Set of flashcards FAMILY MED (Page 7 of 11)

Flashcards	416
Language	English
Category	Medical
Level	University
Created / Updated	17.01.2022 / 31.01.2022
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Raloxifene is a selective oestrogen receptor modulator and is registered for the treatment of senile osteoporosis

first part of the sentence true and the other false.

The first part of the sentence false and the second true.

The two parts of the sentence are true

Both parts of sentences are false

Both parts of the sentences are true and there is a causal relationship between them .

Recommended screening tests for colorectal cancer include:

1) Fecal occult blood testing (FOB)

2) Plan abdominal X-ray

3) Sigmoidoscopy

4) Colonoscopy

5) Digital rectal examination (DRE)

The correct answer is:

1,4

1,3,4

2,3,4

Reversible causes of SCA ( sudden cardiac arrest) are all but not:

hypothermia

hypothension

thromboembolia

hypokalaemia

hypoxia

Rickets results from:

vitamin D deficiency,

the abnormal metabolism of vitamin D

the abnormal metabolism

over-excretion of inorganic phosphate

rickets can result from any condition mentioned above

Rickets:

is more frequent in boys

is more frequent in girls

affects equally both sexes

affects only prematurely born children

d and c

Right ventricular infarction should be suspect in myocardial infarction of:

the apex of the heart

septal wall

lateral left ventricle

the lower walls of the left ventricle

posterior wall of left ventricle

SARS-CoV-2 is

DNA virus belonging to the beta-coronavirus

RNA virus belonging to the beta-coronavirus

DNA virus belonging to the alpha-coronavirus

RNA virus belonging to the alpha-coronavirus

Disease caused by COVID-19

Select a fake COVID-19 answer:

The virus causing it uses Angiotensin Converting Enzyme Type 2 (AC2) to enter the cell.

Risk factors for a severe course of the infection are old age, alcohol abuse and allergy

One of the main mechanisms of the development of acute respiratory distress syndrome is an uncontrolled systemic inflammatory reaction following the release of large amounts of pro-inflammatory cytokines and chemokines by immune cells in response to viral antigens (the so-called cytokine starer).

The incubation period is defined as 2-14 days (on average 5 days).

All answers are correct

Separate entrance for the prophylactic part of the family practice is always obligatory and lift is obligatory when the practice is situated above the ground floor.

Both sentences are true and there is relationship between them

Both sentences are true but without relationship

Both sentences are false

First sentence is true and second sentence is false

First sentence is false and second sentence is true

Serum uric acid concentration is increased in the following conditions except:

Gout

Pregnancy

Acute renal failure

Diuretic treatment

Tumor lysis syndrome

Severe stabbing or throbbing pain, located in one side of patient’s head, sometimes connected with photophobia, sometimes causing nausea or even vomiting is typical for :

meningitis

cerebral stroke

subarachnoid hemorrhage

migraine

sinusitis

Specialist teams based in the community include:

Mental health, palliative care, child care

Traveller health, dietician, social worker

Mental health, pharmacist, community nurse

Mental health, palliative care, midwife

Child care, dentist, physiotherapist

Surgical drainage should be applied in wound closing always in case:

surgical stitches needed to be placed to close the wound

infiltration anesthesia has been administered to the wound region

when infection-related exudate or hematoma build-up in the wound region is expected

general anesthesia has been applied to the patient

atmospheric pressure is extremely low or high at the time of wound closing

Surgical sutures should always be placed

and tightened as much as it is only possible to prevent external bleeding

and stay loose to enable adjusting of the suture to the subsequent soft tissue edema

below the bottom of the wound to guarantee the optimal adaptation of the walls of the wound

as close to the wound margins as it is only possible to stitch the needle into the skin to ensure the optimal cosmetic effect

none

Symptom for bowel obstruction are the following except : ??

Constipation

Abdominal pain

Pain decrease vomiting

Colic

Fever

Symptoms for Cholecystitis

Murphy sign

Right upper quadrant pain

Fever

Jaundice

All

Symptoms of hyperactivity in ADHD is not :

a child fidgets with hands or feet or squirms.

a child can't stay in his or her seat when remaining seated is expected.

a child feels generally very restless, which, for children, manifests as running or climbing about when it is not appropriate.

a child has trouble playing or enjoying leisure activities quietly.

a child is forgetful in daily activities

Symptoms of inattention in ADHD is not:

a child has trouble keeping attention on tasks or play activities.

a child does not seem to listen when spoken to directly.

a child does not follow instructions and fails to finish schoolwork, chores, or work duties (not due to oppositional behavior or failure to understand instructions).

a child has trouble organizing activities.

