Glaucom thri'ph6t do dgc thriy tinh th€ -'u*f u ,Enilnthuong ipctr thtry tlntr ttre vdo dich kinhf C Ctr6n thuong lQch thriy tinh thC vdo tiAn phdng d.. ChAn thuong dgc thriy tinh th65
Trang 1rRuoNG EH Y DuoC CAN rHO
KHOA Y
ng vrON: ruAr
OA thi mdn: LT MAT
LAn thi: t OOi tugng dg thi: YHDP3j Thdi gian lim bii: 40 phrit
Ngdy thi:10/0712014 NQr DUNG EE 100
A9A" 1: Trong c6c trudng hgp ndo du6i ddy cdn phni phAu
thuft qgp qgg ldy thtiy tinh th6:
a Glaucom thri'ph6t do dgc thriy tinh th€ -'u*f u
(,Enilnthuong ipctr thtry tlntr ttre vdo dich kinhf
C Ctr6n thuong lQch thriy tinh thC vdo tiAn phdng
d ChAn thuong dgc thriy tinh th65
Cdu2: Nhdn 6p
a Gi6 tri trung binh khi do bing nhdn 6p kt|
;Qoldmann ld 1.7 - 2ZmmHg
QNnan 6p bu0i s6ng thucrng cao hcrn UuOi cnleul
c Su dao dQng cfia nhdn 6p kh6ng chlu dnh huong
boi nhlp tim, huy6t 6p vi h6 h6p ?
d Ap lqc nQi nhdn dugc tfnh theo c6ng thric
Goldmann Po: R + Pv "i,
Cdu 3: Lopn thi kl@gdAu lA
a B6n kinh 66-cong gi6c m4c kh6ng <t6ng dAu nhau
tfen c6c kinhfiyen&v:u:
b C6 1.kinh tuy(in c6 cdng su6t khric x4 cao nh6t vd
1 kia\tuyOn c6c0gisuit thdp nh6t
c.Do seo gi6ciac, mht hQt hay b6t thucrng bAm sinh
cfu{rac mac nhu giSc m4c hinh ch6p*
rl Cdng suAt khfc xa c.ua gi6c m4c gi6m dAn tir kinh
tuy6n c6 cdng su6t cao nh6t d6n kinh tuyiSn c6 cdng su6t
th6p nhdt
Cdu 4: 6 mit chinh thi, ldo thi xudt hiQn d tu6i: '
9-30
'6./+o
Yso
d 60
Cdu 5: O mat viSn thi
a, Vi6n dici'Fo'v0 csc
b Vi6n di6m R ry xa mit hon so v6i mdt chinh thi
{QVien diOm R ld mQt di6m 6o nim sau v6ng mpc
Y Vi6n di€m R 0 v6 cqc trong trudng hqp mit Ui
vi6n thi nhe
Cdu 6: Bi dau nhric rqfo-aq!, k6t m4c cucrng tgria, nhdn
, 1^
' ,r ^ i
1R c-49: aogft-C4p, phdn x4 d6ng tfi'm6t c6iffi bi:
6)cluu"or s6cmol
i ViC* man"g UO ditoT d r.i e.,
-d Vi0m girlc mpc $
Cdu 7: Qu6 trinh ndo SAI trong xri trf di vQt gi6c mac
a Ldy s4ch d! vdt bdng kim vO trirng
hNgu ld di vpt bing sfu n6n l6y hCt vdng sdt ri,/
Q)ti6p {rc nh6 nhiOu l6n thudctO -/
d Tra thu6c md vd bdng kfn mit
Cdu 8: Ngopi vQt gi6c mac.thu6c
a Chdn thucrng nhdn cdu kfn
b Ch6n thucrne nhdn cAu ho
@aatphi6n ,
Y V6t thuong xuy6n gi6c mqc Cdu 9:.[41c-j[E$,iQ1*duoc thpc hiQn do
a Gi6c mac
b DOng tri SThriy tinh th6
Cdu 10: Chgn cdu SAI Xri tri cdp cuu 0l trudng hqp vd
nhan cAu o tuy6n,h6.ng chuydn khoa
@)nria s4ch mit bing huytit thanh ftlq{ ding trucrng
