Sémiologie Test 0% 28 votes, 4.8 avg 2 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* The timer has been reached. The exam has now been terminated and saved. Sémiologie Test 1 / 60 Quelle est la durée normale de l’onde P ? a. < 0.12s b. Isoélectrique c. < 0.25mV d. < 0.44s e. 0.12-0.20s 2 / 60 Quelles sont les dérivations représentant la paroi basale du VG ? a. D1, aVL b. V5, V6 c. D2, D3, aVF d. V7-V8-V9 e. V1, V2, V3 3 / 60 Quelle est l’amplitude normale de l’onde P ? a. 0.25mV b. Isoélectrique c. 0.12-0.20s d. < 0.12s e. < 0.44s 4 / 60 Quelle est la durée normale de l’espace PR ? a. Isoélectrique b. < 0.12s c. 0.25mV d. 0.12-0.20s e. > 0. 44 s 5 / 60 ក្នុងប្រវត្តិសុខភាព តើចំណុចណាសំខាន់ជាងគេ? a. ទទួលទានអាហារច្រើន b. ចំឡើយទាំាងអស់ត្រឹមត្រូវ។ c. ឧស្សាហ៍ធីងធោង វិលមុខ d. ប្រែប្រួលទម្ងន់ខុសធម្មតា e. ផឹកទឹកច្រើន 6 / 60 រសម្នាក់ មានកំពស់ 1,80m ទំងន់ 55kg ។បន្ទាប់ពីគណនា Body Mass Index បញ្ជាក់ថា គាត់៖ a. ទម្ងន់ធម្មតា b. លើសទម្ងន់ c. ស្គម d. ធាត់ e. មិនគ្រប់ទម្ងន់ 7 / 60 បុរសម្នាក់មកបន្ទប់ពិគ្រោះជម្ងឺ ហើយរៀបរាប់ប្រាប់គ្រូពេទ្យថាគាត់ស្រកទម្ងន់ច្រើនក្នុងរយៈពេលប៉ុន្មានថ្ងៃនេះ។ តើចំលើយណាត្រឹមត្រូវជាងគេ។ a. Chronic cardiac, pulmonary, or renal failure b. Endocrine disorders (diabetes mellitus, hyperthyroidism, adrenal insufficiency) c. All above are correct. d. Chronic infections e. Gastrointestinal diseases 8 / 60 En cas d’un corps étranger trachéal, quel moyen en imagerie de 1er choix? a. . Radiographie du thorax de face b. . IRM c. . Radiographie du thorax de face et de profil d. . TDM e. . Bronchoscopie 9 / 60 Signe indirect du syndrome bronchique: a. Bronchectasie ( DDB) b. Bronchogrammeaérien c. Opacitélinéaire en .Y d. Atélectasie e. Ligneseptale 10 / 60 Image de thymus normalsur le cliché du thorax de face: a. Masse hypodensecomme la graisse b. Masse hétérogène et calcifiée c. Opacité de densitécalcique d. Opacité de densitéhydrique au médiastinpostérieur e. Masse de densitéhydrique au médiastinantérieur 11 / 60 Signe appartient au syndrome de condensation a. . Opacité en verre dépoli b. . Emphysème c. . Abcès du poumon d. . DDB e. . Opacité confluente 12 / 60 Quelle est la complications aigue de l’intoxication d’alcool ? Choississez la reponse la plus appropriee : en cas de l’alcoolemie a partir de 0,50-1,5 g/l a. Diplopie b. Trouble de langage C c. Euphorie voire Ivresse d. Impuissance sexuel e. Trouble de l’equilibre 13 / 60 Concerning the prevention, what is the most appropriate mesure in Cambodia ? a. Vaccination all enfants > 1 year b. Vaccination for those with risk factors c. Vaccination for those with chronic hepatitis .C d. Vaccination for those with chronic hepatitis e. No vaccination will be required 14 / 60 Quelle est la complications aigue de l’intoxication d’alcool ? Choississez la reponse la plus appropriee : en cas de l’alcoolemie a partir de 0,50-3g/l a. Confusion mentale b. Hyploglemie c. Troubles de memoire d. Difficulte de reflechir e. Agitation 15 / 60 which ONE of the following statements is true? a. Health history forms are only history of present illness and past medical history. b. ome races show certain disease in the past history. c. First symptoms that caused patient to seek medical advice are chief complaint. d. Some diseases show symptoms very clear. e. Health history forms are only personal data and chief complaint. 