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Banco Enarm 2010
Banco Enarm 2010
b) ANXIETY.
c) SOMATOSENSORY AMPLIFICATION.
d) NOXIOUS.
6.- WHAT ADJUSTMENT FOR DEGREE WAS THERE AFTER MYOCHARDIAL
ISCHEMIA?
a) ANXIETY AND DEPRESSION DECREASED.
b) DEPRESSION AND ANXIETY INCREASED.
c) ANXIETY AND DEPRESSION REMAINED THE SAME.
d) THERE WAS NO SIGNIFICANT CHANGES.
7.- WHAT BIOLOGICAL FACTORS EFFECTS PATIENTS WITH ANGINA?
a) EVERY PATIENT WITH CORONARY ARTERY DISEASE DEVELOPS ANGINA.
b) PREVIOUS CORONARY REVASCULARIZATION WAS ALSO ASSOCIATED WITH
FREQUENT ANGINA.
c) SOME OF THIS PATIENTS HAVE ASYMPTOMATIC ISQUEMIA.
d) METABOLIC NEUROPATHY OR ISCHEMIC REGIONAL NERVE INJURY ARE NOT
RELATED.
MUJER DE 31 AOS. ES ATENDIDA EN CONSULTA POR PRESENTAR ACTIVIDAD
UTERINA REGULAR Y DOLOROSA. ACTUALMENTE CURSA EMBARAZO GEMELAR
DE 33 SEMANAS . NIEGA SANGRADO TRANSVAGINAL, SALIDA DE LQUIDO
TRANSVAGINAL. REFIERE MOVIMIENTOS FETALES PRESENTES.
ANTECEDENTES: G:3, P:2, DIABETES GESTACIONAL MANEJADA CON DIETA Y
METFORMINA CON BUEN CONTROL GLICMICO. E.F.: PRODUCTO NICO
LONGITUDINAL PLVICO, DORSO DERECHA. CON FCF 130 LPM. TACTO
VAGINAL 1 CM DE DILATACIN CON 80% BORRRAMIENTO.
8.- EL TRATAMIENTO DE PRIMERA ELECCIN PARA ESTA PACIENTE ES:
a) INHIBIDORES DE LA SINTESIS DE PROSTAGLANDINAS.
b) BETAMIMTICOS.
c) NIFEDIPINO.
d) REPOSO.
NIA DE 4 AOS, INGRESA AL SERVICIO DE URGENCIAS POR DOLOR
ABDOMINAL CONSTANTE DE 48 HORAS DE EVOLUCIN. SU MADRE LE DI
PARACETAMOL AYER, SIN EMBARGO EL DOLOR PERSISTE Y SE AGREGARON
VMITO VERDOSO Y FIEBRE DE 39C. ANTECEDENTES: OPERADA DE
HIPERTROFIA PILRICA A LOS 2 MESES. E.F.: TA/ 100/60, FC 120LPM, FR 30
RPM, TEMPERATURA 38.7C. ABDOMEN CON DOLOR A LA PALPACIN MEDIA Y
RESISTENCIA, TIMPNICO, PERISTALSIS NULA.
9.- EL DIAGNSTICO DE MS PROBABILIDAD ES:
b) ENDOSCOPA.
c) TAC DE ABDOMEN.
d) COLONOSCOPA.
23.- EL TRATAMIENTO DEFINITIVO EN ESTE PACIENTE ES:
a) BLOQUEADORES DE BOMBA DE PROTONES.
b) LAVADO GSTRICO.
c) CIRUGA.
d) SUSPENDER AINES.
APPENDICITIS: SELECTIVE USE OF ABDOMINAL CT REDUCES NEGATIVE
APPENDECTOMY RATE APPENDICITIS ACCOUNTS FOR OVER 3% OF THE
DISEASES THAT INVOLVE THE DIGESTIVE SYSTEM, IS THE MOST COMMON
ACUTE SURGICAL PROBLEM OF THE ABDOMEN, AND APPENDECTOMY IS THE
FIFTH MOST COMMON SURGICAL PROCEDURE PERFORMED ON THE
GASTROINTESTINAL TRACT. IT IS ALSO ONE OF THE MOST DIFFICULT
DISEASE PROCESSES TO DIAGNOSE ACCURATELY. RATES OF NEGATIVE
APPENDECTOMY RANGE FROM 20% TO 44%. THESE RATES ARE EVEN HIGHER
IN WOMEN OF CHILDBEARING AGE, RANGING FROM 25% TO AS HIGH AS
52%. REPORTED PERFORATION RATES RANGE FROM 15% TO 37%. THESE
RATES OF NEGATIVE APPENDECTOMY HAVE BEEN CONSIDERED ACCEPTABLE
BECAUSE THE MORBIDITY ASSOCIATED WITH COMPLICATED APPENDICITIS IS
SIGNIFICANTLY HIGHER THAN THAT OF NON-THERAPEUTIC APPENDECTOMY.
