{"id":1481,"date":"2022-07-02T22:40:51","date_gmt":"2022-07-02T15:40:51","guid":{"rendered":"https:\/\/ykhoataynguyen.com\/site\/?p=1481"},"modified":"2024-09-14T17:03:19","modified_gmt":"2024-09-14T10:03:19","slug":"tong-hop-de-thi-giua-ki-y5-2018-2019","status":"publish","type":"post","link":"https:\/\/ykhoataynguyen.com\/site\/tong-hop-de-thi-giua-ki-y5-2018-2019\/","title":{"rendered":"T\u1ed4NG H\u1ee2P \u0110\u1ec0 THI GI\u1eeeA K\u00cc Y5 2018-2019"},"content":{"rendered":"<p>Y H\u1eccC C\u1ed4 TRUY\u1ec0N (A1, A2)<br \/>\nC\u00e2u 1: Tr\u00ecnh b\u00e0y n\u1ed9i dung kh\u00e1m b\u1ec7nh b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p thi\u1ebft ch\u1ea9n.<br \/>\nC\u00e2u 2: N\u00eau v\u1ecb tr\u00ed, t\u00e1c d\u1ee5ng c\u1ee7a c\u00e1c huy\u1ec7t sau \u0111\u00e2y: T\u00fac tam l\u00fd, tam \u00e2m giao, \u00e2m l\u0103ng tuy\u1ec1n, huy\u1ebft h\u1ea3i, d\u01b0\u01a1ng l\u0103ng tuy\u1ec1n.<br \/>\nC\u00e2u 3: N\u00eau t\u00ednh v\u1ecb, quy kinh v\u00e0 t\u00e1c d\u1ee5ng c\u1ee7a c\u00e1c v\u1ecb thu\u1ed1c sau: C\u1ea9u t\u00edch, t\u1ee5c \u0111o\u1ea1n, \u0111\u1ed7 tr\u1ecdng, \u0111\u1ea3ng s\u00e2m, ho\u00e0ng k\u1ef3.<br \/>\nC\u00e2u 4: Tr\u00ecnh b\u00e0y tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1eb1ng y h\u1ecdc c\u1ed5 truy\u1ec1n b\u1ec7nh li\u1ec7t n\u1eeda ng\u01b0\u1eddi do tr\u00fang phong t\u1ea1ng ph\u1ee7 (th\u1ec3 kh\u00ed huy\u1ebft kh\u00f4ng \u0111\u1ebfn)<br \/>\nC\u00e2u 5: Tr\u00ecnh b\u00e0y tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1eb1ng y h\u1ecdc c\u1ed5 truy\u1ec1n b\u1ec7nh vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p th\u1ec3 h\u00e0n t\u00fd.<\/p>\n<p>TRUY\u1ec0N NHI\u1ec4M LT 1 (A1)<br \/>\nC\u00e2u 1: Anh\/ch\u1ecb h\u00e3y tr\u00ecnh b\u00e0y \u0111\u1ecbnh ngh\u0129a v\u00e0 c\u00e1ch ph\u00e2n lo\u1ea1i b\u1ec7nh truy\u1ec1n nhi\u1ec5m.<br \/>\nC\u00e2u 2: T\u00ecnh hu\u1ed1ng:<br \/>\nB\u1ec7nh nh\u00e2n n\u1eef 20 tu\u1ed5i, c\u00f3 thai 04 th\u00e1ng, P = 50Kg<br \/>\n\u0110\u1ecba ch\u1ec9: 12\/4 TH\u0110 &#8211; P. T\u1ef1 An &#8211; Tp. Bu\u00f4n Ma Thu\u1ed9t &#8211; \u0110\u0103k L\u0103k<br \/>\nB\u1ec7nh \u1edf nh\u00e0: 8 ng\u00e0y v\u1edbi s\u1ed1t, nh\u1ee9c \u0111\u1ea7u, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a.<br \/>\nCh\u01b0a \u0111i\u1ec1u tr\u1ecb g\u00ec. Xin nh\u1eadp vi\u1ec7n \u0111i\u1ec1u tr\u1ecb. V\u00e0o khoa NHI\u1ec4M l\u00fac 8h15<br \/>\nBN v\u00e0o vi\u1ec7n: t\u1ec9nh t\u00e1o, li b\u00ec, nhi\u1ec7t \u0111\u1ed9 40, m\u1ea1ch 72 l\/ph, huy\u1ebft \u00e1p 110\/70mmHg, nh\u1ecbp th\u1edf 20 l\/ph<br \/>\nM\u00f4i kh\u00f4 l\u01b0\u1ee1i b\u1ea9n. Gan to 2cm d\u01b0\u1edbi b\u1edd s\u01b0\u1eddn.