Sémiologie Test

28 votes, 4.8 avg

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Sémiologie Test

1 / 60

Comment évalue-t-on une hypertrophie ventriculaire gauche à l’ECG ?

a. SV1+RV5 = 25mm

b. SV1+RV5= 15 mm

c. SV1+ RV5 = 20mm

d. SV1+RV5=30mm

e. SV1+RV5= 35 mm

2 / 60

Choisissez seulement une phrase correcte ci-dessous (Picture2)

a. 3- Processus coronoïdienne

b. 4- Olécrâne

c. 1- Epicondyle latéral

d. 5-Tête radiale

e. 2- Epicondyle médial

3 / 60

Choisissez seulement une phrase correcte ci-dessous (Picture12)

a. 3- Disque intervertebral

b. 4- Ligament interépineux

c. 1- Corps vertebral de L4

d. 2- Corps vertebral de L5

e. 5- sac dural

4 / 60

Choisissez seulement une phrase correcte ci-dessous (Picture5)

a. 7-Epine iliaque antero- superieure

b. 8- Fosse acétabulaire

c. 1- Trou obturateur

d. 3- Epine iliaque antero- inférieure

e. 2-Symphyse pubienne

5 / 60

រសម្នាក់ មានកំពស់ 1,80m ទំងន់ 55kg ។បន្ទាប់ពីគណនា Body Mass Index បញ្ជាក់ថា គាត់៖

a. ស្គម

b. ធាត់

c. លើសទម្ងន់

d. ទម្ងន់ធម្មតា

e. មិនគ្រប់ទម្ងន់

6 / 60

យុវជនម្នាក់ មានកំពស់ 1,70m ទំងន់ 65kg ។បន្ទាប់ពីគណនា Body Mass Index បញ្ជាក់ថាគាត់៖

a. ស្គម

b. ធាត់

c. លើសទម្ងន់

d. ទម្ងន់ធម្មតា

e. មិនគ្រប់ទម្ងន់

7 / 60

បន្ទាប់ពីវាស់សំពាធឈាមរួច គ្រូពេទ្យបញ្ជាក់ថាគាត់មានសំពាធឈាមធម្មតា។ ចំឡើយមួយណាត្រឹមត្រូវ?

a. 110/90mmHg

b. 135/90mmHg

c. 110/70mmHg

d. 80/40mmHg

e. 140/70mmHg

8 / 60

បុរសម្នាក់អាយុ៥០ឆ្នាំ ជាគ្រូបង្រៀនបានចូលមកពិនិត្យ និងពិគ្រោះជម្ងឺកាលពីថ្ងៃទី២០សីហា២០១៦ ដោយមូលហេតុឈឺកំភួនជើងស្តាំ។ អ្នកជម្ងឺបានបញ្ជាក់ថាគាត់មានអារម្មណ៍តឹង និងរោយកំភួនជើងស្តាំ នៅពេលដើរបានចម្ងាយប្រហែល៣០០ម៉ែត្រ នៅពេលគាត់ខំដើរបន្តទៀតបានចំងាយជិត៤០០ម៉ែត្រកំភួនជើងគាត់ឡើងរឹងហើយចុកខ្លាំងតំរួវអោយគាត់ឈប់សំរាកប្រមាណ៥នាទីទើបបាត់ឈឺ។ អ្នកជម្ងឺជក់បារី១ថ្ងៃ១កញ្ចប់រយៈពេល៣២ឆ្នាំហើយ។ គាត់ធ្លាប់សំរាកពេទ្យកាលពីបីឆ្នាំមុនដោយសារជម្ងឺលើសឈាម ហើយបន្តប្រើថ្នាំលើសឈាមរហូតសព្វថ្ងៃ។ ឳពុកគាត់បានស្លាប់កាលពីឆ្នាំមុនដោយសារជំងឺលើសឈាមនេះដែរ។ តើអ្វីទៅជា chief complaint របស់អ្នកជម្ងឺខាងលើ?

a. អ្នកជម្ងឺជក់បារី១ថ្ងៃ១កញ្ចប់រយៈពេល៣២ឆ្នាំហើយ

b. អ្នកជម្ងឺចុកកំភួនជើងស្តាំយ៉ាងខ្លាំង ពេលខំដើរបានជិត៤០០ម៉ែត្រហើយធូរស្រាលទៅវិញពេលសំរាកបានប្រមាណ៥នាទី

c. អ្នកជម្ងឺបានចូលមកពិនិត្យ និងពិគ្រោះជម្ងឺដោយមូលហេតុឈឺកំភួនជើងស្តាំ

d. គាត់ធ្លាប់សំរាកពេទ្យកាលពីបីឆ្នាំមុនដោយសារជំងឺលើសឈាម

9 / 60

ក្នុងបណ្តារ ការវាយតំលែខាងក្រោម តើការវាយតំលែណាមួយដែលត្រូវគ្នាជាមួយរូបភាពភ្ជាប់មកជាមួយ?កជាមួយ?

