Health Assessment-山東大學(xué)中國大學(xué)mooc課后章節(jié)答案期末考試題庫2023年

HealthAssessment_山東大學(xué)中國大學(xué)mooc課后章節(jié)答案期末考試題庫2023年A32-year-oldmancomestotheemergencyroomwithacuteabdomenpain.Thediagnosisforhimisacuteappendicitis.Whatisthemostsignificantsign?

參考答案:

FixedtendernessofMcBurneypoint

Gallbladderenlargementandtendernesstopalpationarefoundinabdominalassessment,whichisthemostlikelydiagnosis?

參考答案:

Acutecholecystitis

Whichisthepalpableorganinnormalassessment?

參考答案:

Lumbarcone

Shiftingdullnessinabdomensuggests

參考答案:

ascites

Theupperboundofliverdullnessspacedisappearsandisreplacedbytympany.Thiscanbefoundin

參考答案:

acutegastrointestinalperforation

Liverspanisthedistancebetweenupperandlowerboundsoftheliverintherightwhenyoupercussalongthemidclavicularline,thenormalrangeis

參考答案:

9-11cm

Therightpercussionordersofcardiacdullresonanceborderare

參考答案:

fromoutsidetoinnerside_frombottomtoup_fromlefttoright

LouderS1inheartauscultationcanNOToccurin

參考答案:

myocardialinfarction_atrialfibrillation_mitralregurgitation_hypothyroidism

Inheartpercussion,thecardiacdullnessborderextendsbilaterally,andtheleftheartborderextendslaterallyandinferiorly.Itsuggests

參考答案:

leftandrightventricularenlargement

Thesecondaorticauscultationareaislocated

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nexttotheleftsternaledgeinthethirdintercostalspace

Besidesmitralstenosis,inwhichofthefollowingcanabnormallylouderS1bedetected?

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Anemia

Systolicmurmursinaorticvalveareacanoccurin

參考答案:

stenosisoftheascendingaorta

AustinFlintmurmursoccurin

參考答案:

moderateorsevereaorticregurgitation

Whichofthefollowingcanoccurinhypertensiveheartdisease?

參考答案:

Pulsusalternans

Whichofthefollowingcanoccurinpericardialeffusion?

參考答案:

Paradoxicalpulse

ThephysicalexaminationforMr.Lin,a58-year-oldman,revealsthelateralandinferiordisplacementoftheapicalimpulse.Itsuggests

參考答案:

leftventricularenlargement

A65-year-oldfemalehasa15-yearhistoryofchronicproductivecoughanda10-yearhistoryofdyspnea,andherconditionworsened2daysago.SheisdiagnosedwithCOPDintheacuteexacerbationstage.Whichofthefollowingcanbedetectedonphysicalexamination?

參考答案:

Barrelchest_Sporadiccracklesandrhonchi_Decreasedbreathingsounds

A27-year-oldmale,presentswithalow-gradefever,andnonproductivecoughaftercatchingacold3daysago.Healsohaspainintheleftchestwhichcanbeworsenedduringdeepbreath.X-Rayrevealsbluntingoftheleftcostophrenicangle.Whichkindofsoundscanbeheardtoauscultation?

參考答案:

Pleuralrubs

A32-year-oldfemalehasfever,chill,productivecough,andchestpainfor3daysafterbeingcaughtintherain.Physicalexaminationrevealsdecreasedbreathingmotionsoflowerleftlung,increasedtactilefremitus.Thereisflatnesstopercussionandcoarsecracklestoauscultation.Whichofthefollowingisthemostlikelydiagnosis?

參考答案:

Consolidation

A26-year-oldyoungmanhasprogressivedyspneaafteratrauma.Physicalexaminationrevealslateraldisplacementofthetrachea,unilateralchestenlargement,broadenedintercostalspaces,andtympanytopercussion.Whichofthefollowingisthemostlikelydiagnosis?

參考答案:

Pneumothorax

Decreasedchestbreathingandincreasedabdominalbreathingcouldbeseenin:

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Pleurisy

Dullnessisnotlikelytobedetectedinpatientswithwhichofthefollowingconditions?

參考答案:

Pneumothorax

WhichofthefollowingistheThreeDepressionSign?

參考答案:

Suprasternal,supraclavicular,andintercostalfossaedepression

Inthestandingpositionwithupperlimbsfallingnaturally,inferiorangleofscapulareacheswhichofthefollowingspaces?

參考答案:

7th

intercostalspace

Whichofthefollowingisanimportantlandmarktocountribsandintercostalspacesonthefrontchest?

參考答案:

Sternalangle

WhichofthefollowingdescriptionsaboutKoplikspotiscorrect

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Onthebuccalmucosalateraltothesecondmolarteech_Happensintheearlystageofmeasles_Whitespots

Fissuredtongueischaracterizedbydeepgroovesinthetongueandcouldbecauseby

參考答案:

Lackofriboflavinintake_Downsyndrome

A67-yearoldmanpresentswithsuddendyspneaoverthepast2hours,thefollowingconsiderationsshouldbenotedinthefirstplaceinhisphysicaleaminationEXCEPT

參考答案:

Skinfoldthicknessmeasurement

A2-yearoldboypresentswithfrontalbossing,aflatsquarevertexandincreasedsweating.Whichofthefollowingisthemostlikelydiagnosis?

參考答案:

Rickets

Decreaseordisappearanceofrespiratorymovementcouldbeseenin:

參考答案:

Emphysema_Pleuraleffusion_Pneumothorax

A70-yearoldfemalepresentedwithclusteredsemitransparentvesiclesonthevermilionborderofthelipwithaninitialitchingandtinglingsensation.Vesiculationprogressedtocrustinginaboutoneweekbefore,thepatientlaterrecoveredwithoutanyscar.Whichofthefollowingisthemostlikelytobethecauseofthechangesabove?

參考答案:

Infectionofherpessimplexvirus

TheswellingofparotidglandcouldhappenwhenthepatientishavingthosefollowingdiseasesEXCEPT

參考答案:

Oralinfection

WhatisNOTcorrectaboutthepalpationofthethyroid?

參考答案:

Itneedstwoexaminer'scooperationtopalpatethethyroid

Abouttheassessmentofthyroid,whichoneofthefollowingdescriptionsiscorrect?

參考答案:

Normalthyroidisnotvisible.

Whatistheborderbetweentheanteriorandposteriortriangleoftheneck?

參考答案:

Thesternocleidomastoid

Intheinspectionoforalcavity,thepalatinetonsilsprotrudebeyondthepalatopharyngealarchbutdonotreachthemidline.Whichofthefollowingdegreeoftonsillarenlargmentshouldbeclassified?

參考答案:

II

A33-yearoldladywithacomplaintofcough,chestdistressandshortnessofbreathfor3monthsisdiagnosedwithmassivepleuraleffusionoftherightchest,Whichpositionwillthispatientmostlikelytochoosewhenlying?

參考答案:

Compulsiveposition_Lateralpositionontheright

Whichofthefollowingoptionscouldbetheappropriatesitestohelpestimatethestateofnutrition?

參考答案:

Upperabdomen_Dorsumofhandsortheinteriorupperarm_Flexualareaofforearmortheinferiorone-thirdofthedorsalupperarm_Dorsumofhandsorthesuperiorone-thirdofthedorsalupperarm

Thismorningintheout-patientcentercomesapatientwithmildascites,hisfaceisgloomywithbrownpigmentation,withonespiderangiomabythecheek.Whatkindoffacieswillyouusetodescribehim?

參考答案:

Hepaticfacies

Ofthosedescriptionsaboutsthenictypehabitus,whichofthefollowingoptionsisINCORRECT?

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Droopingshoulder

Whydoesricketscouldcausedevelopmentproblemsamongchildren?

參考答案:

Calciumabsorptionproblem

Achildpatientwithfacialedema,withpaletonguewithidentationonthelingualmargin.Whatkindoffacieswillyoudescribehim?

參考答案:

Nephroticfacies

Apatientvisitsyouwithatiredlooking,withpallorandpalelipsandtongue,thepatienttellsyouthathefeelsexhaustedafterwalkingfastorclimbingthestairs.Whatkindofappearancewillyoudescribehim?

參考答案:

Anemicfacies

ThisisapatientwithParkinsondisease.Whenthepatientbeginstowalk,hisgaitischaracterizedbysmallstepsatslightlyfastrate,stoopedpostureanddifficultyinstoppingafterstartingtowalk.Howwouldyoudescribethiskindofgait?

參考答案:

Festinatinggait

Pleaserefertothedescriptionsofapatientbelowandchoosethenameofthegaitthatbestfitshisconditions:Thepatientisdiagnosedwithcerebralpalsy,whenhewalks,hisgaitischaracterizedbyexcessiveadductionoflowerlimbs,hislegsarecrossedwhenmoving.

