THI L THUYT MT Y5 - Nm hc: 2011-2012

1. Khi mt b sp mi, lit ton b vn nhn l tn 11. Chn an phn bit vim kt mc:
thng lit cc dy thn kinh: a) Vim mng b o.
a) III, IV, V, VI, VII b) Cn tng nhn p cp.
b) V, VI, VII c) Vim gic mc.
c) III, IV, VI d) a,b,c.
d) III, V, VI 12. Vim kt mc l vim ca :
2. Cm gic gic mc l do: a) Kt mc nhn cu.
a) Dy thn kinh III chi phi b) Kt mc mi mt.
b) Dy thn kinh V1 chi phi c) Kt mc vng ra.
c) Dy thn kinh V2 chi phi d) C h thng kt mc mt.
d) Dy thn kinh VII chi phi 13. Yu t thun li cho vim gic mc:
3. Thy dch c sn xut t: a) Nhng sang chn hoc vi sang chn ca b mt
a) Th mi gic mc (lp biu m).
b) Mng mt b) Nhng bnh l ti mt lm gim tnh tan vn v
c) Hc mc khe mnh ca gic mc : bnh kh mt, lan dng
d) Vng mc gic mc,...
4. Tng p l tnh trng thy dch khng thot lu c) Mi trng lm vic tip xc vi nhng tc nhn
tt do: (vi khun, vi nm,...) c c lc cao.
a) Nghn gc tin phng d) a,b,c.
b) Nghn ng t 14. Cc thuc nh mt thng c s dng trong
c) C hai u ng iu tr vim let gic mc:
d) C hai u sai a) Thuc nh mt khng sinh, corticoides.
5. Chc nng sinh l ca th thy tinh l: b) Thuc nh mt khng nm, khng virus,
a) Hi t nh sng corticoides.
b) Cho php nh sng i qua c) Thuc nh mt khng sinh, khng virus, khng
c) Thu knh hai mt li gip nhn c hnh nh nm.
d) Dinh dng cho pha l th d) Thuc nh mt khng sinh, khng nm,
e) Tt c u sai corticoides.
6. Pha l th l: 15. Tc nhn gy vim gic mc c th do:
a) Dng nc a) Virus.
b) Dng keo b) Vi khun.
c) M c c) Vi nm.
d) Dng mng d) K sinh trng
7. T bo nn, t bo que thuc lp: e) Tt c u ng
a) Gic mc 16. Mt s c im tn thng let gic mc do vi
b) Mng mt nm:
c) Th mi a) Tn thng g cao, b gii hn kh r.
d) Hc mc b) Tn thng v tinh.
e) Vng mc c) Vng min dich.
8. Bnh nhn m hon ton l do: d) M tin phng v m ny d ti lp nhanh.
a) Tn hi thn kinh th e) a,b,c.
b) Tn hi ng dn truyn thn kinh th 17. Mt s dng thng gp ca vim gic mc do
c) C hai u ng virus:
d) C hai u sai a) Vim gic mc biu m hnh cnh cy.
9. Bnh l hc vng mc trung tm thanh dch l b) Vim gic mc hnh a.
bnh l ca: c) Vim gic mc hnh bn .
a) Vng vng mc cc sau d) a,b,c.
b) Vng vng mc ngoi bin 18. C ch cn tng nhn p cp gc ng:
c) Vng gai th a) Nghn that lu thy dch ti vng b.
d) Vng hong im b) Nghn lu thng thy dch t hu phng ra tin
e) Tt c u sai phng do nghn ng t.
10. Nguyn tc iu tr vim kt mc: c) a,b.
a) iu tr triu chng. 19. Chn an phn bit cn tng nhn p cp:
b) iu tr theo tc nhn gy bnh (nu xc nh). a) Vim kt mc cp.
c) iu tr d phng trnh ly lan. b) Vim gic mc.
d) Bao gm a,b,c. c) Vim mng b o trc cp.
d) a,b,c.
20. Triu chng lm sng c TTT do tui gi: 27. Giai on sm ca bnh vng mc i tho