a. Assess costovertebral angle tenderness

b. Assess the liver

c. Assess the spleen

d. Assess the abdominal aorta

10 / 60

ក្នុងបណ្តារ ការវាយតំលែខាងក្រោម តើការវាយតំលែណាមួយដែលត្រូវគ្នាជាមួយរូបភាពភ្ជាប់មកជាមួយ?

a. Examine the external nose

b. Assess the cranial nerves

c. Palpate for frontal sinusestenderness

d. Palpate for maxillary sinuses tenderness

11 / 60

a. Auscultation for aortic valve stenosis

b. Auscultation for mitral stenosis

c. Auscultation for mitral regurgitation

d. Auscultation for aortic valve regurgitation

12 / 60

ក្នុងបណ្តារ symptoms ខាងក្រោម តើsymptom មួយណាដែលមានទំនាក់ទំនងជាមួយនិង Peripheral vascular disorders?

a. Intermittent claudication

b. Chest pain or discomfort

c. Palpitations

d. Hemoptysis

13 / 60

ក្នុងបណ្តារ techniques of examination ខាងក្រោម តើtechnique ណាមួយដែលអាចវាយតំល heart murmurបាន?

a. Inspection

b. Percussion

c. Palpation

d. Auscultation

14 / 60

When semen is discharged, about ______________ of the volume is made up of spermatozoa.

a. 40%

b. 75%

c. 1%

d. 10%

15 / 60

What portions of the penis contain erectile tissue that becomes engorged with blood?

a. corpora cavernosa and corpus spongiosum

b. corpora cavernosa

c. corona glandis

d. corpus spongiosum

16 / 60

What does the prostate gland secrete into the semen?

a. acid phosphatase

b. thin liquid that helps sperm become motile

c. alkaline secretion to aid the survival of sperm in the acidic atmosphere of the female reproductive tract

d. All of these are secretions of the prostate.

17 / 60

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

a. In 7 years

b. In 5 years

c. In 3 years

d. In 4 years

e. In 6 years

18 / 60

A 65 year old man has to stand close to the toilet to void because he has:

a. Post-voiding dribbling

b. Hesitancy

c. Reduced force of urinary stream

d. Urgency

e. Dysuria

19 / 60

Silence patient during the interview the clinician should be encouraged patient to talk. What is the best technique in the following?

a. Build relationship and support to the patient.

b. Build relationship and do not watch closely to the patient.

c. Build relationship and observe to the patient.

d. Build relationship and watch closely to the patient

20 / 60

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

a. Tell the patient do something else

b. Let the patient cries for a moment

c. Stop the patient cries immediately

d. Tell the patient crying is not good

21 / 60

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

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

b. None of the above

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

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

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

22 / 60

How can we avoid/combat AMR?

a. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear

b. Revise the antibiotic guidelines and protocols whenever the new AMR is detected

c. Use routine prophylactic antibiotics before operation

d. All of the above

e. Prescribe antibiotics whenever possible to avoid infection

23 / 60

Why is it important to prevent SSI?

a. It can cause incremental cost to patients

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

c. It is an important cause of additional morbidity

d. It is an immediate threat to patient mortality

e. All of the above

24 / 60

Choose the correct example of clean healthcare facility environment.

a. Water sink in the shared bathroom is broke

b. One trash can is shared by all patients in the ward

c. Cleaning staff cleans the operation room at least twice a day

d. None of the above

e. Cleaning staff cleans the floor with the broom only

25 / 60

Choose the correct statement for safe handling of equipment and soiled linen.

a. All used patient gowns, bed sheets and towels should be cleaned and disinfected any material reused it again.

b. All of the above

c. Thermometer can be shared between patients if it is wiped with wet tissue.

d. It is ok not to change the bed linen in between patients if the previous one didn’t bleed.

e. Safe handling of equipment: soak, clean, dry, packaging, sterilization and storage to reuse

26 / 60

Choose the correct statement.

a. It is more effective to control Reservoir than to control portal of exit.

b. None of the above.

c. Chain of infection only exists in the hospital setting.

d. Holistic IPC program is needed to effectively control the chain of infection.

e. Chain of infection can be usually controlled well by tackling 1 of the 6 elements

27 / 60

Why is Healthcare Facility (HCF) Environment important for Infection Prevention and Control (IPC)?

a. It provides the safe workplace for HCF staffs

b. It provides the safe environment for caregivers and visitors

c. Poorly managed HCF environment could raise the Nosocomial Infection rate

d. All of the above

e. It provides the safe environment for patients

28 / 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 chemicals

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

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

e. It is the ability for human to resist microorganism

29 / 60

What is the entry germs or micro-organism to “Susceptible host” are?