<br \/>\nG\u00f5 \u00f3c \u00e1ch h\u1ed1 ch\u1eadu ph\u1ea3i (+)<br \/>\nX\u00e9t nghi\u1ec7m m\u00e1u: HC: 4.2 tri\u1ec7u, BC: 5800 (N 82%, L 38%)<br \/>\nPh\u1ea3n \u1ee9ng Widal TO 1\/400<br \/>\nY\u00eau c\u1ea7u: 1. Ch\u1ea9n \u0111o\u00e1n v\u00e0 bi\u1ec7n lu\u1eadn<br \/>\n2. Vi\u1ebft y l\u1ec7nh \u0111i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3 khi b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n.<br \/>\nC\u00e2u 3: T\u00ecnh hu\u1ed1ng:<br \/>\nB\u1ec7nh nh\u00e2n n\u1eef, 20 tu\u1ed5i, ngh\u1ec1 nghi\u1ec7p l\u00e0m n\u00f4ng. P = 50kg<br \/>\n\u0110\u1ecba ch\u1ec9: Th\u00f4n 5 &#8211; x\u00e3 Knia &#8211; Huy\u1ec7n Bu\u00f4n \u0110\u00f4n &#8211; \u0110\u0103k L\u0103k<br \/>\nB\u1ec7nh \u1edf nh\u00e0 02 ng\u00e0y v\u1edbi h\u00e1 h\u00e0m h\u1ea1n ch\u1ebf<br \/>\nCh\u01b0a \u0111i\u1ec1u tr\u1ecb g\u00ec. Xin nh\u1eadp vi\u1ec7n. V\u00e0o khoa NHI\u1ec4M l\u00fac 7h30<br \/>\nT\u00ecnh tr\u1ea1ng v\u00e0o vi\u1ec7n: t\u1ec9nh t\u00e1o, nhi\u1ec7t \u0111\u1ed9 38,5, m\u1ea1ch 92 l\/ph, huy\u1ebft \u00e1p 110\/70mmHg, nh\u1ecbp th\u1edf 28 l\/ph<br \/>\nCo c\u1ee9ng c\u01a1 to\u00e0n th\u00e2n. V\u1ebft th\u01b0\u01a1ng g\u00f3t ch\u00e2n ph\u1ea3i kh\u00e2u k\u00edn, s\u01b0ng. H\u00e0m h\u00e1 2cm.<br \/>\nTi\u1ec1n s\u1eed: 9 ng\u00e0y tr\u01b0\u1edbc khi b\u1ecb c\u1ee9ng h\u00e0m BN b\u1ecb v\u1ebft th\u01b0\u01a1ng g\u00f3t ch\u00e2n ph\u1ea3i do tai n\u1ea1n lao \u0111\u1ed9ng.<br \/>\nXN m\u00e1u: HC: 3,9 tri\u1ec7u, BC: 7800, TC: 300.000<br \/>\nY\u00eau c\u1ea7u: 1. Ch\u1ea9n \u0111o\u00e1n v\u00e0 bi\u1ec7n lu\u1eadn<br \/>\n2. Vi\u1ebft y l\u1ec7nh \u0111i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3 khi b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n<br \/>\nC\u00e2u 4: Ch\u1ea9n \u0111o\u00e1n v\u00e0 x\u1eed tr\u00ed m\u1ed9t tr\u01b0\u1eddng h\u1ee3p vi\u00eam m\u00e0ng n\u00e3o m\u1ee7 do Streptococcus neumonia \u1edf ng\u01b0\u1eddi l\u1edbn<br \/>\nC\u00e2u 5: T\u00ecnh hu\u1ed1ng:<br \/>\nB\u1ec7nh nh\u00e2n n\u1eef, 20 tu\u1ed5i, s\u1ed1t v\u00e0 c\u00f3 t\u1eed ban \u0111i\u1ec3m \u1edf chi, nh\u1eadp vi\u1ec7n ng\u00e0y 4, nghi ng\u1edd s\u1ed1t xu\u1ea5t huy\u1ebft Dengue.<br \/>\n&#8211; Cho bi\u1ebft nh\u1eefng bi\u1ec3u hi\u1ec7n c\u00f3 th\u1ec3 c\u00f3 \u1edf b\u1ec7nh nh\u00e2n n\u00e0y n\u1ebfu \u0111\u01b0\u1ee3c x\u1ebfp v\u00e0o th\u1ec3 n\u1eb7ng.