Sémiologie Preparation (Pr. Chak Thida)

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1 / 54

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

a. All the above

b. Cognitive

c. Physical

d. Psycho-social

2 / 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 is the psychological symptom?

a. Fatigue

b. Body pain

c. Irritable

d. Insomnia

3 / 54

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 financial intervention

b. The environment intervention

c. The illness physical symptoms

d. The individual behavior

4 / 54

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

a. Somatic symptoms

b. Psychological symptoms

c. Physical illness

d. Psychological illness

5 / 54

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

a. greater than 80%

b. greater than 50%

c. greater than 90%

d. greater than 70%

e. greater than 60%

6 / 54

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

a. Address patients by title and their last name

b. Address patients by a name of their children

c. Address patients by their family reputation

d. Address patients by their friends’ name

e. Address patients by their past history

7 / 54

What is the correct statement about 10 min geriatric screener?

a. Too difficult to use by people

b. Long but easily to use by staff

c. Brief and used easily by staff

d. Brief but quite complicated

e. Too long and too complex

8 / 54

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

a. Focus on their daily food

b. Focus on activities of daily living

c. Focus on their money each month

d. Think about cholesterol intake daily

e. Think about number of children

9 / 54

How do you descript the skin examination?

a. Warm and moist

b. Black spots on the face

c. Some acnes on the face

d. Black or white

e. Some scars on the skin

10 / 54

10)

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

a. Inability to hear 2000 Hz in one ear

b. Inability to hear 3500 Hz in both ears

c. Inability to hear 4000 Hz in both ears

d. Inability to hear 1000 Hz in one ear

e. Inability to hear 3000 Hz in both ears

11 / 54

11)

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. Three above are right

e. Recovery is often seen after fall

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12)

What is the right statement during your taking history?

a. Take off the dentures while communicating

b. Using the sunglasses when you start asking

c. Using the pocket talker

d. Adopt low speaking tones

e. Hearing aid is not important

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13)

What is the recommendation purpose for older adult regular exercise?

a. Swimming exercise

b. Aerobic exercise

c. Running in old age degree

d. Physical rehabilitation

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14)

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

a. Testosterone levels falls(man)

b. Testosterone levels increase(man)

c. Symptoms and behavior

d. Estrogen stimulation increase(woman)

e. Estrogen stimulation falls(woman)

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15)

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 20/40 on Snellen chart

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

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

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

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16)

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

a. Urines quantity

b. Incontinent

c. Blood pressure

d. High Fever

e. Dyspnea

17 / 54

17)

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

a. To get better health condition

b. To prepare treatment

c. To prevent eye/ear disease

d. To maintain optimal function

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18)

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

a. Person temperature 37 oC

b. Person had migraine

c. Some medical condition

d. Person with body

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19)

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

a. Detectalcohol use disorder

b. Ask about pastholiday and work

c. Daily fattyacidcomsumption

d. Speaking and writing

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20)

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

a. Unable to remember all three items after 4 minute

b. Unable to remember all three items after 2 minute

c. Unable to remember all three items after 1 minute

d. Unable to remember all three items after 5 minute

e. Unable to remember all three items after 3 minute

21 / 54

21)

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

a. Address patients by their family reputation

b. Address patients by an appropriatetitle and their last name

c. Address patients by a name of theirchildren

d. Address patients by their past history

22 / 54

22)

The annual influenza vaccination the older adult is to prevent:

a. Herpes Zoster disease

b. Pneumococcal disease

c. Hospitalization rates

d. Post herpetic neuralgia

23 / 54

23)

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

a. Cognitive

b. Physical

c. Social

d. Psychology

e. All are rights

24 / 54

24)

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

a. Too distensible

b. Atherosclerotic

c. Softer Capillary

d. Strong Stiffen

25 / 54

25)

A sign is a phenomenon that:

a. Told by the patient

b. Detected by the relative

c. Told by The family

d. Detected by doctor

26 / 54

26)

a. Depressive disorders

b. Anxiety disorders

c. Mood disorders

d. Somatoform disorders

27 / 54

27)

Skin, Nails, and Hair changes of Aging:

a. Lax/ lighter skin

b. Nial may red

c. Transparent

d. Hard Turgor skin

28 / 54

28)

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

a. All the above

b. Recovery is often seen after fall

c. Postfall anxiety impair full recovery

d. They will not risk any problem

29 / 54

29)

What are you looking for in thorax and lungs examination?

a. Observation of the throat

b. Look carefully at inspiration

c. Any scars on the lateral

d. Any tattoos on the skin

e. Thorax symmetric

30 / 54

30)

