Health Assessment(Shandong University) 中国大学mooc慕课答案2024版 m51659

Unit 1 Introduction and Health History Taking Unit 1 Test

1、 Which of the following is the symptom but not sign of the patient?

答案: Palpitation

2、 When the nurse is interviewing the health history and doing physical examination in the ward, the correct standing position is standing at the

答案: right side of the patient

3、 The health history interview should be cut off if the patient

答案: suffers from a chest pain attack

4、 The best way for the nurse to communicate with the patient is

答案: facing the patient and maintain eye contact

5、 The main part of patients’ medical history is

答案: history of present illness

6、 The depth of deep palpation usually is

答案: above 2cm

7、 The best way to encourage the patient to talk about his/her condition is

答案: to nod while he/she is speaking to show approval or understanding

8、 The best way to acquire accurate medical history during an interview is

答案: by listening attentively

9、 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

答案: What brings you here today?

10、 Which of the following palpation techniques helps to detect abdominal resistance?

答案: Light palpation

11、 Which of the following is commonly used for detecting abdominal tender points?

答案: Deep press palpation

12、 The sound of percussion of a parenchymal organ covered by tissue with gas should be

答案: dullness

13、 Which kind of percussion note occurs on the patient with emphysema?

答案: Hyperresonance

14、 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?

答案: Pyloric obstruction

15、 In order to detect deep-seated abdominal masses and gastrointestinal lesions, which of the palpation method should be used?

答案: Deep slipping palpation

16、 The patients’ history of present illness includes

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、 Which of the following belongs to precipitating factors?

答案: Climate changing;
Depression

18、 Under normal conditions, tympany can be heard on examination of

答案: abdomen;
stomach bubble

19、 Under normal conditions, flatness can be heard on examination of

答案: heart;
liver

20、 Which of the following is true regarding indirect percussion?

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、 Which of the following group of lymph nodes is NOT located in head and neck areas?

答案: Inguinal lymph nodes

2、 What kind of facies usually poses in patients with lobar pneumonia?

答案: Acute facies

3、 What gait could be seen in patients with rickets?

答案: Waddling gait

4、 Cyanosis is due to the change of hemoglobin which is

答案: increase of reductive hemoglobin

5、 Which of the following statements does NOT conform to metastatic lymphadenopathy?

答案: Tenderness

6、 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.

答案: Scissors gait

7、 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?

答案: Festinating gait

8、 A patient visits you with a tired looking,pallor and pale lips and tongue,the patient tells you that he feels exhausted after fast walking or climbing the stairs. What kind of appearance will you describe him?

答案: Anemic facies

9、 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?

答案: Typhoid facies(Masked facies)

10、 A boy with facial edema,with pale tongue and identation on the lingual margin.What kind of facies will you describe him?

答案: Nephrotic facies

11、 Why does rickets could cause development problems among children?

答案: Calcium absorption problem

12、 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?

答案: Hepatic facies

13、 Which of the following option is NOT included in the general examination?

答案: Sight test

14、 Systematic enlargement of lymph nodes can be seen in those diseases EXCEPT

答案: tonsil inflammation

15、 Which of the following could be the appropriate sites to help estimate the state of nutrition?

答案: Flexual area of forearm or the inferior one-third of the dorsal upper arm;
Dorsum of hands or the interior upper arm;
Upper abdomen;
Dorsum of hands or the superior one-third of the dorsal upper arm;
Calf muscle

16、 Cretinism mainly occurred before maturation and often caused by

答案: hypothyroidism;
abnormal secretion of certain hormones

17、 Passive position is seen in patients with

答案: extreme weakness and unconsciousness;
unconscious patients

18、 A 42-year-old woman comes into your office with dim eyes, worried expression, darkish complexion,purplish-red cheeks and slightly cyanosis lips. What kind of facies can we adopt to describe her appearance?

