Sémiologie Preparation (Pr. Sao Sokunwathana)

/25

1301

1 / 25

Among the following physical examination of male genitalia, which one is the most likely to be found in delayed puberty?

a. No signs of pubertal development by 16 years of age

b. No signs of pubertal development by 13 years of age

c. No signs of pubertal development by 14 years of age

d. No signs of pubertal development by 15 years of age

e. No signs of pubertal development by 12 years of age

2 / 25

Among the following physical examination for sport pre-participation screening, which sign is the most found in step 1, stand straight by facing forward?

a. Loss of strength of deltoid muscle

b. Weakness of shoulder or neck

c. Asymmetry and swelling of joints

d. Loss of range of motion

e. Asymmetry from scoliosis

3 / 25

Among the following physical examination of the chest and lung, which one is the most likely to be not found in case of respiratory difficulty?

a. Contraction of the sternomastoid and scalene muscles

b. Supraclavicular retraction

c. Contraction of deltoid muscles

d. Cyanosis

e. Wheezing audible on auscultation

4 / 25

The five stages of sexual development in male adolescence, first described by:

a. Tusson

b. Tanner

c. Bourillon

d. Masson

e. Webiner

5 / 25

Among the following physical examination of musculoskeletal system in adolescence, idiopathic scoliosis was seen mostly in girls:

a. 60% of cases

b. 75% of cases

c. 80% of cases

d. 70% of cases

e. 50% of cases

6 / 25

Taking history, which social characteristic of adolescence can be classified into an early adolescence (10 – 14 years olds) stages?

a. Role with respect to other

b. Much introspection global issues

c. Separation from family

d. Peers increasingly important

e. Limit testing

7 / 25

The current consensus is that the appearance of pubic hair as early as 7 years especially in dark- skinned girls can be considered as:

a. Abnormal

b. Early puberty

c. Influence of diet

d. Normal

e. Early sign of puberty

8 / 25

Among the following skin examination, which one is the most likely to be found in case of anemia?

a. Redness

b. Cyanosis

c. Pallor

d. Jaundice

e. Loss of pigmentation

9 / 25

The sport pre-participation screening consists of?

a. 14 steps

b. 10 steps

c. 15 steps

d. 12 steps

e. 16 steps

10 / 25

10)

Among the following physical examination for sport pre-participation screening, which sign is the most carefully assessed?

a. Wheezing and Cardiac murmurs

b. Blood Pressure and cardiac murmurs

c. Breathe sound and blood pressure

d. Wheezing and blood pressure

e. Breathe sound and cardiac murmurs

11 / 25

11)

Taking history, which social characteristic of adolescence can be classified into a late adolescence (17 – 20 years olds) stages?

a. Much introspection global issues

b. Role with respect to other and sexuality

c. Peers increasingly important

d. Limit testing

e. Experimental behavior and Dating

12 / 25

12)

Taking history, which social characteristic of adolescence can be classified into a middle adolescence (15 – 16 years olds) stages?

a. Limit testing

b. Role with respect to other

c. Much introspection global issues

d. Peers increasingly important

e. Separation from family

13 / 25

13)

Taking history in adolescence, it is important to:

a. Use observation model

b. Use a flow chart model

c. Perform physical examination system by system without any statement at the en

d. Use summarization and transitional statements and to explain what you are going to do during the physical examination

e. Start by asking an adolescence to take off the cloth

14 / 25

14)

Among the following physical examination of male genitalia, which one is the most likely to be found in sexually transmitted disease?

a. Leucorrhea

b. Rectal fistula

c. Vaginal discharge

d. Hematuria

e. Penile discharge

15 / 25

15)

Physical changes in young girl’s breasts are generally progressing through the Tanner stages or Tanner sex maturity rating (SMR) stages, which divided into?

a. 3 stages

b. 5 stages

c. 6 stages

d. 4 stages

e. 7 stages

16 / 25

16)

The normal range for onset of breast development in young girl was between?

a. 11 – 15 years old

b. 7 – 11 years old

c. 9 – 14 years old

d. 8 – 13 years old

e. 10 – 15 years old

17 / 25

17)

Which association of signs is typical in gynecomastia in young boy?

a. Enlarged breast

b. Enlarged neck

c. Enlarged mouth

d. Enlarged testes

e. Enlarged nose

18 / 25

18)

The first Tanner stages or Tanner sex maturity rating (SMR) stages called?

a. Projection of areola and nipple stage

b. Preadolescent stage

c. Breast bud stage

d. Enlargement of elevation of breast stage

e. Mature stage

19 / 25

19)

The first reliable sign of puberty, in male adolescence is starting between ages 9 and 13.5 years is

a. An increase in the size of the testes

b. A gynecomastia

c. Axillary hair

d. Somatic growth changing

e. Pubic hair

20 / 25

20)

The first easily detectable sign of puberty in female adolescence is:

a. The period

b. The appearance of breast buds

c. The pubic hair

d. The axillary hair

e. The weight gain

21 / 25

21)

Among the following skin examination, which one is the most likely to be found in case of heart faillure?

a. Redness

b. Brownness (increased pigmentation)

c. Jaundice

d. Pallor

e. Cyanosis

22 / 25

22)

Taking history, a good way to start questions with adolescence is:

a. To chat directly about the current disease

b. To interview without presence of parents

c. To chat informally about what you are going to do on examination

d. To chat informally about friends, school, hobbies and family

e. To interview focusing on his or her current problems

23 / 25

23)

Among the following physical examination, which one is the most likely to be used to identify obesity?

a. Blood pressure

b. Vital Signs

c. Digestive problems

d. Somatic growth

e. Skin problem

24 / 25

24)

Among the following skin examination, which one is the most likely to be found in case of liver disease?

a. Brownness

b. Redness

c. Jaundice

d. Cyanosis

e. Pallor

25 / 25

25)

Which association of signs is typical in puberty delayed (constitutional delay) in males?

a. Delayed sex hormonal levels

b. Delayed mental and physical maturation

c. Delayed bone maturation and sex hormonal levels

d. Delayed mental and bone maturation

e. Delayed bone and physical maturation but normal hormonal levels

Your score is

The average score is 91%

Any comments?