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

a. Approximately 50% to 55%

b. Approximately 45% to 50%

c. Approximately 40% to 45%

d. Approximately 35% to 40%

e. Approximately 30% to 35%

31 / 54

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. Let the patient descript his lifetime

d. Allow time for open-ended questions

e. Ask the patient to rest at least 30min

32 / 54

32)

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

a. Use the paper write down

b. Talk normally with them

c. Use the pocket talker

d. Speak loudly or shout

e. Use the gesture language

33 / 54

33)

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

a. The relax song should be played

b. The music should be not too loud

c. The room must be quiet

d. The radio is turning on

e. The TV should be in health channel

34 / 54

34)

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

a. Daily fatty acid consumption

b. Ask about past holiday and work

c. Speaking and writing

d. Detect alcohol use disorder

e. Focus on their monthly income

35 / 54

35)

Tip for communicating effectively with older adults?

a. Provide a well-lit

b. Warm setting with the noisy background

c. Speakloudly and gentle

d. Chairs must behigherthanexamining table

36 / 54

36)

What is the tip for communicating effectively with older adults?

a. Warm setting with the noisy background

b. Using music to help them

c. Speak loudly and gentle

d. Chairs must be higher than examining table

e. Provide a well-lit

37 / 54

37)

Which vital sign below is needed for your recording?

a. All the above

b. Temperature

c. Pulses

d. Blood pressure

e. Respiratory rate

38 / 54

38)

Counseling the elderly most often requires:

a. Developing dependence

b. Developing independence

c. Emphasizing their weakness

d. Emphasizing their strengths

39 / 54

39)

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

a. Impossible

b. Inbalance

c. Infection

d. Immobility

e. Intake of salt

40 / 54

40)

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 complaint of headache in the morning

d. Can not hear whispered voice in either ear

e. Can not hear the voice outside the office

41 / 54

41)

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

a. Do not use sentences to describe your findings

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

c. Take a quick look all things in the room

d. Try to remember without any notes

e. Use tape during assessment then play it back

42 / 54

42)

How you descript the skin examination?

a. Some acnes on the face

b. Black or white

c. Warm and moist

d. Some scars on the skin

43 / 54

43)

What is the right proposition about physical disability?

a. Can play sport without difficulty

b. Can drive the car for hours

c. Can do everything without assistant

d. Can walk fast but cannot ride a bicycle

e. Can do a jogging with friends

44 / 54

44)

a. Aggressive

b. Upset

c. Irritable

d. Insomnia

45 / 54

45)

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

a. Often start with present illness

b. Often by the gender

c. Never start by chief complaint

d. First by the profession

e. Always by the name (Mr,Ms)

46 / 54

46)

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

a. All the above

b. Use sentences to describe your findings

c. Record in video because its easy to play back

d. Use tape during assessement then play it back

47 / 54

47)

When the body active exercise, could be explain as:

a. Heart rate is increase

b. More oxygen-rich blood

c. Less oxygen-rich blood

d. The pulse is lower rate

48 / 54

48)

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

a. Complaint of fatigue in the morning

b. Complaint of difficult reading

c. Complaint of sleepless at night

d. Complaint of headache

e. Complaint of vomiting after meal

49 / 54

49)

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

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

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

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

50 / 54

50)

A symptom is a phenomenon that:

a. Told by The family

b. Detected by doctor

c. Told by the patient

d. Detected by the relative

51 / 54

51)

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

a. Complaint of difficult reading

b. Complaint of fatigue

c. All the above

d. Complaint of loss of concentration

52 / 54

52)

What are you looking for in neck examination?

a. Trachea midline

b. Range of motion

c. Thyroid lobe

d. Lymph nodes

e. All the above

53 / 54

53)

What is the correct statement about adjusting the office environment?

a. Sit below the patient’ eye level

b. The office must be cold

c. Face the patient laterally

d. Put the patient in ease first

e. Make too bright in the room

54 / 54

54)

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

a. Unable to complete task in 15 sec

b. Unable to complete take in 20 sec

c. Unable to complete take in 35 sec

d. Unable to complete take in 30 sec

e. Unable to complete take in 10 sec

Your score is

The average score is 0%

Any comments?

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និស្សិតអាចប្រាប់មកកាន់ពួកយើងបានដើម្បីកែកំហុស ឬអំពីបញ្ហាដោយអចេតនាណាមួយដែលកើតមានកំឡុងពេលធ្វើតេស្ត