答案: Chronic facies;
Mitral facies

19、 A 33-year-old lady with a complaint of cough,chest distress and shortness of breath for 3 months is diagnosed with massive pleural effusion of the right chest. Which position will this patient most likely to choose when lying?

答案: Compulsive position;
Lateral position on the right

20、 Which of the following descriptions about sthenic type habitus is INCORRECT?

答案: Drooping shoulder;
Epigastric angle less than ninety

Unit 3 Head & Neck Assessment Unit 3 Test

1、 In patients with trachoma, which part of the eye is mainly involved?

答案: Conjunctiva

2、 When a patient is poisoned by organophosphorus, what will happen with his eyes?

答案: To reduce in diameter of pupils

3、 In the inspection of oral cavity, the palatine tonsils protrude beyond the palatopharyngeal arch but do not reach the midline. Which of the following degree of tonsillar enlargement should the symptoms above be classified to?

答案: II

4、 In which of the following conditions can bilateral ptosis be detected?

答案: Myasthenia gravis

5、 What is the border between the anterior and posterior triangle of the neck?

答案: The sternocleidomastoid

6、 Which of the following diseases could jugular vein distension suggest?

答案: Constrictive pericarditis

7、 About the descriptions of carotid pulsation and jugular pulsation, which one is NOT correct?

答案: Carotid pulsation is more dispersed.

8、 About the assessment of thyroid, which one of the following descriptions is correct?

答案: Normal thyroid is not visible.

9、 What is NOT correct about the palpation of the thyroid?

答案: It needs two examiners’ cooperation to palpate the thyroid.

10、 When we are trying to determine the enlargement of the thyroid, Degree II and Degree III are different in

答案: the enlargement that exceeds sternocleidomastoid or not

11、 The swelling of parotid gland could happen when patients have those following diseases EXCEPT

答案: oral infection

12、 Bleeding of the gum could be caused by the following conditions EXCEPT

答案: deficiency of riboflavin

13、 Herpes on lips could be a sign of

答案: viral infection

14、 A 70-year-old female presented with clustered semitransparent vesicles on the vermilion border of the lip with an initial itching and tingling sensation. Vesiculation progressed to crusting about one week ago, the patient later recovered without any scar. Which of the following is most likely to be the cause of the changes above?

答案: Infection of herpes simplex virus

15、 A 2-year-old boy presents with frontal bossing, a flat square vertex and increased sweating. Which of the following is the most likely diagnosis?

答案: Rickets

16、 A 67-year-old man presents with sudden dyspnea over the past 2 hours, the following considerations should be noted in the first place in his physical examination EXCEPT

答案: skinfold thickness

17、 Fissured tongue (wrinkled tougue) is characterized by deep grooves in the tongue and could be caused by

答案: lack of riboflavin intake;
down syndrome

18、 In which of the following conditions can pupillary dilation be seen?

答案: Drug reaction of atropine;
Brain injury;
Absolute glaucoma;
Surgical accidental injury

19、 Which of the following descriptions about Koplik spot are correct?

答案: White spots;
On the buccal mucosa lateral to the second molar teeth;
Happens in the early stage of measles

20、 Which of the following are TRUE regarding the examination of the jugular vein?

答案: Jugular vein distention could be seen in right heart failure.;
Jugular vein distention can be seen in pericardia effusions.;
Jugular vein distention means venous pressure is elevated.

Unit 4 Chest wall, Thorax, Breast, and Lungs Assessment Unit 4 Test

1、 Which of the following is an important landmark to count ribs and intercostal spaces on the front chest?

答案: Sternal angle

2、 In the standing position with upper limbs falling naturally, which of the following spaces does inferior angle of scapula reach?

答案: 7th intercostal space

3、 Which of the following is the Three Depression Sign?

答案: Suprasternal, supraclavicular, and intercostal fossae depression

4、 Under which of the following conditions can increased tactile fremitus be seen in patients?