a) Bnh nhn c th b cn th ha. ng (BVMT) c trng bi cc bin i
b) Triu chng cn th ha c th do khi bt u c, vng mc
TTT gim kch thc trc sau, lm tng cng sut a) S hnh thnh vi mch vng mc
TTT. b) S tng tnh thm mch mu vng mc
c) Biu hin ca cn th ha trong trng hp ny c) S xut huyt trong vng mc
l bnh nhn phi eo knh cn c sch thay v eo d) Tt c ng
knh lo. 28. Trong BVMT, du chng tn mch a th
d) Cc cu a, b ng. thuc:
e) Cc cu b, c ng. a) BVMT tng sinh
21. Nguyn nhn c TTT b) BVMT khng tng sinh nh
a) nc ta, ch yu do chn thng nh tai nn c) BVMT khng tng sinh trung bnh
trong lao ng, sinh hot, tai nn giao thng... d) BVMT khng tng sinh nng
b) Cc nguyn nhn khc thng gp v chim t l 29. Nguyn nhn ca ph gai th l: (chn cu sai)
cao l do tiu ng, do dng corticoid ko di, bm a) Khi u hoc tn thng chong ch ni s
sinh b) Gi u no
c) Nguyn nhn do tui gi chim a s, khong c) Tng tit dch no ty (u)
di 50% cc trng hp. d) Tng hp thu dch no ty
d) Cc nguyn nhn cn li chim hn 50% cc 30. Nhng nguyn nhn thnh cng v bi hc kinh
trng hp. nghim trong cng tc PCML VN
e) Khng cu no ng. 1. Cn tuyn truyn ton x hi nhn thc r
22. Chn on c TTT hn v gi tr i mt khe
a) Da vo cc triu chng lm sng. 2. Cn c chin lc v k hoch hp l, ph hp
b) Th lc gim khi o th lc vi nhu cu v iu kin thc t ca mi giai on
c) C th khm v chn on vi dng c thng pht trin
thng nh n pin, n bn. 3. Cn ch trng cng tc o to cn b trnh
d) Cc cu a, b, c ng. cc tuyn
e) Cc cu a, b ng. 4. T lc l ch yu, nhng cn tranh th s
23. iu tit gip quan trng t cc t chc quc t v quc
a) L hin tng gy ra do phi hp th mi dy gia cho cng tc phng chng m lo
chng Zinn th thy tinh a) 1, 2, 3 ng
b) Gip ta nhn xa, gn u r nt b) 1, 2, 4 ng
c) Gim dn khi trn 40 tui c) 1, 3, 4 ng
d) Cc cu a, c ng d) 2, 3, 4 ng
e) Cc cu a, b, c ng e) Tt c ng.
24. Cc dng tt khc x bao gm 31. Mc tiu chung ca chng trnh quc gia
a) Cn th - vin th - Lo th - Lon thi phng chng m la ca Vit Nam
b) Lo th - Cn th - Vin thi 1. Phn u t c mc tiu Th gic 2020
c) Vin th - Cn th - Lon th 2. Kim sot cc cn bnh gy m c th phng
d) Lon th - Cn th - Lo th trnh c vo nm 2020
e) Cc cu a, b, c, d sai 3. Gp phn gim bt t l m la, nng cao cht
25. Mt c xem l mt h thng quang hc phc lng cuc sng v tnh trng sc khe nhn dn
tp, trong mt s b phn gp phn quan trng 4. Xy dng, hon thin h thng chm sc mt
trong vic to nn cng sut ca c nhn cu, bao cc tuyn, tng bc pht trin k thut cao, dch v
gm chuyn khoa su
a) Gic mc a) 1, 2, 3 ng
b) Th pha l b) 1, 2, 4 ng
c) Th thy tinh c) 1, 3, 4 ng
d) Cc cu a, b, c ng d) 2, 3, 4 ng
e) Cc cu a, c ng e) Tt c ng.
26. Knh l: Trong trng hp bnh nhn c tt
