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Preguntas del test (50)
151. During the physical the following steps must be taken:
- AA. Palpation of the heart is used to identify the heart sounds
- BB. When evaluating the cardiovascular system, it is important to identify the pulse, blood pressure and bowel sounds.
- CC. During palpation of the respiratory system, we can identify the estimated vocal fremitus (vibrations).
- DD. During auscultation of the heart, we can identify the pulsation of the chest wall.
- EE. Ptosis, exophthalmos, edema of lids can be identifed during the head examination
- FF. During the upper limbs’ examination, we must pay attention to the hands, nails, axillae, and joints.
- GG. During the inspection of the respiratory system, we can identify the rate and character of breathing
- HH. Cough, sputum, hemoptysis, and wheezing is identifed during the examination of the cardiovascular system.
- II. In the general assessment, we evaluate the general aspect, temperature, height and weight, skin colour, nutrition,
subcutaneous tissues, and the breasts.
252. The following statements about inspection during physical examination are true:
- AA. The examination is done for bottom to top.
- BB. The inspected area must be free of clothing.
- CC. During the inspection the physician is seated in front of the patient.
- DD. The back of the body may be skipped due to the lack of clinical signs.
- EE. The patient must remove all his cloths to do a correct inspection.
- FG. The inspection is done in a one-to-one intimate environment.
- GH. The inspection if preferred to be done in natural sunlight.
- HJ. Its diagnostic importance is decisive in certain diseases (i.e., Basedow’s disease)
- II. The inspection should only be caried out after fnishing the medical interview.
353. Which of the following statements regarding palpation during the objective clinical examination are true?
- AA. During palpation we must watch the face of the patient to detect signs of discomfort or pain.
- BB. Clinical palpation has lost its importance due to advanced imaging investigations.
- CC. Palpation is always done with the patient in siting position.
- DD. The palpation is made with the palm for superfcial palpation and with the tips of the fngers for deep palpation.
- EE. Before starting the examination, we must ensure that our hands are warm.
- FF. The palpation needs to be frm and persistent to correctly identify any lesions.
- GH. The mobility of a mass can be evaluated through palpation
- HI. Sensitivity of a specifc organ ca be identifed through palpation.
- IJ. Palpation offers data concerning the volume of the surface.
454. The following statements about percussion during clinical examination are correct:
- AA. The hand that is struck during percussion needs to be softly placed against the skin.
- BB. Percussion of the liver will yield a resonant sound.
- CC. Percussion errors are caused by the improper position of the middle finger of the left hand.
- DD. The percussion of the lungs will yield a tympanic resonance.
- EE. The percussion movement must be a free pendular action of the elbow.
- FG. It is one of the 4 important steps of clinical examination.
- GH. A resonant sound can be identifed when we do percussion of the lungs or of the abdomen.
- HI. It helps to identify the type of structure under the skin by the resulting sounds.
- IJ. Dull sound is associated with airless tissues and organs.
555. The following statements about auscultation during clinical examination are correct:
- AA. The ears pieces must be perfectly adapted to the external auditory meatus.
- BB. Through auscultation we can identify resonance and dull sounds
- CC. Auscultation has lost its importance due to advanced imaging investigations.
- DD. Auscultation is especially important when evaluating the cardiovascular and respiratory system
- EG. The auscultation must be done in perfect silence.
- FH. De diaphragm of the stethoscope must be properly positioned on the skin surface
- GI. Auscultation can be omitted if we do a good percussion during the clinical examination.
- HJ. The auscultation is performed with the stethoscope under certain conditions.
656. Which of the following statements regarding the physical examination of the alimentary system are correct?
- AA. A correct physical examination of the abdomen implies inspection, palpation, percussion and auscultation.
- BB. Abdominal percussion is helpful in identifying the limits of individual organs.
- CC. Bowel sounds can be identifed during percussion.
- DD. By examining the pharynx, we can evaluate the state of the tonsils.
- EE. Abdominal lymph nodes are identifed by inspection.
- FF. During abdomen auscultation we can identify lung murmurs.
- GG. During inspection of the abdomen, we can evaluate the shape, size, respiratory movements of the abdomen wall.