答案: Consolidation of lung tissue caused by alveolar inflammation

5、 Under which of the following conditions is dullness NOT likely to be detected in patients?

答案: Pneumothorax

6、 Which of the following is the percussion sound of normal lung field?

答案: Resonance

7、 Decreased chest breathing and increased abdominal breathing could be seen in

答案: pleurisy

8、 Which of the following is the correct procedure of auscultation of lungs?

答案: Auscultate from the top to the bottom and compare the left side with the right side but avoid heart area.

9、 In which of the following locations do coarse crackles mainly occur?

答案: Main bronchus

10、 In which of the following locations can pleural rubs be heard clearly?

答案: Lower anterior thoracic wall

11、 A 20-year-old male felt a sudden pain in the right chest during exercise and has dyspnea for 2 hours. Which of the following should be examined more intensively?

答案: Heart and lungs

12、 A 26-year-old young man has progressive dyspnea after a trauma. Physical examination reveals lateral displacement of the trachea, unilateral chest enlargement, broadened intercostal spaces, and tympany to percussion. Which of the following is the most likely diagnosis?

答案: Pneumothorax

13、 A 32-year-old female has fever, chill, productive cough, and chest pain for 3 days after being caught in the rain. Physical examination reveals decreased breathing motions of lower left lung, increased tactile fremitus. There is flatness to percussion and coarse crackles to auscultation. Which of the following is the most likely diagnosis?

答案: Consolidation

14、 A 10-year-old boy presents with dyspnea, cyanosis and prolonged expiratory phase after breathing in cold air. Wheezes are detected to auscultation throughout her lung fields. Which of the following is the most likely diagnosis?

答案: Bronchial asthma

15、 A 27-year-old male presents with a low-grade fever and nonproductive cough after catching a cold 3 days ago. He also has pain in the left chest which can be worsened during deep breath. X-Ray reveals blunting of the left costophrenic angle. Which kind of sounds can be heard to auscultation?

答案: Pleural rubs

16、 A kind of repeated breathing pattern, which starts from several regular breaths, is followed by a pause and starts again. Which of the following breathing is it?

答案: Biots breathing

17、 Under which of the following conditions can ascending of the inferior boundary of lung be detected in patients?

答案: Atelectasis;
Lung fibrosis;
Atrophy of lung tissue;
Increased intra-abdominal pressure

18、 Decrease or disappearance of respiratory movement could be seen in

答案: emphysema;
pneumonia;
pleural effusion;
pneumothorax

19、 Thoracic local eminence could be seen in

答案: enlarged heart;
hydropericardium;
aortic aneurysm;
costochondritis;
rib fracture

20、 A 65-year-old female has a 15-year history of chronic productive cough and a 10-year history of dyspnea, and her condition worsened 2 days ago. She is diagnosed with COPD in the acute exacerbation stage. Which of the following can be detected on physical examination?

答案: Barrel chest;
Decreased breathing sounds;
Sporadic crackles and rhonchi

Unit 5 Heart and Vascular Assessment Unit 5 Test

1、 The physical examination for Mr. Lin, a 58-year-old man, reveals the lateral and inferior displacement of the apical impulse. It suggests

答案: left ventricular enlargement

2、 A 36-year-old woman, who has a history of rheumatic arthritis, is admitted for palpitation, shortness of breath and unable to assume the supine position for 2 weeks. Physical examination reveals: faint S1 in apical area; holosystolic murmurs of grade 3 with radiation to the axilla; moderate crescendo diastolic rumbling murmurs with thrills. The diagnosis is

答案: mitral stenosis combined with mitral regurgitation

3、 The most clinically significant sign of aortic stenosis is

答案: ejection murmurs in aortic valve area with faint or absent S2

4、 To distinguish hepatogenic ascites from cardiogenic ascites, the most reliable sign is

答案: jugular venous distention

5、 Which of the following can occur in pericardial effusion?

答案: Paradoxical pulse

6、 Which of the following can occur in hypertensive heart disease?

答案: Pulsus alternans

7、 Austin Flint murmurs occur in

答案: moderate or severe aortic regurgitation

8、 Systolic murmurs in aortic valve area can occur in

答案: stenosis of the ascending aorta

9、 Organic systolic murmurs in apex can be heard in patients with

答案: mitral valve prolapse syndrome

10、 Which of the following murmurs will be more audible when the patient takes deep breath?

答案: Murmurs of pulmonary valve stenosis or pulmonary valve regurgitation

11、 Which of the following murmurs will be more audible with the patient leaning forward?

答案: Sighing murmurs of aortic regurgitation

12、 Besides mitral stenosis, in which of the following can abnormally louder S1 be detected?

答案: Anemia

13、 The second aortic auscultation area is located

答案: next to the left sternal edge in the third intercostal space

14、 In heart percussion, the cardiac dullness border extends bilaterally, and the left heart border extends laterally and inferiorly. It suggests

答案: left and right ventricular enlargement

15、 Murmurs of patients with patent ductus arteriosus are usually

答案: continuous murmurs

16、 A 45-year-old woman comes to the clinic complaining of shortness of breath and palpitation on exertion for 3 years. Physical examination reveals that cardiac dullness border enlarges laterally and inferiorly, and cardiac dullness border is boot-shaped. The cause for her symptoms is most likely to be

答案: aortic regurgitation

17、 A 59-year-old woman has a history of hypertension for more than 10 years. She complains of palpitation, shortness of breath and marked limitation of physical activity for 10 days. Which of the following signs is most likely to be found in her physical examination?

答案: The apical impulse shifts to the left and downward.

18、 Typical systolic murmurs of aortic stenosis are

答案: organic murmurs

19、 The increased intensity of A2 can NOT occur in

答案: aortic stenosis;
pulmonary valve stenosis;
hypotension;
pericardial effusion

20、 Louder S1 in heart auscultation can NOT occur in

答案: mitral regurgitation;
hypothyroidism;
myocardial infarction;
atrial fibrillation

21、 The right percussion orders of cardiac dull resonance border are

答案: from bottom to up;
from left to right;
from outside to innerside

22、 Which of the following valve diseases can produce diastolic murmurs?

答案: Aortic insufficiency;
Mitral stenosis

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1、 The correct order of abdomen assessment should be

答案: inspection, auscultation, percussion and palpation

2、 Liver span is the distance between upper and lower bounds of the liver in the right when you percuss along the midclavicular line, the normal range is

答案: 9-11cm

3、 The upper bound of liver dullness space disappears and is replaced by tympany. This can be found in

答案: acute gastrointestinal perforation

4、 Shifting dullness in abdomen suggests

答案: ascites

5、 Which is the palpable organ in normal assessment?

答案: Lumbar cone

6、 Rebound tenderness in abdomen indicates that

答案: organ inflammation has involved the parietal peritoneum.

7、 Gallbladder enlargement and tenderness to palpation are found in abdominal assessment, which is the most likely diagnosis?

答案: Acute cholecystitis

8、 A 32-year-old man comes to the emergency room with acute abdomen pain. The diagnosis for him is acute appendicitis. What is the most significant sign?

答案: Fixed tenderness of McBurney point

9、 When auscultate the abdomen of a young man, succession splash in abdominal assessment is heard. Which of the following is the most likely diagnosis?

答案: Pyloric obstruction or gastric dilatation

10、 A 55-year-old woman complains of abdominal distention for more than 3 months. Her abdominal circumference progressively increases accompanied with pitting edema in lower extremities. Lab test indicates abnormal liver function. She has been diagnosed with Hepatitis B for more than 30 years. The possible diagnosis is

答案: cirrhosis after hepatitis B infection with ascites

11、 A 58-year-old woman complains of abdominal distention for more than 3 months. Her abdominal circumference progressively increases accompanied with pitting edema in lower extremities. Lab test indicates abnormal liver function. She has been diagnosed with Hepatitis B for more than 30 years. What is the positive sign for her?

答案: Positive in shifting dullness

12、 A 57-year-old woman complains of abdominal distention for more than 3 months. Her abdominal circumference progressively increases accompanied with pitting edema in lower extremities. She has been diagnosed with Hepatitis B for more than 25 years. She has varicose veins in abdomen. Which of the following is the direction of blood flow on her abdominal wall?

答案: The veins are umbilicus-centered and blood flows in all direction.

13、 Put left hand behind the organ or mass palpating, and push the examination region to the right-hand direction. The right hand press on the right side of abdomen. The organ or mass could be made not only fixed but also closer to the surface to ease right hand palpation. What kind of palpation is this?

答案: Bimanual palpation

14、 A 56-year-old man has a large amount of ascites. What kind of abdomen contour is it for him?

答案: Abdomen is frog-like with umbilicus exerted.

15、 Abdominal breathing weakens or disappears in the following cases

答案: peritonitis;
ascites;
diaphragmatic paralysis;
pregnancy

16、 In abdominal inspection, gastrointestinal pattern and peristalsis could be seen in

答案: the elderly with meager or loose abdominal wall;
patients with pyloric obstruction;
patients with intestinal obstruction;
patients with colonic obstruction

17、 Epigastric pulsation could be found in

答案: lanky health adults;
abdominal aneurysm;
hemangiomas of liver;
mitral stenosis or increased right ventricular caused by tricuspid regurgitation

18、 Which of the following can NOT be heard in normal abdominal auscultation?

答案: Arterial murmurs;
Friction rub;
Succession splash;
Venous murmurs

19、 Which of the following descriptions are right about auscultation of bowel sounds?

答案: Active bowel sounds can be heard in acute gastroenteritis, taking laxatives or gastrointestinal bleeding.;
Hyperactive bowel sounds can be heard in mechanical obstruction.;
Decreased bowel sounds can be heard in senile constipation.;
Bowel sounds disappearance can be heard in acute peritonitis or paralytic ileus.

20、 Liver dullness area extension is likely to be found in

答案: HCC (Hepatocellular Carcinoma);
liver abscess;
liver congestion;
polycystic liver disease

Unit 7 Spine, Extremities and Neurological Assessment Unit 7 Test

1、 Which of the following is scoliosis that can be corrected by changing posture?

答案: Postural scoliosis

2、 When assessing muscle strength, how many levels are there?

答案: Six

3、 Spinal cord diseases often lead to which of the following signs or diseases?

答案: Paraplegia

4、 Which of the following does not belong to the ataxia examination?

答案: Action tremor

5、 Which of the following diseases is common in festination gait?

答案: Parkinson’s Disease

6、 Which of the following is not a deep reflex?

答案: Cremasteric reflex

7、 Babinski sign is due to which of the following parts is damaged?

答案: Pyramidal tract

8、 Which of the following is not a superficial reflex?

答案: Patellar tendon reflex

9、 Which of the following is not a deep reflex?

答案: Abdominal reflex

10、 If a patient shows level 2 in the muscle strength assessment, then his/her performance meets which of the following?

答案: Limbs can move horizontally but cannot lift/ Full range of motion without gravity (passive motion)

11、 Which of the following is a typical manifestation of a positive Babinski sign?

答案: Hallux dorsiflexion, other toes fanned out

12、 If a patient shows level 4 in the muscle strength assessment, then his/her performance meets which of the following?

答案: Can perform resistance action, but worse than normal/ Full range of motion against gravity with moderate resistance

13、 Which of the following is not included in the exercise function test?

答案: Nerve reflex

14、 The patient exhibited diplopia, a drooping eyelid, restricted inward, upward, and downward movement of the eyeball, and dilated pupils, suggesting which pair of cranial nerves were damaged?

答案: Oculomotor nerve

15、 Which pair of cranial nerves innervates the facial expression muscles?

答案: Facial nerve

16、 Regarding the physiological curvature of the spine, which of the following is backward?

答案: thoracic vertebrae;
Sacral vertebrae

17、 Regarding the physiological curvature of the spine, which of the following is forward?

答案: Cervical vertebra;
Lumbar vertebra

18、 Which of the following is a superficial reflex?

答案: Abdominal reflex;
Corneal reflex;
Cremasteric reflex;
Plantar reflex

19、 When checking muscle strength, the patient must meet which of the following condition?

答案: Could cooperate with the nurse to check;
Being conscious

20、 Which of the following is a meningeal irritation sign?

答案: Kernig sign;
Brudzinski sign

Unit 8 Psychosocial assessment, Symptoms assessment, and Nursing diagnosis Unit 8 Test

1、 The locations of hypertension-induced headaches are characterized by

答案: pain in the whole head

2、 In which of the following conditions can impulsive headache occur?

答案: Vascular headache

3、 In which of the follow conditions can headache with violent vomiting occur?

答案: Intracranial hypertension

4、 Pain of angina can radiate to

答案: the left shoulder and the inner side of the left forearm

5、 Chest pain that happens behind the sternum or below the xiphoid, with a squeezing or compressing nature, indicates

答案: angina

6、 Which of the following is a cause of chest pain, but not a disease of the chest wall?

答案: Mediastinal mass

7、 A 64-year-old man has symmetric pitting edema in both legs for 3 weeks. The edema worsens over the day and relieves after night sleep. He has no limitation of motion, no eyelid edema, no fever and no pain. And he is able to lie down at night. History of past illnesses: hypertension for several years and it is under control by oral amlodipine and metoprolol. Bp: 120/70mmHg. Physical exam reveals no abnormalities in his heart and lungs but mild pitting edema in his legs. Which of the following is UNLIKELY to be the diagnosis?

答案: Angioneurotic edema

8、 A 4-year-old boy suddenly had dyspnea after laughing at a meal. He has cyanosis, positive three retraction signs, and high-pitch wheezing. Which of the following is the most likely diagnosis?

答案: Foreign body in the trachea

9、 A 59-year-old male patient has been unable to lie down for two days. He also complains of dyspnea, coughing up pink foamed sputum. Which of the following is the most likely diagnosis for him?

答案: Acute left heart failure

10、 A 16-year-old boy had a sudden chest pain with dyspnea after the collision with a player at a basketball game. Which is the most likely diagnosis for this patient?

答案: Pneumothorax

11、 A 36-year-old female patient presents with recurrent upper abdominal pain for 3 years, which relieves after meals and aggravates at night. Her physical examination is unremarkable. Which of the following is the most likely diagnosis for her?

答案: Duodenal bulbar ulcer

12、 Which of the following disorders of consciousness is the least severe one?

答案: Lethargy

13、 A 71-year-old male patient presents with sudden severe headache and vomiting. Soon later, he presents impaired consciousness, and is unresponsive to sound and light stimuli, and shows unpleasant facial expression to pain stimulus. His light reflex and eye movement are present. Which of the following diagnoses is correct?

答案: Mild coma

14、 A 42-year-old woman presents with depressive emotion, loss of interest and appetite, loss of energy, frequent feeling of fatigue, hypologia, insomnia, early wakening, and occasional intent for suicide for half a year. Which of the following is the most likely diagnosis?

答案: Depression

15、 Which of the following belongs to the first role?

答案: Mother

16、 The basic method for mental health assessment is

答案: interview

17、 Factors that affect the clients’ reaction include

答案: age ;
willpower ;
pain experience;
social-cultural background

18、 Which of the following statements regarding the mechanisms of edema and ascites caused by liver cirrhosis are correct?