16 / 60 which ONE of the following statements is true? a. Clinical behavior and appearance are behavior of body language focus only on physical examination of the patient. b. Interview to keep the patients perspective in mind if you want to build the patient confidence. c. The environment makes the interview setting as public and comfortable as possible. d. Your clinical behavior and appearance are related to your words, behavior, posture, gestures, eye contact, interest, attention, acceptance and understanding. e. The skilled interview seems calm and hurried because the time is limited. 17 / 60 Il y a plusieur facteur étiologique de l’hernie inguinale direct et indirect. Quelle est la cause de l’hernie inguinale ? a. Augmentation de hydroxyproline dans l’aponévrose de l’ hernie du patient b. L’effort physique joue un rôle fondamental pour la protection de la paroi c. La majorité de l’ hernie inguinale est acquise et régresse spontanément d. La fermeture complète du canal péritonéo-vaginal dès de la naissance e. Fumer entraîne une facteur étiologique de l’ hernie inguinale. 18 / 60 Citez les muscles de la paroi abdominale de dehors en dedans ? a. Muscle droit de l’abdomen, transverse, grand droit, petite droit b. Muscle grand droit, petite droit, grand oblique, petite oblique c. Muscle droit de l’abdomen, grand oblique, petite oblique, transverse d. Muscle oblique externe, interne, transverse, grand oblique, petite oblique e. Muscle droit de l’abdomen, grand oblique, petite oblique, oblique externe 19 / 60 Exploration Fonctionnelle Respiratoire (EFR) (1 seule réponse fausse) a. Toutes les pathologies pulmonaires montrent les variations d’EFR b. Crise d'asthme sévère est contre indiqué d'EFR c. Technique pour détecter la fonction respiratoire d. Technique pour détecter la pathologie des parenchymes pulmonaires e. Technique pour détecter la pathologie d’origine des voies aérienne 20 / 60 The right cardiac silhouette on a chest X-ray is primarily formed by which structure? a. ) Right ventricle b. ) Pulmonary artery c. ) Aortic arch d. ) Right atrium e. ) Superior vena cava 21 / 60 Which structure connects the middle ear to the nasopharynx and is seen on coronal CT? a. ) External auditory canal b. ) Semicircular canals c. ) Mastoid air cells d. ) Eustachian tube e. ) Cochlea 22 / 60 Which of the following structures is most important for visualizing laryngeal cancer on CT? a. ) Epiglottis b. ) Cricoid cartilage c. ) Thyroid cartilage d. ) Arytenoid cartilage e. ) Vocal cords 23 / 60 Radio-anatomie du thorax, choisissez l’un des suivants: a. Aorte b. Ventricule droite c. Artère pulmonaire droite d. Artère pulmonaire e. Tronc de l’artère pulmonaire 24 / 60 Which section of the pharynx is seen posterior to the oral cavity on a sagittal MRI? a. ) Prevertebral space b. ) Hypopharynx c. ) Oropharynx d. ) Nasopharynx e. ) Laryngopharynx 25 / 60 Le scanner abdominal en coupe axial, espace para rénal postérieur contient: a. duodénum, surrénales, vaisseaux rénaux et voie excrétrice haute. b. la vessie, surrénales, vaisseaux rénaux et voie excrétrice haute. c. la rate, surrénales, vaisseaux rénaux et voie excrétrice haute. d. la graisse. 