- HH. A good clinician also examines the mouth and the throat.
757. Regarding exophthalmos, the following statements are true:
- AA. Endocrine exophthalmia is usually unilateral
- BB. Non-endocrine exophthalmos is generally bilateral
- CC. Endocrine exophthalmia is usually bilateral, the representative type being that of Basedow's disease
- DD. It represents a change in the eyelids
- EE. Non-endocrine exophthalmia is found in brain-cranial diseases (pituitary tumors)
- FF. It represents the clogging of the eyeballs in the orbits
- GG. Non-endocrine exophthalmos is generally unilateral
- HH. Non-endocrine exophthalmia is found in orbito-ocular diseases (traumas, malformations, malignant tumors,
phlegmon) - II. It represents the protrusion of the eyeballs outside the orbits
858. Regarding changes in the pupils, the following statements are true:
- AA. Pupillary hippus is characterized by changes in the diameter of the pupils (Landolf's sign), due to the pulsations
of the iris vessels in aortic insuffciency - BB. Mydriasis (enlargement, dilation of the pupil) occurs in physiological (looking at a distant object) and pathological
(administration of atropine, in the dying) states - CC. Pupillary inequality (anisochoria) occurs in nervous syphilis
- DD. Mydriasis means the pupil shrinks
- EE. The Argyll-Robertson sign is defned by the preservation of the photomotor refex with loss of distance
accommodation - FF. The Argyll-Robertson sign is found in tabes and cranial tumors
- GG. Miosis (shrinkage of the pupil) occurs in physiological (looking at an object up close) and pathological conditions
(paralysis of the cervical sympathetic, opiate intoxication) - HH. Miosis means enlargement, dilation of the pupil
- II. Anisocoria occurs in congenital syphilis
- AA. Pupillary hippus is characterized by changes in the diameter of the pupils (Landolf's sign), due to the pulsations
959. Regarding the facies, the following are true:
- AA. Rhinophyma consists of a big, deformed, lobated nose
- BB. In hyperthyroidism the patients have puffy facies, bagginess under the eyes, loss or thinning of the outer third of
the eyebrows - CC. In congenital syphilis the patients have a big, deformed, lobated nose
- DE. In facial paralysis, the features of the face deviate toward the healthy side
- EH. In pituitary dwarfsm, the skin of the face has a mixed character, infantile and old at the same time
- FG. “Risus sardonicus” is specifc for tetanus
- GI. In systemic lupus erythematosus, the facies is called “butterfy like” because of erythematous plaque covering the
nose and cheeks - HJ. In systemic lupus erythematosus, the facies is called “Byzantine icon” because of erythematous plaque covering
the nose and cheeks - IF. In Parkinson’s disease the patients have lack of expression with well stretched skin and the nose and lips are thin
1060. The facies in Down’s syndrome has the following features:
- AA. Low set ears
- BB. Oblique palpebral fssures
- CC. Small ears
- DD. Small chin
- EE. Protruded tongue
- FF. Flat nasal bridge
- GG. Small mouth
- HH. Exophthalmos
- II. Fish-like mouth
1161. The following are true regarding the facies in patients with thyroid dysfunction:
- AA. In hypothyroidism the facies is called myxedematous
- BB. The basedowian facies consists of bilateral exophtalmous and lid retraction
- CC. The bilateral exophtalmous in hyperthyroidism gives the aspect of “starring eyes”
- DD. The myxedematous facies consists of puffy facies, bagginess under the eyes, loss or thinning of the outer
third of the eyebrows - EE. The basedowian facies is specifc for Grave’s disease
- FF. One of the main features of myxedematous facies is the “starring eyes”
- GG. Patients with Basedow-Grave’s usually have puffy facies and bagginess under the eyes
