15. Kết quả sau khi làm XN cận lâm

15. Kết quả sau khi làm XN cận lâm sàng cho thấy nội mạc tử cung 16 mm, phần phụ 2 bên bình thường. Chẩn đoán nào được nghĩ đến:
a. Theo dõi sẩy thai không trọn
b. Theo dõi thai ngoài tử cung
c. Theo dõi thai sớm
d. Theo dõi sẩy thai trọn
16. Xử lý tiếp theo là gì:
a. Hẹn tái khám 1 tuần
b. Hẹn tái khám 2 tuần
c. Hẹn tái khám 3 tuần
d. Giới thiệu cho bệnh nhân nhập viện
17. Gỉa sử bệnh nhân này có thai và không có bất thường, anh/chị hãy tính ngày dự sanh cho cô ấy nếu KC: 20/7/2013, kinh đều, chi kỳ kinh 28 ngày:..................................................................
Tình huống 8:
Cô H. 32 tuổi, đến phòng khám y học gia đình của bạn với yêu cầu muốn tư vấn biện pháp ngừa thai. Cô là giáo viên mầm non. PARA 2012. Từ sau sinh con thứ 2, cô chỉ ngừa thia bằng phương pháp xuất tinh ngoài âm đạo, 3 tháng trước cô bị thai ngoài tử cung và được điều trị nội khoa bảo tồn. Chu kỳ kinh nguyệt của cô không đều, 24-35 ngày, hành kinh 3 ngày, lượng vừa. Cô không mắc bệnh nội khoa nào khác.
18. Các biện pháp ngừa thai có thể chọn lựa cho trường hợp này, NGOẠI TRỪ:
a. Triệt sản nam
b. Thuốc ngừa thai uống dạng vĩ 21-28 ngày
c. Thuốc ngừa thai khẩn cấp
d. Dụng cụ tử cung
e. Triệt sản nữ
19. Nếu chọn ngừa thai bằng đặt dụng cụ tử cung, thời điểm nào thích hợp:
a. Ngay lập tức
b. Ngày 3 của chu kỳ kinh nguyệt kế tiếp
c. Một tuần sau khi hành kinh
d. Sau giao hợp
e. Vào giữa chu kỳ kinh nguyệt sau.
Case 9:
Mr. Thanh is a teacher, 47 year old, main reason come to visit doctor because of weakness recent few months. Thanh is not fever, run tay, coughing, buồn nôn hay tiêu chảy. Anh ta sụt 7kg trong vòng 6 tháng nay. Qua thăm khám và hỏi bệnh sử phát hiện Thành bị tiểu đêm nhiều và khát nước liên tục. Thành bị hen và đang sử dụng ventolin MDI theo nhu cầu, ngoài ra anh ấy không có bệnh lý gì mạn tính. Gia đình Thành có người bị đái tháo đường, tăng huyết áp và bệnh tim mạch. Thành hút thuốc lá 1 gói/ ngày trong 10 năm và không tiếp xúc với hóa chất hay chất độc hại trong môi trường làm việc.
Khám lâm sàng bình thường, huyết áp 140/90 mmHg, BMI=38 kg/m2. Xét nghiệm glycemie lúc đói: 131mg/dL, HbA1c: 7,5%, chức năng gan thận bình thường.
20. Does this patient get DM? Chose 1 right question
a. Có, vì có đường huyết cao
b. Có thể, cần phải thử lại glycemie lúc đói lần 2 để xác định chẩn đoán
c. Không, glycemie < 140 mg/dl nên không nghĩ đến
d. Không, HbA1c

Kết quả (Anh) 1:

15. Results after doing XN paramedical showed 16 mm endometrium, subsection 2 of the normal side. The diagnosis would be thinking of:a. monitor miscarriage doesn't completeb. tracking of ectopic pregnancyc. monitoring early pregnancyd. monitor miscarriage full16. What is the next processing:a. Appointment re-examination 1 weekb. re-examination Appointments 2 weeksc. Appointment re-examination in 3 weeksd. referral for patients hospitalized17. use the aforementioned didactic reasons patients get pregnant and no anomaly, consider attending birth date for her if KC: 20/7/2013, are 28-day period, the genus:..................................................................Situation 2: She is 32 years old, h. to family medicine clinic with ask want contraception advice. She is a preschool teacher. PARA 2012. From then after the second born child, her birth only by thia ejaculation outside the vagina, 3 months ago she suffered an internal medicine treatment and conservation. Her menstrual cycle irregularities, 24-35 days, 3 days of menstruation, medium weight. She does other medical disease.18. The contraception can opt for this case, EXCEPT:a. male sterilizationb. oral contraception great form 21-28 daysc. emergency contraceptiond. uterine toolse. female sterilization19. If choosing contraception by latest instruments, proper time:a. immediatelyb. on 3 of the next menstrual cyclec. a week after menstruationd. After intercoursee. In between menstrual cycles later.Case 9:Mr. Thanh is a teacher, 47 year old, main reason come to visit doctor because of weakness recent few months. The bar is not fever, shaking hands, coughing, nausea or diarrhea. He lost weight 7 kg within 6 months. Through the consultations and The detection of medical history questions being minor more nights and constant thirst. Into being hen and are using ventolin MDI according to needs, in addition he doesn't have what disease chronic. The family has a person with diabetes mellitus, hypertension and cardiovascular disease. The smoking 1 Pack/day for 10 years and not exposed to chemicals or toxic substances in the work environment.A normal clinical examination, blood pressure of 140/90 mmHg, BMI = 38 kg/m2. Glycemie tests at hunger: 131mg/dL, HbA1c: 7.5%, liver kidneys function normally.20. Does this patient get DM? Chose 1 right questiona. Yes, because of high blood sugarb. may, need to try again at glycemie starving times 2 to determine diagnosisc. No, glycemie < 140 mg/dl should not think ofd. No, < HbA1c 8%21.:a. the pancreatic beta cells are destroyed through a mechanism of unknown infectionb. antibodies of insulin is created to do complex precipitates insulin-antibodiesc. Insulin resistance in peripheral tissues and relative Insulin deficiency when the disease progressesd. excessive exercise causes increased release of blood sugar22. the next intervention Steps are most important for this patient is?a. Insulin injectionb. the use of drugs that inhibit the yeast switchc. Switch to the next Cabinet specialistsd. education for patients of diabetes mellitus23. Diseases of patients DOES NOT affect diabetes mellitus (if any) of this guy?a. Asthmab. High blood pressurec. Smokingd. Obesity24. the first drug treatment for patients after diagnosis of diabetes mellitus?a. Aglitazone (Avandia)b. SulfonylureaInsulin c.d. MetforminCase 10:Quynh, 8 years old to visit because of coughing, wheezing. Two years ago, she started being occasionally cranky wheezing at near light or when running jump. The baby was discovered and treated at local clinics with drugs and less tense but prednisone xiro Ventolin or re go re. About 1 this week baby breathing more and purchase Ventolin order drinks but not help should go to visit, Money was based was itself from small and urticaria money mother hen being serviced.25. Stated the diagnosis can of Quynh:

Kết quả (Anh) 2:

15. Result after XN showed subclinical endometritis 16 mm, subsections 2 sides normal. Diagnostics are thinking of:
a. Subscribe incomplete abortion
b. Subscribe to tubal pregnancy
c. Subscribe to early pregnancy
d. Subscribe complete abortion
16. What's next processor:
a. Appointments 1 week
b. Appointments 2 weeks
c. Appointments 3 weeks
d. Tell patients hospitalized
17. Assume pregnant patients and no abnormalities, he / she consider her expected date of birth if KC: 07/20/2013, irregular periods, menstrual spent 28 days: ........ .................................................. ........
Scenario 8:
Ms. H., 32, to the family medicine clinic of you with requests for advice on contraception. She is a preschool teacher. PARA 2012. From 2nd after birth, she only by means of a spatula against coitus interruptus, three months before she suffered an ectopic pregnancy be treated medically and conservation. Her menstrual cycle irregularities, 24-35 days, menstruation 3 days, moderate amounts. She does not suffer from any other medical disorder.
18. These contraceptives have a choice in this case, EXCEPT:
a. Male sterilization
b. Great form OCs 21-28 days
c. Emergency contraceptive pills
d. Intrauterine devices
e. Female sterilization
19. If selected contraceptive IUD placed, appropriate time:
a. Immediately
b. Day 3 of the next menstrual cycle
c. One week after menstruation
d. After intercourse
e. In between the menstrual cycle after.
Case 9:
Mr. Qing is a teacher, 47 year old, the main reason to visit doctor come vì recent weakness FEW months. ADD is not fever, shaking hands, coughing, nausea or diarrhea. He lost 7kg in 6 months. Through a history and physical examination findings City nocturia were many and constant thirst. To asthma and are using MDI ventolin on demand, besides he does not have anything of chronic diseases. The human family has diabetes, hypertension and cardiovascular disease. List smoke 1 pack / day for 10 years and no exposure to chemicals or toxins in the workplace.
normal physical examination, blood pressure 140/90 mm ​​Hg, BMI = 38 kg / m2. Glycemie fasting test: 131mg / dL, HbA1c: 7.5%, normal liver and kidney function.
20. Does this patient get DM? Chose one right question
a. Yes, because high blood sugar
b. Maybe, need to retry glycemie fasting 2nd to confirm the diagnosis
c. No, glycemie <140 mg / dl should not think of
d. No, HbA1c <8%
21. :
a. Pancreatic beta cells are destroyed through an unknown mechanism of infection
b. Insulin antibodies generated precipitate insulin-antibody complexes
c. Insulin resistance in peripheral tissues and the relative lack of insulin as the disease progresses
d. Excessive exercise causes increased release of blood sugar
22. Step intervention next most important for this patient is?
a. Insulin injection
b. ACE inhibitors
c. Transfer to specialist doctors inscribed
d. Educating patients about diabetes
23. Sick of patients NOT affect diabetes (if any) of this brother?
a. Asthma
b. High blood pressure
c. Smoking
d. Obesity
24. The drug first-line treatment for patients after being diagnosed with diabetes?
a. Aglitazone (Avandia)
b. Sulfonylureas
c. Insulin
d. Metformin
Case 10:
Quynh, 8 years old attending health coughing, wheezing. 2 years ago, occasionally Quynh seizures wheezing in early morning or when running. Babies were examined and treated at local clinics with drugs and prednisone Ventolin syrup or less but recurring. Approximately 1 week dyspnea little more and buy a drink but not get better Ventolin visit, Cash apartment itself was small and urticaria from family history of mothers with asthma.
25. Indicate the possible diagnosis of Quynh: