Unit 1 Introduction and health history taking

Unit 1 Test

1、单选题:
‍Which of the following is the symptom but not sign of the patient? ‍
选项:
A: Enlarged spleen
B: Abdominal tenderness
C: Systolic murmur
D: Palpitation
E: Enlarged liver
答案: 【 Palpitation

2、单选题:
‎When the nurse is collecting the health history data and doing physical examination in the ward, the correct standing position is standing at the‌
选项:
A: left side of the patient
B: right side of the patient
C: head of the bed
D: foot of the bed
E: There is no specific requirement
答案: 【 right side of the patient

3、单选题:
‌The health history interview should be cut off if the patient‎
选项:
A: develops a high fever
B: has a jaundice
C: suffers from a chest pain attack
D: has edema
E: coughs a blood-streaked sputum
答案: 【 suffers from a chest pain attack

4、单选题:
​The best way for the nurse to communicate with the patient is‍
选项:
A: taking notes while listening to the patient
B: taking a phone call while listening to the patient
C: facing the patient and maintain eye contact
D: keeping within a distance of 250cm from the patient
E: asking the patient’s family to answer questions
答案: 【 facing the patient and maintain eye contact

5、单选题:
‏The main part of patients’ medical history is‍
选项:
A: chief complaint
B: history of present illness
C: condition of daily life
D: past medical history
E: personal history
答案: 【 history of present illness

6、单选题:
​The depth of deep palpation usually is‌
选项:
A: above lcm
B: above 1.5cm
C: above 2cm
D: above 2.5cm
E: above 3cm
答案: 【 above 2cm

7、单选题:
‎The best way to encourage the patient to talk about his/her condition is‎
选项:
A: to ask the patient to fill out a questionnaire
B: to nod while he/she is speaking to show approval or understanding
C: to ask the roomates to encourage the patient
D: to ask questions constantly
E: to ask the patient’s family to help
答案: 【 to nod while he/she is speaking to show approval or understanding

8、单选题:
‎The best way to acquire accurate medical history during an interview is‏
选项:
A: by listening attentively
B: by guiding the patient
C: by questioning continuously
D: by health promotion
E: by using medical terminology
答案: 【 by listening attentively

9、单选题:
‌A male patient who is 56 years old is admitted to the hospital with diarrhea. The most appropriate question for the nurse to start with is‏
选项:
A: Do you have pain in your abdomen?
B: What brings you here today?
C: Have you suffered from diarrhea?
D: Did you do stool analysis?
E: When did the diarrhea start?
答案: 【 What brings you here today?

10、单选题:
‌Which of the following palpation techniques helps to detect abdominal resistance?‍
选项:
A: Light palpation
B: Deep slipping palpation
C: Ballottement
D: Deep press palpation
E: Bimanual palpation
答案: 【 Light palpation

11、单选题:
‍Which of the following is commonly used for detecting abdominal tender points?‌
选项:
A: Light palpation
B: Deep slipping palpation
C: Ballottement
D: Deep press palpation
E: Bimanual palpation
答案: 【 Deep press palpation

12、单选题:
‏The sound of percussion of a parenchymal organ covered by tissue with gas should be‌
选项:
A: dullness
B: flatness
C: resonance
D: hyperresonance
E: tympany
答案: 【 dullness

13、单选题:
‏Which kind of percussion note occurs on the patient with emphysema?‏
选项:
A: Dullness
B: Flatness
C: Resonance
D: Hyperresonance
E: Tympany
答案: 【 Hyperresonance

14、单选题:
‎A 36-year-old man comes to the ward with the complaint of upper abdominal distention and discomfort. The two symptoms can be relieved after excessive vomiting. The vomitus is fermented and sour-smelling, containing food eaten many hours ago. Which is the most likely diagnosis?‌
选项:
A: Pyloric obstruction
B: Functional dyspepsia
C: Intestinal obstruction
D: Gastric perforation
E: Acute gastritis
答案: 【 Pyloric obstruction

15、单选题:
​In order to detect deep-seated abdominal masses and gastrointestinal lesions, which of the palpation method should be used?‏
选项:
A: Deep slipping palpation
B: Deep press palpation
C: Bimanual palpation
D: Light palpation
E: Ballottement
答案: 【 Deep slipping palpation

16、多选题:
‌The patients’ history of present illness includes‎
选项:
A: onset and duration of chief symptom or signs
B: causes of illness and inducements/precipitating factors
C: features of chief symptom
D: associated symptoms and significant negative symptoms
E: previous studies and treatment
答案: 【 onset and duration of chief symptom or signs;
causes of illness and inducements/precipitating factors;
features of chief symptom;
associated symptoms and significant negative symptoms;
previous studies and treatment

17、多选题:
‌Which of the following belongs to precipitating factors?‍
选项:
A: Injury
B: Poisoning
C: Infection
D: Climate changing
E: Depression
答案: 【 Climate changing;
Depression

18、多选题:
​Under normal conditions, tympany can be heard on examination of‌
选项:
A: lungs
B: heart
C: liver
D: abdomen
E: stomach bubble
答案: 【 abdomen;
stomach bubble

