Cau 1 Loc mau lién tuc dugc chi dinh trong trong hop nao sau ngimng tim phoi? A) — Hi chitng tén thuong nao B) Hi chitng rdi loan chite nang co tim | ©) — H6i ching thiéu mau hé théng va phan img tai tdi mau D) Tinh trang bénh ly cp tinh Cau 2 Dién gidt gay ngimg tim phéi thudng do? A) Rung thdt B) Chan throng C) — Suy hé hap D) Tang kali mau C4u 3 Chan thuong gay ngimng tim phdi thuong do? A) Réiloan nhip B) Suy hé hap ©) — Gidm khéi hrong tudn hoan D) _ Réi loan chuyén héa Cau 4 Tu thé ép tim & phu nit cé thai to? A) Nam ngira B) Ké géiévai OC) Ké gdi 6 mong nghiéng sang 1 bén D) Nam nghiéng Scanned with CamScannerCau 5 Gian doan ép tim nén duoc gidi han 6: A) Dui 10 giay B) 2giay Cc) Sgiay D) Khéng bao gid durgc gin doan trong qua trinh ép nguce Céu 6 Khi c6 nhiéu ngwdi citu hé, lire Ivgng cttu hé nén thay ngudi ép tim bao lau mot lan? A) M6oi20 chu ky B) Cwl5chuky I C) Cir 10 chu ky D) Cir 5 chu kd Cau 7 V6 tam thu 1a tinh trang A) Tim bép kém, dién tim cé cac song lén. B) Tim khéng bop nhung dién tim cé hinh anh nhip nhanh that. C) Tim bop tét nhung dign tim a mét dong thang. D) Tim khong bop, dién tim 1é mét dirdng théng. Cu 8 Rung that 1a: A) Ngimg tim v6i dién tim 1a mét dudng thing. B) _Ngimg tim véi dién tim cé hinh anh ngoai tim thu that Lién tiép. ©) Ngimg tim voi dién tim chi c6 cde séng da pha khong déu tén sé nhanh. D) _Ngimg tim v6i dign tim la mot dudng thing Cau 9 Phan ly dién co Ja tinh trang A) Ghi dugc dién tim nlumg tim bép v6 hiéu. Scanned with CamScannerB) Khéng ghi duge dién tim du tim bop hiéu qua. C) Khéng ghi duge dién tim va tim khong bop dugc. D) —Dién tim cé dién thé thap va tim co bop rat cham Céul0 Gian déng tt trong ngimg tim thong xay ra sau A) 5-10 phit B) 10-20 phit ©) 20-30 phitt D) 30-40 phit t Cau 11 Chi dinh loc mau cap ctru trong diéu tri ting Kali mau Ap dung trong trudng hgp nao sau day: A) Néng dé Kali mau > 6 mmol/L B) — Bénh nhan dap img kém véi thuéc loi tiéu C) — Toan héa mau va ting 4p lire tham thau do dai thao duong D) Avac Cau 12 Xét nghiém néng 46 Kali trong nuéc tiéu > 20mmol/I trong trong hop giam Kali mau ching to Kali mat qua duong nao sau day: A) Mat qua da B) Mat qua tiéu hoa ©) Mét qua than D) Bvac Cau 13 Mot ngwéi dan éng 35 tudi sau mét thdi gian lam viée ngoai toi ning nong, ra mo héi nhiéu thay c6 biéu hién khat, kho migng, nhip tim nhanh, cé chong mat nhung van tinh téo. Hay wée tinh sé hrong nude mat & bénh nhan nay? Scanned with CamScannerA) Khong 2 it B) Khoang4 lit C) Khoang 6 lit D)_ Khoang 8 lit Cau 14 M6t nguoi phu nt trréng thanh can ning 60 kg bj sét cao kéo dai, an udng kém. chong mat, buén nén va nén. Khi nhap khoa cap ctru kham va xét nghiém thay : sét 39 d6, HA 95/60mmHg, nhip tim 120 lan/phitt, Na mu 1a 161 mmol/L. Theo tinh toan long nude thiéu eta bénh nban nay 1a: A) 05 Lit B) 25Lit I O45 Lit D) 65 Lit Cau 15 M6t bénh nhén vira nhap vién diéu tri, ¥ thitc tinh nhung xét ng! Na mau 1a 171 mEq/L. Tinh trang pht hop nhat voi xét nghiém nay cua bénh nhan la: A) Xo gan mat bi B) Dai théo nhat C) Tiéuchay cap D) —-Xuét huyét tigu hoa Cau 16 Dung dich NaCl 3% co thé duge sir dung truyén trong cc trrdng hop nao? A) — Giam Natri mau cé triéu chitng than kinh B) Héichttg mat mudi do nao C) Héichtmng tiét ADH khéng thich hop D) C3 diéu trén déu ding Scanned with CamScannerCau 17 Mét chién s¥ nhap vién vi ly do mét, chong mat sau khi hoan thanh bai tap rén luyén thé Inte va kh6ng uéng bat ky nude hodc chat long gi. Qua trinh kham thay co biéu hién nhip tim nhanh va ha huyét ap tu thé ding. Két qua xét nghiém nao sau day c6 kha nang nhat 6 bénh nhan nay? A) C6 hong cau trong nude tiéu B) — Natri huyét thanh <140 mEq/L C) — Natri nude tigu > 20 mEq/L D) — Natri meéc tiéu < 20 mEq/L Céu 18 Mot bénh nhan bj nén va ia long, kiém tra cé biéu hién giam khdi Iuong tuan hoan va natri huyét thanh 1a 126 mEq/L. Dung dich nao nén durgc la chon dau tién dé truyén cho bénh nhan nay: I A) Glucose 5% B) NaCl3% ©) NaCl 0,9% D) KéthopAvaB Cau 19 M6t bénh nhan cé tinh trang tang Kali mau, da durgc ding thuéc loi tiéu nhung xét nghiém Kali van cao, wén dién tim xuat hién song T cao nhon, khoang PR kéo dai. Bign php nao sau day nén due sir dung ngay cho bénh nhan. A) — Calciclorid 1g truyén tinh mach (trung tam) trong 5 - 10 phut. B) Tiém 10 don vi insulin nhanh tinh mach véi 50g glucose néu bénh nhén khong co biéu hién tang dung huyét qua cao. C) Kéthop 2 bién phap A va B D) — Tién hanh loc mau cap cir. Cau 20 Mot bénh nhan bi suy tim, dang dugc diéu tri hang ngay bing cac thuéc digoxin, captopril, furosemide va aspirin. Khi dén phong kham xét nghiém Kali mau cia bénh nhan nay 1a 3,1 mEq/L va chwa cé biéu hién yéu strc co hay r6i Scanned with CamScannerloan trén dién tim. Bién phap nao dudi day 1a ra chon ph hop cho bénh nhan, biét ring mi vién Kaliorid 600mg chtra $ mEq Kali. A) Cho nhap vién va truyén tinh mach 2 dng Kaliclorua 0,5g pha trong dung dich Glucose 5% trong vong | gid. | | B) — Cho bénh nhan uéng méi ngay 4v Kaliorid 600mg C) Cho bénh nhan uéng mdi ngay 1v Kaliorid 600mg D) Khéng can bé sung Kali, hen sau | thang dén xét nghiém lai. Cau 21 G bénh nhan suy da tang do nhiém khuan thuéc van mach nao chrgc khuyén céo sir dung phéi hop A) Noradenalin + Adrenalin t B) Noradenalin + Dopamin C) Dopamin + Adrenalin D) — Noradenalin + Dobutamin Cau 22 Tinh diém SOFA cho bénh nhan nhap khoa ICU véi P/F 98 khi tho may: tiéu cau 18G/L, Bilirubin 12,5 memol/L, MAP < 70mmHg, Noradrenalin 0.2 meg/kg/phuit, Glasgow 5 diém: Creatinin 312 memol/L va long nuéc tieu 198 ml/ngay A) 22 B 19 c) 15 D) Cau 23 Dé giam tiéu thy oxy 6 bénh nhan durgc chan doan suy da tang? A) Gite cho bénh nhan ném yén trén giréng bang an than thé may B) — Giit khéng khi yén binh va tinh Ling trong phong bénh ICU. C) Han ché but dom cho bénh nhan i Scanned with CamScannerD) — Cung cp dinh duéng cho bénh nh: c nhu cau toi thiéu Cau 24 Bénh nhan nam, 61 tudi vao vién vi dau bung ving throng vj kem theo thé nhanh 301/p, SpO2 90%, Mach nhanb 1401/p, HA 90/60mmHg. Xét nghiém Amylase/méu tang 900U/L, Triglycerid/mau tang 18mmol/L, Ure 25 mmol/L, Creatinin 150 jcmol/L, khi mau PaQ2 58mmHg, pH 7,15. Huréng chan doan sat nhat nghi dén 1a A) Suy hé hap cép B) — Viém tuy cap bién ching suy hé hap cdp C) — Viém tuy cap D) — Viém tuy edp bién ching suy da tang Cau 25 Bénh nhan nit, 55 tudi, tién sir soi thi mat, vao Fign vi dau bung ving throng vi. Kham sét cao 390C rét run, vang da vang mit, kém theo thé nhanh 351/p. SpO2 92%, Mach nhanh 140l/p, HA 80/60mmHg. Xét nghiém Amylase mau tang 900U/L, Ure 30mmol/L, Creatinin 150 memol/L, Bilirubin toan phan 150, Bilirubin tnyc tiép 70 U/L. Hung chan dodn sét nhat nghi dén la A) Viém tii mat cap B) Séc nhiém khuan C) Viém tuy cap D) — Séc NK, nhiém khudn huyét, bién ching suy chite nang da tang Cau 26 Bénh nhan nit, 50 tudi, vao vién ngay thir nhat, dug chan doan viem tuy cap do réi loan chuyén héa lipid bién chtmg suy da tang. Bién phap dirgc khuyén cao diéu tri nhat? A) — Chuyén déi huyét tuong va phau thuat lau rita, dan hr 6 bung B) — Loc mau lién tue va phau thuat lau rita dan hu 6 bung ©) Chuvén d6i huyét trong va dan lieu trigt dé dich 6 bung didi neéng dén ctia XO can thigp D) Phau thuat lau na, dan Luu 6 bung Scanned with CamScannerCau 27 Bénh nhan nam, 30 tudi, sot 3 ngay nay, sdt 39,5 oC, ty ding ha st tai nha bang Paracetamol 3g/ngay, vao vién vi tite nguc khé thé. Kham thay thé nhanh 30l/p, SpO2 90%, Mach nhanh 140\/p, HA 90/60mmHg vang da vang mit, sot 390C. Xét nghiém Creatinin 1SOU/L, Bilirubin toan phan 150, Bilirubin tre tiép 70 U/L, GOT 1000 U/L, GPT 800U/L, khi mau PaO2 58mmHg, PCT 80ng/mL. Hwéng chan doan sat nhat nghi dén 1a? A) — Suy hé hap cap B) — Nhiém khudn huyét bién chimg suy da tang C) Viém gan cap do nhiém déc paracetamol D) — Suy da tang do ng6 déc paracetamol Cau 28 Bénh nhan dang diéu tri xo gan, may ngay nay tiéu it, vao vién trong tinh trang y thntc lo mo. Xét nghiém Creatinin SOOU/L, Bilirubin toan phan 150, Bilirubin truc tiép 70 U/L, GOT 100 U/L, GPT 200U/L. Hwéng chan doan sat nhat nghi dén la I A) Xo gan B) — H@ichitng gan thén C) — Suy da tang D) — Suy than cap Cau 29 Bénh nhan nam, 40 tudi, tién sit khoé manh, bj tai nan giao théng vao vién trong tinh trang séc mat mau do vé Lach va gay xwong dui da duoc phau thuat cap cttu cat lich. Sau 3 ngay diéu tri, xét nghiém Creatinin 300U/L, Bilirubin toan phan 150, Bilirubin truc tiép 70 U/L, GOT 1000 U/L, GPT 800U/L, tiéu cau 100G/I. Huéng chan don sat nhat nghi dén 1a? A) Suy gan cap B) — Suy than cap C) Hi ching gan thin D) — Suy da tang sau séc mat mau do da chén throng Scanned with CamScannerCau 30 Bénh nhan nam, 40 tudi, tién sir khoé manh, bi tai nan giao théng vao vién trong tinh trang soc mat mau do vé lach va thi da duoc phau thuat cap cifu cat lich. Sau 3 ngay diéu tri, xét nghiém Creatinin 300U/L, Bilirubin toan phan 150, Bilirubin tryc tiép 70 U/L, GOT 1000 U/L, GPT S00U/L, tiéu cau 100G/I. Huéng chan dodn sat nhat nghi dén 1a? A) — Suy hé hap cép B) —Nhién khudn, suy da tang sau séc mat mau do da chan throng C) — Suy gan cap sau da chan thuong séc mat mau do da chan thong D) — Suy da tang Cau31 Céc bién phép nao khéng ding khi xir tri bénh nbn tyt hoi A) Dat nam nghiéng trai B) Dat canuyn mii hau ©) — Nghiém phap Heimlich D) Dat canuyn miéng hau I Cau 32 Tht thuat Heimlich thanh cong khi: A) Nhin thay dj vat bi tong ra B) Bénh nhan tho va noi 16 durge ©) — Bénh nhan tinh hon ®) Tat ca cdc ¥ trén déu ding Cau 33 Tw thé cap ciru khi bénh nhan ngimg tho hoac ngimg tuan hoan 1a: ( A)) Nam ngira trén nén hod van cttg, an tran nang cim khi khéng c6 chan thong cot song co B) Nam tu thé nghiéng an toan trén van cttng, an tran nang cim khi khong co chan thuong ct séng ¢6 Scanned with CamScannerC) Nam dau bang trén van cttng, an tran nang cém khi kh6ng co chan thong cot song co D) Nam ugtta trén nén hod van cig, dn tran néng cdm khi cé chan throng cOt song co Cau 34 Trong bénh canh sém sau mé, théng khi khong xém nhap da duroc chimg minh cé higu qua nhat vi: A) — Dao ngwoc tinh trang xep phéi B) Lam giam phv thanh quan C) Cai thién chtrc nang tim D) — Giam thé rit Cau 37 Mot bénh nhan nit 65 tudi duge phau thuat noi soi diéu tri thoat vi 6 bung. Sau khi rot éng néi khi quan trong phéng mé, chuyén vé hdi site thay giam oxy mau, ting CO2 mau va toan mau can dat lai ng néi khi quan. Nguyén nhan gay suy hé hap cap hang dau 1a: A) Pht phdi cap do qua tai dich I B) Chay mau sau mé C) Tac mach do CO2 D) — Khéng dii liéu thude gidi gian co Cau 38 M6t bénh nhan nam cat doan dai trang 8 tiéng, c6 tién str bénh mach vanh nén duge theo déi ECG lién tuc sau mé. Bénh nhan khoi phat cap tinh nhip nhanh 146 lan/ phit. Song P da hinh thai. Tho 34 lan/ phuit, Huyét p 140/80 mmHg v6i SaQ2 94% thé oxy qua mask 40%. Xit tri thich hop nhat 1a: A) — Cho Jgi tiéu Furrosemid 40 mg B) Tho oxy qua mask khéng thé lai 100% C) Amiodarone 150 mg tiém tinh mach D) — Dait ng ngi khi quan va tho may Scanned with CamScannerCau 39 Bénh nhan nam 60 tudi bj tai nan giao théng, nhap vién thé mask Khéng thé lai véi oxy 100%, SaO2 96%. Thé néng va ging sitc. Tién sir COPD. X quang gay xwong sun 2-7 wai, khong tran dich tran khi khoang mang phi. Cac bude phi hop nhat dé xit tri tinh trang nay A) Khi dung bang albuterol va atrovent B) Morphin tinh mach C) Ketorolac tinh mach D) — Phong bé canh séng Cau 40 Bénh nhan nit 62 tudi, dat éng thé may sau mé chan thuong so nao 6 ngay. S6t 38,7 46, nhip tim 104 lan/ pit, khéng tut huyét ap. Dom dac vang. X quang tim phoi xep thty didi hai phoi. Bach cau 9,4 G/L vi 72% Neutrophile. Buse diéu tri tiép theo pho hop nhat 1a: A) Bat dau ding khang sinh vancomycin va piperacillin — tazobactam theo kinh nghiém B) CT bung va khung chau cap citu I ©) — Soi hitt rita khi phé quan D) Cho acetaminophen va chan ha nhiét. Cau 41 Bénh nhan nam 24 tdi vao vién vi vét throng ving bung va ting sinh man. Huyét ap 84/52, mach 120 I/p, va mé héi, da nhot lanh. Bign phap xtt tri A) Eptim B) Dat 6ng ndi khi quan C) Ding Verapamil D) — Truyén nhanh dich tinh thé cau 42 Bénh nhan nam 35 tudi vao vign vi s6c abiém khan sau nhiém khudn ngoai da ving cénh tay. BN co 16i loan y thitc, cam gidc gai rét. Nhip tim 125 I/p, huyét ap 60/30, tan s6 thé 25 /p. Bude dau tién pho hop nhat trong xt tri nén lam la ne EE Scanned with CamScannerA) — Cho thé oxy 100%, dat duéng truyén tinh mach va cho 500 ml gelofusin (dich keo) B) Dat tinh mach trung tam dé Incéng dén bit dich C) Ding thudéc van mach durdng ngoai vi dé tang hau ganh va nang huyét dp D) _ Sirdung m6t bién phap theo doi cung lung tim khéng xam lan Cau 43 Bénh nhan 78 tudi séc nhiém khuan, mach 120 I’/p voi ap luc tinh mach trung tim va ap lc mao mach phdi bit thap. Nuc tigu 30mI/h trong 3 gid. Bién phap diéu trj nao sau day khong nén sir dung? A) Ding Furosemide 40 mg tinh mach B) Tang dich truyén tinh thé 250 ml/h C) Cho hydrocortisone 100mg tinh mach D) —Diéu chinh Noradrenalin dé git huyét 4p tam thu trén 90 mmHg cau 44 Bénh nhan vao vién véi chan thuong Ion nghingy co chan thuong cot séng tuy song. Dau hiéu nao sau day goi ¥ bénh nhan cé séc tay? A) Ranamé phéi B) — Nhip tim 45 Vp ©) Danhot lanh D) sét380C Cau 45 Sau khi truyén 21 dich tinh thé, 4p lure tinh mach trung tam cua 1 bénh nhan soc nhiém khuan la 10 mmHg, nhung huyét ap van 82/40 mmHg. Nén sit dung thuéc gi dé nang huyét 4p? A) Furosemide B) Nitroglycerin ©) Noradrenalin D) — Sodium nitroprusside Scanned with CamScannerCau 46 Dau hiéu nao sau day chi dan rang bién phap bu dich cho mét bénh nhan séc giam thé tich nang 90 kg 14 c6 hiéu qua? A) Hemoglobin vé nguéng binh thursng B) — Nitéc tiéu > 65ml trén 1 gio ©) Ap luc tinh mach trung tam binh thudng D) Huyét dp trung binh 70 mmHg Cau47 —_Bénh nbn soc tim hién c6 cac dau hiéu sau: huyét 4p 102/60 mmHg, nhip tim 128 V/p, tan s6 thé 28 V/p, ap lie mao mach phi bit cao va cung long tim thap? Nén sir dung bién phap diéu tri nao dudi day? A) Truyén Albumin 5% B) _ Tiém tinh mach Furosemide C) — Truyén Noradrenalin D) Tiém Hydrocortisone Cau 48 Dau hiéu nao sau day 6 bénh nhan séc tim goi y bénh nhan dang tién trién rdi loan chtre nang da co quan? A) Creatinin méu ting B) _Bénh nhan kéu dau ngue C) Da dau chi lanh, mach