Sémiologie Preparation (Pr. Chak Thida)

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1 / 54

How do you descript the skin examination?

a. Some scars on the skin

b. Black or white

c. Warm and moist

d. Black spots on the face

e. Some acnes on the face

2 / 54

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. Strong Stiffen

d. Too distensible

3 / 54

How you descript the skin examination?

a. Some scars on the skin

b. Black or white

c. Some acnes on the face

d. Warm and moist

4 / 54

A sign is a phenomenon that:

a. Detected by doctor

b. Detected by the relative

c. Told by The family

d. Told by the patient

5 / 54

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

a. Physical

b. Cognitive

c. Psycho-social

d. All the above

6 / 54

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

a. Unable to remember all three items after 5 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 3 minute

e. Unable to remember all three items after 4 minute

7 / 54

Skin, Nails, and Hair changes of Aging:

a. Nial may red

b. Hard Turgor skin

c. Lax/ lighter skin

d. Transparent

8 / 54

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

a. Take a quick look all things in the room

b. Use tape during assessment then play it back

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

d. Do not use sentences to describe your findings

e. Try to remember without any notes

9 / 54

The annual influenza vaccination the older adult is to prevent:

a. Post herpetic neuralgia

b. Herpes Zoster disease

c. Pneumococcal disease

d. Hospitalization rates

10 / 54

10)

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

a. Complaint of loss of concentration

b. Complaint of difficult reading

c. Complaint of fatigue

d. All the above

11 / 54

11)

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

a. Postfall anxiety impair full recovery

b. They will not risk any problem

c. All the above

d. Recovery is often seen after fall

12 / 54

12)

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 hear properly in audioscope from 10-20Hz

e. Can understand well what you talk about

13 / 54

13)

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 are the most probably mental illnesses for this patient?

a. Mood disorders

b. Somatoform disorders

c. Depressive disorders

d. Anxiety disorders

14 / 54

14)

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

a. All the above

b. Use tape during assessement then play it back

c. Record in video because its easy to play back

d. Use sentences to describe your findings

15 / 54

15)

What is the right statement during your taking history?

a. Hearing aid is not important

b. Using the pocket talker

c. Using the sunglasses when you start asking

d. Take off the dentures while communicating

e. Adopt low speaking tones

16 / 54

16)

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 do a jogging with friends

e. Can walk fast but cannot ride a bicycle

17 / 54

17)

a. Aggressive

b. Upset

c. Irritable

d. Insomnia

18 / 54

18)

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

a. Psychology

b. Physical

c. Social

d. Cognitive

e. All are rights

19 / 54

19)

Which vital sign below is needed for your recording?

a. All the above

b. Pulses

c. Respiratory rate

d. Temperature

e. Blood pressure

20 / 54

20)

Counseling the elderly most often requires:

a. Developing independence

b. Developing dependence

c. Emphasizing their weakness

d. Emphasizing their strengths

21 / 54

21)

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 financial intervention

c. The environment intervention

d. The illness physical symptoms

22 / 54

22)

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

a. Address patients by their family reputation

b. Address patients by a name of theirchildren

c. Address patients by an appropriatetitle and their last name

d. Address patients by their past history

23 / 54

23)

Tip for communicating effectively with older adults?

a. Chairs must behigherthanexamining table

b. Warm setting with the noisy background

c. Speakloudly and gentle

d. Provide a well-lit

24 / 54

24)

When the body active exercise, could be explain as:

a. More oxygen-rich blood

b. Heart rate is increase

c. The pulse is lower rate

d. Less oxygen-rich blood

25 / 54

25)

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

a. Never start by chief complaint

b. First by the profession

c. Often start with present illness

d. Often by the gender

e. Always by the name (Mr,Ms)

26 / 54

26)

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

a. Focus on their monthly income

b. Speaking and writing

c. Daily fatty acid consumption

d. Ask about past holiday and work

e. Detect alcohol use disorder

27 / 54

27)

What is the correct statement about adjusting the office environment?

a. Make too bright in the room

b. The office must be cold

c. Put the patient in ease first

d. Sit below the patient’ eye level

e. Face the patient laterally

28 / 54

28)

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

a. greater than 50%

b. greater than 90%

c. greater than 70%

d. greater than 60%

e. greater than 80%

29 / 54

29)