b Bdng m6t vO tringT
c Kh6ng sinh todn thdnT
d Ti0m ngira udn vdnT
CAu 1l: Ddy thAn kinh ctfi pnOi co trgc nffiAL
a Ddy III ' -:*d
:-b Ddv IV
.R\
nc.Ddy Vl /
d Ddy VII
CAu 12: i4t t t't,ir x4 cria mit
a ViSn thi c6 ti6u diOm nim o tru'6c vdng m4s
-b Loan thi c6 ti€il ditim nim o sau vdns mac
OCan thi c6 ti6u di6m nim o trudc v6ng m?c'
Y Lao thi khdng c6 ti€u di€m, mi ld hai tiOu tuy6n -;
Cdu 13: Xri trf,c6p criu bQnh nhdn Glauiom'a nguyOn,r'-ph6t g6c d6ng cdp tinh o tuy6n cg;j.*
a Truy0n tinh m4ch nhanh dung dieh Manitol20o/o
11oi li€u 1,5 -Zglkg cdn ndng
h
fUjlap tfc chuy6n benh nh6n dOn tuy6n chuy6n khoa
bdng thoi cho thu5c h4 nhdn 6p Acetazolamid vd Pilocarpin
c EiAu tri h4 nhdn 6p bing ducrng todn thdn vi t4i
ch5, d6n khi nhdn 6p ha thi chuy6n tuytin chuyOn khoa
a OOt m6ng mit chu biOn bing laser vi phdu thuft
c6t mdng chu biOn Cdu 14: BQnh nhdn nam, 45 tu6i, tl6n kh6m vi li do mdt
do vd nhin md, dau nh['c mit 6m i, kh6m th6y cuong tq
Trang 2ria, c6 l6ng dgng m{t sau gi6c m1c, d6ng.til go Jndg,
phdn xa dOng tri (-), nhdn 6p tdng, nghi nhiOu dOn chdn
do6n ndo sau ddy
a Vi6m lodt gi6c.m4c cdp
iT.iVlern \,.*6 mone mat the mi 1
Glaucoma nguy6n ph6t g6c d6ng cdp
d Euc thriy tinh thO
Cdu 15: HQ th6ng le dao theo tht? tg tu'mit d6n ngdch
mfridu6i,-J.'t,/'
9.'L6 ld- tfj lQ, lQ quin,/gng te miti/
"b T[i le, 15 19, lQ qu6n, 6ng lQ mfli
c L6 19, l0 qudn, tfi lC, 6ng lQ mfri
C6,u22: Truc trudc sau cta nhdn cAu khoing:
a.20 mm
b.22 mm 1ft:',24 mm '-i1.26 mm
C6,u 23: Thdnh ddy nh6t cta xuong h6c mdt:
g Thdnh trong
c Thirnh tr6n
d Thdnh du6i
CAn24: Dac di6m ctia l6m hodng di€m
a Eudng kfnh khoing l,5mm
b Ducrng kinh tuong duong v6i I duong kinh gai thi r1{\ Vnng ndy c6 khd n[ng phAn tfch cao cho thi lUc
'cao
nhdt
d Noi tip trung nhiOu bdo que Cdu 25 Xft tri ndo sau dAy ld SAI khi bong mdt do v6i
cuc
^a
?.Gdp v6i cgc ra khoi mdt ,/
b Rri'a li€n tuc b[ng nu6c sqch i
c Rira mat bing huy6t thanh nggt ding truong
d.Tht PH dat 7,5 ld dugc C6^u26: Ddy thAn kinh chi ph6i co uq1gtlt- .
a Ddy III
b Ddy IV
, _c Ddy VI */'-''
,'d D6v VII.
CatZl: Vi6m kOt m4c do Adenovirus kh6ng bi6n chimg,
niu-khdng diAu tri bQnh sE tr,r nit lui trong vdng
1 a.'l tuAn
b 2 tudn
c 3 tudn
d 4 tuan Cdu 28 : Tri Qu chrin g cria.G I aucoma g6c {rll !r 81Vdn Rh6t :
a Nhfc clAu, nhf'c mit cirng b€n dir dQ>X d lbjTdn thuong gai th!, thu hep thitrudng ,."