a. People who have a low resistance against pathogen included pregnant women

b. Patients who have been with chronic diseases

c. People who have a multiple history of infection to microorganisms, especially elderly people

d. Children under age 5

e. Patients who gets stress with TB and AIDS more easily than others

30 / 60

HCW takes blood sample with patient for routine check-up, the patient does not present visible symptoms, what type and which IPC precaution the staff will apply?

a. To clean and disinfected area with alcohol

b. To use safety box to collect the single used of needle and syringe

c. To performs hand hygiene and wears disposable gloves

d. To clean hand, used disposable gloves, safety book to collect the syringe & needle

31 / 60

Who should perform respiratory hygiene?

a. Doctors when dealing with coughing patients

b. Visitor who is sneezing

c. Patient who is diagnosed with flu

d. All of the above

32 / 60

Who could be the “Susceptible host” of micro-organism?

a. People who are working in healthcare facilities

b. Pregnant women and children under 5 years of age

c. Nurses and physicians who performs regular injection task and examination people

d. Elderly people with chronic diseases

e. Pregnant women, children < 5 Years and elderly people

33 / 60

Où se trouve l’hernie de Spiegel de la paroi abdominale?

a. Correspond au lieu d’entrecroisement des fibres musculaires des muscles droits et transverses, au niveau de bord externe des muscles droits.

b. Correspond au lieu d’entrecroisement des fibres musculaires des muscles obliques au niveau de bord externe des muscles transverse.

c. Correspond au lieu d’entrecroisement des fibres musculaires des muscles transverses, au niveau de bord externe des muscles obliques.

d. Correspond au lieu d’entrecroisement des fibres musculaires des muscles obliques et transverses, au niveau de bord externe des muscles droits.

e. Correspond au lieu d’entrecroisement des fibres musculaires des muscles transverses et inguinales, au niveau de bord externe des muscles droits.

34 / 60

On divise le système nerveux en :

a. Système nerveux central et système nerveux périphérique

b. Système nerveux périphérique et Système nerveux autonome

c. Système nerveux parasympathique et système nerveux sympathique

d. Système nerveux central et système nerveux somatique

e. Système nerveux autonome et système nerveux somatique

35 / 60

les propositions suivantes concernent le système nerveux périphérique :

a. Il comporte cinq plexus

b. La branche dorsale est sensitive.

c. Ce sont les branches dorsales des nerfs spinaux qui constituent les plexus.

d. Les nerfs deviennent de plus en plus horizontaux de crânial en caudal.

e. Les paires de nerfs spinaux L5 à S5 constituent le plexus lombo-sacré.

36 / 60

les propositions suivantes concernent le cerveau :

a. La capsule externe passe entre le claustrum et le lobe de l’insula.

b. La capsule interne se situe entre le noyau lenticulaire (en médial) et le thalamus (en latéral).

c. Le sillon calcarin ne délimite pas de lobe.

d. L’aqueduc du mésencéphale fait communiquer le 4ème ventricule avec les ventricules latéraux.

e. Un ventricule latéral comporte trois cornes : antérieure, postérieure et supérieure

37 / 60

Parmi les propositions suivantes laquelle est vraie ?

a. Larynx séparé en 4 étages.

b. Larynx séparé en 3 étages.

c. Larynx séparé en 6 étages.

d. Larynx séparé en 2 étages.

e. Larynx séparé en 5 étages.

38 / 60

Quel est le moyen d’imagerie médicale, le plus facile, peut coûteux, non irradiant et non invasive pour détecter les pathologies de la femme?

a. . Echographie

b. . IRM

c. . Radiographie interventionnelle

d. . TDM

e. . Radiographie standard

39 / 60

Quels examens qui n’utilisent pas les rayons X ?

a. . Radiographie interventionnelle

b. . Radiographie standard

c. . TDM

d. . Hystérosalpingographie

e. . Echo – IRM

40 / 60

Devant une expectoration muco-purulente chronique de grande abondance survenant chez un antécédent de tuberculose pulmonaire. Quel est le diagnostic le plus probable ?

a. Asthme

b. Dilatation des bronches

c. Pneumonie

d. Bronchite chronique

e. Cancer pulmonaire

41 / 60

Quel est le diagnostic le plus probable devant une toux aiguë associée à une fièvre ?

a. Tuberculose

b. Pneumothorax

c. Pleurésie

d. Bronchite aiguë

e. Cancer pulmonaire

42 / 60

Which imaging modality is best for evaluating soft tissue lesions in the pharynx?

a. ) PET scan

b. ) X-ray

c. ) MRI

d. ) CT scan

e. ) Ultrasound

43 / 60

Which imaging modality is preferred for detailed evaluation of the ossicles in the middle ear?

