Sémiologie Test

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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*

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Sémiologie Test

1 / 60

Which sign that suggests the necessity to push to urinate (voiding difficulty)?

a. Pollakiuria

b. Anuria

c. Dysuria

d. Pyuria

e. Polyuria

2 / 60

Une femme qui boit 2 canettes de la bierre ‘Angkor’’par jour, vient vous consulter pour ‘hepatomegalie. Vous allez calculer l’alcool en g/j. Choissisez la reponse correcte

a. Elle boit 13,2g par jour calcule par 33X5X0,8 /10 = 13,2g

b. Elle boit 8 g par jour calcule par 4 degres X 2 = 8 g

c. Elle boit 6,6 g par jour calcule par 33X5X0,8/20 = 6,6g

d. Elle boit 16,5 g par jour calcule par 33 X 5/ 10= 16,5g

e. Elle boit 10 g par jour calcule par 5 degres X 2 =10 g

3 / 60

Concerning the prevention, what is the most appropriate mesure in Cambodia ?

a. Vaccination for those with risk factors

b. Vaccination for those with chronic hepatitis .C

c. No vaccination will be required

d. Vaccination for those with chronic hepatitis

e. Vaccination all enfants > 1 year

4 / 60

Concerning the evolution of hepatitis A, what is the most appropriat answer ?

a. Hepatits .A can’t evolve to chronic

b. Hepatitis.A can evolve to cirrhosis

c. Hepatits .A can evolve to cancer

d. Hepatits .A can evolve to fulminant

e. Hepatits .A can evolve to chronic

5 / 60

Parmi les propositions suivantes, laquelle est la plus approprie pour definir l’alcoolemie ?

a. Elle est definit par la concentration dans le sang total

b. La quantite d’alcool pur par litre de sang

c. La quantite d’alcool dans le sang en mg/l

d. Elle est definit par l’alcool pur comsomme par jour

e. Elle est definit par l’alcool consomme en g

6 / 60

L’examen si-dessous est une coupe axiale en scanner au niveau de :

a. Le colon ascendant

b. Le pancréas

c. Les intestins grêles

d. Le pelvis (cul de sac de Douglas)

e. Le foie

7 / 60

Sur l’ASP couché, l’examen doit être vu jusqu’à :

a. Les crêtes iliaques

b. Les 12ème côtes

c. La coupole diaphragmatique

d. Le pubis

e. La colonne lombaire L5

8 / 60

Dans le syndrome vasculaire,quellecardiopathiecongénitale qui peutdonnerunehypovascularisationpulmonaire?

a. TF

b. CIA

c. CIV

d. PCA

9 / 60

Epaississement d’ interstitium péribrochovasculaire donnant:

a. . Opacité en verre dépoli

b. . Opacité linéaire en rail

c. . Opacité réticulomicronodulaire

d. . Opacité en rayon de miel

e. . Opacité hilifuge

10 / 60

Image de thymus normalsur le cliché du thorax de face:

a. Opacité de densitéhydrique au médiastinpostérieur

b. Opacité de densitécalcique

c. Masse hétérogène et calcifiée

d. Masse hypodensecomme la graisse

e. Masse de densitéhydrique au médiastinantérieur

11 / 60

Opacité en aile de papillon est causée par:

a. . Hyperpression veineuse

b. . OAP alveolaire avec gros Coeur

c. . OAP interstitiel

d. . Pneumonie bilatérale

e. . Pleurésie bilatérale

12 / 60

ក្នុងករណីមាន Pulmonary Embolism បច្ចេកទេស Medical Imaging ត្រូវផ្អែកលើ

a. Selective Venegraphy

b. Resonance Magnetic Angiogram ( RMA )

c. Echography

d. Echo-Doppler

e. Computed Tomography Angiogram ( CTA)

13 / 60

Which of the following structures is most important for visualizing laryngeal cancer on CT?

a. ) Epiglottis

b. ) Vocal cords

c. ) Cricoid cartilage

d. ) Arytenoid cartilage

e. ) Thyroid cartilage

14 / 60

Which imaging modality is best for evaluating soft tissue masses in the floor of the mouth?

a. ) Ultrasound

b. ) CT scan

c. ) MRI

d. ) PET scan

e. ) X-ray

15 / 60

Which imaging technique is preferred for assessing the larynx and vocal cords?

a. ) Ultrasound

b. ) X-ray

c. ) CT scan

d. ) MRI

e. ) PET scan

16 / 60

Which of the following is typically seen as a radiolucent (dark) area on a chest X-ray?

