than kinh y23

/',/ rnu$r.rc EH Y DUQg cAN rnOe y THo NQI BQ MoN ptuxtt tttAx KINH ttrt m6n: Lf du thi: YK23 Dtii tuqng tJn thi: lln l o! Ngav thi:20/062012 Ttrdi gian lim biir i 60 ph(rt r - Nhtng yOu cliu, cln d$n thi sinh: b€;hi.'6 eo a; ri ndt igr McQ thi sinh chQn mqt chQn lp drlng nhdt sho mOi cau McQ, Thi sinh lAm bii tr€n phifu tri l0i' kh6ng lim bli tr€n tlC thi ihi ti^r, gt i civ Jo i rhong tin yeu cli tr€n phiCu ri l0i lrnr f nh6 ehi s6 dl -. .\, /:-' '\\ - Hlnh thfic thi: Dl rlOng ,',/ Ci.'vl" ar tnac: fnisinh ngp lgi ttl sau thi C6n bQ coi thi thu lei dl NQr DUNG Et rtII - Ot Sd ,, TRAC NcHIEM MCQ: Chgn mQt clu dring t i l; Nguytn nhiin nie wu tlii.tl giiy fiet In ngtail.t.Ot 940J? ., '\ tr -// t '' '/ bi€n mqch mdu nlo a1'viern ntto @Tai -d) \*= nlo Abces ui u nao qua? ntio thodng milu ttdi crti thilu p,hgc 2, Thili t:lan ndo sttu llfiy ld rhbt gian thi, (, 'IS 6)Si'z+n J-1 fn l yinqn -q) < - Ma'rrle - nhdp Plerre 481r d) > 48h Foix ld nghtQn phttp tthdm 0l phdt hi€n Heu ch*ng ti(r ciu ttiil' ")oi#liliouniosautnv? Vl b) Day a Bpnh ntriin c:ti trl(u tri nin wr il{l.t'? alVo rtlo (T) ch&ng I v ti|t dW VII &u, ylt d) DAY Vlll ngogi bien Q)' ud ylu nrtu \ oq*n b) Buo (T)' ' ngrti (P) tin thutrng cd ni tf'v (:f) ,qllint C6.l.nlo (T) ': gf chfrng tipt ntu nelrti (P) !hl!qtdng fiiu, fiet Vil trung tnng (P), phin risJarc P), tin thntngTf inE d v! iri.ndo sou tlAy? "n (syvitnao c) Hinh nlo (T) d) Ciu nlo (P) rb) Bao rong D(c iliim nio sau tfty KHhNG Cd tons nilSlp*]itl-cftng 4lgutiz a) Liqr nr+t trung usng ctng.b€n lift 7z ngudi n€u t6n thuorg phia tr€n cdu nlo, ve viy tang d9 co doliting tl$ chac nhilo giim eenh ly t-hap gaUinsti (+) Hotfman (+) d) l'han \F g6n cc tlng da tlQng g6i, g6t Z, Dtliu ttif u ndi thfing.i\p nnh iCn ngmi b€nh li€t % ngvtli tto fin thunng vhng hoo troni;? c) Co giit % mlt ya) Mtit ng6n ng[ 5, BSnh nh1nid tt(u -rs ii vi gLn $) (T) 1.4 @0 T ,{E) HOn m€ s Df,c triim ndo sau day KHONI DaNc ,r"r, ($Su'c co hai chi dudi giAm hofc t{)'t'ang tnrong luc co vd phin x6 g$n xuorg m6t , g\Rdi logn co v6ng @p6.the t6n thuong- th6n kiniltlng -"-a uong' hoflc ihfrn kinh ngoai bi€n nti.tt glip tnmg hPighrirngti(t hui chi ttuti tlo tin thnwng thin kinh ngagi hiln? ilitm a)tintr chdr lift 9, Dlic l,P":;#:i;f :::r'i,X,Y,oi ,,*6- m€rn ho5c9dit-cung @feo co b) Phin xe blnh lf thnp vdi d6u Babinski E)tTlng truong lgc co vi tlng phAn'xg gdn xuong 10 Tryng hpi ehn'ng-Bro$'n - Sequard, cfitg*lpn tfin throng, logi cdm gidc b! fi1 thuvng'lti ciinr gidc ndo sua ilby? a) Cim,gidc tlau nhiQl b) Cim giAc sd > /1 A ftih# I I; Trong hpi chr?ng Bntwn nfio snu ilin"! ""$iri#'gidc dau r - \) b nnift chfre €v ?)- -') c0, s?u arq itlrdnitogt |' -"' eil s-u 4,?r d).Cim,gi6c von6o Sequar4, d dlti ben gi6c.str b) Canr 12, Trong i(tl : tin thntng,'logi ciim gidc bi tin thuong tri c) Cim giric siu d) Crim.gidc vd 1lo cdni gtttc ol fti,nwnS ld qdm gldc ndo sau 00y? cdnt gitic' .' n) Ciirrr -qiic tlau nhigr " @Cim ftl) gitic siiu ; "': '1 ) ' Cim gi6c v6 n6o_ hli chtng chtn dp tiy itiin hinh? Diiu tttiit sutt iftii1, tg116f0 DUNG rroig rc) nhdn c6 thd u triy vi tri Nguy€n il) Oau theo rE thin kinh tuong irng b) Cirn gi6c so I ton thuong d) Diiu tri ttry thu$c