khc x, th vi knh l cho th lc tng hn, v:
a) Knh l lm gim nh sng vo m ng
t
b) Knh l lm bnh nhn tp trung hn
c) Knh l lm gim hin tng nhiu x
d) Knh l lm tng mc tng phn.
e) Cc cu a, c ng
32. Quan im chm sc mt ban u v phng 36. Phn loi mc gim th lc theo T chc y t
chng m la Vit Nam: th gii, gim th lc 4 tng ng:
1. Cn tch cc tuyn truyn x hi nhn thc a) 1/10 Th lc < 3/10
r hn v gi tr ca sc khe i mt b) 1/20 Th lc < 1/10
2. Chm sc bo v nh sng cho i mt l trch c) 1/50 Th lc < 1/20
nhim ca mi ngi d) ST(+) Th lc < 1/50
3. C k hoch phng chng m la hp l, ph e) ST (-)
hp vi nhu cu v iu kin thc t 37. Chn cu ng nht:
4. T lc l ch yu nhng cn tranh th s gip 1. Phn loi mc gim th lc theo T chc y
ca cc t chc quc t. t th gii, gim th lc 3 tng ng: 1/50
a) 1, 2, 3 ng Th lc < 1/20
b) 1, 2, 4 ng 2. Th lc gim t ngt km mt au nhc,
c) 1, 3, 4 ng nguyn nhn c .
d) 2, 3, 4 ng th gp l Glaucome cp
e) Tt c ng. 3. Th lc gim t t khng i km mt ,
33. Nguyn nhn m la v tnh trng bnh mt i nguyn nhn c th gp l c th thy tinh
i vi s pht trin x hi: i vi cc nc ang 4. X tr cp cu trong chm sc mt ban u ti
pht trin, tnh trng bnh mt mang sc thi bnh tuyn c s, thy thuc c th khng cn o th lc
tt ca cc nc ngho, nguyn nhn chnh: i vi bng mt do ha cht
1. i sng thp a) 1, 2, 3 ng
2. Mi trng nhim b) 1, 2, 4 ng
3. Trnh vn ha, kin thc v sinh ca nhn c) 1, 3, 4 ng
dn km d) 2, 3, 4 ng
4. Tuyn truyn cha p ng nhu cu e) Tt c ng.
a) 1, 2, 3 ng 38. Nhng chng trnh phng chng m la trng
b) 1, 2, 4 ng tm ca Vit Nam trong thi gian va qua
c) 1, 3, 4 ng 1. Chng trnh phng chng bnh mt ht
d) 2, 3, 4 ng 2. Chng trnh m c th thu tinh
e) Tt c ng. 3. Chng trnh phng chng bnh kh mt do
34. Nguyn nhn m la v tnh trng bnh mt i thiu vitamin A tr em
i vi s pht trin x hi: i vi cc nc pht 4. Chng trnh phng chng tt khc x tr em
trin, vn chm sc mt cn ch lin quan n a) 1, 2, 3 ng
a) Bnh tt ton thn v cc bnh di truyn b) 1, 2, 4 ng
b) Cc bnh nhim trng, k sinh trng c) 1, 3, 4 ng
c) Cc bnh lin quan vn dinh dng d) 2, 3, 4 ng
d) c thy tinh th e) Tt c ng.
e) Mt ht, kh mt 39. Mc tiu ca chng trnh quc gia phng
35. Chn cu ng nht: chng m la ca Vit Nam
1. Trc khi khi u chng trnh phng 1. Xy dng v kin ton Ban ch o PCML
chng m la, nguyn nhn ch yu gy m Vit 2. Kim sot c cc bnh gy m phng cha
Nam l bnh mt ht v bin chng c
2. Nguyn nhn hng u gy m VN hin nay 3. o to nhn lc cho h thng chm sc
l c th thy tinh mt cc tuyn
3. Chng trnh phng chng bnh kh mt do 4. Xy dng v hon thin h thng chm sc
thiu vitamin A tr em khng phi l mt trong mt tt c cc tuyn, tng bc pht trin k thut
nhng chng trnh phng chng m la trng tm cao, dch v chuyn khoa su