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

a. Estrogen stimulation increase(woman)

b. Symptoms and behavior

c. Testosterone levels increase(man)

d. Testosterone levels falls(man)

e. Estrogen stimulation falls(woman)

30 / 54

30)

A symptom is a phenomenon that:

a. Detected by the relative

b. Told by the patient

c. Told by The family

d. Detected by doctor

31 / 54

31)

What are you looking for in neck examination?

a. Trachea midline

b. Thyroid lobe

c. Range of motion

d. All the above

e. Lymph nodes

32 / 54

32)

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

a. Unable to complete take in 20 sec

b. Unable to complete take in 35 sec

c. Unable to complete take in 30 sec

d. Unable to complete take in 10 sec

e. Unable to complete task in 15 sec

33 / 54

33)

a. Body pain

b. Fatigue

c. Insomnia

d. Irritable

34 / 54

34)

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

a. Incontinent

b. Dyspnea

c. Urines quantity

d. Blood pressure

e. High Fever

35 / 54

35)

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

a. Address patients by their past history

b. Address patients by their friends’ name

c. Address patients by their family reputation

d. Address patients by title and their last name

e. Address patients by a name of their children

36 / 54

36)

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 15/40 on Snellen chart

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

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

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

37 / 54

37)

What are you looking for in thorax and lungs examination?

a. Thorax symmetric

b. Look carefully at inspiration

c. Any scars on the lateral

d. Observation of the throat

e. Any tattoos on the skin

38 / 54

38)

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

a. To maintain optimal function

b. To prepare treatment

c. To get better health condition

d. To prevent eye/ear disease

39 / 54

39)

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

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

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

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

40 / 54

40)

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

a. Complaint of headache

b. Complaint of difficult reading

c. Complaint of vomiting after meal

d. Complaint of sleepless at night

e. Complaint of fatigue in the morning

41 / 54

41)

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

a. Speaking and writing

b. Daily fattyacidcomsumption

c. Ask about pastholiday and work

d. Detectalcohol use disorder

42 / 54

42)

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

a. Approximately 40% to 45%

b. Approximately 30% to 35%

c. Approximately 50% to 55%

d. Approximately 45% to 50%

e. Approximately 35% to 40%

43 / 54

43)

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

a. Think about number of children

b. Focus on their daily food

c. Focus on their money each month

d. Think about cholesterol intake daily

e. Focus on activities of daily living

44 / 54

44)

What is the tip for communicating effectively with older adults?

a. Chairs must be higher than examining table

b. Using music to help them

c. Warm setting with the noisy background

d. Speak loudly and gentle

e. Provide a well-lit

45 / 54

45)

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

a. The relax song should be played

b. The room must be quiet

c. The TV should be in health channel

d. The radio is turning on

e. The music should be not too loud

46 / 54

46)

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

a. Intake of salt

b. Infection

c. Impossible

d. Immobility

e. Inbalance

47 / 54

47)

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

a. They will not risk any problem

b. Three above are right

c. Fall is not dangerous for older people

d. Recovery is often seen after fall

e. Postfall anxiety impair full recovery

48 / 54

48)

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

a. Some medical condition

b. Person temperature 37 oC

c. Person had migraine

d. Person with body

49 / 54

49)

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

a. Use the pocket talker

b. Talk normally with them

c. Use the gesture language

d. Speak loudly or shout

e. Use the paper write down

50 / 54

50)

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

a. Inability to hear 3500 Hz in both ears

b. Inability to hear 1000 Hz in one ear

c. Inability to hear 3000 Hz in both ears

d. Inability to hear 2000 Hz in one ear

e. Inability to hear 4000 Hz in both ears

51 / 54

51)

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. Ask the patient to rest at least 30min

d. Let the patient descript his lifetime

e. Allow time for open-ended questions

52 / 54

52)

What is the recommendation purpose for older adult regular exercise?

a. Physical rehabilitation

b. Aerobic exercise

c. Running in old age degree

d. Swimming exercise

53 / 54

53)

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

a. Psychological illness

b. Psychological symptoms

c. Physical illness

d. Somatic symptoms

54 / 54

54)

What is the correct statement about 10 min geriatric screener?

a. Too long and too complex

b. Too difficult to use by people

c. Brief but quite complicated

d. Brief and used easily by staff

e. Long but easily to use by staff

Your score is

The average score is 90%

Any comments?