Sémiologie Preparation (Pr. Chak Thida)

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1 / 52

What is the recommendation purpose for older adult regular exercise?

a. Aerobic exercise

b. Swimming exercise

c. Physical rehabilitation

d. Running in old age degree

2 / 52

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

a. Address patients by an appropriatetitle and their last name

b. Address patients by a name of theirchildren

c. Address patients by their family reputation

d. Address patients by their past history

3 / 52

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

a. All are rights

b. Physical

c. Cognitive

d. Social

e. Psychology

4 / 52

Tip for communicating effectively with older adults?

a. Warm setting with the noisy background

b. Provide a well-lit

c. Chairs must behigherthanexamining table

d. Speakloudly and gentle

5 / 52

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

a. Unable to complete take in 10 sec

b. Unable to complete task in 15 sec

c. Unable to complete take in 35 sec

d. Unable to complete take in 20 sec

e. Unable to complete take in 30 sec

6 / 52

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

a. Always by the name (Mr,Ms)

b. Often by the gender

c. First by the profession

d. Never start by chief complaint

e. Often start with present illness

7 / 52

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 40 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 50 Ibs over the past 6 months without trying to do anything

8 / 52

What are you looking for in thorax and lungs examination?

a. Any tattoos on the skin

b. Look carefully at inspiration

c. Thorax symmetric

d. Observation of the throat

e. Any scars on the lateral

9 / 52

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

a. Softer Capillary

b. Atherosclerotic

c. Too distensible

d. Strong Stiffen

10 / 52

10)

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

a. Focus on their money each month

b. Focus on activities of daily living

c. Focus on their daily food

d. Think about cholesterol intake daily

e. Think about number of children

11 / 52

11)

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

a. All the above

b. Postfall anxiety impair full recovery

c. They will not risk any problem

d. Recovery is often seen after fall

12 / 52

12)

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

a. Symptoms and behavior

b. Testosterone levels falls(man)

c. Estrogen stimulation falls(woman)

d. Testosterone levels increase(man)

e. Estrogen stimulation increase(woman)

13 / 52

13)

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

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

b. Inability to read is greater than 5/40 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 30/40 on Snellen chart

14 / 52

14)

Counseling the elderly most often requires:

a. Developing independence

b. Emphasizing their weakness

c. Developing dependence

d. Emphasizing their strengths

15 / 52

15)

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

a. Psychological symptoms

b. Physical illness

c. Psychological illness

d. Somatic symptoms

16 / 52

16)

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

a. Complaint of difficult reading

b. Complaint of fatigue in the morning

c. Complaint of headache

d. Complaint of vomiting after meal

e. Complaint of sleepless at night

17 / 52

17)

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

a. Approximately 50% to 55%

b. Approximately 35% to 40%

c. Approximately 30% to 35%

d. Approximately 45% to 50%

e. Approximately 40% to 45%

18 / 52

18)

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

a. Some medical condition

b. Person with body

c. Person had migraine

d. Person temperature 37 oC

19 / 52

19)

What is the right statement during your taking history?

a. Hearing aid is not important

b. Adopt low speaking tones

c. Using the pocket talker

d. Take off the dentures while communicating

e. Using the sunglasses when you start asking

20 / 52

20)

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

a. Use the gesture language

b. Speak loudly or shout

c. Use the pocket talker

d. Use the paper write down

e. Talk normally with them

21 / 52

21)

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

a. Speaking and writing

b. Ask about pastholiday and work

c. Detectalcohol use disorder

d. Daily fattyacidcomsumption

22 / 52

22)

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 illness physical symptoms

c. The environment intervention

d. The financial intervention

23 / 52

23)

What is the correct statement about adjusting the office environment?

a. The office must be cold

b. Make too bright in the room

c. Sit below the patient’ eye level

d. Put the patient in ease first

e. Face the patient laterally

24 / 52

24)

Skin, Nails, and Hair changes of Aging:

a. Nial may red

b. Transparent

c. Hard Turgor skin

d. Lax/ lighter skin

25 / 52

25)

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

a. Recovery is often seen after fall

b. Fall is not dangerous for older people

c. Postfall anxiety impair full recovery

d. They will not risk any problem

e. Three above are right

26 / 52

26)

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

a. greater than 70%

b. greater than 80%

c. greater than 90%

d. greater than 50%

e. greater than 60%

27 / 52

27)

What are you looking for in neck examination?

a. Lymph nodes

b. Thyroid lobe

c. Trachea midline

d. Range of motion

e. All the above

28 / 52

28)