ca Vit Nam trong thi gian va qua a) 1, 2, 3 ng
4. Trong cng tc o to cn b phng chng b) 1, 2, 4 ng
m la, s lng bc s chuyn khoa mt ca Vit c) 1, 3, 4 ng
Nam t t l khuyn co ca T chc y t th gii. d) 2, 3, 4 ng
a) 1, 2, 3 ng e) Tt c ng.
b) 1, 2, 4 ng 40. c im ca bng do cht kim
c) 1, 3, 4 ng a) Bng ph hy chm nhng tin trin nng
d) 2, 3, 4 ng b) Xu hng lan rng c chiu rng ln chiu su
e) Tt c ng. c) Khng tin on c tn thng
d) C 3 u ng.
41. Hc mt l hc xng c hnh qu l cha: c th c, bnh nhn c hiu v k vo bn cam kt
a) Nhn cu, cc c ngoi nhn ng phu thut.
b) Nhn cu, cc c ngoi nhn, tuyn l 45. Phu thut mi mt c nhng nguy c, bin
c) Nhn cu, cc c ngoi nhn, tuyn l, thn kinh, chng sau:
m hc mt, mch mu a) Sp mi
d) Nhn cu, cc c ngoi nhn, tuyn l, thn kinh, b) H mi, chy nc mt, lot gic mc
m hc mt c) C nhng nguy c bin chng nng, k c gim
42. Cc phng php chn on hnh nh trong cc th lc.
bnh hc mt: d) Tt c cc cu trn.
a) Siu m, chp X quang 46. trm trng ca mi loi bng ty thuc:
b) Siu m, chp X quang, chp ct lp vi tnh a) Nng
c) Siu m, chp cng hng t b) Thi gian tit xc
d) Tt c cc phng php k trn. c) pH
43. Mi mt gm cc cu trc sau d) C 3 u ng.
a) Da, m di da, sn mi, kt mc. 47. Tn thng sau bng ghi nhn nh sau: gic
b) Da, m di da, sn mi, kt mc, cc c nhm mc c m khng nom r chi tit mng, kt mc
mt, sn mi, kt mc. trng t hn 1/3 ra. Cp bng c nh gi l:
c) Da v m di da, cc c nhm mt, vch hc a) Trung bnh
mt, cc c nng mi, sn mi, kt mc. b) Trung bnh nng
d) Da v m di da, cc c nhm mt, vch hc c) Nng
mt, m hc mt, cc c nng mi, sn mi, kt mc d) Rt nng.
44. Chun b bnh nhn trc m mi mt do chn 48. Cng tn thng nh trn tin lng c th
thng: a) Khng c so gic mc
a) M mi mt l phu thut n gin, cn xt b) So v tn mch gic mc trm trng vi th lc
nghim TS-TC, bnh nhn c hiu v k vo bn cam m ngn tay
kt ng phu thut c) Gic mc b so v c tn mch, th lc di 1/10
b) BN phi c khm trc m y , t m, bnh d) Lot v thng gic mc thng xy ra.
nhn c hiu v k vo bn cam kt ng PT 49. c im ca bng do axit
c) BN phi c khm trc m y , t m, hiu a) Bng ph hy nhanh nhng hn ch v chiu su
r li ch ca PT v nhng bin chng c th c. b) Khng c xu hng lan rng
d) Bnh nhn phi c khm trc m y , t c) Tn thng do bng axit c th tin lng sm
m , hiu r li ch ca phu thut v nhng bin chng d) C 3 du ng.
50. V thit ct dc ng nhn cu

1 c 11 d 21 c 31 a 41 c
2 b 12 d 22 e 32 e 42 d
3 a 13 d 23 e 33 e 43 d
4 c 14 c 24 c 34 a 44 d
5 a 15 e 25 e 35 b 45 d
6 b 16 e 26 c 36 d 46 d
7 e 17 d 27 d 37 e 47 b
8 a 18 c 28 a 38 a 48 c
9 d 19 d 29 d 39 e 49 d
10 d 20 a 30 e 40 d 50 v hnh
1. 2.

3. 4.

5. 6.

7. 8.
09 10

11 12

13 14

15 16