- HH. The myxedematous facies is specifc for thyrotoxicosis
1262. Which are the symptoms and signs of hyperthyroidism?
- AA. Voice is hoarse
- BB. Palpitations
- CC. Gynecomastia
- DD. Periorbital edema
- EE. Diarrhea
- FF. Amenorrhea
- GG. Nervousness
- HH. Vitiligo may be present
- II. Lethargy
1363. Which are the symptoms and signs of hypothyroidism?
- AA. Skin is cool, dry and coarse
- BB. Weight loss
- CC. Constipation
- DD. Cramping of the muscles
- EE. Nervousness
- FF. Mental sluggishness
- GG. Gynecomastia
- HI. Loss of appetite
1464. Which are the symptoms and signs of myxedema?
- AA. Carpal tunnel syndrome
- BB. Dry skin
- CC. Myotonia
- DD. Amenorrhea
- EE. Hyperkinesis
- FF. Ataxia
- GG. Muscular hypotrophy
- HI. Deep voice
1565. Which are the symptoms and signs of acromegaly?
- AA. Small nose
- BB. Weight gain
- CC. Increased sweating
- DD. Paresthesia
- EE. Enlarged tongue
- FF. Heartburn
- GG. Decreased sweating
- HI. Muscular weakness
- IJ. Headaches
1666. Which are the symptoms and signs of Cushing's syndrome?
- AA. Loss of weight
- BB. General wasting
- CC. Buccal pigmentation
- DD. Striae
- EE. Rib fractures
- FF. Loss of body hair
- GG. Moon face
- HH. Plethora
- IJ. Glycosuria
1767. Which of the following sentences are true in hypocalcemia?
- AA. Paresthesia
- BB. Glycosuria
- CC. Rib fractures
- DD. Lenticular cataracts
- EE. Deformed nails
- FF. Striae
- GG. Chvostek's sign positive
- HH. Trousseau's sign positive
- II. Nausea
1868. The pathological changes that can be observed in the eyes are:
- AA. Blackish pigmentation of the sclera can be seen in Wilson’s disease
- BB. Blue sclerae is representative for polyglobulia
- CC. Red sclerae is found in osteogenesis imperfecta
- DE. Conjunctivitis is a redness and edema of the conjunctiva usually caused by bacterial or viral infections
- EG. Bilateral exophthalmia is representative for thyrotoxicosis
- FH. Unilateral enophthalmos is found in Horner’s syndrome
- GI. Keratitis means infammatory lesions of the cornea
- HJ. Nystagmus is characterized by involuntary, rhythmical oscillations of the eyes
- IF. Bilateral exophthalmia is found in Horner’s syndrome
1969. A 65 years-old female presents with dyspnea with orthopnea, cyanotic fngers and lips and unilateral
peripheral edema. The following data are correct:- AA. The level of reduced hemoglobin is higher than 5g/dl
- BC. Bronchial asthma should be suspected
- CB. The skin temperature is low
- DD. Echocardiography should be performed
- EE. The patient has a mitral facies
- FF. The patient has central cyanosis
- GG. Orthopnea could be caused by congestive cardiac failure
- HH. Ultrasound Doppler examination is not mandatory
- II. Deep vein thrombosis could be the cause of unilateral edema
2070. Several types of dwarfsm are described, including genetic, endocrine, renal, osteoarticular nature:
- AA. Thyroid dwarfsm
- BB. Cushing syndrome
- CC. Turner syndrome (45 XO)
- DD. XYY syndrome
- EE. Klinefelter syndrome(47, XXY)
- FH. Pituitary dwarfsm
- GI. Gonadal dysgenesis in the male
- HJ. Trisomy 21
- IG. Acromegaly
2171. Gigantism is a component of some genetic or endocrine syndromes, among which we mention:
- AA. Pituitary dwarfsm
- BB. XYY Syndrome
- CC. Turner syndrome (45 XO)
- DD. Gonadal dysgenesis in the male
- EE. Trisomy 21
- FF. Acromegaly
- GG. Marfan Syndrome
- HH. Klinefelter Syndrome(47, XXY)
- II. Cushing sindrome
- JJ. Thyroid dwarfsm
2272. Which of the following types of facies correspond to the described pathology:
- AA. Facies in congenital lues: saddle nose, interstitial keratitis, poorly implanted incisors with striations (Hutchinson triad)