NUMEROUS DIAGNOSTIC TOOLS HAVE BEEN IMPLEMENTED IN AN EFFORT TO
REDUCE THE HIGH RATE OF NEGATIVE APPENDECTOMY WHILE AT THE SAME
TIME NOT INCREASE THE PERFORATION RATE. SOME OF THESE TOOLS
INCLUDE CLINICAL SCORING SYSTEMS, ULTRASOUND, COMPUTERIZED
DECISION SUPPORT, VARIOUS LABORATORY TESTS, AND OTHER, NONTRADITIONAL METHODS. THESE VARIOUS MODALITIES HAVE ALL YIELDED
MIXED RESULTS AS TO THEIR USEFULNESS IN CLINICAL PRACTICE. STUDIES
HAVE SHOWN THAT HELICAL COMPUTERIZED TOMOGRAPHY (CT) SCANNING
OF THE ABDOMEN HAS BEEN SUCCESSFUL IN REDUCING NONTHERAPEUTIC
APPENDECTOMY RATES TO AS LOW AS 3%. THESE RESULTS PROVIDE
EVIDENCE THAT THERE MAY FINALLY BE A DIAGNOSTIC TOOL THAT CAN BE
EFFECTIVE IN REDUCING RATES OF NONTHERAPEUTIC APPENDECTOMY WHILE
NOT INCREASING THE MORBIDITY AND MORTALITY ASSOCIATED WITH
APPENDICITIS.
24.- WHAT IS RELATION OF APPENDICITIS WITH OTHER GASTROINTESTINAL
TRACT DISEASES?
a) IS ONE OF THE LESS COMMON SURGICAL PROCEDURES OF THE
GASTROINTESTINAL TRACT.
b) IT HAS NO RELATION WITH OTHER GASTROINTESTINAL TRACT DISEASES.
c) IT HAS THE HIGHEST INDEX OF MORBILITY.
d) IS THE FIFTH MOST COMMON SURGICAL PROCEDURE OF THE
GASTROINTESTINAL TRACT.
25.- WHY CAN APPENDICITIS END IN A COMPLICATED PERFORATION?
a) BECAUSE IS THE MOST COMMON ACUTE SURGICAL PROBLEM OR THE
ABDOMEN.
b) BECAUSE IT IS ONE OF THE MOST DIFFICULT DISEASE PROCESSES TO
DIAGNOSE ACURATELY.
c) BECAUSE APPENDECTOMY IS THE FIFTH MOST COMMON SURGICAL
PROCEDURE PERFORMED ON THE GASTROINTESTINAL TRACT.
d) BECAUSE OF THE LACK OF DIAGNOSTIC TOOLS.
26.- WHAT ARE THE RATES OF NEGATIVE APPENDECTOMY?
a) THESE RATES ARE EVEN LOWER IN WOMEN OF CHILDBEARING AGE.
b) THESE RATES ARE NOT CONSIDERED ACCEPTABLE.
c) THESE RATES ARE EVEN HIGHER IN WOMEN WHO ARE NOT IN
CHILDBEARING AGE.
d) THESE RATES ARE EVEN HIGHER IN WOMEN OF CHILDBEARING AGE.
27.- WHICH OF THE NEXT DIAGNOSTIC TOOLS HAS SUCCESFULLY REDUCED
NONTHERAPEUTIC APPENDECTOMY?
a) SCORING SYSTEMS.
b) HELICAL COMPUTERIZED TOMOGRAPHY.
c) ULTRASOUND.
d) LABORATORY TESTS.
28.- WHAT IS THE FINAL RESULT OF THIS STUDY?
a) THE HELICAL COMPUTERIZED TOMOGRAPHY CAN PREVENT
NONTHERAPEUTICAL APPENDECTOMY.
b) THE RATES OF NONTHERAPEUTICAL APPENDECTOMY HAVE INCREASED.
c) APPENDICITIS IS THE FIFTH MOST COMMON SURGICAL PROCEDURE
PERFORMED ON THE GASTROINTESTINAL TRACT.
d) NUMEROUS DIAGNOSTIC TOOL HAVE BEEN IMPLEMENTED IN AN EFFORT
TO REDUCE THE RISK OF NONTHERAPEUTICAL APPENDECTOMY.
MUJER DE 23 AOS. ASISTE A URGENCIAS POR PRESENTAR SALIDA DE
LQUIDO TRANSVAGINAL DE INICIO SBITO POSTERIOR A UNA RELACIN
SEXUAL. ACTUALMENTE CURSA SU PRIMER EMBARAZO Y EST EN LA SEMANA
39 DE GESTACIN. E.F.: PRODUCTO LONGITUDINAL CEFLICO DORSO
IZQUIERDA. FCF EN 140 LPM. GENITALES HMEDOS. SE VISUALIZA CRVIX
CERRADO FORMADO Y POSTERIOR. NO HAY LQUIDO EN FONDO DE SACO.