yéu D) Ran am 2 bén phé trrong Cau 49 Bénh nhan nam gidi 82 tu n str dai thao dong bi tai nan giao théng. v6i chan thuong nguc bung. Bénh nhan durge dura vao ICU, sau 1 vai gid, biéu hién réi loan chite nang co tim, tut huyé ap, déng mau rai rac trong long mach va hén mé. Hau qua nay phu hop nhat vdi loa nao: A) Phan vé B) Séctim Scanned with CamScanner©) Giam thé tich D) — Séc nhiém khuan (séc réi loan phan bd) Cau 50 M6t bénh nhan séc nhiém khuan, huyét ap 70/46 mmHg, mach 136 Vp, tan sé thé 32 V/p, nhiét d6 38,50C, glucose mau 18 mmol/l. Bién phap diéu tri nao lén duge ding trudc tién? A) Truyén dich 30 mi/kghh B) — Paracetamol 500mg truyén tinh mach C) — Truyén Insulin duy tri duong mau trong ngéng binh thong D) Ding Noradrenalin dé duy tri huyét 4p tam thu > 90 mmHg Céu 1: Ti lé thoi gian ép — nha khi ép tim ngoai long ngye 6 ngwai lon? 1:3 I 1:2 del 2:1 2. Danh gid ép tim ngoai léng nguc co hiéu qua? Do durgc huyét ap Nghe duoc tiéng tim dap Bat mach ben nay Bat due mach quay 3. Ky thuat théi ngat trong cap ctu ngimg tim phdi str dung....dé cap ctu? Dig migng Dung bong bop Dung may tho Ding mat na Scanned with CamScanner4, Tu thé cé bénh nhan trong ky thuat thdi ngat cap ctru? Nghiéng 1 bén Thang Uén c6 tdi da Gap cé toi da 5. Thi gian mdi lan théi ngat trong cap ctru ngimg tim phdi < Igiay 1-1,5 giay 15-2 giay >2 gidy 7. Thé tich méi lan théi ngat trong cap ctu ngimg tim phdi 6-8 ml/kg 8-12 ml/kg 12-15 ml/kg I 15-18 ml/kg 8. Ti lé ép tim va thdi ngat 6 ngui Ldn trong cap ctru ngimng tim phdi 15:1 30:1 15:2 30:2 9. Ky thuat nao khong phai a ky thuat khai thong durong tho? An tran, nang cim Moc dom rai ving hau hong Heimlick Dén lien khoang mang phéi 10. Chi dinh nao khéng phai ctia ky thuat khai thong dwrong tho? Tac nghén dung thé do tut loi Scanned with CamScannerTac nghén dwong thé do dich tiét Tac nghén dwong thé do di vat Tran dich, tran khi khoang mang phot 11. Thoi diém ngimg cap ciru nging tim phdi khéng hiéu qua? Sau 30 phut Sau 40 phut Sau 60 phit Sau 120 phut 12. Cap ctru ngimg tim phdi nang cao duc thye hién bai? Tat ca moi ngwoi Bac si da khoa Bae si hdi site cdp ctru Bac si chuyén khoa khac 13. Nguyén ly séc dién pha rung? Kich thich hoat dong dién co tim Kini cure co tim Tai cuc co tim Kich thich nit xoang hoat dong 14. Truong hop nao sau day khéng séc dién pha rung? Ngimg tim ngoai bénh vién V6 tam thu Rung that Nhanh that v6 mach 15. S6 chu ky ép tim — théi ngat gitta 2 lan séc dién pha rung? 1 chu ky ép tim — thdi ngat 5 chu ky ép tim = théi ngat 10 chu ky ép tim - théi ngat ‘Scanned with CamScanner15 chu ky ép tim — thdi ngat 16. Thuéc quan trong nhat trong cap ctru ngimg tim phdi? Adrenalin Atropin Noradrenalin Dopamin 17. Liéu thuéc adrenalin duoc str dung trong cap ctu ngitng tim phéi' Img/lan sau mdi 3-5 phit 3mg/lan sau méi 3-5 phit 5mg/lan sau mdi 3-5 phit 7Tmg/lan sau mdi 3-5 phut 18. Thuéc chéng loan nhip nao khong thong ding trong cap ctru ngi Atropin Amiodazone I Lidocain Betablock 19. Bién phap thong khi nao khéng sir dung trong cap ctu ngimng tim The oxy gong kinh Up mask bop bong Dat ndi khi quan thé may Dit ndi khi quan bop béng 20. Ha than nhiét trong cap ctru ngimg tim nham muc dich gi? H6 tro tuan hoan HG tro hé hap Bao vé té bdo nado Chong suy da tang 21. Nhiét dé muc tiéu ha than nhiét thong ding trong cap cru ngimn; ‘Scanned with CamScanner30 -320C 33 -360C 36 -36,50C 36,5 -370C 22. Han ché nuc vao la bién phap dugc ap dung trong trudng hgp giam Natri mau nao sau day: Xét nghiém Natri nigu > 20 mmol/L Tac rut Hi chitng tiét ADH khéng phi hop BvaC 23. Trong cdc dung dich sau dung dich nao co néng 6 Natri thap nhat: NaCl 0,9% NaCl 3 % NaCl 10% Ringerlactat I 24. Bién phap truyén NaCl wu trong dugc sit dung trong trrdng hop giam Natri nao sau day. Suy tim H6i ching tiét ADH khéng phi hop Gidm thé tich ngoai bao, cé triéu ching than kinh trang wong Giam thé tich ngoai bao, khéng co triéu chig than kinh trung vong 25. Truong hop tang Natri mau co thé tich tuan hoan khong déi nén chon bién phap nao sau day. Truyén NaCl 0,45%, néu mite loc edu than gid cé thé két hep ding loi tiéu Truyén Glucose 5%, két hop ding Igi tiéu Loc mau cap ctru ca 3 bién phap trén Scanned with CamScanner26. Tnrdng hop tang Natri mau co thé tich tuan hoan tang nén chon bién phap nao sau day. Truyén NaCl 0,45%, néu mute loc cau than giam co thé két hop ding loi tiéu Truyén Glucose 5%, két hop dimg loi tiéu Loc mau cap ctru ca 3 bién phap trén 27. Tang Kali mau gap trong cac trong hgp nao sau day Suy than Sot rét dc tinh Ngo dc Digitalis Ca 3 triréng hep trén 28. Giam Kali mau khéng gap trong cdc trong hgp nao sau day Nhiém toan méu Sir dung thudc Igi tieu St dung Insulin qua mite Bénh 1iét chu ky Westphal 29. Giam Kali huyét thanh cé thé gap trong trong hop nao dudi day: Bénh nhan dang thé may. Liét chu ky Dai thao dung phu thudc Insulin Ca 3 triréng hop trén 1. Tang Kali mau gap trong trong hgp nao sau day: Suy than man Hi ching Cushing Nhiém déc giap AvaCc 2. Réi loan nao trén dién tim sau day cé thé gap trong tang Kali mau Scanned with CamScanner3. Séng T cao nhon, Khoang PR kéo dai, QRS gian réng Rung ohi Rung that Avac 4. Biéu hién trén dién tim c6 "song T det, song U ndi r6" gap trong réi loan dién giai nao sau day: Tang Natri mau Giam Natri mau Giam Kali mau Tang Kali mau 5. Trigu ching "Yéu co tit chi, co hé hap" gap trong r6i loan dién giai nao sau day: Tang Kali mau iam Kali mau I Tang Natri mau Giam Natri mau 6. Trong cac dung dich sau dung dich nao cé chita Kali: NaCl 0,9% Glucose 5% cé pha 2 ng Panagin Ringerlactat Bvac 7. Bién phép nao cé thé durgc str dung trong diéu trj ting Kali mau Calciclorid 1g truyén tinh mach (trung tam) trong 5 - 10 phit Tiém 10 don vj insulin nhanh tinh mach véi 50g glucose Furosemid 40 - 60mg tiém tinh mach. Ca 3 bién phap trén Scanned with CamScanner8. Bién phap loc mau cap ctu c6 thé phai sir dung trong diéu tri réi loan dién giai nao: Tang Kali mau Giam Kali mau Tang Natri mau AvaC 9. Bu Kali dwong uéng 1a bién phap dau tién dugc ap dung cho trong hgp nao sau day: Nong 46 Kali mau < 2,5mmol/l) c6 trigu chitng liét co hodc dau hiéu nang trén dién tim. Nong a6 Kali mau tit 2,5mmol/l - 3,5mmol/l va khong c6 trigu ching trén lam sang Néng d6 Kali mau tir 3 mmol/l - 3,5mmol/I va khong cé triéu chimg trén lam sang AvaC 10.Truéng hop bénh nhan cé néng dé Kali mau < 2,smmol/ va co triéu ching liét co hoae dau hiéu nang tén dién tim thi nén chon bién phap bu Kali nao sau day: Bu Kali dung uéng liéu cao. Truyén Kali Clorua véi néng 6 pha téi da 1a 20 mmol/L Truyén Kali Clorua vdi néng a6 pha téi da 1 40 mmol/L Két hop A vaB 11. Truéng hop bi Kali qua dung tinh mach thi toc 46 bu Kali tdi da 1a: 10 nmol/gié véi tinh mach ngoai vi va 20 mmol/gié véi tinh mach trung tam 20 mmol/gid véi tinh mach ngoai vi va 30 mmol/gid véi tinh mach trung tam 30 mmol/gid véi tinh mach ngoai vi va 40 mmol/gid véi tinh mach trung tam 40 mmol/gié trong moi trong hop 12.Bién phap tiém Insulin nhanh qua tinh mach két hop véi glucose trong diéu tri ting Kali mau cé tac dung nao san dav- Scanned with CamScannerLam tang thai Kali qua duong tiéu hoa Lam tang thai Kali qua than Lam tang thai Kali qua hé hap Lam téng dich chuyén Kali vé néi bdo 13.Bién phap Tang théng khi va truyén natri bicarbonat qua tinh mach trong dieu tri tang Kali mau co tac dung nao sau day: Lam tang thai Kali qua dwong tiéu hoa Lam tang thai Kali qua than Lam tang thai Kali qua hé hap Lam tang dich chuyén Kali va néi bdo 14.Dam bao hé hap bing TKNT cho ngudi bénh suy da tang khi nao? Khi cé biéu hién kho the Néng dé lactat mau > 2,0 mmol/L I SpO2 < 90% Ti lé P/F <250 15.Chi dinh diéu tri diing thuéc chéng déng dit phéng thuyén tic mach do huyé khéi 6 bénh nhén suy da tang? Chi khi co biéu hién lam sang Dura bang diém KnowVTE Bat budc tat ca bénh nhan Dva vao dinh long D-Dimer 16.Khuyén cdo sit dung corticoid khi diéu tri bénh nhan suy da tang? Bat bude va cing sém cang tét Chéng chi dinh tuyét déi Chi ding khi séc kém dap img voi van mach. Chi ding khi thoat séc. Scanned with CamScannerBat bude va cang sém cang tét Sau 5 ngay Khi séc kém dap tg voi van mach. Khi thodt séc 18.Chi dinh str dung thudc dy phong xuat huyét tiéu hoa khi diéu tri bénh nhan suy da tang? Chi khi cé biéu hién lam sang Som khi chia cé biéu hién lam sang Dua bang ching ndi soi dudng tiéu hoa Lam sang va bang ching néi soi dwong tiéu hoa 19.Bién phap hé trg chtte nang than duoc khuyén céo nhat khi diéu tri bénh nhan suy da tang? Ding Igi tiéu khi tiéu it hoac v6 niéu Loc mau ngat quang I Loc mau lién tuc Bu du dich, dién giai 20.Nguyén tic diéu tri bénh nhan suy da tang? Diéu trj cin nguyén Diéu trj hd tr chite nang cac tang Vira diéu tri cein nguyén vita diéu tri hé tro clute nding cdc tang Diéu tri hé tro chte nang céc tang tre sau d6 mdi diéu tri cin nguyén 21.Nguyén tic ding khang sinh khi diéu tri bénh nhan suy da tang? Ding cac loai khang sinh dy phong Ché két qua vi sinh vat Chi ding khi c6 bang ching nhiém khuan Dimg khéng sinh phé réng theo kinh nghiém va xuéng thang khi cé khang sinh a6. Scanned with CamScanner22.Phuong thie thong khi duoc khuyén cao str dung diéu tri bénh nhan suy da tang c6 tén thurong phi? CPAP SIMV AC/VC ARDS network 23.Tén thuong phéi dac trang 6 bénh nhan suy da tang? Hi chitng tran dich Hoi ching tran khi Hi ching déng dac H6i clitng ARDS 24.Dau an sinh hoc danh gia giam twéi mau mé 6 bénh nhan suy da tang? Procalcitonin (PCT) I C protein reaction (CRP) Pro BNP Lactate 25.Loai dich dugc wu tién khuyén cao dé nang ap lnc keo trong long mach khi diéu tri suy da tang? Mau Huyét tuong Dich cao phan tt (HES) Albumin 26.Dé chan dodn ARDS 6 bénh nhan suy da tang chi s6 PaO2/Fi02? P/F <150 Scanned with CamScannerP/F <200 P/F <250 P/F <300 27.Gia tr] nao cia tiéu cu tuong ting véi 4 digm SOFA (tiéu chi huyét hoc)? S6 luong tiéu cau < 100.000 S6 long tiéu cau <3' 28.Khuyén co vé ché d6 dinh dung cho bénh nhan suy da tang? Nudi dudng hoan toan bing dong rudt Nudi dudng hoan toan bang dwéng tinh mach Chi nuéi dudng bang durong rudt nhung theo dung nap ctia bénh nhan Nudi diréng bang nudi dirdng dirdng tinh mach két hop véi diéng rust theo dung nap ctia bénh nhan 29.Co ché bénh sinh suy da tang do nhiém khuan gay e boi? Ngoai déc t6 vi khuan N6i déc t6 ctia vi khuan Con bao cytokine DAMP 30.Co ché bénh sinh suy da tang do tén thong thiéu mau — tai tdi mau gay ra boi? DAMP Céc san pham chuyén héa yém khi Sw nhap vi Con bao cytokine 31.Co ché bénh sinh suy da tang do viém tuy gay ra boi? Scanned with CamScannerMen tiéu protein trong tuyén tuy Do sy hoat hoa va hoa tng déng bach cau va dai thyrc bao Sur phéng thich cdc men tiéu protein va cytokine ctia mé tuy va cdc co quan khac Sw xam nhap vi khuan qua hang rao mau rudt 32.Cac yéu to déng vai tr chinh trong co ché bénh sinh suy da tang gom? Thiéu oxy mé Dap tmg mién dich Chét té bao theo chuong trinh Ca 3 dap an trén 33.Theo thuyét “2 tac déng” trong co ché bénh sinh thi suy da tang 1a do? Do tac nhan dau tién Do tac nhan tht hai Do ca téc nhan dau tién va tac nhan thit hai I Khong A, B, C 34. Thu thuat Heimlich duoc tién hanh trong trong hop nao: Sac thire cin U dong dom dai nhiéu Sac dich da day vao phéi Hit phai khi ddc 35.Chan doan nguyén nhan gay suy hé hap dua vao Kham lam sang, khai thac s¥ tién sir Chup X quang léng nguc, siéu 4m tim Lam khi mau d6ng mach Tat cd cae ¥ trén Scanned with CamScanner36.Mot bénh nhan vao vién trong tinh trang: st 390 C, kich thich vat va, xanh tim méi va dau chi, tho > 34 lan/ phuit, SpO2 = 80%. Chan doan nao 14 phu hop nhat: Suy hé hap nang Suy hd hap nguy kich Suy hé hap trung binh Viém phoi 37.Suy hé hap nguy kich khi cé m6t trong nhiing triéu ching sau, ngoai trir: Tho cham < 10 Jan/ phat hodc ngimg the Nhip tim cham < 50 lan / phat Xanh tim toan than Téing huyét dp 38.Muc tiéu diéu tri ban dau suy hé hap cap nguy kich, ngoai trir: Dam bao didng thé thong thoang I Dam bao oxy hoa mau va thong khi day du Can thiép thu thuat cap ctru theo trinh tr ABCD Diing thuée gian phé quan, ha sét, khang sinh manh. 39.Nguoi bénh suy hé hap man tinh do bénh phéi tic nghén man tinh nén: Tho oxy leu hrong thdp 1—3 lit/ phiit qua gong kinh Thé oxy hu long thap 5—7 lit/ phut qua gong kinh Thé oxy hru long thap 710 lit/ phat qua mask Thé oxy hru lngng thap 5—7 lit/ phut qua gong kinh 40.Tw thé thich hgp cho ngwéi bénh suy hé hap khi bi khé the 1a: Neéim dau cao Nam dau thap Nam dau bing Scanned with CamScannerNam nghiéng ngudi 41.Muc dich dat éng ndi khi quan, ngoai trir: Kiém soat duong tho Thong khi nhan tao Hut dom dai NGi soi phé quan 42.Chi dinh nao khéng phu hop dé dat ndi khi quan qua duéng miéng 6 bénh nhan suy hé hap cap: Bao vé durong thé & bénh nhan Glasgow < 8 diém Suy hé hap c4p can théng khi nhan tao Tac dung hé hap trén gay kho thé thanh quan cap Bénh nhén chan throng méit co gay xirong ham didi 43.Phan d6 kho khi dat éng ndi khi quan co may dé: 01 I 02 03 04 44.Khi dat éng ndi khi quan thi kiém soat lw@i cia bénh nhan nhw thé nao 45.Lu6i ctia bénh nhan phai duge day ra tude Lui cua bénh nhan phai duge day rasau Ludi ctia bénh nhén phai diye gat sang trai Ludi cua bénh nhan phai durgc gat sang phai 46.Quy trinh dat éng ndi khi quan co may thi: 03 04 05 Scanned with CamScanner06 47.Cac phuong phap cai thién théng khi bao gom, ngoai trir: Thuéc gian phé quan, v6 rung Thuéc loi tiéu, an than Dan hu tu thé, hut dom dai Hung dan ngwdi bénh tho cham va sau 48.Nhing dau hiéu cho thay ngwoi bénh dat dugc tinh trang oxy mau va théng khi tré lai binh thong bao gm, ngoai trir: PaO2 = 58 mmHg SaO2 = 95% hoac SpO2 = 97% PaCO2 35- 45mmHg Dau hiéu sinh ton 6n dinh I 49.Tho may khéng xm nh4p thich hop nhat voi m6t trong nhiing tinh trang nao sau day Scanned with CamScannerDot bing phat dp tinh cita COPD kém theo tang CO2 méu Tc mach phdi kém theo tang CO2 mau Suy that trai kem theo ting CO2 mau Viém phdi kém theo tang CO2 mau 50.Nguyén tic xit tri bénh nhan suy hé hap cp giam néng d6 oxy mau bao gém, ngoai tir: Nhanh chong phuc héi $a02 thich hop Sw dung mttc PEEP thich hop Tho may Vt thap, cho phép tang CO2 mau 6 bénh nhan ALVARDS Uu tién thong khi khong xam nhap 51.Nguyén tac quan trong khi xi tri bénh nhan suy hé hap cap tang CO2 mau chwa tho may 1a, ngoai tri: Khong gay an than cho bénh nhan tang CO2 mau hodc bj bénh ly than kinh co Cung cap oxy vira dii dé SpO2 > 90% Nhanh chong dam bao thong khi thoa dang Diing ngay thudéc téing thai trir CO2. Scanned with CamScanner52.Thé oxy déng cao qua mii cé thé cung cap hu hong téi da bao nhiéu lit/ phut 40 50 60 70 53.Cac bién phap khai thong dwong tho, ngoai tri: An tran nang cam An xvong ham dui Néim tir thé Fowler Thu thuat Heimlich Scanned with CamScanner54.Bénh nhan nam 28 tudi vao vién vi ve khung chau do tai nan mé t6. Kham | xét thay c6 cdc dau hiéu ctia soc mat mau. Loai dich nao sir dung dé bu dich ngay hic cap ctru 14 phd hop nhat? Glucose 5% Mudi ding trong voi kali Glucose 10% Lactated Ringer's énh nhan nam 29 tudi duoc PT ndi soi cat thi mat (trong PT khéng co bién c6). Dém dau tién sau PT, y ta duoc canh bao vi bénh nhan phan nan dau bung, mttc Hb gidm 3g/dl so vdi true PT, nhip fim 130 I/ph, HA: 80/40 mmHg va nvéc tiv 120mI/8h. Chan doan pho hop nhat 14? Sée gidm thé tich Séc do tim Nhéi mau phi Séc phan vé 56.Chi ngay tnréc khi ra vién, m6t BN nam gidi $5 tudi ¢ khoa néi chung bat dau biéu hién bat thudng vé “Vital signs”. Bénh nhan vao vién 3 ngay tréc Scanned with CamScannervi con dau quan than va than tr nudc. Tan sé thé 1a 25 I/ph, HA: 84/46mmHg, nhiét d6: 38C, nhip tim: nhip xoang 130 I/ph. SpO2 1a 80% thé khi phong. Nude tiéu < 0,Sml/kg/h. Bénh nhan tra loi cau hoi ding nhung cham. Da nong 4m. Chan don phu hop nhat la gi. Séc phan vé Séc nhiém khudn Sc than kinh Séc giam thé tich 57.Mét BN nam 55 tudi tién sir bénh mach vanh vao ICU vi ha huyét ap sau 24h cé nhitng con dau nguc. Khi dung nitroglycerin TM bénh nhan 46 dau nguc. Ngay thir 2 sau vao vién, dot ngét dau ngue ting, kho thé va thay déi ic. Bn durgc dat catheter DM phdi dé theo doi huyét dong thay: CVP 12 mmHg, ap le DM phdi: 40/15 mmHg (20 -25/5-10 mmHg), ap le mao mach phoi bit (PCWP) 18 mmHg, cung lwong tim (CO) 3 L/ph. Kham LS thay: nhiét d6: 38,2C, nhip tim 130, HA 75/45 mmHg, nhip thé 35 V/ph. Nghe phi c6 ran 4m lan toa 2 bén. S¢ mach yéu, da lanh va cé dau hiéu ndéi van da. 58.Chan doan phi hop nhat 1a gi??? Soc tim Séc nbiém khuan Séc tic nghén ngoai tim Scanned with CamScanner59.Séc gidm thé tich xay ra khi co giam thé tich trong khoang ké? Dung Sai 60.Séc gidm thé tich xay ra khi bénh nhan mat sé Itong mau la <30% >15% >10% 61.M6t bénh nhan séc giam thé tich cd giam cung Iuong tim, gay giam tui mau m6. Giam cung long tim nay 1a do? Gidm tién ganh Tang thé tich nhat bop Tang tién ganh Giam strc bop cua tim I 62.C4c nguyén nhan nao sau day khéng dan dén séc giam thé tich? Bong N6n, tiéu chay Gay cac xuong Ién Nhiém tring huyét Scanned with CamScanner63.Bénh nhan phau thuat 6 bung co mat 20% lugng mau trong phau thuat. Bénh nhan cé cdc dau hiéu ctia séc giam thé tich. Tu thé tét nhat cho bénh nhan nay la gi? 64.Tw thé Trendelenburg Tu thé Fowler Néim ngita dau beng Tu thé nam sap 65.Cung long tim durgc tinh bang? Nhip tim (HR) x Thé tich nhat bép (SV) Nhip tim (HR) + Thé tich nhat bop (SV) I Nhip tim (HR) x Thé tich nhat bop (SV) x Sttc can mach hé thong (SVR) Thé tich nhat bop (SV)/Nhip tim (HR) 66.S6c dién bién qua bao nhiéu giai doan? 2 giai doan 3 giai doan 4 giai doan Scanned with CamScanner5 giai doan 67.S6c duoc phan loai thanh may nhém theo co ché bénh sinh? 2 nhom 3 nhom 4nhom 5 nhom 68.Tran khi mang phdi ap he c6 thé dan dén sc? Séc tim Séc tdc nghén ngodi tim Séc r6i loan phan b6 mau Séc giam thé tich 69.Lactate mau d6ng mach ¢ bénh nhan dang cé séc? SD eal Scanned with CamScanner> 3 mmol/! >4 mmol/l >5 mmol/l 70.Bénh nhan séc ty c6 nhip tim 30 Vp. Thuéc sit dung phu hgp 1a gi? Adenosine Atropine Noradrenalin Warfarine 71.Bénh nhan séc tiy dang durge truyén dich vi huyét dp tut thdp. Dimg truyén khi c6 dau higu nao sau day? Huyét ap ting Ap luc tinh mach trung tam va ap luc mao mach phéi bit cao Nuc tiéu 300ml trong 5 gid Huyét 4p dong mach trung binh > 85 mmHg Scanned with CamScanner72.Giam tudi mau mé trong séc tiy do co ché nao sau day? Mat trivong lic hé than kinh tw dong Tang sire can mach hé thong Giam tién ganh 73.Giam tudi mau mé trong séc tiy do co ché nao sau day? 74.M6t bénh nhan séc tim cé huyét 4p 70/38. Kém theo c6 khé the vei tan sé tho 32 Vp va SpO2 82%. Nghe phéi cé ran 4m 2 bén. Nén sir dung thuéc gi? Dobutamin truyén tinh mach Truyén NaCl 0,9% Tiém Furosemide Noradrenalin Cau 1 Ngitng tim phdi 1a gi? A) Trang thai tim ngimg cung cdp mau cho co’ thé B) Trang thai hon mé C) — Réi loan nhip the D) Ngat Cau 2 Ngitng tim phdi c6 thé xay ra 6 dau? A) Trong bénh vién Scanned with CamScannerB) Gnha C) — Ngoai cong déng D) Ca3 dap én tren C4u 3 Muc dich cap ctu ngimg tim phéi? A) Nhanh chéng khéi phuc lai tuan hoan B) Nhanh chong khdi phuc lai hé hap C) — Giai quyét nguyén nhan D) Ca3 dap an trén Cau 4 Nguyén tac cap ctu ngimg tim phdi A) Nhanh chong, hiéu qua, kinh té B) — Taiché, khan trong, kién tri, dting k¥ thudt C) Kip thoi, hiéu qua, ding ky thuat D) Bat déng, ding thudc sém Cau 5 Cap ctru ngimg tim phoi phai tién hanh cap ctu A) Ngay B) — Tirtir sau 3-5 phut C) Sau 10 phit D) Saw 15 phut CAu 6 Tai sao phai tién hanh cap citu ngimg tim phdi khan trrong? A) Dé bao vé tim B) Dé bao vé phéi ©) Dé bao vé néo D) Dé bao vé than Scanned with CamScannerCau 7 Khuyén cdo séc dién pha rung hiéu qua nén dugc thu hién sau nging tim phoi sau.....? A) 12 diém Cau 12 H6 hap 6 bénh nhan ngimg tim phéi? A) B) o D) Tho cham < 12 lan/phit Tho nhanh > 25 chu ky/phit Ngitng tho Tho Kussmaul Cau 13 Huyét dp @ bénh nhan ngimg tim phdi? A) Huyét 4p > 140 mmHg B) Huyét ap<90 mmHg C) Huyét 4p < 60 mmHg I D) = Khéng do dugc Cau 14 Bat mach chan dodn ngitng tim 6 dau? A) Mach mu chan B) = Mach ben C) Mach quay D) = Mach thai dong Cau 15 Song dién tim nao khéng phai cia ngimg tim phdi A) Rung that B) Rung nhit C) Nhip nhanh that v6 mach D) = V6 tam thu Scanned with CamScannerCau 16 Phat hién bénh nhan ngimg tim khi dang phau thuat dura vao? A) Khong tiép xtic B) Khong kich thich ©) ~— Mau khéng chay hode chdy mau den D) Khong coco Cau 17 Thdi gian chan doan ngitng tim phdi? A) — Trong vong 30 giay B) _ Trong vong 20 giay C) Trong vong 15 giay D) — Trong vong 10 gidy Cau 18 S6 dién thoai goi cap ctru ngimg tim phdi 6 Viét Nam? I A) 112 B) 113 Cc) il4 D) 1s Cau 19 Khi gap bénh nhan nging tim phdi phai tién hanh lam gi? A) — Goi hd tro va van chuyén vé bénh vién B) Bat déng va goi 115 CD Goihd trg va cap ctru nging tim phdi co ban D) Van chuyén ngay vé bénh vién Cau 20 Dau la cdc bién phap cap ciru ngimg tim phdi co ban? A) — Ep tim, théi ngat, khai thong duréng the B) Ep tim va tiém adrenalin Scanned with CamScannerCc) Ep tim va s6c dién D) Ep tim va the may Cau 21 Mat xich nao quan trong nhat trong day truyén cap ctu ngimg tim phoi? A) Goicap cttu B) Ep tim ngodi léng ngire C) — Séc dién D) Van chuyén Cau 22 Trinh tu cdc buéc trong cp ctru ngimg tim phéi co ban? A) A-B-C B) B-C-A ©) C-A-B I D) A-C-B Cau 23 Chit viét tit bién phap cap ctu ngimg tim phdi co ban la gi? A) CPR B) CAB Cc) ALS D) BLS Cau 24 Tur thé bénh nhan khi cap ctru ngimng