"6 rni luc siim nhanh
d Giirc'm4"c phir, dOng t0'ddn'
u 29: Trong cricdi v4t nQi nh6n nlro sau ddy di v4t ndo d6c tinh.cao nhdt:,'
X d L0 qu6n, tfi lC, 6ng lQ mfii, 16 lp
ilCau t6: Chi dinh collyre Atropin
[ C)vie* mdne bo beo trudc [0, i
ll 'b vicm kct m4c,
't c Vi6m thug4g cring m4c
d Glaucoma' )
Cdt 77: Nguydn nhdn ndo sau d0y gdy md mdt
kdm theo t6n thu'ong d.ay mat
a Vi6m v6ns mac sac t6
A" -
t;r/
(b.itsong v6ng n
c Vi6m th!thdn kinh hpu cdu
d Tho6i h6a hoirng di6m tuOi gid
Cdq 18: Bong mf'c clQ n{ng
ffiCia mic trang *o, Lh6ng nhin rd chi ti61 d6ng tir.'
'61 fet mac khi6m du6ne > 213 chu vi ria fi.t :.
c C6 th6 biteo nhdn r 'l
d Thi luc gi6m 2-7 hdng J'
Cdu 19: Bi0n chf'ng cta dqc thriy tinh th€
a Duc thtry tinh th6 ph6ng gdy tdng nhdn 6p.
b Euc thriy tinh th6 Morgagnian, thiry tinh thO bi h6a
l6ng, roi nhdn
-c Vi6m mdng bO ddo thri phdt
frr ca 3 cau dEu drine
cfo'zo: Bi dau nhf'c mit 6m i, k6t mac cuong tu ria,
ua{rlu: ul oa.! nnuc mat am lr'Ke[ m?c euullg t$ rri1,
igiim thi lUcr,'d0ng tri' co dfnh vdo mdt trudc thriy tinh th€,
;na" ap
""" ttq+ UA thyong mal c-OJnC U!: Z
'4'-b Glaucom cAp
!" d Lo6t gi6c mac.
nhanh
mo
Cdu2l: Thudc nh6 Fluorescein lh:
a' sht / ,
b Cacbod
c Ddng
t
d Chir'
CAu 30: Xu6t huy€t tiAn phong t6i ph6t thuong xdy ra vdo:
e.Ngdy thf 5- ngity tht 7 7
@^*ul,thfi'3- ngiy tht y'
c I tudn sau ch6n thuong
f.fptrng Ae eann gi6 sp'tdan vgn cua l6p biOu
si6c mac
b Thu6c d0 di6u tri lodt gi6c m4c
c Thu0c d0 g6y t0 b0 m4t
d Thu6c sdt khuAn
Trang 3c Kh6ng histamine, kh6ng virus
d Kh6ng vi6m, kh6ng sinh
CdU33: DAy thAn kinh chi ph6i ccv
ndnggi-/st
\a./Day III
b, DAv IV
c Oay Vt
d DAy VII.
Cdu 34: Nguy0n nhdn gdy mo m6t tir*tu' ,;
a Vi6m gai th!cdP i
b TAc tTnh mpch trung tdmv6ng.m4c'
c Vi0m thi thdn kinh hflu nhSn cAu cdyr:"t'
ffiVie* v6ng m4c sic tti''
Cdil{s: Einh nghia Glaucoma g6c mo nguyOn ph6t
d Ngdy thft 2- ngdY thft 7
Cdu 31, Mqt bd nari -8 tu0i, d€n kh6m vi.hai mat ngri'a
ntri0u, ti6n su tdi phat nhi0u LAn, khfm thAy kCt mpc mi
tr0n c6 rihfing nhl m6u to x€p sat nhau, sgo gi6c m4c'
ChAn do6n nehi aen nhiAu nhAt ld gi
a Vi0m kOt m4c do HerPes
b Vi0m k6t m4c do vi khuAn
it.;ViOm ktit mac do di ring 7
'"d: Vicm k6t mac do Adenovirus
CAu 32: Trong trudng hqp-bQnh nhdn tr0n ddy (cdu 3l)'
diOg tri niro phir hgp vdi chAn clo6n nghT dOn nhi€u nhat
($ rnang viOm, kllng histamine
,{u}oong ttr knoangljr*, phin x4 6nh sinfruong tlnn
c TiAn phdng nOng, g6c tiAn phdng d6ng
d Cuctng tg ria
C6u - 40: Tinh chdt gai o kOt m4c
u eiOu hiQn qi6 sin cfia cfuc h4t lympho du6i bi6u mO
b D4ng nria hinh cAu trong ho{c tring hoi dgc ho{c
vdng nhPt
fd.riophin ung cria k6t m4c ldm ph6t triOn nhfing ng L-ai4ch m6u
J.'Cn*g quanh gai vi nhir c6 m4ch m6u n6i len dudi biOu mO
Cdu 41: Bitin chring
"F^fuhQt, chon ciu sai
g*.Vi0m bd mi '/
@ri6tn mdng UO aao
c Lodt gi6c m4c z'
d L6ng xi€u vir l6ng qu{mr' ,
C6,u 42: Vi€m kOt t4Jdo vi'khuAn, ndu diAu tri 1 tuAn
rnJmOng c6 k6t qui tttl c6 th€ c6 nhirng trudng hqp'
chon ciu sai:
rK.trniidri thoi gian t6c dpng cira thutic
iDi ring vdi thu6c nho.mit hay pomade tra mlt
d ChAn clo6n sai n6n diOu trikh6ng dirng
caJi, Ca re" tQ gdy ra bAt chinh thi d mit:
a Truc nhdn cAu .'
b Co qudP di€utiOt
c Dqc pha 16 thd
{d}a vd b
Cai"q+: TriQu chring niro sau ddy kh6ns c6 trong vi0m mdrng UO Aao tru6c c6P tfnh ,
a Phin ung th€ mi (+7 7 //'
b Hien tugng TYndall (+) ' .,/
c Mtine mit m6t sic b6ng, phir n6, xu6t tiet rfrciarrnac phit, mo dAu
Clil/+S: DAc tinh lim sdng cria vi6m lo6t gi6c m4c do ndm
a Dau nhirc nhi0u
b Bit dAu vdi thAm lflu x6m haY vhng
c VOt lo6t gi6c m4c lan iQng vd sdu nhanh ch6ng
M +e, TriQu chirng co ndng cta dgc thuy tinh th€ tuot
lt
gla tf l
a Tdri$ dQ kinh 16o
b Miimo nhanh ch6ng vi dau nhirc \ "
c Sons thi hai mit L''
fficnoi mat ttrira sing
i I
6 firang virus, kh6ng sinh
a TiAn phdng n6ng/ , {
b Soi d6y mdt v6i l6m gai khoing 3/10 " -,}
!- Soi d6y m6t v6i l6m
,@<r'i 6m kly vc1 t$-1r$,)pgjane.$ac ttung,/
6' Soi Sol goc goc tiAn phdng tlen Pnong thAY may d6ng qong:)' I
36: Ldi mat cua ld lodt sAu tdi mdng:
Bowman
c Glaucoma
d Vi0m mdng bO diro tru6c
c6P-CAu 38: C6c l6p mdng bqc cria nhdn cAu theo thil tg tfi
rfg@t_vao trong
a Mdrng b6-diro, cfing mac, v6ng.m4c
b Ctng mac,.vdng m4c, mhng b0 ddo
c Mirng b0 dho, v6ng mac, cung mac
fldh,ing mac, ming bO deo' vdng m4c.'.
c6iiq, Tiieu chring ctra Glaucoma g6c d6ng nguyOn
ph6t cdp tinh, chon ciu sai
a Gi6c m4c Phir vd md nhg
.jd Nhu m6
,uffi BQnh lii ndo khOngpdy dau nhri'c mdt:
f - a/Euc thiry tinh thc /
"U
ViC* lodt gi6c mac
Trang 4Ci.iu 47: Tri0u chring thuc th6 cria clgc thriy tinh thC tu6i
,,-a Anh d6ng tt h6ngD<
,rt-1nrOt nayitriAu vDng.dr,rc sau m6ng mii'
YClac mac phir, mo cl6u n
d cucmg iu k6t mae{.,
Q0u 48: Bi0n chrmg vi€m ryelg bo;!9-o,'-*Chgn ciu SAI
I a Ouc thtry tinh thO tr
f [6)met si6c mac
| -//
i c Phtr hoirng di€m t
1 d Glaucoma thir phfuv'
CAu 49: Vi6m kOt mac do l4u d tr6 so sinh:
0 - a Do mg truydn bing duong nhau
thait'*-,
- b XAy ra c Phir mf kdm theo sau sanh mQt da tiOt tgdn.)l-dich nhdy y
/'i\^^ r.A
rq;Juay oren chring thirnggi6c mac n6u khdng cli€u tri
kipth6i.
Cdu 50: T6c nhdn gdy bQnh mdt hQt ld
a Neisseria Gonorrhoaae
b Meningococcal Meningitis
c Staphvlococcus aureus
A
@PhlamYdia Trachomatis
Ca;31: Edc trung cria vi€m gi6c m4c do Herpes ld
a Tdng cim gitrc gi6c m4c
l6,lciam cdm gi6c gi6c mgc
''6
Ca giitc giitc m4c kh6ng thay d6i
d a, b, c cl6u sai
\"\i.
Cdu 52: Ch0ng chi dinh collyre Atropin .
a Vi0m si6c mac " dfuluu.i-u
YViC* mdng bO tldo trudc
d Lo6t gi6c m4c Cdu 53: MQlg thlt Chon c6u $ai .
a Li kh6i tbng sin xo mach cua.kOt mpc nhdn c0u
fDco hinh tam gi6c dinh quay vA tet mac nhdn cAu
Y thu,tng g{p o nhirng virng nhiQt d6i
d Ti le ni6i tenn kh6.ng c6 ss kh6c biQt gifl'a hai gi6i Cnu 54: Ducrng cho thu6c kh6ng sinh c6 vai trd quyOt dil^rh trong diAu tr!vi€m lodt gi6c m4c
{' a/Nh6, tra thu6c
c Ti0m canh nhdn cdu
d Ti0m tinh mach Cdu 55: Euc th0y tinh thO do ch6n thuong
'* dopc shock diQn, tia s6ng
.
b Thuongxiry rc o hai mdla
c Hay gAp o ngucri lon tu6l ''
d Thuong kh6ng kdm theo l6ch thriy tinh th6{
Cdu 56: trlUc eicn phSu thu4t trong di6u tri dUc thuy tinh
th6, chon cffu s4i , : .,
a Tr6nh biOn chimg vd h5 trg diOu tri d6i vdi c6c b0nh kh6c'fbu
Ngpn ngira sr,r t6i Ph6t
c Thdm m!
d Cai thiQn th! lPc
Gh6p c6c hinh th6i ldm sirng vi0m kiit m4c o cQt A tuong ring vdi triQu chri'ng o cQt B
Al
57 Vi€m k6t mac do Adenoviru$.'
58 Vi6m k6t m4c do HerPesC/
59 Vi6m ktit mac mila xudpf!
60 Vi0m ktit m4c lau cnu b
B
a Kct m?c sun mi tren c6 nhfr'ng nhir m6u r6t to xtip s6t nhau nhu l6t gqch ."
b Kot *4, pt.lt dfr'doi, cnat tiet t<Ct dinh hai mi mit, virnh mi mri ving lodng trdo ra
c K6t -a" .O h4t hay gi6 mqc, bi6n chri'ng gi6c mac rlang hon vd it gdy thdnh dich
O pfrt, n6 ri, t Ct -a.,".6 th6 c6 nhfr'ng n& uie* o bi6u m6 giSc mac, dE gdy thinh dich t6n
HET
(Ee nghi thu l4i A0 tni;
1