26 / 60 les propositions suivantes concernent le système nerveux périphérique : a. On dénombre 7 paires de nerfs cervicaux. b. Il correspond aux 12 paires de nerfs spinaux et 31 paires de nerfs crâniens. c. Il comporte de la substance blanche et de la substance grise. d. Les nerfs spinaux naissent du tronc cérébral. e. Les 7 premières paires de nerfs cervicaux sortent au-dessus de la vertèbre correspondante (ayant le même numéro) alors que les nerfs thoraciques et lombaires sortent en dessous de la vertèbre correspondante. 27 / 60 On divise le système nerveux en : a. Système nerveux parasympathique et système nerveux sympathique b. Système nerveux autonome et système nerveux somatique c. Système nerveux central et système nerveux somatique d. Système nerveux périphérique et Système nerveux autonome e. Système nerveux central et système nerveux périphérique 28 / 60 LCR passe du ventricule latérale à 3eme ventricule par : a. Bulbe rachidien b. Canal central c. Aqueduc du Sylvius d. Canal ventriculaire e. Foramen interventriculaire 29 / 60 La moelle épinière est constituée : a. Substance gris périphérique b. Substance blanche à la périphérique et substance gris centrale c. Substance blanche à la central et substance gris périphérique d. Substance blanche à la centrale 30 / 60 L’examen si-dessous est un : a. ASP en décubitus latéral droit normal b. ASP debout normal c. ASP debout pathologique d. ASP couché normal e. ASP en décubitus latéral gauche normal 31 / 60 La mammographie est un examen de première ou deuxième ou troisième ou… intention chez la jeune fille post-pubère ? a. : Troisième intention b. : Deuxième intention c. : Quatrième intention d. : Première intention e. : Cinquième intention 32 / 60 A 65 year old man has to stand close to the toilet to void because he has: a. Reduced force of urinary stream b. Dysuria c. Urgency d. Hesitancy e. Post-voiding dribbling 33 / 60 In sign of “Urgency”, patient has difficulty to: a. Pass urine b. Get to the toilet in time c. Get up at night to urinate d. Start urination e. Empty bladder after urination 34 / 60 How do you screen for prostate cancer? a. DRE b. Digital rectal exam (DRE) and PSA c. Ultrasound/ echography d. Urine test e. Blood test: PSA 35 / 60 The silent patient remains related to one statement below. a. The patient’s ability b. The patient’s feeling c. The patient’s thought d. The patient’s awareness 36 / 60 Silence patient during the interview the clinician should be encouraged patient to talk. What is the best technique in the following? a. Build relationship and observe to the patient. b. Build relationship and watch closely to the patient c. Build relationship and do not watch closely to the patient. d. Build relationship and support to the patient. 37 / 60 Choisissez seulement une phrase correcte ci-dessous (Picture2) a. 2- Epicondyle médial b. 4- Olécrâne c. 5-Tête radiale d. 1- Epicondyle latéral e. 3- Processus coronoïdienne 38 / 60 Choisissez seulement une phrase correcte ci-dessous (Picture3) a. 5- Capitulum b. 1- Tubérosité bicipitale c. 4- Trochlée d. 3- Olécrâne e. 2-Processus coronoïde 39 / 60 Choisissez seulement une phrase correcte ci-dessous (Picture9) a. 4- Paquet graisseux b. 5- Corne postérieur du ménisque c. 2- Tendon rotulien d. 3- Condyl externe e. 1- Tendon du poplité 40 / 60 Concernant le sinus sphénoïdal, quelque est la proposition exacte ? a. Le sinus sphénoïdal se draine dans la fosse nasale par l’ostium sphénoïdal. b. Le sinus sphénoïdal situé dans l’os maxillaire. c. Le sinus sphénoïdal situé dans l’os frontal. d. Le sinus sphénoïdal se draine dans la fosse nasale par le canal fronto-nasal. e. Le sinus sphénoïdal peut être exploré par l’échographie. 41 / 60 Concernant la sémiologie radiologique de la pathologie tumorale de l’oropharynx et de la cavité orale, parmi les propositions suivantes sont vraies sauf une laquelle ? a. Les tumeurs sont plus de 90% des cas des tumeurs malignes de type carcinome épidermoïde. b. Par rapport au signal musculaire normal la tumeur apparaît en isosignal T1avant injection de produit de contraste et discret hypersignal T2. c. Les tumeurs sont le plus souvent bénignes. d. L’imagerie repose essentiellement sur l’IRM. e. La tumeur se rehausse toujours nettement après injection de produit de contraste. 42 / 60 ក្នុងបណ្តារ សំណើរខាងក្រោម តើសំណើរណាមួយដែលមិនមែនជាgeneral goals of physical examination? a. Maximize the patient's comfort b. Avoid unnecessary changes in position c. Enhance clinical efficiency d. Examine the patient feet before checking the face 43 / 60 ក្នុងបណ្តារ ការវាយតំលែខាងក្រោម តើការវាយតំលែណាមួយដែលត្រូវគ្នាជាមួយរូបភាពភ្ជាប់មកជាមួយ? a. Achilles reflexes b. Triceps reflexes c. Babinski reflexes d. Patella reflexes 44 / 60 បុរសម្នាក់អាយុ៥០ឆ្នាំ ជាគ្រូបង្រៀនបានចូលមកពិនិត្យ និងពិគ្រោះជម្ងឺកាលពីថ្ងៃទី២០សីហា២០១៦ ដោយមូលហេតុឈឺកំភួនជើងស្តាំ។ អ្នកជម្ងឺបានបញ្ជាក់ថាគាត់មានអារម្មណ៍តឹង និងរោយកំភួនជើងស្តាំ នៅពេលដើរបានចម្ងាយប្រហែល៣០០ម៉ែត្រ នៅពេលគាត់ខំដើរបន្តទៀតបានចំងាយជិត៤០០ម៉ែត្រកំភួនជើងគាត់ឡើងរឹងហើយចុកខ្លាំងតំរួវអោយគាត់ឈប់សំរាកប្រមាណ៥នាទីទើបបាត់ឈឺ។ អ្នកជម្ងឺជក់បារី១ថ្ងៃ១កញ្ចប់រយៈពេល៣២ឆ្នាំហើយ។ គាត់ធ្លាប់សំរាកពេទ្យកាលពីបីឆ្នាំមុនដោយសារជម្ងឺលើសឈាម ហើយបន្តប្រើថ្នាំលើសឈាមរហូតសព្វថ្ងៃ។ ឳពុកគាត់បានស្លាប់កាលពីឆ្នាំមុនដោយសារជំងឺលើសឈាមនេះដែរ។ តើអ្វីទៅជា chief complaint របស់អ្នកជម្ងឺខាងលើ? a. គាត់ធ្លាប់សំរាកពេទ្យកាលពីបីឆ្នាំមុនដោយសារជំងឺលើសឈាម b. អ្នកជម្ងឺបានចូលមកពិនិត្យ និងពិគ្រោះជម្ងឺដោយមូលហេតុឈឺកំភួនជើងស្តាំ c. អ្នកជម្ងឺចុកកំភួនជើងស្តាំយ៉ាងខ្លាំង ពេលខំដើរបានជិត៤០០ម៉ែត្រហើយធូរស្រាលទៅវិញពេលសំរាកបានប្រមាណ៥នាទី d. អ្នកជម្ងឺជក់បារី១ថ្ងៃ១កញ្ចប់រយៈពេល៣២ឆ្នាំហើយ 45 / 60 បុរសម្នាក់អាយុ៦៥ឆ្នាំ ត្រូវបានគេបញ្ជូនមកមន្ទីរពេទ្យជាបន្ទាន់ដោយសារចុកទ្រូង។ ការសាកសួរប្រវត្តិជម្ងឺបានបង្ហាញថាប្រមាណ១ម៉ោងមុននេះ អ្នកជម្ងឺមានអាការៈចុកទ្រូងពេលគាត់ឡើងជណ្តើរផ្ទះ កូនគាត់ដែលនៅជាន់ទី៣។មុនដំបូងពេលគាត់ឡើងដល់ ជាន់ទី២គាត់មានអារម្មណ៍ថាណែនទ្រូង និងហត់ពេលគាត់ខំឡើងបន្តបាន៦កាំទៀតគាត់ចុកយ៉ាងខ្លាំង នៅចំកណ្តាលទ្រូងមានលក្ខណៈដូចគេគាបហើយចាក់ទៅថ្គាម ស្មារនិង ដៃឆ្វេង ពិបាកដកដង្ហើម បែកញើស និងត្រជាក់ចុងដៃចុងជើង។ ក្នុងបណ្តារសម្មតិកម្មខាងក្រោម តើសម្មតិកម្មណាមួយដែលបញ្ជាក់ពី Pain onset? a. អ្នកជម្ងឺឈឺទ្រូងចាក់ទៅថ្គាម ស្មារ និង ដៃឆ្វេង b. អ្នកជម្ងឺឈឺទ្រូងមានលក្ខណៈដូចគេគាប c. អ្នកជម្ងឺឈឺខ្លាំងនៅចំកណ្តាលទ្រូង d. អ្នកជម្ងឺចាប់ផ្តើមណែនទ្រូងពេលគាត់ខំឡើងជណ្តើរដល់ជាន់ទី២ 46 / 60 ក្នុងបណ្តារ symptoms ខាងក្រោម តើsymptom មួយណាដែលមានទំនាក់ទំនងជាមួយនិង skin disorders? a. Fatigue b. Itching c. Vertigo d. Weakness 47 / 60 ក្នុងបណ្តារ ការវាយតំលែខាងក្រោម តើការវាយតំលែណាមួយដែលត្រូវគ្នាជាមួយរូបភាពភ្ជាប់មកជាមួយ? a. Assess the liver b. Assess the spleen c. Assess the abdominal aorta d. Assess costovertebral angle tenderness 48 / 60 បុរសម្នាក់អាយុ៦៥ឆ្នាំ ត្រូវបានគេបញ្ជូនមកមន្ទីរពេទ្យជាបន្ទាន់ដោយសារចុកទ្រូង។ ការសាកសួរប្រវត្តិជម្ងឺបានបង្ហាញថាប្រមាណ១ម៉ោងមុននេះ អ្នកជម្ងឺមានអាការៈចុកទ្រូងពេលគាត់ឡើងជណ្តើរផ្ទះ កូនគាត់ដែលនៅជាន់ទី៣។មុនដំបូងពេលគាត់ឡើងដល់ ជាន់ទី២គាត់មានអារម្មណ៍ថាណែនទ្រូង និងហត់ពេលគាត់ខំឡើងបន្តបាន៦កាំទៀតគាត់ចុកយ៉ាងខ្លាំង នៅចំកណ្តាលទ្រូងមានលក្ខណៈដូចគេគាបហើយចាក់ទៅថ្គាម ស្មារនិង ដៃឆ្វេង ពិបាកដកដង្ហើម បែកញើស