答案: Obstruction of lymph drainage in the liver ;
Secondary aldosteronism;
Portal hypertension ;
Hypoalbuminemia

19、 Which of the following are the mechanisms of edema?

答案: Capillary hydrostatic pressure increases;
Tissue colloid osmotic pressure increases;
Interstitial fiuid pressure increases;
Capillary permeability increases

20、 Which of the following conditions are edema?

答案: Edema in lower extrimities ;
Eyelid edema;
Pericardial effusion;
Pleural effusion

21、 A 26-year-old female patient has a persistent chest pain on the right side for one week and dyspnea after activities. Chest X-ray shows meniscus sign on the right side. Which of the following are the most likely nursing diagnoses?

答案: Pain related to pleuritis;
Activity intolerance related to pleuritis

22、 A 25-year-old male patient comes to clinic for high fever after a cold. He also complains of cough with yellow sputum that not easy to be excreted and right chest pain. Which of the following are the most likely nursing diagnoses?

答案: Pain related to poneumonia;
Ineffective Airway Clearance related to poneumonia;
Hyperthermia related to inflammation

Unit 9 Electrocardiogram (ECG) Unit 9 Test

1、 Lead I is a standard lead, where should the electrodes be placed?

答案: Right and left wrist

2、 When the graph paper moves at a constant speed of 25mm/s, then one small box represents

答案: 0.04s

3、 A 59-year-old male patient presents with palpitation for 1 hour. The patient’s ECG is shown as follows. Which of the following is the most likely diagnosis for this patient?

答案: Atrial flutter

4、 A 17-year-old male presents with the following ECG. Which of the following is the most likely diagnosis for this patient?

答案: Atrial premature beats

5、 A 42-year-old male presents with the following ECG. Which of the following is the most likely diagnosis for this patient?

答案: Left atrial hypertrophy

6、 A 50-year-old female presents with the following ECG. Which of the following is the most likely diagnosis for this patient?

答案: Right atrial hypertrophy

7、 A 50-year-old female presents with the following ECG. Which of the following is the most likely diagnosis for this patient?

答案: Left ventricular hypertrophy with heart strain

8、 A 50-year-old male presents with the following ECG. Which of the following is the most likely diagnosis for this patient?

答案: Left ventricular hypertrophy

9、 A 50-year-old male presents with the following ECG. Which of the following is the most likely diagnosis for this patient?

答案: Right ventricular hypertrophy with heart strain

10、 A 48-year-old male presents with the following ECG. Which of the following is the most likely diagnosis for this patient?

答案: Acute anterior myocardial infarction

11、 A 48-year-old male presents with the following ECG. Which of the following is the most likely diagnosis for this patient?

答案: Ventricular premature beats

12、 A 32-year-old male presents with the following ECG. Which of the following is the most likely diagnosis for this patient?

答案: Paroxysmal ventricular tachycardia

13、 A 67-year-old male presents with the following ECG. Which of the following is the most likely diagnosis for this patient?

答案: Ventricular fibrillation

14、 A 46-year-old male presents with the following ECG. Which of the following is the most likely diagnosis for this patient?

答案: First degree AVB

15、 A 46-year-old male presents with the following ECG. Which of the following is the most likely diagnosis for this patient?

答案: Second degree AVB (Type I)

16、 A 52-year-old female presents with the following ECG. Which of the following is the most likely diagnosis for this patient?

答案: Second degree AVB (Type II)

17、 A 67-year-old female presents with the following ECG. Which of the following is the most likely diagnosis for this patient?

答案: Third degree AVB

18、 Normal cardiac excitation generates from

答案: sinus node

19、 Which of the following are true concerning the waveforms of ECG?

答案: P-wave indicates atrial depolarization.;
QRS complex indicates ventricular depolarization.;
ST segment indicates slowly ventricular repolarization.;
T wave indicates fast ventricular repolarization.