參考答案:

Scissorsgait

Whichofthefollowinggroupoflymphnodesisnotlocatedinheadandneckareas?

參考答案:

Inguinallymphnodes

Thepatients’historyofpresentillnessincludes

參考答案:

associatedsymptomsandsignificantnegativesymptoms_causesofillnessandinducements/precipitatingfactors_featuresofchiefsymptom_previousstudiesandtreatment

Whichofthefollowingpalpationtechniqueshelpstodetectabdominalresistance?

參考答案:

Lightpalpation

Themainpartofpatients’medicalhistoryis

參考答案:

historyofpresentillness

Thebestwayforthenursetocommunicatewiththepatientis

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facingthepatientandmaintaineyecontact

Whenthenurseiscollectingthehealthhistorydataanddoingphysicalexaminationintheward,thecorrectstandingpositionisstandingatthe

參考答案:

rightsideofthepatient

Whichofthefollowingisthesymptombutnotsignofthepatient?

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Palpitation

Whichofthefollowingdescriptionmeetsthecharacteristicsofleakage?

參考答案:

Presentswithserousappearance

Abnormalurinesmellcanbeseeninwhichofthefollowingconditions?

參考答案:

Diabeticketoacidosis_Phenylketonuria_Eatingfoodwithpungentsmell_Organophosphoruspesticidepoisoning

Whichofthefollowingindicatorscanbeusedtoassessredbloodcellmorphology?

參考答案:

Meancorpuscularhemoglobinconcentration_Meancorpuscular

hemoglobin_Meancorpuscularvolume_Averageredbloodcellindex

Whichofthefollowingconditionwillcausetheincreasetheeosinophilcount:

參考答案:

Intestinalhookworminfection

Whichofthefollowingstatementindicateslivercellsseriouslydamagedaswellasapoorprognosis?

參考答案:

Significantlyandcontinuouslyreducedalbumin

Inthebloodtest,therightshiftofthenucleusoftheperipheralbloodneutrophilsoftenindicates：

參考答案:

Lowbonemarrowhematopoieticfunction

Hyperkalemiameansthatthebloodpotassiumconcentrationexceeds：

參考答案:

5.5mmol/L

Oliguriameansthattheurinevolumewithin24hoursislessthan

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400ml

Routinebloodtestdoesnotinclude

參考答案:

Reticulocytecount

Prematurebeatscouldbeseenin

參考答案:

acutemyocardiacinfarction._carditis._overeating,drinking,smoking._physicaloverwork.

Theaugmentedleadsinclude:

參考答案:

LeadaVF_LeadaVR_LeadaVL

Normalcardiacexcitationgeneratesfrom

參考答案:

sinusnode.

A46-year-oldmalepresentswiththefollowingECG.Whichofthefollowingisthemostlikelydiagnosisforthispatient?【圖片】

參考答案:

FirstdegreeAVB

A32-year-oldmalepresentswiththefollowingECG.Whichofthefollowingisthemostlikelydiagnosisforthispatient?【圖片】

參考答案:

Paroxysmalventriculartachycardia

A48-year-oldmalepresentswiththefollowingECG.Whichofthefollowingisthemostlikelydiagnosisforthispatient?【圖片】

參考答案:

Ventricularprematurebeats

A50-year-oldfemalepresentswiththefollowingECG.Whichofthefollowingisthemostlikelydiagnosisforthispatient?【圖片】

參考答案:

Rightatrialhypertrophy

A17-year-oldmalepresentswiththefollowingECG.Whichofthefollowingisthemostlikelydiagnosisforthispatient?【圖片】

參考答案:

Atrialprematurebeats

LeadIisastandardlead,whereshouldtheelectrodesbeplaced?

參考答案:

Rightandleftwrist

Whichofthefollowingarethemechanismsofedema?

參考答案:

Capillarypermeabilityincreases._Tissuecolloidosmoticpressureincreases._Interstitialfiuidpressureincreases._Capillaryhydrostaticpressureincreases.

Whichofthefollowingstatementsregardingthemechanismsofedemaandascitescausedbylivercirrhosisarecorrect?

參考答案:

Obstructionoflymphdrainageintheliver._Hypoalbuminemia._Portalhypertension._Secondaryaldosteronism.

Whichofthefollowingbelongstothefirstrole?

參考答案:

Mother

A36-year-oldfemalepatientpresentswithrecurrentupperabdominalpainfor3years,whichrelievesaftermealsandaggravatesatnight.Herphysicalexaminationisunremarkable.Whichofthefollowingisthemostlikelydiagnosisforher?

參考答案:

Duodenalbulbarulcer

A16-year-oldboyhadasuddenchestpainwithdyspneaafterthecollisionwithaplayeratabasketballgame.Whichisthemostlikelydiagnosisforthispatient?

參考答案:

Pneumothorax

A59-year-oldmalepatienthasbeenunabletoliedownfortwodays.Healsocomplainsofdyspnea,coughinguppinkfoamedsputum.Whichofthefollowingisthemostlikelydiagnosisforhim?

參考答案:

Acuteleftheartfailure

A4-year-oldboysuddenlyhaddyspneaafterlaughingatameal.Hehascyanosis,positivethreeretractionsigns,andhigh-pitchwheezing.Whichofthefollowingisthemostlikelydiagnosis?

參考答案:

Foreignbodyinthetrachea

Chestpainthathappensbehindthesternumorbelowthexiphoid,withasqueezingorcompressingnature,indicates

參考答案:

angina.

Inwhichofthefollowingconditionscanimpulsiveheadacheoccur?

參考答案:

Vascularheadache

Thelocationsofhypertension-inducedheadachesarecharacterizedby

參考答案:

paininthewholehead

Whencheckingmusclestrength,whichofthefollowingdescriptionsaboutthepatientiscorrect?

參考答案:

Couldcooperatewiththenursetocheck_Thepatienthastobeconscious

Whichofthefollowingisnotincludedintheexercisefunctiontest?

參考答案:

Nervereflex

Ifapatientshowslevel4inthemusclestrengthassessment,thenhis/herperformancemeetswhichofthefollowing?

參考答案:

Canperformresistanceaction,butworsethannormal/

Fullrangeofmotionagainstgravitywithmoderateresistance

Whichofthefollowingisnotasuperficialreflex?

參考答案:

Patellartendonreflex

Babinskisignisduetowhichofthefollowingpartsisdamaged?

參考答案:

Pyramidaltract

Aboutthemusclestrength(myodynamia)test,howmanydegreesaltogetherarethereintheevaluationsystem?

參考答案:

6

Whichofthefollowingdescriptionsarerightaboutauscultationofbowelsounds?

參考答案:

Activebowelsoundscanbeheardinacutegastroenteritis,takinglaxativesorgastrointestinalbleeding._Bowelsoundsdisappearancecanbeheardinacuteperitonitisorparalyticileus._Hyperactivebowelsoundscanbeheardinmechanicalobstruction._Decreasedbowelsoundscanbeheardinsenileconstipation.

Abdominalbreathingweakensordisappearsinthefollowingcases

參考答案:

diaphragmaticparalysis_ascites_peritonitis_pregnancy

A57-year-oldwomancomplainsofabdominaldistentionformorethan3months.Herabdominalcircumferenceprogressivelyincreasesaccompaniedwithpittingedemainlowerextremities.ShehasbeendiagnosedwithHepatitisBformorethan25years.Shehasvaricoseveinsinabdomen.Whichofthefollowingisthedirectionofbloodflowonherabdominalwall?

參考答案:

Theveinsareumbilicus-centeredandbloodflowsinalldirection.

A55-year-oldwomancomplainsofabdominaldistentionformorethan3months.Herabdominalcircumferenceprogressivelyincreasesaccompaniedwithpittingedemainlowerextremities.Labtestindicatesabnormalliverfunction.ShehasbeendiagnosedwithHepatitisBformorethan30years.Thepossiblediagnosisis

參考答案:

cirrhosisafterhepatitisBinfectionwithascites

TheincreasedintensityofA2canNOToccurin

參考答案:

aorticstenosis_pericardialeffusion_hypotension_pulmonaryvalvestenosis

A58-year-oldwomancomplainsofabdominaldistentionformorethan3months.Herabdominalcircumferenceprogressivelyincreasesaccompaniedwithpittingedemainlowerextremities.Labtestindicatesabnormalliverfunction.ShehasbeendiagnosedwithHepatitisBformorethan30years.Whatisthepositivesignforher?

參考答案:

Positiveinshiftingdullness

WhichofthefollowingcanNOTbeheardinnormalabdominalauscultation?