a. ) PET scan

b. ) Ultrasound

c. ) X-ray

d. ) MRI

e. ) CT scan

44 / 60

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

a. Aorte abdominal

b. Ventricule droite.

c. Tronc de l’artère pulmonaire

d. Aorte thoracique

e. Artère pulmonaire

45 / 60

Quelle est l’examen para-clinique plus important pour analyse des corticales osseuses?

a. Echographie

b. Fluoroscopie

c. IRM

d. TDM

e. Radiographie

46 / 60

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

a. Sinus frontal

b. Sinus sphénoidal

c. Sinus éthmoïdal

d. Cellule mastoïdienne

e. Sinus maxillaire

47 / 60

Dans le sphère ORL, quelle est l’examen paraclinique de 1ère intention pour ce qui est sus-hyoïdien?

a. IRM

b. Fluoroscopie

c. Radiographie

d. TDM

e. Echographie

48 / 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. . Echographie

b. . TDM

c. . Bronchoscopie

d. . Radiographie du thorax de profil

e. . IRM

49 / 60

Sur la radiographie du thorax de face d’un nouveau-né, on voit que le coupole diaphragmatique droit est plus haut( 3cm) que celui du côté gauche, quel moyen en imagerie de 1er choix pour aider de diagnostic ?

a. . Echographie

b. . IRM

c. . Radiographie du thorax de profil

d. . TDM

e. . Fluoroscopie

50 / 60

Signe appartient au syndrome interstitiel:

a. Opaciténodullaire à contours flous

b. Brochocèle

c. Opacitéconfluente

d. Opacité en aile de papillon

e. Opacitéhilifuge

51 / 60

Image de thymus normalsur le cliché du thorax de face:

a. Opacité de densitéhydrique au médiastinpostérieur

b. Masse hétérogène et calcifiée

c. Masse de densitéhydrique au médiastinantérieur

d. Opacité de densitécalcique

e. Masse hypodensecomme la graisse

52 / 60

Epaississement d’ interstitium péribrochovasculaire donnant:

a. . Opacité linéaire en rail

b. . Opacité hilifuge

c. . Opacité en verre dépoli

d. . Opacité réticulomicronodulaire

e. . Opacité en rayon de miel

53 / 60

Quelle est la complication chronique de l’intoxication d’alcool parmi les propositions suivantes ?

a. Cancer du colon

b. Leucemie

c. Cancer de prostate

d. Cirrhose

e. diabete

54 / 60

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

a. HAV is transmitted by sweat

b. HAV is transmitted by injection

c. HAV is transmitted by blood’s products

d. HAV is transmitted by transfusion

e. HAV is transmitted by oro-fecal route

55 / 60

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

a. Asymptomatic

b. Vomiting and headach

c. Fever and diarrhea

d. Abdominal pain

e. Icterus and asthenia

56 / 60

Un homme qui boit 3 canettes de la bierre ‘Angkor’’ (5 degree, v= 330 ml)) par jour, vient vous consulter pour ‘hepatomegalie. Est ce qu’on peut le definir l’alcoolisme ?

a. Oui, car il boit 2 canettes de bierre par jour

b. Non, car il faut comsommer plus de 50 g/j

c. Oui, car il boit 3 canettes de bierre par jour

d. Non, car il faut comsommer plus de 30 g/j

e. Non, car il faut comsommer plus de 100 g/j

57 / 60

which ONE of the following statements is true?

a. Active listening is multiple levels of patients’ experience.

b. Active listening is being aware of the patients’ emotional state.

c. Active listening is the most important skilled interviewing.

d. Active listening is the process of closely attending, being aware of patient’s emotional understanding, and encouragement the speaker to continue and expand upon important concerns.

e. Active listening is the action of sensitive heard from patient.

58 / 60

which ONE of the following statements is true?

a. Nonverbal communication is to pay close attention to eye contact, facial expression, posture, head position, and movement such as shaking or nodding and moving closer.

b. Nonverbal communication is the only body language to help the patient gain control of difficult feelings.

c. Nonverbal communication is only the mirror of the patients’ paralanguage.

d. Nonverbal communication is the message allows you to both “read the patient” and send messages of your own.

e. Nonverbal communication is the only moving closer to the patient.

59 / 60

which ONE of the following statements is true?

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

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

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

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

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

60 / 60

Sur l’ASP debout, l’examen doit être vu jusqu’à :

a. Les coupoles diaphragmatiques

b. Le pubis

c. La vessie

d. Les 12ème côtes

e. L’estomac

Your score is

The average score is 13%

Any comments?

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

និស្សិតអាចប្រាប់មកកាន់ពួកយើងបានដើម្បីកែកំហុស ឬអំពីបញ្ហាដោយអចេតនាណាមួយដែលកើតមានកំឡុងពេលធ្វើតេស្ត