- BB. Trisomy 21 is caused by ovarian agenesis (karyotype 45XO), it is characterized by a low implanted forehead, ocular
hypertelorism, eyelid ptosis, epicanthus, blue sclera, nystagmus. The nose is blocked at the root, oral commissures pulled
down, micrognathia, low-set ears, pterygium colli (posterior cervical fold) - CC. The facies in "spider" congenital lues - spotted (due to the erythematous eruption) and weepy (due to congestion of the
conjunctival mucosa). - DD. The face in scleroderma: typical "butterfy" appearance with an erythematous-scaly rash on the nose and cheekbones
- EF. Facies in disseminated lupus erythematosus: typical "butterfy" appearance with erythematous-scaly rash on the nose
and cheekbones - FG. The face in chronic renal failure: the appearance is characteristically pale-sterous, a combination of pallor due to anemia
and hyperpigmentation due to the accumulation of urochromes at the integumentary level, dry skin - GH. The face in measles: "spider" - spotted (due to the erythematous rash) and weepy (due to congestion of the conjunctival mucosa)
- HI. The face in scleroderma: the typical appearance is that of a "Byzantine icon" - expressionless, thickened skin, stretched,
without folds, thin lips and navel. - IJ. The face in chronic renal failure has a mongoloid appearance, oblique palpebral fssures, epicanthus, hypertelorism,
micrognathia, mental retardation.
2373. Which of the following pupillary changes are correctly described?
- AA. Anisocoria (pupillary inequality) can occur in Claude Bernard-Horner syndrome, through damage to the common
oculomotor nerve or in lues, neoplasia. - BB. Pupillary hippus can occur in Claude Bernard-Horner syndrome, through damage to the common oculomotor nerve or in lues,neoplasia
- CC. The Argyll-Robertson sign consists in the loss of the photo-motor refex with the preservation of the distance accommodation refex and
can be found in meningitis, cerebral aneurysms, neurolues, chronic alcoholism. - DD. The Argyll-Robertson sign (pupillary inequality) can appear in Claude Bernard-Horner syndrome, through damage to the common
oculomotor nerve or in lues, neoplasia. - EE. Mydriasis represents contraction of the pupil, transient physiological or fxed pathological. It can occur during cerebrovascular accidents,
morphine intoxication, pilocarpine administration - FG. Miosis represents the contraction of the pupil, transient physiological or fxed pathological. It can occur during cerebrovascular accidents,
morphine intoxication, pilocarpine administration - GH. Anisocoria consists in the loss of the photo-motor refex with the preservation of the accommodation refex at a distance and can be found
in meningitis, cerebral aneurysms, neurolues, chronic alcoholism. - HI. Mydriasis can be transient physiological, fxed pathological or medicinal (intoxication with atropine, cocaine, mushrooms, stroke).
- IJ. Pupillary hippus represents the variation of the pupil diameter rhythmic with the pulse, a consequence of the pulsations of the iris vessels
in aortic insuffciency.
- AA. Anisocoria (pupillary inequality) can occur in Claude Bernard-Horner syndrome, through damage to the common
2474. Which of the following eyelid changes are correctly described?
- AA. Lagophthalmos: widening of the palpebral fssure, most frequently by affecting the facial nerve
- BB. Palpebral edema can appear as a consequence of renal, cardiac, allergic, traumatic, myxedematous damage.
- CC. Lagophthalmos consists in the incomplete opening of the upper eyelid
- DD. Palpebral ptosis: widening of the palpebral fssure, most commonly by affecting the facial nerve.
- EE. Xanthelasma: can appear as a consequence of renal, cardiac, allergic, traumatic, myxedematous damage.