tim phdi? A) Nam sap B) Namnghiéng C) Foller D) = Néamngita Scanned with CamScannerCau 25 Lun ¥ gi nhat khi thay déi tw thé bénh nhan khi cp citu ngimng tim phéi? A) Chan thuong so nao B) — Chdn thong cét séng cé C) Chan thong ngve kin D) — Chan thong bung kin Cau 26 Vi tri dat tay khi thuc hién ép tim ngoai long nguc ngwéi 1én? A) Gitta % trén xuong we B) — Giita % didi xirong irc C) Num v0 trai D) Num v0 phai Cau 27 Huéng cia hue ép tim ngoai léng ngwe I A) Hung sang trai B) Hung sang phai ©) = Mrdng vudng gdc D) Huéng xudng dui Cau 28 Lu y khi ép tim ngoai léng ngue? A) Khoa khop vai B) — Khéa khop khuyu tay C) Khoa khép géi D) Khoa khép hang Cau 29 Bién dé ép tim ngoai long nguc 6 ngwéi 16n? A) 3-4cm Scanned with CamScannerB) 4-5cm ©) 5-6cm D) 6-7cm Céu30 ‘Toc dé ép tim ngoai long ngye 6 ngudi lon? A) 60-80 chu ky/phit B) 80-100 chu ky/phut ©) 100-120 chu ky/phit D) = 120-140 chu ky/phut Cau 31 Phan lén nuéc trong co thé dure phan bé 6 dau? A) NGi bao B) Ngoai bao C) Gian bio I D) Néimach Cau 32 Nhu cau nuéc hang ngay ciia co thé la khoang: A) 1-15 Lit B) 2-25Lit C) 3-35 Lit D) 4-45 Lit Cau 34 Diéu nao sau day dung véi hormon chéng bai niéu ADH (Antidiuretic Hormone) A) Duroc tiét ra dé dap tg voi su uu trong cia huyét trong B) B. Lam tang tai hap thu nwéc 6 than C) GO nong dé cao c6 tac dung co mach vita phai Scanned with CamScannerD) Ca 3 diéu trén déu ding Cau 35 Trang thai nao sau day lam tang lugng nuéc mat cua co thé: A) — Tang than nhiét B) Tang théng khi Cc) Bong D) Ca 3 diéu trén déu ding Cau 36 G nguéi trréng thanh, Nuc chiém bao nhiéu phan tram trong hrong co thé: A) 10-20% B) 30-40% ©) 50-60% D) 70-80% Cau 37 M6t ngwoi nam gidi nang 70kg, sé c6 thé ticheaa nude trong mach mau khoang: A) 15Lit B) 3,5Lit C) 5.5 Lit D) 7.5 Lit Cau 38 | Phan loai nao sau day co thé ap dung duge cho tinh trang mat nuéc ctia co thé: A) Matnuéc B) Mat née C) Mat née qua than va Mat nuée ngoai than D) Ca 3 phan loai trén Scanned with CamScannerCau 39 Phan loai nao sau day co thé ap dung dugc cho tinh trang thira nude cla co thé: A) — Thita nude nhugc truong, Thita nuéc dang truong, Thita née wu trong B) Thita nuéc ndi bao, Thira nudc ngoai bao, Thira nudc toan bd. C) — Thita nusc tang 4p lye tham thau va Thira nuéc gidm ap lye tham thau D) AvaB Cau 40 Trong cac triéu chimg sau, triéu ching nao khéng phai cua tinh trang mat nude: A) khat nuoéc B) — khé niém mac va nhan da C) — Téing dp lic tinh mach trung wong D) Tang nhip tim I Cau 41 6 trang thai mat nude mite dé vira, thé tich lugng nude mat thong khoang: A) 2-3 lit B) 3-Silit C) 5-8 lit D) trén 8 lit Cau 42 Triéu chitng nao sau day 1a cua trang thai mat nuéc mite 46 nang: A) Thiéu niéu, v6 niéu B) Huyét 4p tut, mach nhanh nho C) Mé sang, ao giac, hon mé D) Ca3 dap an trén Scanned with CamScannerCau 43 Trong cac trigu chting sau, trigu ching nao khong phai ctia tinh trang thita nude: A) khat née B) Pho, tinh mach cé ni. C) — Giam protid va Hematocrit huyét tong. D) Co giat, hon mé. Cau 44 Don vi cia dé tham thau huyét tong thung dug sit dung 1a gi? A) = mOsmol/L B) Osmol/Kg C) Mol/l D) = mg/dL Cau 45 Nong dé ion Natri trong mau 6 ngwéi binh thyéng la: A) = 125-135 mmol/L B) = 135-145 mmol/L C) = 145-155 mmol/L D) = 155-165 mmol/L Cau 46 Néng 46 ion Kali tong mau 6 ngwéi binh thuong 1a: A) 3-5mmol/L B) 3,5-S5mmol/L C) = 3,5-5,5 mmol/L D) 3-5,5 mmol/L Cau 47 Don vi thong durgc st dung 48 biéu thi nong d6 ion Natri va Kali trong mau Ia: Scanned with CamScannerA) mmol/L B) mosmol/L © AvaD D) mEq/L Cau 48 Chat chit yéu tao nén dé tham thau va ap Ic tham thau cia huyét tuong: A) Ion Natri B) Ion Kali C) Glucose D) Ure Cau 49 Natri va Kali duge bai tiét chu yéu qua: A) Ho hap I B) Tiéuhoa ©) Thén D) Da-M6héi Ciu 50 Vai trd cia Natri déi vdi co thé: A) — Diéu hoa thé tich chat long B) —Diéu hoa ap hc tham thau cia huyét tuong C) Duy tri can bang acid - base D) AvaB Cau 51 Vai trd cia Kali d6i véi co thé: A) Duy tri dién thé mang té bao dé thiic déy chic néing than kinh cova tim. B) — Diéu héa thé tich ngoai bao Scanned with CamScannerC) Tham gia hoat dng ndi tiét D) AvaB Cau 52 Dung dich nao cé d6 tham thau gan bang véi d6 tham thau cua huyét tuong: A) Glucose 5% B) _ Ringer lactat C) Glucose 5% + NaCl 0,45% D) NaCl3% Cau 53 Trong cdc dung dich sau dung dich nao 1a dich dang tnrong: A) NaCl 0,9% B) NaCl0,45% C) Glucose 5% két hgp voi NaCl 0,45% D) AvaCc Cau 54 Tong hgp nao sau day cé thé tang natri mau nhung khéng giam thé tich ngoai bao: A) _ hgi chitng Cushing B) — Giai doan da niéu trong suy than cap C) Dai thao nhat D) AvaCc Cau 55 Trudng hgp nao sau day cé thé ting natri mau va cé giam thé tich ngoai bao: A) Hénmé B) Pang ding thuéc loi tiéu C) Phau thuat soi mat dan lwu Kehr Scanned with CamScannerD) Ca3 truéng hop trén Cau 56 Ha natri mau "gia" gap trong cac trvéng hgp nao sau day A) Tang Glucose mau B) Tang Lipid mau C) Dahéng cau D) AvaB Cau 57 Ha natri mau kem theo tang the tich tuan hoan khéng gap trong cac trudng hgp nao: A) — Suy tim xung huyét B) Xo gancé chudng C) = Tac ruét D) Hoi ching than hu I Cau 58 hi ching tiét ADH khong thich hop cé thé gay ra réi loan nuéc dién gidi nao sau day: A) Mataowéc di ang truong B) Mat nwéc nhugc trong ©) Hanatri mau kém theo thé tich ngoai bao khéng aéi D) —T&ng natri mau kém theo thé tich ngoai bao khéng déi cau 59 Str dung thuéc loi tiéu c6 thé gay ra réi loan née dién giai nao sau day: A) Mat nwéc dang truong B) ~~ Métmede nluroc truong C) Ha natri mau kém theo thé tich ngoai bao khéng d6i D) Tang natri mau kém theo thé tich ngoai bao khéng déi Scanned with CamScannerCau 60 Trong diéu chinh néng 46 Natri huyét thanh thi t6c d6 diéu chinh khéng duge vot qua: A) 0,5mmol/ méi gid B) — 1,5mmol/ méi gid C) — 2,5mmol/I méi gid D) —3,5mmol/I méi gid Cau 61 Tiéu chuan nao sau day phi hop véi chan doan suy da tang? A) Suy it nhat 1 tang B) — Suy it nhdt 2 tang C) — Suy it nhat 3 tang D) — Suy it nhat 4 tang Cau 62 Thdi gian suy chirc nang tang kéo dai bao lau phi hop véi chan doan suy da tang I A) 6gi¢ B) 12gi0 OC 24 gia D) 48 gio Cau 63 Dién bién suy da tang 1a loai dién bién nao? A) Ban cap B) Cdp tinh C) = Mantinh D) Thoang qua Cau 64 Gia tri diém SOFA tdi thiéu dé chan doan suy da tang? Scanned with CamScannerA) Lonnonz B) Loénhon3 C) Lénhon4 D) Lénhon5 Cau 65 Chan doan suy da tang diing thang diém nao sau day ? A) A. Glasgow B) B. Apache II Cc) C.ISS D) D.SOFA Cau 66 Dap an nao duéi day khong phai la nguyén nhan dan dén suy da tang? A) — Sau ngimg tim phdi B) Séc nhiém tring C) Dachan thvong-séc mat mau Ién D) COPD Cau 67 Nguyén nhan phé bién nhat dan dén suy da tang? A) D6t quy B) Chan thuong C) — Nhiém tring huyét D) Bong Cau 68 Bang diém SOFA dya trén chite nang cia may co quan? A) 5 B) 6 Cc) 7 Scanned with CamScannerD) 8 Cau 69 Bang diém SOFA dia trén danh gid nhitng chitc nang cac tang? A) Than kinh, hé hap, tiéu hoa, than, tao mau B) H6 hap, tuan hoan, tiéu hod, than, huyét hoc C) Than kinh, hé hap, tuan hoan, gan, than, tao mau D) — Than kinh, hé hap, tuan hoan, gan, than, huyét hoc Cau 70 Diém SOFA cao nhat va thap nhat 14 bao nhiéu diém ? A) — Cao