參考答案:

Frictionrub_Successionsplash_Arterialmurmurs_Venousmurmurs

Whichofthefollowingisscoliosisthatcanbecorrectedbychangingposture?

參考答案:

Posturalscoliosis

Whichofthefollowingisnotadeepreflex?

參考答案:

Abdominalreflex

WhichofthefollowingisatypicalmanifestationofapositiveBabinskisign?

參考答案:

Halluxdorsiflexion,othertoesfannedout

A64-year-oldmanhassymmetricpittingedemainbothlegsfor3weeks.Theedemaworsensoverthedayandrelievesafternightsleep.Hehasnolimitationofmotion,noeyelidedema,nofeverandnopain.Andheisabletoliedownatnight.Historyofpastillnesses:hypertensionforseveralyearsanditisundercontrolbyoralamlodipineandmetoprolol.Bp:120/70mmHg.Physicalexamrevealsnoabnormalitiesinhisheartandlungsbutmildpittingedemainhislegs.WhichofthefollowingisUNLIKELYtobethediagnosis?

參考答案:

Angioneuroticedema

A71-year-oldmalepatientpresentswithsuddensevereheadacheandvomiting.Soonlater,hepresentsimpairedconsciousness,andisunresponsivetosoundandlightstimuli,andshowsunpleasantfacialexpressiontopainstimulus.Hislightreflexandeyemovementarepresent.Whichofthefollowingdiagnosesiscorrect?

參考答案:

Mildcoma

Whenthegraphpapermovesataconstantspeedof25mm/s,thenonesmallboxrepresents

參考答案:

0.04s

A59-year-oldmalepatientpresentswithpalpitationfor1hour.Thepatient’sECGisshownasfollows.Whichofthefollowingisthemostlikelydiagnosisforthispatient?【圖片】

參考答案:

Atrialflutter

Thedepthofdeeppalpationusuallyis

參考答案:

above2cm

Amalepatientwhois56yearsoldisadmittedtothehospitalwithdiarrhea.Themostappropriatequestionforthenursetostartwithis

參考答案:

Whatbringsyouheretoday?

Whatkindoffaciesusuallyposesinpatientswithlobarpneumonia?

參考答案:

Acutefacies

SystematicenlargementoflymphnodescanbeseeninthosediseasesEXCEPT

參考答案:

Tonsilinflammation

Whichofthefollowingdiseasecouldjugularveindistensionsuggest?

參考答案:

Constrictivepericarditis

Ascendingoftheinferiorboundaryoflungcanbedetectedinpatientswithwhichofthefollowingconditions?

參考答案:

Lungfibrosis_Increasedintra-abdominalpressure_Atrophyoflungtissue

Whichofthefollowingmurmurswillbemoreaudiblewhenthepatienttakesdeepbreath?

參考答案:

Murmursofpulmonaryvalvestenosisorpulmonaryvalveregurgitation

A45-year-oldwomancomestothecliniccomplainingofshortnessofbreathandpalpitationonexertionfor3years.Physicalexaminationrevealsthatcardiacdullnessborderenlargeslaterallyandinferiorly,andcardiacdullnessborderisboot-shaped.Thecauseforhersymptomsismostlikelytobe

參考答案:

aorticregurgitation

Whichofthefollowingvalvediseasescanproducediastolicmurmurs?

參考答案:

Mitralstenosis_Aorticinsufficiency

Whatgaitcouldbeseeninpatientswithrickets?

參考答案:

Waddlinggait

Inpatientwithtrachoma,whichpartoftheeyeismainlyinvolved?

參考答案:

Conjunctiva

A56-year-oldmanhasalargeamountofascites.Whatkindofabdomencontourisitforhim?

參考答案:

Abdomenisfrog-likewithumbilicusexerted.

Epigastricpulsationcouldbefoundin

參考答案:

lankyhealthadults_mitralstenosisorincreasedrightventricularcausedbytricuspidregurgitation_abdominalaneurysm_hemangiomasofliver

Whichpairofcranialnervesinnervatesthefacialexpressionmuscles?

參考答案:

Facialnerve

Thebasicmethodformentalhealthassessmentis

參考答案:

interview

A52-year-oldfemalepresentswiththefollowingECG.Whichofthefollowingisthemostlikelydiagnosisforthispatient?【圖片】

參考答案:

SeconddegreeAVB(TypeII)

Completecompensatorypausecouldbeseenin

參考答案:

junctionalprematurebeats._ventricularprematurebeats._bigeminyofventricularprematurecontraction.