- FF. Mydriasis represents contraction of the pupil, transient physiological or fxed pathological. It can occur during cerebrovascular
accidents, morphine intoxication, pilocarpine administration - GH. Disorders of position and shape: entropion (twisting of the free edge of the eyelid inwards, with malposition of the cilia that
permanently irritates the cornea) and ectropion (twisting of the free edge of the eyelid outwards). - HI. Xanthelasma: formed by the accumulation of connective cells loaded with lipid granules, translated by waxy yellow spots, isolated or
confuent in the form of plaques, slightly raised, located at the level of the eyelids towards the nasal part. - IJ. Palpebral ptosis - consists in the incomplete opening of the upper eyelid
2575. Palpebral ptosis consists in the incomplete opening of the upper eyelid and can be caused by:
- AA. Parkinson's disease
- BB. Mechanics (palpebral neoplasm)
- CC. Aponeurotic (incompetence of the aponeurosis of the levator muscle of the upper eyelid)
- DD. Coarctation of the aorta
- EE. Neurogenic (myasthenia gravis)
- FF. Palpebral edema consists in the incomplete opening of the upper eyelid
- GG. Mechanics (colon neoplasm)
- HH. Congenital
- II. Myogenic (muscular dystrophy)
- JJ. Traumatic
2676. Which of the following lip changes are correctly described?
- AA. Pigment spots on the lips and oral mucosa characterize Peutz- Jeghers syndrome (intestinal polyposis).
- BB. Thin lips appear in scleroderma.
- CC. Angioedema of the lips (Quincke's edema) is a consequence of vitamin B2 defciency and is manifested by the
appearance of painful cracks at the corners of the lips. - DD. Pigment spots consist of vesicular eruptions with clear contents on an erythematous background and are due to
infection with the herpes virus 1. - EE. Herpes labialis consists of vesicular eruptions with clear contents on an erythematous background and is due to
infection with the herpes virus 1. - FF. Angioedema of the lips (Quincke's edema) causes an increase in volume of the lips or the affected segment, being
an allergic reaction with spontaneous onset. - GG. Thin lips are characteristic in myxedema, acromegaly, lymphangiomas of the lips.
- HI. Thick lips are characteristic in myxedema, acromegaly, lymphangiomas of the lips.
2777. Regarding attitude, the following statements are true:
- AA. The squatting position is adopted by the patients with peritonitis, the abdomen is excavated and the respiratory
movements are asynchronous - BB. Orthopnea- relieves dyspnea by decreasing venous return and increasing rib cage capacity
- CC. The gun cock position-characterized by the fexed trunk resting on the elbows and knees
- DD. Orthopnea- is most commonly found in left heart failure and asthma
- EE. Passive attitude-the patients adopt antalgic positions that bring an improvement of the dominant symptomatology
- FG. Orthopnea- the patient can be placed at the edge of the bed in a sitting or supine position with the trunk semi-fexed on
several pillows - GH. Orthopnea- the sitting position adopted by the patient that makes breathing easier
- HJ. Lateral decubitus- suggests the presence of pleural effusion
- II. The cockpit position is characteristic of constrictive pericarditis
- AA. The squatting position is adopted by the patients with peritonitis, the abdomen is excavated and the respiratory
2878. Regarding attitude, the following statements are true:
- AA. The cock of the rife-position characterized by fexion of the head and extension of the lower limbs
- BB. Lateral decubitus- position adopted by patients with peritonitis
- CC. Lateral decubitus can be seen in patients with asthma
- DE. Opisthotonos-supine in forced extension of the body
- EF. Pleurosthotonus-muscle contracture of the hemibody in the lateral decubitus, on the contracted side
- FG. Emprosthotonus- the position of the fetus in the uterus
- GH. Torticollis-unilateral tilting of the head with limitation of the movement due to contracture of the latero-cervical muscles
- HJ. Orthotonus-generalized contracture, immobile attitude
2979. The face:
- AA. Mitral facies is characteristic for mitral stenosis
- BB. Hypotensive patients have plethoric facies
- CC. Shattuck facies occurs in patients with congenital aortic stenosis