nhat 24 thap nhap 14 4 B) Cao nhat 20 thap nhat 1a 0 ©) Cao nhdit la 24 thdp nhdt 1a 0 D) Cao nhat 1a 20 thap nhat la 4 Cau 71 Nguyén tac xtr dung thuéc van mach cho BN uy chtrc nang da tang 1a? A) Ding cang sém cang tét B) — Chi ding khi khéng dap tg voi bit dich C) — Vita bi dich vira str dung van mach dam bao HATB muc tiéu D) — Chi ding khi nang ap Itc keo mau vé binh thong Cau 72 Luong dich can bu trong gid dau khi diéu tri cap cttu suy da tang 1a? A) 20mI/kg/h B) 25mI/kg/h C) —30mi/kg/h D) 40mM/kg/h Scanned with CamScannerCau 73 Tién long ti lé tir vong bénh nhan suy da tang tiéu chi nao sau day khong dung? A) Diém SOFA B) Nong d6 lactate mau C) Sé Ivrong tang suy D) Sélwong BC Cau 74 Trong diéu tri suy da tang huyét 4p trung binh muc tiéu? A) HATB >65mmHg B) HATB>75 mmHg C) HATB>85 mmHg D) HATB>95 mmHg Cau 75 Trong diéu tri suy da tang ap Ie TMTT(CVP) muc tiéu? A) CVP 5-8cmH20 I B) — CVP 8-12cmH20 C) CVP 12-16cmH20 D) ~ CVP 16-20cmH20 Cau 76 Trong diéu tri suy da tang d6 bao hoa oxy tinh mach trung tam (ScVO2) muc tiéu? A) ScVO2 >65 B) ScVO2>70 C) SeVO2>75 D) ScVO2>80 Cau 77 Trong diéu tri suy da tang s6 long nuéc tiéu (SLNT) theo gi muc tiéu? Scanned with CamScannerA) SLNT>0,25mL/kg/gio B) — SLNT > 0,5mL/ke/gia C) SLNT > 0,75mL/kg/git D) SLNT> ImL/kg/gid Cau 78 Trong diéu tri suy da tang d6 bao hoa oxy mao mach muc tiéu déi voi bénh nhan tho may ? A) $p02 85-87% B) — SpO? 87-92% C) — Sp02 92-95% D) $p02>95% Cau 79 Trong diéu trj suy da tang phan 4p oxy mau d6ng mach (PaO2) muc tiéu ctia bénh nhan thé may? I A) Pa02>50mmHg B) = Pa02>60mmHg C) Pa02>70mmHg D) Pa02>80mmHg Cau 80 Trong diéu tri suy da tang pH mau déng mach muc tiéu déi véi bénh nhan thé may? A) pH>7,05 B) pH >7,15 C) pH>7,25 D) pH>7,35 Cau 81 Trong diéu tri sw ‘ 'y da tang dap an nao khéng phai la muc tiéu déi véi bénh nhan tho may? Scanned with CamScannerA) PaO2 >60mmHg B) PaCO2<45mmHg C) SpO2 87-92% D) pH>7,15 Cau 82 Khi diéu tri suy da tang trong nhitng gid dau cap citu loai dich phi hop nhat? A) Dich keo B) Dich tinh thé C) Mautoan phan D) = ~Plasma Cau 83 Trong diéu tri suy da tang glucose mau muc tiéu? <7mmol/L ©) 9-Inmol/L D) > 11lmmol/L Cau 84 Phuong phap loc mau thudng ding cho diéu tri suy da tang A) Loc than ngit quang (IHD) B) = Loc mau lién tuc (CRRT) C) Tach huyét trong (PEX) D) Loc gan nhan tao (MARS) Cau 85 Trong diéu trj suy da tang Hb mau muc tiéu? A) 65-85g/L B) 70-90g/L Scanned with CamScannerC) 75-95g/L D) = 85-105g/L Cau 86 Chi dinh chinh ding corticoid trong suy da tang cin nguyén nhiém khuan? A) — Giam tiét cdc Cytokin B) — Thuéc van mach kém dap img nang HA C) Chéng viém D) Khong dap tig vai bi dichCau 87 Thoi diém ding khang sinh phi hop trong suy da tang cé cin nguyén nhiém khuan A) Ding sau khi c6 két qua vi sinh B) Ding sau khi da co XN nhu CTM, SH mau, déng mau, khi mau... C) _ Ding ngay gié ddu tién sau chén dodn (sau khi cdy mau) D) Ding sau khi cap ctu cc chtrc phan séng (hé hap, than hoan) én dinh Cau 88 Dudng ding khang sinh thich hop nhat 6 bénh nhan suy da tang A) B) ° D) Ding duong bap thit Ding dong uéng Ding dtréng tinh mach. Dung duong tiém trong xuong Cau 89 Mite lactate mau co gid tri khi dan gid thiéu oxy t6 chtte @ bénh nhan suy da tang A) B) oO D) Lactate 2mmol/L Lactate > Smmol/L Scanned with CamScannerCau 90 Can cit diéu chinh réi loan déng mau 6 bénh nhén suy da tang? A) Theo két qua xét nghiém B) Khicé biéu hién xuat huyét C) 6 gid sau chan doan D) Co biéu hién xuat huyét kém theo két qua xét nghiém cé réi loan Cau 91 Sinh ly bénh suy hé hap cap bao gém cac co ché sau, ngoai trir: A) — Giam thong khi B) Mat can bang théng khi/ toi mau ©) Dich chuyén ctia diréng cong phan ly Oxy — Hemoglobin vé phia trai D) — Giam khuyéch tan Cau 92 Chon cau sai trong cdc ¥ sau: A) — Théi gian xuat hién suy hé hap man tinh trong vai ngay hoac lau hon B) Thi gian xuat hién suy h6 hap cp trong vai phat, vai gid C) — Bénh nhan suy hé hap cap tang CO2 thi pH < 7,35, PaCO2 > 45 mmHg. Déi véi bénh nhan suy hé hap cap trén nén man thi PaCO2 tang > 20 mmHg so vi gia tri nén. D) — Suy hé hap cdp gidm oxy méu thi PaCO? tang. Cau 93 Bénh nao sau day 1a nguyén nhan gay suy hé hap ban dau 1a do giam thong khi A) Viém phéi B) Nhuwoc co ©) Xo phéi D) Tac mach phéi Cau 94 Hién trong Shunt (Néi tat) xay ra khi Scanned with CamScannerA) Mau d6ng mach tron voi mau tinh mach (tir trai sang phai) B) Mau tinh mach tron voi mau dng mach (tir phai sang trai) ©) Cahai tinh trang trén déu ding D) Ca hai trréng hop A va B déu sai Cau 95 Bat tong hop théng khi / ti mau nghia 1a A) — Théng khi ma khéng co tu6i mau B) Tudi mau ma khéng dugc thong khi ©) Ca Ava B déu ding D) —Cung lvgng tim cao hon thong khi phut Cau 96 Ty 1é thong khi / twéi mau binh thudng 1a: A) 0,7 I B) 08 Cc) 09 D) 10 Cau 97 Nguyén nhan gay ndi tat (Shunt) A) Tac dom B) Viém phi nang C) Tran khi khoang mang phéi nang D) ARDS Cau 98 Nguyén nhan réi loan khuyéch tan khi A) _Khiphé thing nang B) Xo ph ©) — H6i ching Guillain-Barré Scanned with CamScannerD) Giam oxy mau khi gang strc Cau 99 Nguyén nhan sau gay bat tong hop théng khi twéi mau, ngoai tr: A) COPD B) Hen phé quan C) Xep phdi D) = Conniurge co nang Cau 100 Tat ca cdc hdi chttng/ bénh ly sau 1a nguyén nhan thuong gap gay suy hé hap, ngoai trir A) Viém phéi B) Téc mach domé C) Phi phéi cap D) ARDS I Cau 101 Nguyén nhn gay suy hé hap cap ting CO2 mau, ngoai trir A) Ng déc thudc phién nang B) Connhuge co toan thé C) —_Liét co hoanh sau phau thuat tim D) — Thong lién that Céu 102 Tim y dung nat: nguyén nhan gay suy hé hap cap giam nong dé oxy mau, hoaitter B) — Séng wén cao, FiO2 khi thé vao thap C) Tac mach do ma D) — Chén thong, phit tity cé cao Scanned with CamScannerCau 103 Nguyén nhan thuong gap ciia suy hé hap giam nong d6 oxy mau, ngoai trir A) Xep phéi B) Phu phoi cap C) Budi nude D) — Hi chitng Guillain Barré Cau 105 —Trigu ching thong gap trong giai doan dau suy hé hap cap 1a gi A) Xanh tim B) Vamé héi D) Cau 106 G bénh nan suy hé hap cap dién hinh, xanh tim xudt hién khi: huyet dp tut A) Nong d6 Hb khit > 5 g/dL B) Néng d6 Hb khit > 6 g/dL C) Nong d6 Hb khir< 5 g/dL D) Néng d6 Hb khtr< 6 g/dL Cau 107 Chon y ding nhat: trong suy hé hap cap thi B) — Cang tim dau chi thi suy hé hap cang nang ©) Mite a6 kho the khong trong tng voi mite a6 suy hé hap D) SpO2 cang thap thi mite d6 suy hé hap cang nang. Cau 108 — Suy hé hap co may loai? A) 1Lloai Scanned with CamScannerB) 2 loai ©) 3 loai D) 4 loai Cau 109 — Nhitng triéu chimng lam sang dién hinh ciia suy hé hap cap bao gém, ngoai trir A) Kho tho, thé rit B) Nhip tim nhanh, huyét 4p ting C) Xanh tim D) — Khéng thay d6i trang thai thin kinh va $ thite Cau 110 Cac dac diém cia khé thé trong suy hé hap cap dién hinh, ngoai tir A) Tho nhanh > 25 lan/ phit hoac cham < 12 lan/ phut B) _ Bién d6 néng hoac sau, cé chu ky hofc thé hén loan C) — Khé tho kém theo ho khan 1 D) Kho tho khdi phat d6t ngét hoac tir tir Cau 111 Trong cac nguyén nhan gay suy h6 hap sau, nguyén nhan nao khong cé dau hiéu thé nhanh va co kéo co hé hap A) Kho tho thanh quan B) _ Viém phdi thty cap ©) Chan throng so nao nang D) Chan