Sémiologie Test 0% 28 votes, 4.8 avg 0 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* The timer has been reached. The exam has now been terminated and saved. Sémiologie Test 1 / 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 douleur à la décompression brutale de la fosse iliaque droite.Quel est le nom de cette signe ? a. Signe de Bloomberg b. Signe de Flot c. Signe de Psoas d. Signe de Rosing e. Signe de Murphyse 2 / 60 Quelle est la différence entre défense et contracture abdominale? a. Contracture : rigidité abdominale due à une contraction involontaire, douloureuse, persistante (le «ventre est de bois »), qui témoigne d'une péritonite. b. Défense : contraction douloureuse des muscles de la paroi abdominale, qui est déclenchée par la palpation c. Contracture: contraction douloureuse des muscles de la paroi abdominale, qui est déclenchée par la palpation d. Defense: rigidité abdominale due à une contraction involontaire, douloureuse, persistante (le «ventre est de bois »), qui témoigne d'une péritonite. 3 / 60 Concernant la sémiologie radiologique de la pathologie tumorale de l’oropharynx et de la cavité orale, parmi les propositions suivantes sont vraies sauf une laquelle ? a. Les tumeurs sont plus de 90% des cas des tumeurs malignes de type carcinome épidermoïde. b. L’imagerie repose essentiellement sur l’IRM. c. Par rapport au signal musculaire normal la tumeur apparaît en isosignal T1avant injection de produit de contraste et discret hypersignal T2. d. La tumeur se rehausse toujours nettement après injection de produit de contraste. e. Les tumeurs sont le plus souvent bénignes. 4 / 60 Quel est le signal de l’eau en séquence T2 ? a. : Hyperdense b. : Hyposignal c. : Hypodense d. : Hypersignal e. : Isosignal 5 / 60 Combien de types de densité mammographique selon la classification BI-RADS de l’ACR ? a. : 3 types b. : 6 types c. : 4 types d. : 7 types e. : 5 types 6 / 60 ក្នុងការចាប់ផ្ដើម Investigation Vascular Imaging គេចាប់ផ្ដើមដោយ: a. Angio-CT b. Angiography c. Gray Scale Ultrasound d. Doppler Ultrasound e. MRA 7 / 60 ចំពោះ Stenosis of Artery យើងអាចធ្វើរោគវិនិច្ឆ័យដោយ Technique non aggressive a. Arteriography b. Aortoplasty c. Phlebography d. Angiography e. Echo-Doppler 8 / 60 Choose incorrect statement about ventilation in HCF. a. Every patient room has to have window directly connected to outside b. None of the above c. It should be designed to reduce microbial contamination d. Mosquito screen or mosquito net should be provided when window is open e. Window should be always open for natural ventilation 9 / 60 Who is exposed to the risk factor of Nosocomial Pneumonia? a. Post-operation patient who stays in bed without mobility b. All of the above c. Patient who is aided with mechanical ventilation d. Patient in the same ward as pneumonia patient 10 / 60 Choose the correct prevention practice against SSI. a. Always administer prophylactic antimicrobial agent b. All of the above c. Perform a surgical scrub with antiseptic product immediately before the operation d. Always remove hair on the surgical site before the operation 11 / 60 How can we avoid/combat AMR? a. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear b. Prescribe antibiotics whenever possible to avoid infection c. Revise the antibiotic guidelines and protocols whenever the new AMR is detected d. Use routine prophylactic antibiotics before operation e. All of the above 12 / 60 What is the correct example of handling urinary catheter? a. Using urinary catheter for patients with flexible mobility b. Staying with the catheter as long as possible to make sure patients can rest in bed without moving too much c. Provide prophylactic antibiotics to all