- DD. The Addison’s disease facies is characterized by the pale-yellowish coloration of the skin
- EF. In hyperthyroidism, exophthalmia is objectifed
- FG. In hypothyroidism the facies has a “full moon” appearance
- GH. In chronic obstructive pulmonary disease type B “Pink-puffer”- emphysema predominates
- HI. In hyperthyroidism the general appearance is of frozen dread
- IJ. In acromegaly the facies is characterized by exaggeration of the bony prominences and prognathism
3080. Ocular changes:
- AA. Exophthalmia that is found in Basedow’s disease is bilateral
- BB. Unilateral exophthalmia can be found in cancer or traumatic injury
- CC. The gerontoxon is a greenish-brown ring at the sclerocorneal border
- DD. Kayser-Fleischer ring is pathognomonic for hepatolenticular degeneration
- EE. In Addison’s disease the sclera is red
- FF. Pupilar hippus occurs in aortic stenosis
- GG. Xanthelasma occurs in patients with diabetes
- HH. Exophthalmia is defned as the protrusion of the eyeballs outside the orbits
3181. Regarding the colour changes of the sclera, the following statements are true:
- AA. Red sclerae are cause by infammation
- BB. Brown sclerae appear in jaundice
- CC. Brown sclera occurs in Addison’s disease
- DD. Red sclera appears in jaundice
- EE. Blue sclera are found in osteogenesis imperfecta
- FF. Red sclerae along with pathologic fractures and deafness are seen in osteogenesis imperfecta
- GG. Red sclerae are found in essential polyglobulia
- HH. Brown sclerae along with pathological fractures and deafness are seen in osteogenesis imperfecta
- II. Yellow sclerae are seen in jaundice
3282. Regarding the pupillary changes, the following statements are true:
- AA. The Argyll-Robertson sign represents the loss of the distance accommodative refex with preservation of the photomotor
refex - BB. Anisocoria occurs in aortic regurgitation
- CC. Pupillary hippus represents pupillary inequality
- DD. Miosis occurs when atropine is administrated.
- EF. Pupillary hippus occurs in aortic stenosis
- FE. Mydriasis occurs in mushroom, atropine and cocaine intoxication
- GG. Pupillary hippus represents the variation of the pupillary diameter paced by the pulse
- HH. The Argyll-Robertson sign consists of the loss of the photomotor refex with the preservation of the accommodation
refex at distance - II. Anisocoria occurs in lues
- JJ. Miosis can occur in stroke, morphine intoxication and pilocarpine administration
- AA. The Argyll-Robertson sign represents the loss of the distance accommodative refex with preservation of the photomotor
3383. Regarding the eyelid changes, the following statements are true:
- AA. Xanthelasma is formed by the accumulation of connective cells loaded with lipid granules
- BB. Entropion is the turning of the free edge of the eyelid outwards
- CC. Lagophthalmos is the widening of the palpebral fssure with the inability to close the eyelid in the trigeminal nerve
palsy - DD. Palpebral edema can occur in infammatory or traumatic conditions
- EE. Eyelid edema can occur as a consequence of cardiac or renal disease
- FF. Palpebral ptosis occurs in trigeminal nerve palsy
- GG. Eyelid edema does not occur in renal pathologies
- HI. Xanthelasma is located in the inner angle of the upper eyelid
- IJ. Lagophthalmos is the widening of the palpebral fssure with the impossibility of closing the eyelid in the paralysis
of the facial nerve
3484. The following statements about facies changes are true:
- AA. Rhinophyma is characteristic for chronic alcoholism
- BB. In facial nerve paralysis, hemifacial muscle hypertonia is observed on the contralateral side
- CC. Rhinophyma consists in a marked hypertrophy of the nasal pyramid with dilatation of pores and hypertrophy of
sebaceous follicles - DD. In Parkinson’s disease the face is expressive and blinking is frequent
- EE. Saddle nose occurs in congenital lues, but cand also be associated with Wegener’s granulomatosis
- FF. In scleroderma, cyanosis of the cheekbones, lips and nose is observed, in contrast to the rest of the skin which is
pale - GG. In tetanus there is a contrast between the wrinkled forehead that expresses sadness and the mouth, nose and eyes that