19、多选题:
​Under normal conditions, flatness can be heard on examination of​
选项:
A: lungs
B: heart
C: abdomen
D: liver
E: stomach bubble
答案: 【 heart;
liver

20、多选题:
‌Which of the following is true regarding indirect percussion?‎
选项:
A: Strike 6 or 7 times consecutively when percussing on the same place
B: Strike lightly to identify the relative cardiac dullness
C: The nurse uses the middle finger of left hand to strike the proximal or distal interphalangeal joint of the pleximeter finger of the right hand.
D: The motion of percussion should be oriented by the movement of the wrist and metacarpophalangeal joint, and not the elbow or shoulder joint.
E: Strike hard to identify the upper border of liver.
答案: 【 Strike lightly to identify the relative cardiac dullness;
The motion of percussion should be oriented by the movement of the wrist and metacarpophalangeal joint, and not the elbow or shoulder joint.

Unit 2 General Assessment

Unit 2 test

1、单选题:
​Which of the following group of lymph nodes is not located in head and neck areas? ‍
选项:
A: Preauricular lymph nodes
B: Postauricular lymph nodes
C: Occipital lymph nodes
D: Inguinal lymph nodes
E: Submental lymph nodes
答案: 【 Inguinal lymph nodes

2、单选题:
​What kind of facies usually poses in patients with lobar pneumonia?​
选项:
A: Masked facies
B: Full moon facies
C: Acute facies
D: Chronic facies
答案: 【 Acute facies

3、单选题:
‍What gait could be seen in patients with rickets?‎
选项:
A: Waddling gait
B: Ataxic gait
C: Festinating gait
D: Steppage gait
E: Scissors gait
答案: 【 Waddling gait

4、单选题:
‏Cyanosis is due to the change of hemoglobin which is‎
选项:
A: Increase of reductive hemoglobin
B: Increase of  oxidized hemoglobin
C: Decrease of reductive hemoglobin
D: Decrease of oxidized hemoglobin
答案: 【 Increase of reductive hemoglobin

5、单选题:
‏Which of the following statements does not conform to metastatic lymphadenopathy?‌
选项:
A: Hard texture
B: Easy adhesion
C: Not easy to push
D: Tenderness
E: May spread to other areas
答案: 【 Tenderness

6、单选题:
​Please refer to the descriptions of a patient below and choose the name of the gait that best fits his conditions:‎​The patient is diagnosed with cerebral palsy,when he walks,his gait is characterized by excessive adduction of lower limbs,his legs are crossed when moving.‎
选项:
A: Scissors gait
B: Intermittent claudication gait
C: Ataxic gait
D: Dring man gait
E: Waddling gait
答案: 【 Scissors gait

7、单选题:
This is a patient with Parkinson disease.When the patient begins to walk,his gait is characterized by small steps at slightly fast rate,stooped posture and difficulty in stopping after starting to walk. How would you describe this kind of gait?‌
选项:
A: Festinating gait  
B: Ataxic gait
C: Waddling gait
D: Intermittent claudication gait
答案: 【 Festinating gait  

8、单选题:
‎A patient visits you with a tired looking,with pallor and pale lips and tongue,the patient tells you that he feels exhausted after walking fast or climbing the stairs. What kind of appearance will you describe him?‎
选项:
A: Anemic facies
B: Nephrotic facies
C: Myxedema facies
D: Hepatic facies
E: Mitral facies
答案: 【 Anemic facies

9、单选题:
‏Today entering the ward a patient with meningitis,when you are communicating with him,he seems indifferent and slow in understanding your questions.How would you describe his appearance?​
选项:
A: Typhoid facies(Masked face)
B: Anemic facies
C: Nephrotic facies
D: Hepatic facies
E: Acute facies
答案: 【 Typhoid facies(Masked face)

10、单选题:
​A child patient with facial edema,with pale tongue with identation on the lingual margin.What kind of facies will you describe him? ‍
选项:
A: Nephrotic facies
B: Hepatic facies
C: Myxedema facies
D: Mitral facies
答案: 【 Nephrotic facies

11、单选题:
‏Why does rickets could cause development problems among children?‎
选项:
A: Calcium absorption problem
B: Bone destruction
C: Less secretion of growth hormones
D: Muscle development problem
E: Immunological dysfunction
答案: 【 Calcium absorption problem

12、单选题:
‍Of those descriptions about sthenic type habitus,which of the following options is INCORRECT?​
选项:
A: Drooping shoulder 
B: Short and thick limbs
C: Broad shoulder
D: Epigastric angle larger than ninety
E: Epigastric angle less than ninety
答案: 【 Drooping shoulder ;
Epigastric angle less than ninety

13、单选题:
‍This morning in the out-patient center comes a patient with mild ascites,his face is gloomy with brown pigmentation,with one spider angioma by the cheek.What kind of facies will you use to describe him?‏
选项:
A: Hepatic facies
B: Mitral facies
C: Nephrotic facies
D: Anemic facies
E: Hyperthyreosis facies
答案: 【 Hepatic facies

14、单选题:

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