a. ) Bone

b. ) Blood vessels

c. ) Heart

d. ) Liver

e. ) Air in the lungs

17 / 60

Radio-anatomie du sphère ORL, choisissez l’un des suivants:

a. Cellule de Haller des deux côtés et concha bullosa droit

b. Courbure paradoxale gauche et concha bullosa droit

c. Cellule de Haller du côté droit et concha bullosa droit

d. Cellule de Haller des deux côtés et concha bullosa gauche

e. Cellule de Haller du côté gauche et concha bullosa droit

18 / 60

Radio-anatomie du thorax. Combien des lobes du poumon gauche?

a. 5

b. 1

c. 4

d. 2

e. 3

19 / 60

Which anatomical landmark marks the transition between the pharynx and the larynx on imaging?

a. ) Vallecula

b. ) Uvula

c. ) Soft palate

d. ) Glottis

e. ) Epiglottis

20 / 60

Radio-anatomie du sphère ORL, choisissez l’une image en étoile des suivants:

a. Larynx

b. Cavité buccale

c. Nasopharynx

d. Hypopharynx

e. Oropharynx

21 / 60

Angry patients become overtly disruptive. Few people can disturb and out of control. What is the main basic skill to manage this situation by trying to?

a. Tell the patient to calm down

b. Tell the patient to relax

c. Understand the patient family

d. Understand the patient says

22 / 60

What type of Personal Protective Equipment (PPE) used or additional precaution for HCWs contact with patient’s body fluid:

a. Eyes protection

b. Surgical mask

c. Gown

d. Disposable Gloves only

e. Apron

23 / 60

What describes the incorrect way to prevent CABSI?

a. Remove the catheter as early as possible

b. Protect the insertion site with a sterile dressing

c. Do not perform CABSI when alternative oral feeding method is possible

d. None of the above

e. Plug needle directly into infusion bottle to avoid using unnecessary equipment

24 / 60

What is the potential risk factor of Surgical Site Infection(SSI)?

a. Patient’s pre-disposed symptoms

b. Long duration of the operation

c. Antibiotic prophylaxis

d. all of the above

25 / 60

Why is it important to prevent SSI?

a. It can cause incremental cost to patients

b. All of the above

c. It may contributes to increased Antimicrobial Resistance (AMR)

d. It is an important cause of additional morbidity

e. It is an immediate threat to patient mortality

26 / 60

What is the entry germs or micro-organism to “Susceptible host” are?

a. People who have a low resistance against pathogen included pregnant women

b. People who have a multiple history of infection to microorganisms, especially elderly people

c. Children under age 5

d. Patients who gets stress with TB and AIDS more easily than others

e. Patients who have been with chronic diseases

27 / 60

Choose the correct statement bacteria to comment skin infection and also prothesis infection:

a. Bacteria Gram (-): E-coli

b. Bacteria Gram (+): Staphylococcus

c. Bacteria Gram (+): Enterococcus

d. Bacteria Gram (+): Streptococcus

e. Bacteria Gram (-): Pseudomonas

28 / 60

Why do patient need to keep respiratory hygiene, when he/she has coughed or sneezed?

a. To prevent spreading the air-borne disease

b. To prevent the nurses to contact patient

c. To prevent spreading the droplet-borne disease

d. To prevent the close contact people

e. To prevent the contamination of pathogens to other people

29 / 60

Choose the correct statement for the relationship between infection prevention and control (IPC) and the Chain of Infection.

a. Chain of Infection can be completely eliminated when infection prevention and control (IPC) measures are taken.

b. Chain of Infection can be completely eliminated when IPC implement properly and also cut it

c. Chain of Infection can be completely eliminated when infection prevention and control (IPC) measures are taken, IPC aims to control the elements of the Chain of Infection.

d. IPC aims to control the elements of the Chain of Infection.

e. IPC aims to cut the pathways in the Chain of Infection.