through the contraction of the rhizorius determine the mimic of laughter - HI. Congestive facies occurs in pneumonia
3585. Regarding the facial changes from heart disease, the following statements are true:
- AA. Cyanosis of the cheekbones and lips occurs in aortic stenosis patients
- BB. Plethoric facies is characteristic for hypertensive patients
- CC. In hypertensive patients, the face is emaciated, pale, the eyes are bright
- DD. In aortic insuffciency appears a pale yellowish coloration
- EF. The characteristic face of hypertensive patients is congestive, erythematous with telangiectasis on the cheekbones
- FG. Shattuck face occurs in patients with valvopathies of tricuspid valve, presenting greenish discoloration, through the
combination of cyanosis and jaundice coloration - GH. The mitral facies is characteristic for mitral stenosis, and the patients can have the cyanosis of the cheekbones, lips
and nose which contrasts with the surrounding pallor - HI. In patients with mitral stenosis, the face is expressionless, with stretched skin, thin lips and nose, gentle expression
- IJ. In cyanogenic congenital heart diseases, there is an accentuated pallor of the cheeks, lips, chin and earlobes
3686. Regarding the face changes in lung diseases, the following statements are correct:
- AA. The face in chronic obstructive bronchopneumonia type B “blue- bloater” emphysema predominates
- BB. The face in chronic obstructive bronchopneumonia type A, with the predominance of the emphysema is pink
- CC. In pulmonary tuberculosis, the face is emaciated, pale, with cyanotic cheekbones in contrast with the rest of the
appearance - DD. The face in chronic obstructive bronchopneumonia type B with predominance of emphysema is pink
- EE. In pulmonary tuberculosis, the face is emaciated, with congestive cheekbones in contrast to the rest of the
appearance - FF. The face in chronic obstructive bronchopneumonia type B, with the predominance of the bronchitis is cyanotic
- GG. The face from pneumonia is congestive, with sweats and redness of the cheek on the contralateral side of the
pneumonia - HH. The face in pneumonia is congestive, with sweats
- IJ. In pneumonia, one-sided redness of the cheek on the side of the pneumonia can be observed- Jaccoud’s sign
3787. Regarding the face changes, the following statements are correct:
- AA. In renal failure, the face is characteristically pale with dry-skin
- BB. Scleroderma face has a typical appearance with an erythematous- scaly rash on the nose and cheekbones
- CC. The face in diabetes mellitus has a specifc pink coloration of the cheeks “diabetic rubeosis
- DD. The hemochromatosis face has pale yellowish color, with jaundice and red lips
- EE. In renal failure, the face is characteristically pale with moist skin
- FG. The face in tetanus is motionless, frightened, expressionless
- GH. Lupus face has a typical butterfy appearance with an erythematous rash on the nose and cheekbones
- HI. The peritoneal face characteristic of acute peritonitis is described as pale with sunken eyes, pointed nose, dry
skin and tongue, cyanosis - IJ. Measles face has erythematous eruption and weepy appearance (by congestion of the conjunctival mucosa)
3888. In hyperthyroidism, the following statements are correct:
- AA. General appearance of “frozen dread”
- BB. The skin is fne, erythematous, moist
- CC. General appearance of “full moon”, swollen
- DD. Enophtalmia is observed
- EE. The eyelids are edematous, with orbital hyperpigmentation, retraction of the upper eyelid, rare blinking
- FF. It occurs in Basedow’s disease
- GG. The skin is edematous, especially periorbital, and dry
- HI. The hair is rough, sparse, early greying
- IJ. Exophthalmia
3989. The acromegalic face has the following characteristics:
- AA. Short and thick neck
- BB. Bony reliefs are exaggerated (cheekbones, zygomatic arches, frontal bosses)
- CC. Dark brown coloration of the skin, hyperpigmentation of the oral and gingival mucosa
- DD. General appearance of “full moon”, rounded, congestive
- EF. Large prominent nose and prognathism
- FG. It occurs in patients with hypersecretion of somatotropic hormone
- GH. It has a coarse appearance of the facial features
- HI. Raised eyebrow arches, thick lips, macroglossia
- IJ. Congestive face with sweats