patients with urinary catheter d. Wearing gloves when connecting the catheter to patients 13 / 60 Choose the correct statement about standard precautions. a. IPC standard precautions HCWs should be applied for selected patients not to all. b. Standard precaution is not necessary for outpatient consultation. c. IPC standard precautions HCWs should be applied for all patients at all time d. To clean hand and selected PPE to use e. Risk assessment should be performed only for susceptible host. 14 / 60 What is not considered during the IPC risk assessment? a. Medical procedure to be performed b. None of the above c. Patient’s blood type d. Pre-diagnosed condition or symptoms e. Risk of contacting body fluid 15 / 60 What would you NOT need to consider when designing/constructing HCF with Infection Prevention and Control in mind? a. Route of the laundries being transported in the building b. Distance between each patient bed c. Numbers and types of rooms d. All of them are important e. Materials used for floor, type of furnitures 16 / 60 Choose the correct for vaccination at community to apply an injection safety and to prevent the needle stick injury. a. Safety box or sharp box container and AD syringes. b. Nurse close the cap of the needle after the injection procedure c. None of the above d. Doctor is wearing a mask, but not the gloves when injecting e. Needles are thrown away in the trash can without lid 17 / 60 What type of Personal Protective Equipment (PPE) used or additional precaution for HCWs contact with patient’s body fluid: a. Surgical mask b. Eyes protection c. Disposable Gloves only d. Apron e. Gown 18 / 60 What is the definition of Antimicrobial Resistance (AMR)? a. It is the ability for microorganism to resist human immune system b. It is the ability for chemicals to resist microorganism c. It is the ability for human to resist chemicals 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 19 / 60 Choose the correct statement bacteria gram (-) to common infection as urinary tract infection: a. Anaerobia b. Pseudomonas c. Klebsiella pneumoniae d. Escherichia coli (E-coli) e. Staphylococcus 20 / 60 Who could be the “Susceptible host” of micro-organism? a. Nurses and physicians who performs regular injection task and examination people b. Elderly people with chronic diseases c. Pregnant women and children under 5 years of age d. People who are working in healthcare facilities e. Pregnant women, children < 5 Years and elderly people 21 / 60 Quelle est la densité de l’os sur la radiographie thoracique simple? a. Très clair. b. Très opaque c. Peu opaque d. Opaque e. Clair 22 / 60 La densité de sang sur la coupe scanner est combien de unité de Hounsfield (UH) a. -50UH – 60UH. b. -10UH – +15UH. c. +40UH – 80UH. d. -1000UH e. +100UH – 400UH. 23 / 60 Bronche de Nelson de bronche lobaire inférieur est autre nom de quelle bronche? a. Bronche segmentaire apicale b. Bronche segmentaire postérobasale. c. Bronche segmentaireantérobasale. d. Bronche segmentaire paracardiaque e. Bronche segmentairelatérobasale. 24 / 60 Sur les coupes échographiques, les segments 2,4,8,7 du foie sont divisées par : a. Les veines sus hépatiques b. La vésicule biliaire c. Les branches portales d. Les branches des artères hépatiques e. Les voies biliaires 25 / 60 Which imaging technique is preferred for assessing the larynx and vocal cords? a. ) CT scan b. ) PET scan c. ) MRI d. ) X-ray e. ) Ultrasound 26 / 60 Dans le sphère ORL, quelle est l’examen paraclinique de 1ère intention pour ce qui est sus-hyoïdien? a. Radiographie b. TDM c. Echographie d. IRM e. Fluoroscopie 27 / 60 Radio-anatomie du sphère ORL, choisissez l’un des suivants: a. Plancher buccal b. Voûte