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Olga Kovalyova, Tetyana Ashcheulova Propedeutics to internal medicine, Part 1. – Vinnytsya: NOVA KNYHA, 2006. – p. 220-227
Materials for self-control (added)
1. Which level of the blood pressure is corresponded to mild hypertension?
A. > 140/< 90 mm Hg.
B. 140-159/90-99 mm Hg.
C. 160-179/100-109 mm Hg.
D. ≥ 180/≥ 110 mm Hg.
E. ≥155/≥100 mm Hg
2. Risk factors of essential hypertension:
A. Family history, race (blacks), stress, obesity, a high intake of saturated fats or sodium, use of tobacco, sedentary lifestyle.
B. Family history, stress, obesity, a high intake of saturated fats or sodium, use of tobacco, hepatitis, sedentary lifestyle.
C. Family history, stress, obesity, a high intake of saturated fats or sodium, cardiac arrhythmia, sedentary lifestyle.
D. Stress, obesity, a high intake of saturated fats or sodium, use of tobacco, hepatitis, sedentary lifestyle.
E. Family history, race (blacks), cardiac arrhythmia, sedentary lifestyle.
3. What arterial pressure is corresponded to moderate hypertension?
A. > 140/< 90 mm Hg.
B. 140-159/90-99 mm Hg.
C. 160-179/100-109 mm Hg.
D. ≥ 180/≥ 110 mm Hg.
E. ≥155/≥100 mm Hg
4. What are the pulse properties at patients with arterial hypertension?
A. Hard, intense.
B. Hard.
C. Frequent.
D. Intense, frequent.
E. Arrhythmic, slow.
5. What is the commonest symptom at patients with essential hypertension?
A. Sleep disorders.
B. Headache.
C. Myalgia.
D. Arrhythmia.
E. Edemas
6. How are the heart borders displaced at patient with the 2nd stage of essential hypertension?
A. Shift to the right.
B. Shift to the left.
C. Shift to the left and up.
D. Shift to the right, left and up.
E. Not changed.
7. During auscultation of patients with prolonged arterial hypertension you can hear:
A. Diminished S1 at the apex, and accented S2 at the aorta.
B. Loud S1 at the apex, and accented S2 at the aorta.
C. Increased S1 at the apex, and diminished S2 at the aorta.
D. Diminished S1 at the apex and S2 at the aorta.
E. Normal heart sounds
8. ECG sign of the left ventricular hypertrophy:
A. High R at the V3, V4.
B. High R at the V1, V2.
C. High R at the V5, V6.
D. Deep S at the I lead.
E. High R at the III lead.
9. Which organs are considered target at the patients with arterial hypertension?
A. Heart, liver, lungs and brain
B. Liver, brain, kidney, eyes
C. Heart, brain, kidney, eyes, vessels
D. Heart, liver, lungs and kidney
E. Liver, brain, kidney, eyes, heart.
10. Criterions of the ІI stage of essential hypertension:
A. Episodic elevation of BP with cerebral, cardiac and general symptoms without any other signs except high BP.
B. Permanent symptoms and signs of the target organs affecting without their failure.
C. Permanent symptoms and signs of the target organs affecting with their failure (complicated stage)
D. Frequent hypertonic crisis.
E. Lack of effect of the medication treatment.
11. What blood pressure is corresponded to severe hypertension?
A. > 140/< 90 mm Hg.
B. 140-159/90-99 mm Hg.
C. 160-179/100-109 mm Hg.
D. ≥ 180/|≥ 110 mm Hg.
E. >160/>100 mm Hg.
12. How is color of skin changed at the patient with arterial hypertension?
A. Flush of the face and sclera.
B. Flush of the foot.
C. Flush of the stomach.
D. Flush of the back
E. Flush of the hands
13. What blood pressure is corresponded to isolated systolic hypertension?
A. > 140/< 90 mm Hg.
B. 140-159/90-99 mm Hg.
C. 160-179/100-109 mm Hg.
D. ≥ 180/|≥ 110 mm Hg.
14. How is apex bit changed at patient with prolonged arterial hypertension?
A. Heaving displaced to the right, and resistant.
B. Heaving, displaced to the left, and not resistant.
C. Heaving, displaced to the left, and resistant.
D. Not changed, normal
E. Displaced to the right and not resistant.
15. How are the heart borders displaced at patient with the 1st stage of essential hypertension?
A. Shift to the right.
B. Shift to the left.
C. Shift to the left and up.
D. Shift to the right, left and up.
E. Not changed.
16. During auscultation of patients with hypertonic crisis you can hear:
A. Diminished S1 at the apex, and accented S2 at the aorta.
B. Loud S1 at the apex, and accented S2 at the aorta.
C. Increased S1 at the apex, and diminished S2 at the aorta.
D. Diminished S1 at the apex and S2 at the aorta.
E. Normal heart sounds
17. Which investigation is the most informative for establishing arterial hypertension?
A. Daily BP monitoring.
B. Daily EKG monitoring.
C. Coronarography.
D. Echocardiography
E. Tredmill test.
18. Criterions of the ІIІ stage of essential hypertension:
A. Episodic elevation of BP with cerebral, cardiac and general symptoms without any other signs except high BP.
B. Permanent symptoms and signs of the target organs affecting without their failure.
C. Permanent symptoms and signs of the target organs affecting with their failure (complicated stage)
D. Frequent hypertonic crisis.
E. Lack of effect of the medication treatment.
19. Which diseases can be accompanied with arterial hypertension?
A. Renal diseases
B. Endocrine disease
C. Coarctation of aorta.
D. Nephropathy of pregnancy
E. all mentioned above
20. EchoCG sign of the left ventricular hypertrophy:
A. Widening of the cavity of left ventricular.
B. Widening of the cavity of right ventricular.
C. Widening of the posterior wall of the left ventricle.
D. Widening of the left atrium cavity.
E. Low ejection fraction.
Control questions:
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