CU HI KHOA HI SC CP CU LUN KHOA

1. Khoanh trn 3 c quan sng quan trng phi nh gi ngay khi tr b bnh nng l:
1. Tim mch
4.Thn
2. H hp
5.Thn kinh
3. Tiu ha
2. Lit k 4 triu chng ca suy th nng :
1.
2.
3.
4.
3. Lit k 4 du hiu nh gi bp bng c hiu qu :
1.
2.
3.
4.
4. Khoanh trn cu tr li ng:Khi tr suy th nng : tm ti , SpO2< 60% , nhp tim <60
ln/pht ,cn t ni kh qun cng nhanh cng tt ? ng/Sai
5. Tr c bp bng qua ni kh qun :nhng tr vn tm ,SpO2 <85%, nhp tim chm. Lit k
5 kh nng c th xy ra :
1.
2.
3.
4.
5.
6. Vit 5 im chnh k thut bp tim ngoi lng ngc cho tr <1 tui :
1. V tr
2. K thut
3. Tn s
4. T l bp tim/bp bng
5. Cng
7. Lit k 3 du hiu bp tim c hiu qu trong cp c ngng tim:
1.
2.
3.
8. Cch pha v liu lng Adrenalin tim tnh mch trong cp cu ngng tun hon :
1.
2.

9. Vit liu Atropin tim tnh mch trong iu tr nhp tim chm :
10. K 4 ng a thuc vo bnh nhn trong cp cu ngng tun hon :
1.
2.
3.
4.
11. Khoanh trn cu tr li ng:Du hiu Reffil ko di khi da tr hng tr li trong thi gian:
1. <2 giy
2. >2 giy
3. 2-5 giy
4. >5 giy
5. C 4 p n u sai
12. Khoanh trn cu tr li ng tiu chun bi niu t trong sc tr b m :
1. =1ml/1kg/gi
2. >1ml/1kg/gi
3. <1ml/1kg/gi
4. c 3 u sai
13. Vit tiu chun huyt p kt khi:
14. Khoanh trn cu tr li ng : Huyt p h l du hiu sm ca sc. /S
15. K 5 du hiu ca suy tim cp :
1.
2.
3.
4.
5
16. in 3 tiu chun chnh v lm sng, CVP v iu tr phn bit sc gim th tch tun
hon, sc nhim khun v sc tim :
Sc GTTTH
Sc NK
Sc tim
1. Lm sng
2. CVP
3. iu tr
17. Khoanh trn 2 loi dch truyn thng chn trong gi u khi sc c gim th tch tun hon :
1. Ringer lactat
2. Cao phn t
3. Dextrose 10%
4. Natriclorua 0,9%
5, Mu
18. Vit 4 tiu chun ch nh Dopamin trong sc tr em :
1.
2.
3.
4.

19. Khoanh trn cu tr li ng liu Dopamin nng huyt p trong sc tr em c h huyt

p:
1. <5 mg/kg/pht
2. 5-10 mg/kg/pht
3. 10-20 mg/kg/pht

20. Khoanh trn cu ng: Trong sc tr em thng mch chm? /S

21. Nu 1 l do c bn ?
22. Khoanh trn 4 du hiu lm sng gip chn on sm sc l
1. Mch nhanh
2. Th nhanh
3. Kch thch
4. Refill >2s
5. Bi niu t
23. Nu 2 iu kin c th ch nh truyn dch trong xng
1
2
24. Vit 2 c quan sng quan trng phi gim st khi bolus dch trong shock
1
2
25. Nu 2 mc tiu ca vic gim st b dch trong shock:
1
2
26. Nu 2 cch chn 2R ng ni kh qun ng cho tr phi t ng ni kh qun.
1.
2.
27. Khoanh trn cu tr li ng, thi gian cho php ht dch NKQ an ton l :
1. <30s
2. 30-60s
3. >60s
4. c 4 u sai

28. Khoanh trn 1 cu tr li ng, C ng thng cho tr th oxy qua NKQ c 2R l :

1. bng ng knh ng NKQ
2. <1/3 ca 2R ng NKQ
3. t 1/3 n 2/3 Ca 2R ng NKQ
4. C 4 u sai
29. in vo 2 ch trng,tiu chun suy h hp cp khi : PaO2.....v PaCO2....
30. in vo ch trng 1 trong 3,hoc phi hp 3 yu t c th ri lon trong suy h hp l :
i.
2
3.

31. Chn liu ng Adrenelin 1%o kh dung 1 ln trong vim thanh qun cp:
i. 1/2 n 1 ng
ii. 1-2 ng
iii. 3-4 ng
iv. 5 ng
32. Nu 3 tiu chun ch nh th NCPAP khi bnh nhn suy th:
i.
ii.
iii.
33. Lit k 5 tiu chun (3 lm sng,1 XQ, 1 kh mu) chn on hi chng ARDS
i.
ii.
iii.
iv.
v.