palatine c. Gencive inf d. Langue mobile e. Gencive sup 28 / 60 Radio-anatomie du thorax, choisissez l’un des suivants: a. Artère pulmonaire b. Aorte abdominal c. Aorte thoracique d. Ventricule droite. e. Tronc de l’artère pulmonaire 29 / 60 Which of the following is typically seen as a radiolucent (dark) area on a chest X-ray? a. ) Heart b. ) Blood vessels c. ) Bone d. ) Liver e. ) Air in the lungs 30 / 60 Quelle est l’examen para-clinique plus important pour analyse des tissus mous? a. IRM b. Echographie c. Radiographie d. TDM e. Fluoroscopie 31 / 60 Radio-anatomie du thorax, choisissez l’un des suivants: a. Opacité de l’omoplate b. Opacité du thorax c. Opacité des seins d. Opacité du coeur e. Opacité de diaphragme 32 / 60 Which part of the ear is visible on axial MRI and contains the auditory nerve? a. ) External ear b. ) Internal auditory canal c. ) Tympanic membrane d. ) Eustachian tube e. ) Oval window 33 / 60 Dans le sphère ORL, quelle est l’examen paraclinique de 1ère intention pour les locations sous- hyoïdien? a. IRM b. TDM c. Radiographie d. Fluoroscopie e. Echographie 34 / 60 Intérêt d’EFR (1 seul réponse fausse) a. L’EFR objective le dysfonctionnement de la fonction respiratoire, situé au niveau d’un (ou plusieurs) maillon(s) de la chaîne de transport des gaz (O2, CO2). b. L’EFR est un point d’ancrage pour établir le pronostic d’une maladie respiratoire chronique c. L’EFR précise la nature, l’intensité et l’évolution de la dysfonction d. L’EFR est le meilleur technique d'exploration des pathologies respirators e. L’EFR est une discipline explicative du symptôme respiratoire (dyspnée, toux …) 35 / 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 transfusion c. HAV is transmitted by blood’s products d. HAV is transmitted by injection e. HAV is transmitted by oro-fecal route 36 / 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 0,30-0,50g/l a. vomissements b. Insomnie c. Trouble visuel d. Coma e. Cephalee 37 / 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. Icterus and asthenia d. Fever and diarrhea e. Abdominal pain 38 / 60 Parmi les propositions suivantes, laquelle est la plus approprie pour definir l’alcoolemie ? a. Elle est definit par l’alcool consomme en g b. La quantite d’alcool dans le sang en mg/l c. La quantite d’alcool pur par litre de sang d. Elle est definit par la concentration dans le sang total e. Elle est definit par l’alcool pur comsomme par jour 39 / 60 ថ្នាំណាខ្លះ អាចអោយកំដៅក្នុងខ្លួនមនុស្សចុះភ្លាមៗ៖ a. Antibiotic b. Diuretic c. Anti hypertension d. Aspirin e. Antiseptic 40 / 60 បុរសម្នាក់មកបន្ទប់ពិគ្រោះជម្ងឺ ហើយរៀបរាប់ប្រាប់គ្រូពេទ្យថាគាត់ស្រកទម្ងន់ច្រើនក្នុងរយៈពេលប៉ុន្មានថ្ងៃនេះ។ តើចំលើយណាត្រឹមត្រូវជាងគេ។ a. Chronic infections b. All above are correct. c. Endocrine disorders (diabetes mellitus, hyperthyroidism, adrenal insufficiency) d. Chronic cardiac, pulmonary, or renal failure e. Gastrointestinal diseases 41 / 60 which ONE of the following statements is true? a. Taking history of general rules: tell patient your name, explain why you are seeing him, start before patient’s talk, give patient whole your attention and an empathetic listener. b. Taking history just follow up visit: new symptoms, signs since last visit, and drug management. c. Taking history just observe progress of condition and results of investigation. d. Taking history just completely a form of the patient. e. Taking history just completely field research or screening questionnaire. 42 / 60 The mental status examination focus on the recognizing people has been explain as: a. Level of memory b. Level of orientation c. Level of cognition d. Level of consciousness 43 / 60 What is the main skill to apply with the low literacy patient? a. Use empathy words b. Use technical words c. Use sympathy words d. Use the simple words 44 / 60 The mental status examination focus on the recalling of the people name has been explain as: a. Level of orientation b. Level of consciousness c. Level of cognition d. Level of memory 45 / 60 The crying patients can be described to one mainly statement below: a. Expression of angry b. Expression of fearful emotion c. Expression of the problem d. Expression of strong emotion 46 / 60 Which of these is not an action of the male androgens? a. growth of facial and axillary hair b. growth of bone and muscle c. deposition of subcutaneous fat on the hips and thighs d. development of male external genitalia 47 / 60 Quel argument pensez-vous que c’est une hémoptysie ? a. Sang rouge mêlé de débris alimentaire b. Sang rouge survenant lors d’effort de toux c. Sang noir survenant lors de vomissement d. Sang noir et foncé avec débris alimentaire e. Ayant un ATCD digestif 48 / 60 Signe appartient au syndrome de condensation a. . Opacité en verre dépoli b. . Abcès du poumon c. . Opacité confluente d. . Emphysème e. . DDB 49 / 60 Opacité macronodulaire à contours nets est vu dans: a. . Atélectasie b. . Métastase pulmonaire c. . Tumeur médiastinale d. . Pneumonie banale e. . Tumeur pleurale 50 / 60 Angioscanner des vaisseaux du rein: a. Artère rénale droite rétrocave. b. Artère rénale droite naît de l’artère mésentérique supérieur. c. Artère rénale droite naît de l’artère mésentérique inférieur. d. Artère rénale droite antécave. 51 / 60 Concernant de malformation rénale, agénésie rénal : a. Absence totale de développement rénal. b. hypotrophie rénal. c. ptose rénal. d. hypertrophie rénal. 52 / 60 Situation eutopique : a. Rein droit au niveau du 10è cote. b. Rein droit dans le pelvis c. Rein droit plus haut que le gauche d. Rein droit plus bas que le gauche 53 / 60 Le scanner abdominal en coupe frontal : a. la direction des 2 reins en bas et en arrière. b. la direction des 2 reins en bas et en dehors. c. la direction des 2 reins en bas et en avant. d. la direction des 2 reins en haut et en dehors. 54 / 60 Choisissez seulement une phrase correcte ci-dessous (Picture2) a. 5-Tête radiale b. 4- Olécrâne c. 3- Processus coronoïdienne d. 1- Epicondyle latéral e. 2- Epicondyle médial 55 / 60 Choisissez seulement une phrase correcte ci-dessous (Picture3) a. 2- Triquétrum b. 5 – Pisiforme c. 3 – Lunatum d. 4 – Trapèze e. 1- Scaphoïde 56 / 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. . TDM b. . IRM c. . Echographie d. . Radiographie standard e. . Radiographie interventionnelle 57 / 60 Quelle est la durée normale de l’onde P ? a. < 0.44s b. 0.12-0.20s c. < 0.25mV d. Isoélectrique e. < 0.12s 58 / 60 A l’ECG normal, l’onde T est tous positive sauf a. V6 b. aVL c. aVF d. aVR e. D1 59 / 60 បុរសម្នាក់អាយុ៦៥ឆ្នាំ ត្រូវបានគេបញ្ជូនមកមន្ទីរពេទ្យជាបន្ទាន់ដោយសារចុកទ្រូង។ ការសាកសួរប្រវត្តិជម្ងឺបានបង្ហាញថាប្រមាណ១ម៉ោងមុននេះ អ្នកជម្ងឺមានអាការៈចុកទ្រូងពេលគាត់ឡើងជណ្តើរផ្ទះ កូនគាត់ដែលនៅជាន់ទី៣។មុនដំបូងពេលគាត់ឡើងដល់ ជាន់ទី២គាត់មានអារម្មណ៍ថាណែនទ្រូង និងហត់ពេលគាត់ខំឡើងបន្តបាន៦កាំទៀតគាត់ចុកយ៉ាងខ្លាំង នៅចំកណ្តាលទ្រូងមានលក្ខណៈដូចគេគាបហើយចាក់ទៅថ្គាម ស្មារនិង ដៃឆ្វេង ពិបាកដកដង្ហើម បែកញើស និងត្រជាក់ចុងដៃចុងជើង។ ក្នុងបណ្តារសម្មតិកម្មខាងក្រោម តើសម្មតិកម្មណាមួយដែលបញ្ជាក់ពី Pain radiation? a. អ្នកជម្ងឺឈឺខ្លាំងនៅចំកណ្តាលទ្រូង b. អ្នកជម្ងឺឈឺទ្រូងមានលក្ខណៈដូចគេគាប c. អ្នកជម្ងឺចាប់ផ្តើមណែនទ្រូងពេលគាត់ខំឡើងជណ្តើរដល់ជាន់ទី២ d. អ្នកជម្ងឺឈឺទ្រូងចាក់ទៅថ្គាម ស្មារ និង ដៃឆ្វេង 60 / 60 ក្នុងបណ្តារ techniques of examination ខាងក្រោម តើtechnique ណាមួយដែលអាចវាយតំលៃ patient’s behaviorបាន? a. Palpation b. Inspection c. Percussion d. 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