Murmursofpatientswithpatentductusarteriosusareusually

參考答案:

continuousmurmurs

Organicsystolicmurmursinapexcanbeheardinpatientswith

參考答案:

mitralvalveprolapsesyndrome

A67-year-oldfemalepresentswiththefollowingECG.Whichofthefollowingisthemostlikelydiagnosisforthispatient?【圖片】

參考答案:

ThirddegreeAVB

A55-year-oldmalepatient,2hoursaftereatinganddrinking,sufferedpersistentpainintheupperabdomenandradiatedtohisleftshoulder,lowerback,andnauseaandvomiting.Hewasadmittedtotheemergencydepartment12hourslater.Currently,themosthelpfuldiagnostictestis:

參考答案:

Bloodandurineamylase

Whichofthefollowingconditionsdoesnotshowadecreaseinredbloodcellsandhemoglobin?

參考答案:

Massivelossofbodyfluids

Whichofthefollowingelementcouldexistintheurineofahealthyperson?

參考答案:

Protein_Inorganicsalt_Water

Aboutthedescriptionsofcarotidpulsationandjugularpulsation,whichoneisNOTcorrect?

參考答案:

Carotidpulsationismoredispersed

Regardingtheexaminationofstool,whichofthefollowingstatementsiscorrect?

參考答案:

Blackstoolsmayappearintheuppergastrointestinalbleedingvolumeof

50ml_Purulentmucus

couldbefoundinthestoolofpatientwith

amoebicdysentery_Rectalcancercanresultin

bloodystools_Whensmallintestineisinflamed,itiseasyformucustoadheretothesurfaceofstool

UnderwhichofthefollowingconditionwillthepatientbetestedpositiveforserumAFP(alpha-fetoprotein)?

參考答案:

Primarylivercancer_Pregnancy_Viralhepatitis_Cirrhosis

Whichofthefollowingconditionswillcausesoysauceurine?

參考答案:

Transfusionofbloodincompatible

Intheurinemicroscopicexamination,somewhitebloodcellcastsarefound,mostprobablythismayindicate：

參考答案:

Pyelonephritis

Thenormalhumanalbumin/globulinratio(A/G)is:

參考答案:

1.5-2.5/1

WhichofthefollowingstatementsaboutcollectionprocedureofstoolisWRONG?

參考答案:

Putinawater-absorbentcontainerwithoutalid

Whichofthefollowingindicateventricularrepolarization?

參考答案:

STsegment_Twave

A67-year-oldmalepresentswiththefollowingECG.Whichofthefollowingisthemostlikelydiagnosisforthispatient?【圖片】

參考答案:

Ventricularfibrillation

Potentiallydangerousventricularprematurecontractionsinclude

參考答案:

frequentventricularprematurecontraction._RonTventricularprematurecontraction._multipleventricularprematurecontraction.

Whichofthefollowingconditionsareedema?

參考答案:

Pleuraleffusion._Edemainlowerextrimities._Pericardialeffusion.

Whichofthefollowingmurmurswillbemoreaudiblewiththepatientleaningforward?

參考答案:

Sighingmurmursofaorticregurgitation

Inabdominalinspection,gastrointestinalpatternandperistalsiscouldbeseenin

參考答案:

patientswithpyloricobstruction_patientswithintestinalobstruction_theelderlywithmeagerorlooseabdominalwall_patientswithcolonicobstruction

Standardleadsinclude:

參考答案:

LeadⅡ_LeadⅢ_LeadI

WhichofthefollowingaretrueconcerningthewaveformsofECG?

參考答案:

Twaveindicatesfastventricularrepolarization._STsegmentindicatesslowlyventricularrepolarization._P-waveindicatesatrialdepolarization._QRScomplexindicatesventriculardepolarization.

A42-year-oldmalepresentswiththefollowingECG.Whichofthefollowingisthemostlikelydiagnosisforthispatient?【圖片】

參考答案:

Leftatrialhypertrophy

Regardingtheexaminationofredbloodcells,whichofthefollowingstatementisINCORRECT?

參考答案:

SecondaryerythrocytosishasnothingtodowithEPO

A50-year-oldmalepresentswiththefollowingECG.Whichofthefollowingisthemostlikelydiagnosisforthispatient?【圖片】

參考答案:

Leftventricularhypertrophy

A26-year-oldfemalepatienthasapersistentchestpainontherightsideforoneweekanddyspneaafteractivities.ChestX-rayshowsmeniscussignontherightside.Whichofthefollowingarethemostlikelynursingdiagnoses?