34. Khoanh trn 1 cu tr li ng: lng dch cung cp cho bnh nhi ARDS :
1. theo nhu cu bnh thng
2. <70% nhu cu bnh thng
3. 70-80% nhu cu
4. 80-100% nhu cu
5. Khng cn lu

35. Nu 3 im ch khi b Natri bicacbonat cho tr suy h hp

1
2
3
36. Khoanh trn cu tr li ng, p lc ni s bnh thng tr l:
1. <5 mmHg
2. 5-10 mmHg
3. 10-20 mmHg
4. >20 mmHg
37. Lit k 7 bin php iu tr tng p lc ni s
1
2
3
4
5
6
7

38. Vit 3 triu chng ca tam chng Cushing trong tng p lc ni s tr em

1
2
3

39. Khoanh trn 2 chng ch nh chc d dch no ty tr em

1. C tng p lc ni s
2. Th my
3. Co git
4. St cao
5. Ri lon ng cm mu

40. Vit tn 2 loi thuc ct git nhanh v liu dng 1 ln/Kg:

1
2
41. Nu 2 tiu chun chn on trng thi ng kinh
1
2
42. Khoanh trn cu tr li ng /sai :Bnh nhn ui nc tnh trng rt nng,nu khi vt ln tr
khc yu,vn ng yu chn tay./S
43. a 3 l do chnh l:
1
2
3
44. .Nu cp cu bnh nhn, ngi cp cu dc ngc v vc tr chy cho thot dch ra l ng
hay Sai
45. Khi cp cu tr ui nc dn gian tuyt i king k cho b m tr tip xc vi nn nhn l
ng hay sai? /S
46. in vo ch trng, Khi x tr ti ch tr ui nc phi theo trnh t ABC v pht
hin ................................................. l quan trng
47. Nu 3 nguy c suy chc nng c quan h hp, tim mch v thn kinh tr ui ncl:
1
2
3
48. Lit k 5 yu t tin lng nng bnh nhn ui nc
1
2
3

4
5
49. Cho 3 tiu chun bng nng tr em
1
2
3
50. Sc bng trong ngy u thuc loi sc g ?
51. Khoanh trn cu tr li ng :loi dch chn, khi b th tch tun hon trong sc bng ngy
u :
1. in gii
2. mu
3. dung dch keo
4. Dextrose
5. Cc loi dch trn
53, .Nu 3 tiu chun chn on ng c paracetamol
1.
2.
3.
54, .Vit liu N.A.C (N-acetylcystein) trong gii c c hiu do ng c Paracetamol
1. liu u.................mg/kg
2. Liu tip................mg/kg x..............liu
55,. Khoanh trong cu tr li ng, du hiu mch chm thng gp trong ng c cp do
Atropin. /S

56. in 2 cu tr li : Hi chng gan thn thng gp trong ng c cp do (thuc , dc

t:)
1.
2.
57. Khoanh trn 1 c im khng ng trong 5 c im ng c cp tr em di y.
1. Ch yu do v thc ca ngi ln
2. Tui b ng c cp c th bt c tui no t s sinh n 15 tui
3. Tr gi b ng c cp nhiu hn tr trai
4. Nguyn nhn gy ng c cp tr nh thng d pht hin
5. Biu hin lm sng ng c cp tr em khc ngi ln
58. Khoanh trn 1 chng ch nh khng ng trong 5 chng ch nh gy nn di y
1. Ng c Hydrocarbon
2. Cht n mn mnh
3. Tr st cao
4. Tr hn m
5. Tr co git
59. Lit k 2 tiu chun ch nh thuc bi niu trong ng c cp tr em:
1.
2.
60. Khoanh trn 2 cu tr li sai, Tc nghn ng h hp trn:
1. t xy ra tr nh v ng h hp trn ca tr rng v thong
2. C th nh gi mc nng nh qua ting Stridor to hay nh
3. Xut hin t ngt thng l do d vt
4. C th l do vim np thanh mn
5. C th gy nn xanh tm
61. khoanh trn 3 cu tr li sai,trong chn thng ngc :
1. Trn kh mng phi c p lc l chn on XQ
2. Trn kh mng phi c iu tr n gin bng chc ht qua thnh ngc
3. Mng sn di ng c iu tr khi u bng liu php oxy liu cao
4. t v mch mu ln c xc nh bng chp mch
5. Dp phi c th xy ra m khng c gy xng

62. Khoanh trn 1 cu tr li sai truyn dch qua xng

1. L k thut mi
2. c bit c ch khi p dng cho tr b suy tun hon
3. C th tin hnh thun li ch bng 1 ngi dng lc chc kim qua xng
4. C th lm v tr u trn xng chy
5. C th tim qua xng Adrenalin khi ngng tim
63. Khoanh trn 1 cu tr li sai:khi bnh nhn sc phn v cn lm ngay:
1. Dng oxy qua mt n vi liu lng cao
2. Mi bc s gy m ngay nu bnh nhn c Stridor
3. Ngng ngay a thuc vo c th
4. Tim bp Adrenalin nu c du hiu sc
5. iu chnh ti u th tch dch trong lng mch
64.. in 3 triu chng lm sng ch yu ca nhim toan chuyn ha tr em:
1. Nhp th
2. Da
3. thc
65.. in 3 tiu chun kh mu chn on nhim toan chuyn ha:
1.
2.
3.
66. Vit 2 tiu chun v lm sng v xt nghim h Natri mu nng tr em
1.
2.
67, in vo ch trng dung dch Nacl cn b trong h natri mu nng: NaCl. lng :
.ml/kg ; truyn trong.gi
68. Nu 2 nguyn tc b Natri :
1. Tc :.mmol/l/gi
2. Tng s 24 gi:mmol/l/24 gi
69,Vit cng thc tnh lng dch b trong tng Natri mu
Lng dch =
70, Khoanh trn 2 loi dch ng trong iu tr tng natri mu nng l :
1. NaCl 3%
2. NaCl 0,9%
3. NaCl 10%
4. Glucose 5%
5. Glucose 10%
71. Nu 4 bin php iu tr tng Kali mu nng:
1.
2.
3.
4.
72. Nu 2 tiu chun h Kali mu nng l:
1. Kali mu
2. Lm sng
73. in vo ch trng :B Kali trong h Kali mu nng:
Tc : .x thi gian...gi
Nng Kali:.mmol/l