4090. In myxedema the face has the following characteristics:
- AA. It occurs in patients with hyperthyroidism
- BB. Retraction of the upper eyelid
- CC. It occurs in patients with hypothyroidism
- DD. Fine hair, hyperpilosity
- EF. It can be observed enophtalmia, reduces palpebral fssures, edematous eyelids
- FE. The skin is edematous, especially periorbital and dry
- GG. Short and thick neck
- HI. Eyebrows sparse or absent in the outed third
4191. General rules of physical examination include:
- AA. Keep the patient comfortable
- BC. The examiner stands on the right side of the patient
- CB. Talk through what is going to happen
- DD. The examiner stands on the left side of the patient
- EE. Always examine in darkness
- FF. Keep optimal lighting
- GG. Never talk to the patient
- HH. Keep the patient relaxed and reassured
- II. Cold environment is essential
4292. Orthopnea:
- AA. Is an abnormal position
- BB. Is present only in men
- CC. Can be present in heart failure
- DD. Is a normal position
- EE. Can be present in acute pulmonary edema
- FF. Is usually associated with vitiligo
- GG. Patient sits more or less upright in a chair or propped up with pillows
- HJ. Can be present in asthmatic attacks
- IH. Appears only in women
4393. The mitral facies:
- AA. Can represent a cardiovascular problem
- BB. Can represent a valvulopathy
- CC. Is usually seen in aortic stenosis
- DD. Can be seen in mitral stenosis
- EE. Is always present in obese subjects
- FF. Is associated with peripheral artery disease
- GH. The patient has prognathism
- HI. Is represented by cyanosis of the lips and nose
- IJ. Might be associated with cyanosis
4494. Facies in lower motor facial paralysis has the following characteristics:
- AA. The naso-labial fold is fattened
- BB. The features of the face are deviated towards the healthy side
- CC. The patient cannot swell his cheek
- DD. It is associated with hirsutism
- EE. The patient cannot urinate
- FF. The patient is unable to whistle
- GG. It always represents a chronic stroke
- HH. The complete closure of the eyelid over the eyeball is diffcult or impossible
4595. Which of the following is a cause of obesity?
- AA. Insulinoma
- BB. Diabetes mellitus
- CC. Hypogonadism
- DD. Genetic factors
- EE. Addison ́s disease
- FF. Hypothyroidism
- GG. Cushing ́s syndrome
- HH. Malignant diseases
4696. The height depends upon a mixture of factors such as:
- AA. Endocrine factors
- BB. Nutritional factors
- CC. Age and gender
- DD. Environmental factors
- EE. Blood pressure
- FF. Heart rate
- GG. Genetic factors
- HH. Hemoglobin levels
4797. Which of the following is a cause of loss of weight:
- AA. Malabsortion
- BB. Menopause
- CC. Malignant diseases
- DD. Hypothyroidism
- EE. Cushing ́s syndrome
- FF. Hyperthyroidism
- GG. Addison ́s disease
- HH. Anorexia nervosa
4898. Obesity is corellated to:
- AA. Menopause
- BB. Chronic renal diseases
- CC. >30% excess over ideal body weight
- DD. Over-eating and lack of physical exercise
- EE. >20% excess over ideal body weight
- FF. Malabsortion
- GH. >10% excess over ideal body weight
- HI. Emotional disturbances
4999. Which of the following is a cause of shortness of stature:
- AA. Turner ́s syndrome
- BB. Nanism
- CC. Tuberculosis of the spine
- DD. Marfan ́s syndrome
- EE. Klinefelter ́s syndrome
- FF. Tetralogy of Fallot
- GG. Cushing ́s syndrome
- HH. Down ́s syndrome
- II. Diabetes mellitus
50100. Regarding the nutritional status:
- AA. In cachexia, there is a decrease in muscle mass
- BC. Weight loss has four variants: emaciation, cachexia, marasmus and depressive disorder
- CB. In emaciation can be observed the disappearance of Bichat's bubble
- DD. Marasmus is always associated with bulimia
- EE. Patients with emaciation have wet skin
- FH. Weight loss is associated with patients with Baraquez-Simmonds disease
- GI. Emaciation is associated with greatly diminished adipose tissue
- HJ. The thickness of the skin fold can be evaluated to assess the state of nutrition
Información
- Descripción
- medium semiomed sem1 Test sobre bulk2 , creado por Smaranda Grigorescu el 10/01/2026.
- Autor
- Smaranda Grigorescu
- Idioma
- English
- Visitas
- 1
- Etiquetas
- Valoración
- Aún sin valoraciones Valora este test