30 / 60

What type of Personal Protective Equipment (PPE) used or additional precaution for physician to examination the TB patient with a fever include cough and sneeze?

a. Disposable Gloves

b. Disposable glove and N 95 mask

c. Gown and apron

d. Eyes protection

e. Surgical mask

31 / 60

Choose the correct statement.

a. None of the above

b. Any bacteria, once entered human body, is pathogenic.

c. Any virus, once entered human body, causes immediate symptoms.

d. Normal flora does not cause any nosocomial infection in any case.

e. Fungi infection can be easily treated by antimicrobiotics

32 / 60

How can we avoid/combat AMR?

a. Revise the antibiotic guidelines and protocols whenever the new AMR is detected

b. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear

c. Prescribe antibiotics whenever possible to avoid infection

d. All of the above

e. Use routine prophylactic antibiotics before operation

33 / 60

Choose the correct order for the path of sperm from the testes to outside the body.

a. epididymis – ductus deferens – ejaculatory duct – penis

b. ductus deferens – epididymis – ejaculatory duct – penis

c. ejaculatory duct – ductus deferens – epididymis – penis

d. penis – ejaculatory duct – epididymis – ductus deferens

34 / 60

When semen is discharged, about ______________ of the volume is made up of spermatozoa.

a. 1%

b. 10%

c. 75%

d. 40%

35 / 60

The ______________ of the testes secrete male hormones, such as testosterone.

a. sustentacular cells

b. seminiferous tubules

c. interstitial cells

d. efferent ductiles

36 / 60

យុវជនម្នាក់ មានកំពស់ 1,70m ទំងន់ 65kg ។បន្ទាប់ពីគណនា Body Mass Index បញ្ជាក់ថាគាត់៖

a. ធាត់

b. ស្គម

c. មិនគ្រប់ទម្ងន់

d. លើសទម្ងន់

e. ទម្ងន់ធម្មតា

37 / 60

ដើម្បីវាស់សំពាធឈាមអោយបានត្រឹមត្រូវ។អ្នកជំងឺត្រូវ

a. ចំឡើយខាងលើត្រឹមត្រូវ។

b. សំរាកអោយបាន៣០ នាទីបន្ទាប់ពី ជក់បារី រឺពិសាសុរា

c. អង្គុយលើកៅអីសំរាកអោយបាន៥នាទី

d. ហាមនិយាយ ធ្វើចលនាពេលកំពុងវាស់

e. លាត់ដៃអាវអោយផុតពីឧបករណ៍វាស់

38 / 60

រសម្នាក់ មានកំពស់ 1,80m ទំងន់ 55kg ។បន្ទាប់ពីគណនា Body Mass Index បញ្ជាក់ថា គាត់៖

a. លើសទម្ងន់

b. ធាត់

c. ទម្ងន់ធម្មតា

d. មិនគ្រប់ទម្ងន់

e. ស្គម

39 / 60

ដំបូន្មានសំរាប់អ្នកលើសសំពាធឈាមមាន

a. លំហាត់ប្រាណទៀងទាត់រាល់ថ្ងៃ។

b. ឈប់ជក់បារី

c. របបអាហារសាប

d. ចំឡើយខាងលើត្រឹមត្រូវ។

e. ឈប់ពិសារស្រា

40 / 60

Une jeune femme de 20 ans présentant une dyspnée aiguë de type expiratoire d’apparition surtout la nuit, quel diagnostique évoquez-vous le plus probable ?

a. Bronchite aiguë

b. Asthme

c. Œdème aiguë du poumon

d. Bronchopneumopathie chronique obstructive (BPCO)

e. Pneumonie

41 / 60

Quel est le diagnostic le plus probable devant une toux aiguë associée à une fièvre ?

a. Tuberculose

b. Bronchite aiguë

c. Pneumothorax

d. Cancer pulmonaire

e. Pleurésie

42 / 60

Un homme de 70 ans avec un antécédent d’hypertension artérielle présentant une toux avec expectoration mousseuse et dyspnée de type orthopnée, quel est le diagnostic le plus probable ?

a. Embolie pulmonaire

b. Pneumonie

c. Cancer pulmonaire

d. Asthme

e. Œdème aiguë du poumon

43 / 60

La mammographie est un examen de première ou deuxième ou troisième ou… intention chez la femme ménopausée ?

a. : Première intention

b. : Troisième intention

c. : Deuxième intention

d. : Cinquième intention

e. : Quatrième intention

44 / 60

which ONE of the following statements is true?

a. Agenda using an open-ended approach and using a focusing approach to explore the patient’s story in more depth.

b. Agenda using additional guided questions helps you avoid missing any of the patient’s concerns.

c. Establishing the agenda begins with open-ended questions and to allow you and patient to negotiate the concerns.

d. Agenda asking only about foremost concern and use active listening skills.

e. Agenda train you to follow the patient’s leads and patient’s story in more dept.