និងត្រជាក់ចុងដៃចុងជើង។ ក្នុងបណ្តារសម្មតិកម្មខាងក្រោម តើសម្មតិកម្មណាមួយដែលបញ្ជាក់ពី Pain severity? a. អ្នកជម្ងឺឈឺទ្រូងមានលក្ខណៈដូចគេគាប b. អ្នកជម្ងឺឈឺខ្លាំងនៅចំកណ្តាលទ្រូង c. អ្នកជម្ងឺឈឺទ្រូងចាក់ទៅថ្គាម ស្មារ និង ដៃឆ្វេង d. អ្នកជម្ងឺចុកទ្រូងយ៉ាងខ្លាំងស្ទើរតែមិនអាចទ្រាំបានពេលគាត់ខំឡើងជណ្តើរបន្តបាន៦កាំទៀត 49 / 60 What is the most common pathogen of nosocomial infection in HCFs? a. Fungi b. Virus c. Parasites d. Bacteria e. Mix bacteria and virus 50 / 60 How can we avoid/combat AMR? a. Use routine prophylactic antibiotics before operation b. Revise the antibiotic guidelines and protocols whenever the new AMR is detected c. Recommend patients to discontinue taking antibiotics immediately when symptoms disappear d. Prescribe antibiotics whenever possible to avoid infection e. All of the above 51 / 60 Why is it important to prevent SSI? a. All of the above b. It may contributes to increased Antimicrobial Resistance (AMR) c. It is an important cause of additional morbidity d. It is an immediate threat to patient mortality e. It can cause incremental cost to patients 52 / 60 What is the safe source of water for HCF? a. Rain water stored in tanks b. Main city water supply c. Rain water stored in tanks , Main city water supply d. All of the above e. Open pond 53 / 60 Choose the correct prevention practice against SSI. a. Perform a surgical scrub with antiseptic product immediately before the operation b. Always remove hair on the surgical site before the operation c. All of the above d. Always administer prophylactic antimicrobial agent 54 / 60 Why is it important to prevent Nosocomial Infection? a. It can cause extra financial burden to patients b. all of the above c. It increases the cost of healthcare facility management d. It can be life-threatening to both patients and healthcare staffs 55 / 60 Choose that correct Personal Protection Equipment (PPE) HCWs use to taking blood sample from coughing patient. a. Mask b. Surgical mask c. Gloves d. Gown e. Disposable glove and surgical mask 56 / 60 What is the definition of Antimicrobial Resistance (AMR)? a. It is the ability for human to resist microorganism b. It is the ability for microorganism to resist chemicals that would normally kill or limit their growth c. It is the ability for chemicals to resist microorganism d. It is the ability for human to resist chemicals e. It is the ability for microorganism to resist human immune system 57 / 60 What is Nosocomial Infection (NI)? a. All of the above b. NI includes the infections that were acquired outside the hospital, but appeared after the admission c. NI is a part of HAI (Healthcare Associated Infection) d. NI is only applicable for infections acquired by patients e. NI is defined as infections acquired within 24 hours after hospital admission 58 / 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. Asthme b. Bronchite aiguë c. Bronchopneumopathie chronique obstructive (BPCO) d. Œdème aiguë du poumon e. Pneumonie 59 / 60 Comment définissez-vous l’hémoptysie de moyenne abondance ? a. Crachat hémoptoïque b. Quantité de sang < 50 ml c. Quantité de sang entre 50 et 200 ml d. Quantité de sang > 500 ml e. Quantité de sang entre 200 ml et 500 ml 60 / 60 Quelle est la densité de l’os sur la radiographie thoracique simple? a. Clair b. Très clair. c. Peu opaque d. Très opaque e. 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