參考答案:

Activityintolerancerelatedtopleuritis_Painrelatedtopleuritis

Factorsthataffecttheclients’reactioninclude

參考答案:

age_social-culturalbackground_painexperience

A42-year-oldwomanpresentswithdepressiveemotion,lossofinterestandappetite,lossofenergy,frequentfeelingoffatigue,hypologia,insomnia,earlywakening,andoccasionalintentforsuicideforhalfayear.Whichofthefollowingisthemostlikelydiagnosis?

參考答案:

Depression

Whichofthefollowingdisordersofconsciousnessistheleastsevereone?

參考答案:

Lethargy

Whichofthefollowingisacauseofchestpain,butnotadiseaseofthechestwall?

參考答案:

Mediastinalmass.

Painofanginacanradiateto

參考答案:

theleftshoulderandtheinnersideoftheleftforearm.

Inwhichofthefollowconditionscanheadachewithviolentvomitingoccur?

參考答案:

Intracranialhypertension

Whichofthefollowingisameningealirritationsign?

參考答案:

Brudzinskisign_Kernigsign

Thepatientexhibiteddiplopia,adroopingeyelid,restrictedinward,upward,anddownwardmovementoftheeyeball,anddilatedpupils,suggestingtheproblemofcranialnervesof

參考答案:

Oculomotornerve

Liverdullnessareaextensionislikelytobefoundin

參考答案:

HCC(HepatocellularCarcinoma)_polycysticliverdisease_liverabscess

Putlefthandbehindtheorganormasspalpating,andpushtheexaminationregiontotheright-handdirection.Therighthandpressontherightsideofabdomen.Theorganormasscouldbemadenotonlyfixedbutalsoclosertothesurfacetoeaserighthandpalpation.Whatkindofpalpationisthis?

參考答案:

Bimanualpalpation

Inwhichofthefollowinglocationscanpleuralrubsbeheardclearly?

參考答案:

Loweranteriorthoracicwall

Whenauscultatetheabdomenofayoungman,successionsplashinabdominalassessmentisheard.Whichofthefollowingisthemostlikelydiagnosis?

參考答案:

Pyloricobstructionorgastricdilatation

Reboundtendernessinabdomenindicatesthat

參考答案:

organinflammationhasinvolvedtheparietalperitoneum.

Thecorrectorderofabdomenassessmentshouldbe

參考答案:

inspection,auscultation,percussionandpalpation

Typicalsystolicmurmursofaorticstenosisare

參考答案:

organicmurmurs

Todistinguishhepatogenicascitesfromcardiogenicascites,themostreliablesignis

參考答案:

jugularvenousdistention

Themostclinicallysignificantsignofaorticstenosisis

參考答案:

ejectionmurmursinaorticvalveareawithfaintorabsentS2

A36-year-oldwoman,whohasahistoryofrheumaticarthritis,isadmittedforpalpitation,shortnessofbreathandunabletoassumethesupinepositionfor2weeks.Physicalexaminationreveals:faintS1inapicalarea;holosystolicmurmursofgrade3withradiationtotheaxilla;moderatecrescendodiastolicrumblingmurmurswiththrills.Thediagnosisis

參考答案:

mitralstenosiscombinedwithmitralregurgitation

Thoraciclocaleminencecouldbeseenin:

參考答案:

Hydropericardium_Ribfracture_Enlargedheart_Aorticaneurysm

Akindofrepeatedbreathingpattern,whichstartsfromseveralregularbreaths,followedbyapauseandstartsagain.Whichofthefollowingbreathingisit?

參考答案:

Biotsbreathing

A20-year-oldmalefeltasuddenpainintherightchestduringexerciseandhasdyspneafor2hours.Whichofthefollowingshouldbeexaminedmoreintensively?

參考答案:

Heartandlungs

Whichofthefollowingisthecorrectprocedureofauscultationoflungs?

參考答案:

Fromthetoptothebottomandcomparetheleftsidewiththerightsidebutavoidheartarea

Whichofthefollowingisthepercussionsoundofnormallungfield?

參考答案:

Resonance

Increasedtactilefremitusisseeninpatientswithwhichofthefollowingconditions?

參考答案:

Consolidationoflungtissuecausedb