20、 Which of the following indicate ventricular repolarization?

答案: ST segment;
T wave

21、 Standard leads include:

答案: Lead I;
Lead Ⅱ;
Lead Ⅲ

22、 The augmented leads include:

答案: Lead aVR;
Lead aVL ;
Lead aVF

23、 Potentially dangerous ventricular premature contractions include

答案: frequent ventricular premature contraction ;
multiple ventricular premature contraction ;
syncytial ventricular premature contraction ;
R on T ventricular premature contraction

24、 Premature beats could be seen in

答案: excitement;
overeating, drinking, smoking ;
physical overwork;
carditis ;
acute myocardiac infarction

25、 Complete compensatory pause could be seen in

答案: ventricular premature beats ;
junctional premature beats;
bigeminy of ventricular premature contraction

Unit 10 Laboratory Examination Unit 10 Test

1、 Routine blood test does not include

答案: Reticulocyte count

2、 Which of the following description meets the characteristics of leakage ?

答案: Presents with serous appearance

3、 Oliguria means that the urine volume within 24 hours is less than

答案: 400ml

4、 Hyperkalemia means that the blood potassium concentration exceeds：

答案: 5.5mmol / L

5、 A 55-year-old male patient, 2 hours after eating and drinking, suffered persistent pain in the upper abdomen and radiated to his left shoulder, lower back, and nausea and vomiting. He was admitted to the emergency department 12 hours later. Currently, the most helpful diagnostic test is:

答案: Blood and urine amylase

6、 In the blood test, the right shift of the nucleus of the peripheral blood neutrophils often indicates：

答案: Low bone marrow hematopoietic function

7、 Which of the following result of blood examinations is ABNORMAL?

答案: Lymphocyte ratio 10% (adult female)

8、 Which of the following statement indicates liver cells seriously damaged as well as a poor prognosis?

答案: Significantly and continuously reduced albumin

9、 Which of the following statements about collection procedure of stool is WRONG?

答案: Put in a water-absorbent container without a lid

10、 Which of the following conditions will cause soy sauce urine?

答案: Transfusion of blood incompatible

11、 Which of the following conditions does not show a decrease in red blood cells and hemoglobin?

答案: Massive loss of body fluids

12、 In the urine microscopic examination, some white blood cell casts are found, most probably this may indicate：

答案: Pyelonephritis

13、 Which of the following condition will cause the increase the eosinophil count:

答案: Intestinal hookworm infection

14、 The normal human albumin / globulin ratio (A / G) is:

答案: 1.5-2.5 / 1

15、 Regarding the examination of red blood cells, which of the following statement is INCORRECT?

答案: Secondary erythrocytosis has nothing to do with EPO

16、 Which of the following element could exist in the urine of a healthy person?

答案: Water;
Protein;
Urea;
Inorganic salt

17、 Under which of the following condition will the patient be tested positive for serum AFP (alpha-fetoprotein)?

答案: Cirrhosis;
Primary liver cancer;
Pregnancy;
Viral hepatitis

18、 Abnormal urine smell can be seen in which of the following conditions?

答案: Eating food with pungent smell;
Chronic cystitis;
Diabetic ketoacidosis;
Organophosphorus pesticide poisoning;
Phenylketonuria

19、 Regarding the examination of stool, which of the following statements is correct?

答案: When small intestine is inflamed, it is easy for mucus to adhere to the surface of stool;
Purulent mucus could be found in the stool of patient with amoebic dysentery;
Black stools may appear in the upper gastrointestinal bleeding volume of 50 ml;
Bile duct obstruction could result in white clay-like stool;
Rectal cancer can result in bloody stools

20、 Which of the following indicators can be used to assess red blood cell morphology?

答案: Average red blood cell index;
Mean corpuscular hemoglobin;
Mean corpuscular hemoglobin concentration;
Mean corpuscular volume

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