal aorta

32 / 60

The crying patients can be described to one mainly statement below:

a. Expression of strong emotion

b. Expression of angry

c. Expression of the problem

d. Expression of fearful emotion

33 / 60

The clinician should encourage silent patient to talk. What is the main skill to apply?

a. Build up relationship

b. Sit closely to the patient

c. Talk with monotone voice

d. Talk smoothly to the patient

34 / 60

Quel est le diagnostic le plus probable devant une hémoptysie chez une ancienne tuberculose pulmonaire ?

a. Cancer pulmonaire

b. Pneumonie

c. Épanchement pleural

d. Dilatation des bronches

e. Embolie pulmonaire

35 / 60

Devant une toux chronique, fièvre prolongée associée à une altération de l’état général, quel est le diagnostic le plus probable ?

a. Pleurésie

b. Bronchite aiguë

c. Embolie pulmonaire

d. Pneumonie bactérienne

e. Tuberculose

36 / 60

Concernant le sinus maxillaire, quelque est la proposition exacte ?

a. Le sinus maxillaire se draine dans la fosse nasale par l’ostium sphénoïdal.

b. Le sinus maxillaire situé dans le corps sphénoïdal.

c. Le sinus maxillaire peut être exploré par l’échographie.

d. Le sinus maxillaire situé dans l’os maxillaire.

e. Le sinus maxillaire se draine dans la fosse nasale par le canal fronto-nasal.

37 / 60

Concernant la sémiologie radiologique du nasopharynx (cavum), parmi les propositions suivantes laquelle est vraie ?

a. Les tumeurs du cavum naissent du larynx.

b. Les tumeurs du cavum naissent du sinus pyriforme de l’hypopharynx.

c. Les tumeurs du cavum naissent de la fosse nasale.

d. La majeure partie des lésions tumorales du cavum sont des tumeurs bénignes.

e. Les tumeurs du cavum sont principalement des tumeurs malignes qui naissent du récessus pharyngé latéral ou la fossette de Rosenmüller.

38 / 60

Concernant le sinus sphénoïdal, quelque est la proposition exacte ?

a. Le sinus sphénoïdal se draine dans la fosse nasale par l’ostium sphénoïdal.

b. Le sinus sphénoïdal situé dans l’os maxillaire.

c. Le sinus sphénoïdal situé dans l’os frontal.

d. Le sinus sphénoïdal se draine dans la fosse nasale par le canal fronto-nasal.

e. Le sinus sphénoïdal peut être exploré par l’échographie.

39 / 60

Concernant les sinus de la face normaux, quelle est la proposition exacte?

a. Epaississement circonférentiel de la muqueuse sinusienne.

b. Sinus totalement remplis par d’air.

c. Niveau hydro-aérique dans les sinus.

d. Opacité diffuse sinusienne.

e. Présence de petites bulles d’air au sein d’une opacité sinusienne.

40 / 60

La mammographie est un examen de première ou deuxième ou troisième ou… intention chez la jeune fille post-pubère ?

a. : Deuxième intention

b. : Troisième intention

c. : Cinquième intention

d. : Quatrième intention

e. : Première intention

41 / 60

Quelle est l’amplitude normale de l’onde P ?

a. 0.25mV

b. < 0.44s

c. Isoélectrique

d. < 0.12s

e. 0.12-0.20s

42 / 60

Quelles sont les dérivations représentant la paroi antérieure du VG ?

a. D2, D3, aVF

b. V1, V2, V3

c. V5, V6

d. D1, aVL

e. V7-V8-V9

43 / 60

Un home est un train de travailler avec effort physique, il se plaint de douleur abdominale dans la région quadrant inférieur droit. Il a été diagnostiqué comme une hernie inguinale étranglé. La chirurgie est indiqué. Pendant l ́ intervention, chirurgien a trouvé une portion de l’ intestin dans le sac hernie qui est lateraldes vaisseaux épigastriques et au dessus de ligament inguinale( arcade crurale). L’ hernie est considéré comme :

a. Hernie directe et oblique externe

b. Hernie crurale ou abdominale

c. Hernie fémorale ou crurale

d. Hernie ombilicale ou congénitale

e. Hernie indirecte ou congénitale

44 / 60

Un homme de 22 ans, sportif et garçon de café, entré pour une douleur faux iliaque droit avec fièvre évolué depuis hier soir.Vous examinez le patient et trouvez une défense faux iliaque droit avec signe de Rovsing positive.Quel est le diagnostic probable?

a. Angiocholite

b. Cholecystite

c. Hernie

d. Pancreatite

e. Appendicite

45 / 60

Les propositions suivantes concernent la moelle épinière :

a. On peut diviser la moelle épinière en 31 myélomères.

b. Il existe 5 paires de nerfs sacrés et 5 paires de nerfs coccygiens.

c. Chaque myélomère contient au moins un arc réflexe (myotatique) et est en rapport avec un segment de muscle (myotome), de peau (dermatome) et de viscère (viscérotome)

d. La racine motrice des nerfs sort de la moelle épinière par le sillon latéral dorsal.

e. Le renflement de la racine dorsale correspond au ganglion du SNOV.

46 / 60

Commnent s’appelle l’enveloppe du cerveau?

a. Péritoine

b. Péricarde

c. Méninges

d. PLévre

47 / 60

Les ventricules contiennent :

a. Liquide céphalo-rachidien

b. moelle épinière

c. Substance gris

d. Substance blanche

e. Neurone

48 / 60

During sexual arousal, ___________________ impulses cause vasodilation of the arterioles of the penis

a. somatic

b. parasympathetic

c. sympathetic

d. None of these – vasodilation is the result of hormonal influences.

49 / 60

The ________________ are the site of sperm maturation, and they store and convey spermatozoa to the dectus deferentia

a. bulbourethral glands

b. epididymides

c. interstitial cells of the testes

d. ejaculatory ducts

50 / 60

Of the following male organs, which one is considered a primary sex organ?

a. penis

b. seminal vesicles

c. gonads (testes)

d. ejaculatory ducts

51 / 60

Which of these sexually transmitted diseases is caused by a virus?

a. gonorrhea

b. syphilis

c. chlamydia

d. genital herpes

52 / 60

Le scanner abdominal en coupe axial, espace péri-rénal antérieur contient:

a. la rate, surrénales, vaisseaux rénaux et voie excrétrice haute.

b. les reins, surrénales, vaisseaux rénaux et voie excrétrice haute.

c. la vessie, surrénales, vaisseaux rénaux et voie excrétrice haute.

d. duodénum, surrénales, vaisseaux rénaux et voie excrétrice haute.

53 / 60

Concerning hepatitis A Virus (HAV) s mode of transmission, what is the most appropriate answer ?

a. HAV is transmitted by oro-fecal route

b. HAV is transmitted by blood’s products

c. HAV is transmitted by transfusion

d. HAV is transmitted by injection

e. HAV is transmitted by sweat

54 / 60

Concerning the clinical manifestation of acute hepatitis A in Cambodia, what is the most likely the clinical picture ?

a. Vomiting and headach

b. Asymptomatic

c. Icterus and asthenia

d. Abdominal pain

e. Fever and diarrhea

55 / 60

Concerning the epidemiology of Hepatitis A, which answer is the most appriate ?

a. France is classified as high prevalence

b. France is classified as intermediate prevalence

c. Cambodia is classified as low prevalence

d. Cambodia is classified as high prevalence

e. Cambodia is classified as intermediate prevalence

56 / 60

Quelle est la complications aigue de l’intoxication d’alcool ? Choississez la reponse la plus appropriee : en cas de l’alcoolemie a partir de 0,50-3g/l

a. Difficulte de reflechir

b. Confusion mentale

c. Agitation

d. Hyploglemie

e. Troubles de memoire

57 / 60

Concerning the evolution of hepatitis A, what is the most appropriate answer ?

a. Hepatitis .A can become chronic

b. Hepatitis .A can evolve to liver abces

c. Hepatitis .A can evolve to Liver cancer

d. Hepatitis .A can evolve to cirrhosis

e. Hepatitis .A can evolve to fulminant hepatitis

58 / 60

Sur les coupes échographiques, les segments 2,4,8,7 du foie sont divisées par :

a. Les branches portales

b. Les veines sus hépatiques

c. Les branches des artères hépatiques

d. La vésicule biliaire

e. Les voies biliaires

59 / 60

En cas de masse médiastinale antérieure vue sur la radiographie du thorax de face chez un enfant âgé de 2 ans, quel l’ examen en imagerie on doit demander pour aider:

a. . Bronchoscopie

b. . Radiographie du thorax de profil

c. . Echographie

d. . TDM

e. . IRM

60 / 60

Quelle pathologie que l’on ne peut pas examiner à l’échographie :

a. . Masse médiastinale antérieure

b. . Emphysème pulmonaire

c. . Pleurésie

d. . Pyopneumothorax

e. . Pneumothorax

Your score is

The average score is 90%

Any comments?

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

និស្សិតអាចប្រាប់មកកាន់ពួកយើងបានដើម្បីកែកំហុស ឬអំពីបញ្ហាដោយអចេតនាណាមួយដែលកើតមានកំឡុងពេលធ្វើតេស្ត