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

a. Physical

b. Psycho-social

c. All the above

d. Cognitive

29 / 52

29)

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

a. Inability to hear 4000 Hz in both ears

b. Inability to hear 2000 Hz in one ear

c. Inability to hear 3500 Hz in both ears

d. Inability to hear 1000 Hz in one ear

e. Inability to hear 3000 Hz in both ears

30 / 52

30)

What is the correct statement about 10 min geriatric screener?

a. Brief and used easily by staff

b. Brief but quite complicated

c. Too long and too complex

d. Too difficult to use by people

e. Long but easily to use by staff

31 / 52

31)

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

a. Blood pressure

b. High Fever

c. Incontinent

d. Urines quantity

e. Dyspnea

32 / 52

32)

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

a. Address patients by their past history

b. Address patients by a name of their children

c. Address patients by title and their last name

d. Address patients by their family reputation

e. Address patients by their friends’ name

33 / 52

33)

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. Body pain

b. Insomnia

c. Fatigue

d. Irritable

34 / 52

34)

What is the tip for communicating effectively with older adults?

a. Chairs must be higher than examining table

b. Speak loudly and gentle

c. Warm setting with the noisy background

d. Using music to help them

e. Provide a well-lit

35 / 52

35)

a. Depressive disorders

b. Mood disorders

c. Anxiety disorders

d. Somatoform disorders

36 / 52

36)

What is the right proposition about physical disability?

a. Can drive the car for hours

b. Can do a jogging with friends

c. Can play sport without difficulty

d. Can walk fast but cannot ride a bicycle

e. Can do everything without assistant

37 / 52

37)

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

a. Unable to remember all three items after 1 minute

b. Unable to remember all three items after 3 minute

c. Unable to remember all three items after 4 minute

d. Unable to remember all three items after 5 minute

e. Unable to remember all three items after 2 minute

38 / 52

38)

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

a. Intake of salt

b. Infection

c. Inbalance

d. Impossible

e. Immobility

39 / 52

39)

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. Speaking and writing

d. Daily fatty acid consumption

e. Ask about past holiday and work

40 / 52

40)

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

a. Talk or ask as much as you can

b. Let the patient descript his lifetime

c. Ask the patient to rest at least 30min

d. Allow time for open-ended questions

e. Let the family wait outside the office

41 / 52

41)

How you descript the skin examination?

a. Warm and moist

b. Some scars on the skin

c. Some acnes on the face

d. Black or white

42 / 52

42)

Which vital sign below is needed for your recording?

a. Temperature

b. All the above

c. Blood pressure

d. Respiratory rate

e. Pulses

43 / 52

43)

A sign is a phenomenon that:

a. Detected by the relative

b. Detected by doctor

c. Told by The family

d. Told by the patient

44 / 52

44)

How do you descript the skin examination?

a. Black spots on the face

b. Some scars on the skin

c. Warm and moist

d. Some acnes on the face

e. Black or white

45 / 52

45)

The annual influenza vaccination the older adult is to prevent:

a. Pneumococcal disease

b. Hospitalization rates

c. Herpes Zoster disease

d. Post herpetic neuralgia

46 / 52

46)

a. Insomnia

b. Aggressive

c. Irritable

d. Upset

47 / 52

47)

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

a. Complaint of loss of concentration

b. Complaint of fatigue

c. Complaint of difficult reading

d. All the above

48 / 52

48)

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

a. The relax song should be played

b. The TV should be in health channel

c. The room must be quiet

d. The radio is turning on

e. The music should be not too loud

49 / 52

49)

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

a. To prepare treatment

b. To maintain optimal function

c. To get better health condition

d. To prevent eye/ear disease

50 / 52

50)

When the body active exercise, could be explain as:

a. Heart rate is increase

b. Less oxygen-rich blood

c. More oxygen-rich blood

d. The pulse is lower rate

51 / 52

51)

A symptom is a phenomenon that:

a. Detected by the relative

b. Told by The family

c. Detected by doctor

d. Told by the patient

52 / 52

52)

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

a. Can not hear the voice outside the office

b. Can not hear whispered voice in either ear

c. Can complaint of headache in the morning

d. Can understand well what you talk about

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

Your score is

The average score is 77%

Any comments?

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

និស្សិតអាចប្រាប់មកកាន់ពួកយើងបានដើម្បីកែកំហុស ឬអំពីបញ្ហាដោយអចេតនាណាមួយដែលកើតមានកំឡុងពេលធ្វើតេស្ត