<br \/>\n&#8211; Cho bi\u1ebft nh\u1eefng x\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng c\u1ea7n th\u1ef1c hi\u1ec7n gi\u00fap ch\u1ea9n \u0111o\u00e1n v\u00e0 theo d\u00f5i b\u1ec7nh n\u00e0y.<\/p>\n<p>LAO (A2, A3)<br \/>\nC\u00e2u 1: Tr\u00ecnh b\u00e0y tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng lao s\u01a1 nhi\u1ec5m<br \/>\nC\u00e2u 2: Tr\u00ecnh b\u00e0y tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng lao h\u1ea1ch<br \/>\nC\u00e2u 3: Tr\u00ecnh b\u00e0y 4 nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb lao<\/p>\n<p>R\u0102NG H\u00c0M M\u1eb6T (A3)<br \/>\nC\u00e2u 1: Tr\u00ecnh b\u00e0y tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng vi\u00eam t\u1ee7y c\u1ea5p<br \/>\nC\u00e2u 2: Tr\u00ecnh b\u00e0y nguy\u00ean t\u1eafc v\u00e0 s\u01a1 c\u1ee9u ch\u1ea5n th\u01b0\u01a1ng ph\u1ea7n m\u1ec1m v\u00f9ng m\u1eb7t<br \/>\nC\u00e2u 3: Tr\u00ecnh b\u00e0y 8 n\u1ed9i dung ch\u0103m s\u00f3c r\u0103ng mi\u1ec7ng ban \u0111\u1ea7u<br \/>\nC\u00e2u 4: Tr\u00ecnh b\u00e0y tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng b\u1ec7nh vi\u00eam quanh ch\u00f3p<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Y H\u1eccC C\u1ed4 TRUY\u1ec0N (A1, A2) C\u00e2u 1: Tr\u00ecnh b\u00e0y n\u1ed9i dung kh\u00e1m b\u1ec7nh b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p thi\u1ebft ch\u1ea9n. C\u00e2u 2: N\u00eau v\u1ecb tr\u00ed, t\u00e1c d\u1ee5ng c\u1ee7a c\u00e1c huy\u1ec7t sau \u0111\u00e2y: T\u00fac tam l\u00fd, tam \u00e2m giao, \u00e2m l\u0103ng tuy\u1ec1n, huy\u1ebft h\u1ea3i, d\u01b0\u01a1ng l\u0103ng tuy\u1ec1n. C\u00e2u 3: N\u00eau t\u00ednh v\u1ecb, quy kinh v\u00e0 t\u00e1c d\u1ee5ng &hellip;<\/p>\n","protected":false},"author":11,"featured_media":807,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[115],"tags":[],"class_list":["post-1481","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-de-thi-y-da-khoa-nam-5"],"_links":{"self":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/1481","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/comments?post=1481"}],"version-history":[{"count":1,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/1481\/revisions"}],"predecessor-version":[{"id":1484,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/1481\/revisions\/1484"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media\/807"}],"wp:attachment":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media?parent=1481"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/categories?post=1481"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/tags?post=1481"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}