thwong long nguc Cau 112 Cac nguyén nhan gay tac nghén durong thé 1a A) Tut ludi B) Dj vat dong the Scanned with CamScannerC) U'dong dom dai D) = Tat ca¥ trén déu ding Cau 113 Dau hiéu nao khéng phai 1a triéu chitng lam sang ctia di vat gay tac nghén dudng tho nhieu A) Khong ho duge B) Khéng noi duge ©) Khéng nuét dro D) Khong tho duge Cau 116 Nan nhan cia dam chay, suy hé hap cap do cac nguyén nhan sau, ngoai trir: A) Ngat khoi B) Ng6déc khi cap C) Bong dudng hé hap I D) — Phit phoi cap huyét dong Cau 117 Bénh nhan suy hé hap cap nang, trong hgp nao phai thé may ngay: A) Con hen phé quan ning B) Viém phdi thty nang ©) Conniurge co nang D) Tran khi mang phoi Cau 118 — Suy hé hap mite 6 nguy kich, viée can lam dau tién 1: A) — Thé oxy hu lvong cao qua mat na B) Tho may khéng xam nhap C) Dat ndi khi quan ngay va tho may Scanned with CamScannerD) Bop béng qua méit na cé oxy va sau dé the may Cau 119 —_Bénh nhan suy hé hap cap do nguyén nhan nao ma khong thé xt tri theo trinh tu théng thwong. Can xc dinh va loai trir ngay, trit trrdng hop: A) Tran khi mang phéi ap Ine B) Tic nghén dudng ho hap trén do di vat gay kho thé cap C) — Liét co hé hap D) Viém phéi tu cau Cau 120 Muc dich dat éng noi khi quan 1a gi: A) Khai thong duong tho B) Bao vé dung the khoi trao nguge dich da day Cc) pé théng khi nhan tao D) Tat ca cic ¥ trén déu ding I Cau 121 Nguyén nhan nao sau day co thé gay séc tim? A) Mat mréc B) Tén thuong tiy song © Viém co tim D) Nhiém khuan Cau 123 Tat ca cac thudc dudi day co thé sir dung trong séc tim ngoai trir B) Adrenalin C) Dopamin D) Noradrenalin Cau 124 — Noradrenalin khong cé tac dung Jén thu thé 61 adrenergic Scanned with CamScannerA) Ding B) Sai Cau 125 — Tru cot chinh trong diéu tri cho hau nhu tat ca cac loai séc 1a A) Dich truyén tinh mach B) Adrenalin C) Phenylephrine. D) Truyén mau Cau 126 — Théng sé nao sau day khéng nén duoc sir dung thuong quy dé theo di cac bénh nhan trong giai doan sém cia soc? A) Tinh trang y thitc thay déi B) Huyét ap C) Luong nuéc tiéu qua sonde Foley D) Dé bao héa oxy tinh mach tr6én Cau 127 Tréng hop nao sau day khéng nén sir dung Noradrenalin? A) Dang ding liéu thap dopamine B) Ap he tinh mach trung tam 3 mmHg C) Nhip xoang nhanh 120 I/p D) _Bénh nhan v6 niéu Céu 128 — Trong séc giam thé tich, cung long tim giam do: A) Thé tich mau/plasma khéng day du B) — Giam long mau tinh mach vé C) — Suy chitc nang bom cia tim D) A&B Scanned with CamScannerCau 129 Cung hong tim binh thudng hodc tang trong loai séc nao: A) Séc giam thé tich B) Séc tim ©) Sécréi loan phan bé mau D) —Séc tac nghén Cau 130 Chit nang tim tét nhung giain mach ngoai vi gap trong soc A) Soc giam thé tich B) Séc tim ©) Sée réi loan phan bé mau D) —Séc tic nghén Cau 131 Tim giam kha nang bom mau gap trong soc A) — Soc giam thé tich I B) — Séc tim C) — Séc réi loan phan bé mau D) — Séc tic nghén Cau 132 Mét bénh nhn dang diéu tri séc tim. Cu nao sau day miéu ta ding nhat tinh trang nay. A) “Bénh nhan nay sé cé cung lung tim tang do tang tién ganh va hau ganh” B) — “Bénh nhan véi tinh trang nay sé gidm cung lirong tim va gidm tdi mau mé C) “Tinh trang nay xay ra do tim khéng di mau dé bom” D) —“Séc tim dan dén ph phi” Cau 133 Cung hong tim 1a rat quan trong dé xac dinh ligu mot bénh nhan co phai 1a séc tim khéng. Cung long tim binh thudng ¢ ngwoi Ién 1a Scanned with CamScannerA) 4-6lp B) 1-3lp C) 24Up D) = 8-10/p Cau 134 Anh huéng dén site cing thanh that cudi tim trong 1a A) — Tién ganh B) Hau ganh C) — Thé tich nhat bop D) = Stteco Cau 135 Néu mot bénh nhan bj séc tim duc cho ding mot thudéc ma lam giam hau ganh, né sé lam giam thé tich nhat bop. A) Ding I B) Sai Cau 136 Bénh nhan nao dui day cé nguy co cao nhat din dén séc tim? A) — Bénh nhan nam 52 tudi bi di tg nang voi tom. B) — Bénh nhan nit 25 tudi bj chan thurong cét séng tuy sng nguc cao (D1 - D6). C) — Bénh nhan nam 72 tudi hau phau sau ghép gan. D) — Bénh nhén nit 49 tudi bi nhéi mau co tim edp. Cau 137 Déng chi dang diéu tri mét bénh nhan séc tim. Dau hiéu nao sau day goi ¥ tinh trang bénh nhan dang nang lén? A) Huyét ap 95/68 B) Nuc tiéu 20 mL/h C) — Chisé tim (Cardiac Index) 3.2 L/min/m2 Scanned with CamScannerD) Ap luc mao mach phéi bit 30 mmHg Cau 138 Tién ganh 1a A) Thé tich mau vé tim trai B) — Thé tich mau ve tim phai Cc) Ap le cia hé tinh mach D) Ap lie cia hé déng mach Cau 139 Bénh nhan dang diéu tr nhdi mau co tim cap. Dau hiéu nao duéi day goi y bénh nhan co s6c tim? A) — Chisé tim (Cardiac index) 1.5 L/nin/m2 B) Ap lye mao mach phéi bit (PCWP) 10 mmHg Cc) Ap luc tinh mach trung tam (CVP) 4 mmHg D) Troponin <0.01 ng/mL I Cau 140 — Thudc nao duéi day durgc str dung trong séc tim dé cai thién site bop cua tim? A) Nitroglycerin B) Sodium Nitroprussidde C) —Dobutamine D) Norepinephrine Cau 141 Mét bénh nan cé abip tim chm di ciing vai cdc dau hiéu ca séc. Thuédc nao duéi day str dung phi hop nhat trong tinh huong nay? A) — Atropine B) Adenosine C) Verapamil D) Amiodarone Scanned with CamScannerCau 142 Chi sé huyét 4p tam trvong binh thong 1a bao nhiéu? A) 60-70 mmHg B) 60 —80 mmHg C) 60-85 mmHg D) 60-90 mmHg Cau 143 Dau hiéu nao sau day goi y bénh nhan cé séc? A) Cung mac mat vang B) Thérit ©) Huvét dp tam thu didi 90 D) Mach nhanh 100 I/p Cau 144 Cau nao dudi day miéu ta tét nhat su khéc nhau ctia séc nhiém khuan va hdi chitng réi loan chtte nang da co quan (MODS) A) — Soc nhiém khuan gay tang nhiét 46 co thé, nhip tim nhanh va thé nhanh, trong khi rdi loan CN da co quan gay ra ha nhiét d6, nhip cham va tho cham. B) — Sée nhiém khudn gay ra bai nhiém tring dén dén ha huyét dp, trong khi r6i loan CN da co’ quan bao gom ha huyét ap ciing nlur cae bat thiréng hé thong khac cia co thé. C) — Séc nhiém khuan dé chi c6 sy hién dién ciia vi khuan trong mau, trong khi r6i loan CN da co quan 1a chi viém man tinh. D) — Séc nhiém khuan gay ra tinh trang nang nhung hiém khi de doa tinh mang, trong khi réi loan CN da co quan cé ty 1é tir vong cao. Cau 145 Mét bénh nhan vao vién vi chay mau do vét thwong d6ng mach dui. Bénh nhan co biéu hién soc giam thé tich va can truyén mau ngay. Loai mau co thé truyén ngay cho BN Ia gi? A) Truyén mau nhom AB Scanned with CamScannerB) — Truyen mau nhém O C) Truyén mau nhom A D) Truyén mau nhom B Cau 146 Tinh trang nao sau day co thé dan dén nguy co séc tim? A) Huyét kh6i tinh mach sau B) Chén ép tim cap ©) Nhdi mau co tim cdp D) Gay xuong lon Cau 147 Bénh nhan vao vién voi mach 90 Vph, huyét ap 80/50 mmHg co duge chan doan la séc khong? A) © B) Khong Cau 148 — Huyét ap duoc tinh bang? I A) [Tan s6 tim (HR) x thé tich nhat bop (SV)] / Site can mach hé thong [SVR] B) [Tain sé tim (HR) x thé tich nhat bop (SV)] x Ste can mach hé thong [SVR] Cc) [Tan s6 tim (HR) x thé tich nhat bop (SV)] - Site can mach hé théng [SVR] D) [Tan s6 tim (HR) x thé tich nhat bop (SV)] + Site can mach hé thong [SVR] Cau 149 Ap luc tinh mach trung wong binh thong 14 A) 8-12 cmH20 B) 5-8cmH20 C) 12-15 cmH20 D) 15-18 cmH20 Cau 150 — Chi sé buyét 4p tam thu binh thudng 1a bao nhiéu? Scanned with CamScannerA) 90-110 mmHg B) 90-120 mmHg C) 90-130 mmHg 40 mmHg Scanned with CamScanner