45 / 60

Concernant le sinus maxillaire, quelque est la proposition exacte ?

a. Le sinus maxillaire se draine dans la fosse nasale par le canal fronto-nasal.

b. Le sinus maxillaire situé dans le corps sphénoïdal.

c. Le sinus maxillaire situé dans l’os maxillaire.

d. Le sinus maxillaire se draine dans la fosse nasale par l’ostium sphénoïdal.

e. Le sinus maxillaire peut être exploré par l’échographie.

46 / 60

Normalement on peut différencier entre la masse de la paroi abdominale et masse dans la cavité abdominale car :

a. Masse de la paroi abdominal est non palpable, masse dans la cavité abdominale est cachée par la contraction musculaire.

b. Masse de la paroi abdominal est palpable, masse dans la cavité abdominale est toujours palpable aussi.

c. Masse de la paroi abdominal est toujours palpable, masse dans la cavité abdominale est cachée par la contraction musculaire.

d. Masse de la paroi abdominal est cachée, masse dans la cavité abdominale n’est pas cachée par la contraction musculaire.

e. Masse de la paroi abdominal est est cachée par la contraction musculaire,masse dans la cavité abdominale toujours palpable,.

47 / 60

Intérêt de Spiromètre:

a. Présenter la baisse de VEMS et rapport de VEMS/CV normal dans la pneumonie

b. C’est le technique simple de détecter et aucune contre indication

c. Présenter la baisse de VEMS et rapport de VEMS/CV normal dans le syndrome obstructif.

d. Ce n’est pas d’exploration fonctionnelle respiratoire

e. Mesures les volumes mobilisables et non mobilisable.

48 / 60

Choisissez seulement une phrase correcte ci-dessous (Picture1)

a. 5- Scapula

b. 2- Acromion

c. 3-Trochin

d. 4- Trochiter

e. 1-Appophyse coracoïde

49 / 60

Choisissez seulement une phrase correcte ci-dessous (Picture3)

a. 4 – Trapèze

b. 2- Triquétrum

c. 1- Scaphoïde

d. 3 – Lunatum

e. 5 – Pisiforme

50 / 60

LCR passe du ventricule latérale à 3eme ventricule par :

a. Canal ventriculaire

b. Foramen interventriculaire

c. Bulbe rachidien

d. Aqueduc du Sylvius

e. Canal central

51 / 60

les propositions suivantes concernent le système nerveux périphérique :

a. La branche dorsale est sensitive.

b. Il comporte cinq plexus

c. Les paires de nerfs spinaux L5 à S5 constituent le plexus lombo-sacré.

d. Ce sont les branches dorsales des nerfs spinaux qui constituent les plexus.

e. Les nerfs deviennent de plus en plus horizontaux de crânial en caudal.

52 / 60

Le scanner abdominal en coupe frontal :

a. la direction des 2 reins en bas et en avant.

b. la direction des 2 reins en bas et en dehors.

c. la direction des 2 reins en bas et en arrière.

d. la direction des 2 reins en haut et en dehors.

53 / 60

បុរសម្នាក់អាយុ៦៥ឆ្នាំ ត្រូវបានគេបញ្ជូនមកមន្ទីរពេទ្យជាបន្ទាន់ដោយសារចុកទ្រូង។ ការសាកសួរប្រវត្តិជម្ងឺបានបង្ហាញថាប្រមាណ១ម៉ោងមុននេះ អ្នកជម្ងឺមានអាការៈចុកទ្រូងពេលគាត់ឡើងជណ្តើរផ្ទះ កូនគាត់ដែលនៅជាន់ទី៣។មុនដំបូងពេលគាត់ឡើងដល់ ជាន់ទី២គាត់មានអារម្មណ៍ថាណែនទ្រូង និងហត់ពេលគាត់ខំឡើងបន្តបាន៦កាំទៀតគាត់ចុកយ៉ាងខ្លាំង នៅចំកណ្តាលទ្រូងមានលក្ខណៈដូចគេគាបហើយចាក់ទៅថ្គាម ស្មារនិង ដៃឆ្វេង ពិបាកដកដង្ហើម បែកញើស និងត្រជាក់ចុងដៃចុងជើង។ ក្នុងបណ្តារសម្មតិកម្មខាងក្រោម តើសម្មតិកម្មណាមួយដែលបញ្ជាក់ពី Pain radiation?

