UNIVERSITY OF LUBUMBASHI February 28, 2019

FACULTY OF MEDICINE
The doctorate
MEDICAL SEMIOLOGY EXAMS - 1st SESSION

Duration: 1h30

Student code: ...........................................................................................................................

Instructions: A correct answer is worth 1 point, a wrong answer carries a negative score, when in doubt, abstain!
Any crossing out or overwriting will cancel your response.
1. Circle the best statement regarding the e. Hematic cylinders can be
elements of the medical history found in the normal sediment
a. Interrogation – Monologue – 6. Circle the correct statement
History - Physical examination a. The initial hematurias have an origin
b. Complaints - monologue - dialogue - vesical
story of affection b. Schistosomiasis is one of the causes
c. Complaints - story of affection - renal hematurias
history - Additional medical history c. The phlegmon perinephric
d. History of affection - supplement rarely accompanied by fever
medical history - physical examination - d. Diabetes is often accompanied by
conclusion of anuria
e. No correct answer e. All statements are false
2. Circle the best answer regarding the 7. The following elements are call signs
splenomegaly of esophageal disease except one, which one?
It can be observed in the surcharges. a. Heartburn
as in Niemann's disease - b. Dysphagia
Pick c. Regurgitation
b. She is always pathological d. Precordial pain
c. The scanner and ultrasound allow e. All answers are correct
an easy diagnosis 8. Concerning dysphagia (Circle the correct one)
A Coombs test can be performed response)
e. All assertions are correct a. The driving force is always due to the
3. Circle the false statement poliomyelitis
a. Purpura is a sign of disorders of b. The mechanical cell is due à a
coagulation peristaltic incoordination
b. Splenomegaly is always absent c. The driving cell is due a tobowl
in chronic myeloid leukemia bulky food
c. A hemarthrosis is accompanied by Only (a) and (c) are correct
usually of signs of e. No correct answer
inflammation 9. Regarding the cardiac monitoring centers
d. Hemolytic anemia is associated with (circle the correct statement)
jaundice and splenomegaly The aortic foyer is located at the 2nd
e. Chronic lymphocytic leukemia is left intercostal space.
rarely symptomatic at the beginning b. The tricuspid focus is located in front of
4. Circle the correct statement point shock.
a. The bladder tenesmus leads to a c. The mitral foyer is in the region
irritation of the trigone xiphoid
b. Cystalgias often accompany d. The left armpit and the angle of the shoulder blade
of pollakiuria left are also some foyers
c. The 24-hour diuresis of an adult varies from cardiac auscultation.
100 to 300 ml e. All the answers are wrong.
d. Nocturia is also observed in 10. The systolic murmurs heard at the base are
acute renal failure evoke (circle the correct proposition):
e. Interrupted urination excludes the a mitral stenosis
diagnosis of calculation b. mitral insufficiency.
5. Only one statement is correct, which one? c. a ventricular communication
a. Microalbuminuria is always d. pulmonary insufficiency
pathological e. all answers are incorrect.
b. Creatine is the final product of 11. Regarding the electrical axis of the QRS on the ECG
muscle catabolism (circle the correct option)
c. The kidney biopsy provides very little a. It is parallel to the derivation where the QRS
of information isoelectric point
d. Glucose is normally detectable b. It is perpendicular to the derivation where
in the urine except in diabetics the QRS has the greatest positivity
 c. It is perpendicular to the derivation whered. a pulmonary narrowing
the QRS is negative. e. All the answers are wrong
d. It is parallel to the derivation where the QRS 16. Brown-Séquard
has syndrome is characterized
the largest derivation par 3 syndromes principaux. Citez-les (2pts)
e. All answers are false. a. ...
12. Regarding heart-related dyspnea
b. ………………………………………………..
(circle the correct statement)
It only occurs with exertion. c. ………………………………………………..
b. Orthopnea occurs when the patient 17. Underline the correct answer(s). In the
there. extrapyramidal syndrome, hypertonia is said to be
c. Trepopnea is a dyspnea that occurs (2 pts)
the night, waking the sick person in lead pipe
In cardiac asthma, dyspnea b. Plastic
precedes the cough unlike à
c. Elastic
bronchial asthma
The stage III of the NHYA corresponds to a d. Spastic
dyspnea occurring at rest e. Demonstrates the phenomenon of the gear wheel
f. All the answers are false. 18. The pyramidal syndrome consists of
13. To the normal face teleheart (circle the signs below. Underline the correct answers (3)
correct proposition pts)
a. The left middle arch corresponds to a. Wernicke
aortic button. b. Fan
b. The lower right arch corresponds to the
c. Amyotrophy
right ventricle.
c. The upper left arch corresponds to d. Romberg
the pulmonary artery. e. Flaccid paralysis
d. The lower left arch may correspond 19. The (or the) sign(s) below does (do) not
in the right ventricle in case of hypertrophy part of the meningeal syndrome, underline the(s)
right ventricular (2 pts)
e. All the answers are false.
a. Barre
14. The peak shock (encircle the proposal
correct b. Brudzenski
a. It is abnormal when he is not c. Babinski
perceptible. d. Kerning
is normally deviated to the left. e. Broca
It is better palpable on the left side. 20. In cerebellar ataxia, the sign of
d. All answers are false. Romberg is: Underline the correct statement (1
15. The continuous breath evokes (encircle the
incorrect proposition) :
an aorto-pulmonary anastomosis a. positive
b. a persistence of the arterial duct b. negative
c. an aorto-pulmonary fistula c. may not be searched

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