a child fidgets with hands or feet or squirms

Symptoms of prostate inflammation may be – which answear is untrue:

pain in the back or rectum, frequent urination, pain after ejaculation, hemospermia

pain in the penis or testis, imperative desire to pass urine, weak or interrupted flow of urine, erection disfunctions

frequent urination, weak or interrupted flow of urine, dripping urination, feeling of incomplete urination, painful ejaculation

all true

there is no right answer

Symptoms of Reye’s Syndrome are:

diarrhea (but not necessarily vomiting)

respiratory disturbances (hyperventilation, apneic episodes)

seizures

elevated liver transaminases (AST, ALT)

all

Thanks cervical cancer screening:

mortality has decreased by 10% over the past 50 years

mortality has decreased by 20% over the past 50 years

mortality has decreased by 35% over the past 50 years

mortality has decreased by 50% over the past 50 years

mortality has decreased by 70% over the past 50 years

The aim of the primary prevention is:

to avoid the development of a disease by elimination and avoidance of risk factors

to prevent progression of the disease and emergence of symptoms by screening and early detection

to reduce the negative impact of an already established disease by restoring function and reducing disease related complications

none

all

The cause of acute abdominal pain in not:

Peptic ulcer perforation

Biliary colic

Ectopic pregnancy

Tumors of the abdominal organs

Urolithiasis

The characteristic feature of familial hypercholesterolemia ( type II a ) is :

Acute pancreatitis

Arcus senilis

Hepatosplenomegaly

High triglyceride levels

Turbid serum

The characteristic features of atrophic rhinitis are:

congestion and oedema of the nasal mucosa

loss of smell, and recurrent bleeding

rhinorrhea

all

none

The characteristic features of ‘group family practice’ are:

Few physicians, separate contracts

One contract, one list of patients

Few physicians, common local and staff

True a and b

True b and c

The characteristic features of ‘team of individual family practices’ are:

Few physicians, separate contracts

One contract, one list of patients

Few physicians, common local and staff

True a and b

True b and c

The classic symptoms of deep vein thrombosis of the lower limbs include all symptoms except:

Pain in the limb, sometimes pain in the calf at the dorsal flexion of the foot – Homan’s sign

Fistula nerve neuropathy

Local painfulness on the course of deep veins

Magnification of the limb circumference >2cm

Increased cohesion and compression pain of the shin muscle

The daily dose of vit. D supplementation recommended by Ministry of Health is:

400 IU

4000 IU

250 IU

1000 IU

1000 mg

The definition of health:

freedom from disease

place on health continuum

state of complete physical, mental and social well-being not merely, absence of disease or infirity

positive dynamic state

all

The diagnostic test for alcohol addiction includes the test:

CAGE

SPIKE

MMSE

Tinetti

All

The example of recombinant subunit vaccine is :

vaccine against rubella , measles and mumps

vaccine against Haemophilus influenza type B

vaccine against poliomyelitis

vaccine against influenza

vaccine against hepatitis B

The expression: Family doctor is present at all points of care (i.e. his/her consulting room, in patients` home, in a clinic or hospital) refers to the following feature of family medicine:

comprehensiveness

continuity

holistic approach

first contact

patient-centred approach

The family doctor qualifies a 13-month-old infant for vaccination against measles, mumps and rubella. Parents report that months ago the emergency doctor recognized this child's rubella. Indicate the correct pracedure:

The child may be given the measles, mumps and rubella vaccine during this visit.

The vaccine can be given in 4 weeks

The presence of specific antibodies against rubella virus in the serum of the child should be determined, and vaccination should only be carried out in the absence of these antibodies

Only monovalent measles and mumps vaccines should be used

A child may receive vaccine against measles, mumps and rubella at the earliest 3 years after the diagnosis of rubella

The focus of the GP managing the dying patient should incorporate which attitude?

when cure is no longer possible, care should focus on the comfort of the patient

it is unethical to allow a patient to die without exhausting all treatment options available

concentrate on quantity of life, despite current patient suffering

provide adequate nutrition, including tube feedings, to allow natural defense mechanisms to work

none

The following parameters are included in the cardiological SCORE risk charts except for:

BMI (Should be total cholesterol)

Gender

Age

Systolic BP

Smoking

The following signs may signal the presence of child abuse or neglect:

the child shows sudden changes in behavior or school performance.

the child has not received help for physical or medical problems brought to the parents' attention.

the child is overly compliant, passive, or withdrawn.

the child comes to school or other activities early, stays late, and does not want to go home.

all

The following statements related to soft tissue injuries are true:

animal and human bite wounds are heavily contaminated

degloving injuries are best treated by simple suturing

crush injuries rarely result in devitalisation of soft tissues and fracture of bones

hand lacerations caused by broken glass or a knife are rarely associated with nerve or tendon injuries

a and d

The following surgical instruments are designed for grasping and holding tissues EXCEPT:

non-toothed forceps

toothed forceps

curved ‘Mosquito’ forceps

needle holder

straight Kocher forceps

The frequent side effects of anticholinergics using in urinary incontinence are :

Constipations

Dry eyes

Increased risk of urinary retention

Worsening of cognitive function in the elderly

all

FAMILY MED

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