a. អ្នកជម្ងឺឈឺទ្រូងមានលក្ខណៈដូចគេគាប

b. អ្នកជម្ងឺឈឺទ្រូងចាក់ទៅថ្គាម ស្មារ និង ដៃឆ្វេង

c. អ្នកជម្ងឺចាប់ផ្តើមណែនទ្រូងពេលគាត់ខំឡើងជណ្តើរដល់ជាន់ទី២

d. អ្នកជម្ងឺឈឺខ្លាំងនៅចំកណ្តាលទ្រូង

54 / 60

ក្នុងបណ្តារ សំណើរខាងក្រោម តើសំណើរណាមួយដែលមិនមែនជាgeneral goals of physical
examination?

a. Enhance clinical efficiency

b. Maximize the patient's comfort

c. Avoid unnecessary changes in position

d. Examine the patient feet before checking the face

55 / 60

ក្នុងបណ្តារ symptoms ខាងក្រោម តើsymptom មួយណាដែលមានទំនាក់ទំនងជាមួយនិង Peripheral vascular disorders?

a. Palpitations

b. Hemoptysis

c. Intermittent claudication

d. Chest pain or discomfort

56 / 60

ក្នុងបណ្តារ ការវាយតំលែខាងក្រោម តើការវាយតំលែណាមួយដែលត្រូវគ្នាជាមួយរូបភាពភ្ជាប់មកជាមួយ?

a. Triceps reflexes

b. Brachioradialis reflexes

c. Patella reflexes

d. Biceps reflexes

57 / 60

បុរសម្នាក់អាយុ៥០ឆ្នាំ ជាគ្រូបង្រៀនបានចូលមកពិនិត្យ និងពិគ្រោះជម្ងឺកាលពីថ្ងៃទី២០សីហា២០១៦ ដោយមូលហេតុឈឺកំភួនជើងស្តាំ។ អ្នកជម្ងឺបានបញ្ជាក់ថាគាត់មានអារម្មណ៍តឹងនិងរោយកំភួនជើងស្តាំ នៅពេលដើរបានចម្ងាយប្រហែល៣០០ម៉ែត្រ នៅពេលគាត់ខំដើរបន្តទៀត បានចំងាយជិត៤០០ម៉ែត្រកំភួនជើងគាត់ឡើងរឹងហើយចុកខ្លាំងតំរួវអោយគាត់ឈប់សំរាកប្រមាណ៥នាទីទើបបាត់ឈឺ។ អ្នកជម្ងឺជក់បារី១ថ្ងៃ១កញ្ចប់រយៈពេល៣២ឆ្នាំហើយ។ គាត់ធ្លាប់សំរាកពេទ្យកាលពីបីឆ្នាំមុនដោយសារជម្ងឺលើសឈាម ហើយបន្តប្រើថ្នាំលើសឈាមរហូតសព្វថ្ងៃ។ ឳពុកគាត់បានស្លាប់កាលពីឆ្នាំមុន ដោយសារជំងឺលើសឈាមនេះដែរ។ តើអ្វីទៅជា present illnessរបស់អ្នកជម្ងឺខាងលើ?

a. អ្នកជម្ងឺជក់បារី១ថ្ងៃ១កញ្ចប់រយៈពេល៣២ឆ្្នាំហើយ

b. អ្នកជម្ងឺចុកកំភួនជើងស្តាំ យ៉ាងខ្លាំងពេលខំដើរបានជិត៤០០ម៉ែត្រ ហើយធូរស្រាលទៅវិញពេលសំរាកបានប្រមាណ៥នាទី

c. គាត់ធ្លាប់សំរាកពេទ្យកាលពីបីឆ្នាំមុនដោយសារជំងឺលើសឈាម

d. ឳពុកគាត់បានស្លាប់កាលពីឆ្នាំមុនដោយសារជម្ងឺលើសឈាម

58 / 60

A l’ECG normal, l’onde T est tous positive sauf

a. V6

b. D1

c. aVF

d. aVL

e. aVR

59 / 60

Quelle est la durée normale de complexe QRS ?

a. < 0.12s

b. 0.12-0.20s

c. > 0.45s

d. Isoélectrique

e. 0.25mV

60 / 60

Quelle est la terminologie pour tomodensitométrie (TDM) ?

a. . Hypo-Iso-Hyper échogène

b. . Hypo-Iso-Hyper densité

c. . Hypo-Iso-Hyper signal.

d. . Hypo-Iso-Hyper intense

Your score is

The average score is 13%

Any comments?

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

និស្សិតអាចប្រាប់មកកាន់ពួកយើងបានដើម្បីកែកំហុស ឬអំពីបញ្ហាដោយអចេតនាណាមួយដែលកើតមានកំឡុងពេលធ្វើតេស្ត