nguydn nhin giy chdn ip ttiy (p OiEn riJn cip tinh ilitrtt.nitt suu.ilit1, KrIhNG DIJNG rrung h|i ch*ng cil ugung trty ndn h8? "'*a D1i, l) Klriri diru li€r nr€rn sau d6 chuy€n sang li$t cfrng }| vlit phdn x6r gdn co giai doirn diu sau d6 Ung l€n (dul, cim giiic dau duoi noi t6n thuong cim giAc sitr vln binh thu0ng ,.d) ROi loirn co vong '5 Bi0u hifu ftm sing cio viAm ily thuitng g(tp ltl hPl chtng nio sttu ltd.v? a) HQi chirrrg ch€n ip AHQ| ch(rng trung t6m b) HQi.ch(rng sirng trr6'c @NQi ch(rng clr.ngang tty t6 Dtic itiim tatn stitrg ciln hpnh du rth! thin kinlfTfiNGOAI t0y triy tr'ry ir) tlrii toln dQirg 'irrr lolrr clnr b) hr l{Oi l{oi loarr cirrrr giac uiac , :,- ' TRI|': -.^ ) itrung bi€u hifn uu thd o gric chi | ry4' / 6fffrigu pt,in b6 trigu h€n /: xdlng hoi h€n d,6i xdrng,hoi trieu chinrg chting df.i j;., Y ptr:in *inni vi hpnh tlltlil"r!thdn rhln hinh pltiitt i7 Ytu ri tttiu suu ilfi): gitill hi(t bptth Ls-!!g.v a) t'rri.irr ctrrlng priaii rtb uoi ii'',rg tr,;ne uEifr*ia ddy thin kinh tifrd-ugnn da dAy rE ttriin kinh tlri { tri$u.ch(rrrg kh6ng d6i xftng hai \ b) R6i losn'vin dbng phaniii d g6c chi trong.b(nh da diy thiin kinh :: ', : 'r t.n AAn g6c chi rong bf nh da ddy ttrAn kinh ''., ', : i"or cam gidc utrng nggi ' quA vd triy diQn dich ndo {dr,'"ftit t8.h1ic tf itnr lint sdng ntio pha hw.trong hQi chirng Guillnin - Bnrri? c) rnoi dAu li$t mim satt d6 liQt cirng, r)'rriulu chirng ptiiin b.i'gno,re"d6i xi1ng ''i.f r:'\ l: j ^41.,, tuAnl gi,,n keo | nor ri.i,, tri€n gaI,Sy ' { oict' nio ttiy co td biro ting protein trinh thrrtrng (!/ , t9.7iiatr ,,r1r,,,g 1>ttiitt l.v tlttrtt ti tiiii"trotrg ttpi cltittg Guitloin - Burrt lltur'tng rriv m vlo tltti'i gittrt rttitt b€n, ii iii co tinli r \ i : -r ^ , ,'tt,t hytrlt -*- i _ , c)'IrrAn thu 11 luiirr thtr l ' ,is:\- : ::''i : ;l; '-i''t "!' d) Tudn thrJr 4' (t)I'uAn thu 2tt.)f,gc didm ndo sau i11y g{p pong bpnh liPt chu k!.do hg *ati mdu? vi€m a) R6i loa.rn cim giac _Q.Li nh6m binh cs phtit surr frn nhiiu ttuong' khoi tha c6 [r) l'r.crng corr tif iphAn xqr g6n xuong !alg, 6_Uenh nhuvtc- ctl? 21 Dtit' tliim tttitt suu llit.tt iling tong hgnh "-' ",,;ti,;';,1;t,rr plv€uctrcai thi{n khicahogtdQngg*rrgsric lr6rrtr rnirngln1].q r;'; |d-'' tltrirr Lirrlr c(r l" ltri ' d) Ly-00"hg1r c,o 11r1C1 t'rc kirn theo rui di tai if hfuh nhfin nhu'1tc ctt? 22.Y'riau t80 mg% ? mgo/o "l;iil-;;; ' n"ooe huy6t tsiai hpn ndo? " i rrong oifr ido ndo; rrpA ttuyc chrtinn rrr^ffi;T,::no sau a) Dins cing sdm ceng i;;;; 3;l;ili'uing d'one tinh mech ' b) Ddrng keo dii I tuAn Yi or,iE i*ls I sro;t; lOie',iu;r, t ooAn:,.,,!i::,,:r,,r;!:.dif^nd,,titp tiiu ciu lnins ttilu tr; iiryquly.t1L1-llgtdu _gQa ctp td? /\sprt'rr rrfu l(r0 - ].1_i nrgn_udy kal, ct CtirdiOciEr[i.lSQ ile/neAi Y)i\spirin lii'u 80 rng/ng:i.r - , j d) Clopido_qret 160-32-\ mg/ngiy t.',"1 ,i.: -, 45' cic' ctic'lt ilhug chiing r& tQp tiiu ciu nan hfnh ,nai iii-iidu nfio ttcio.,tau iltty cti tha du.gtc tip tlsng, NGO4I TRL|? a) Ding don dgc Aspirin hqp Aspipin voi dipyridamol 4\Kdt b) Dung dT ao: ct:nido-sre] '65)one'erpi'ii tg, rtqp IAi cfopidogrel .! -._ 06.4x:f nuvil nhu m6-niro, xryQno.c1ti aiaYigogt *hoo tmng tnnvng"hw;;;f ;*.rtfu -'o @Kh6i.rniiu tu.< r0 mlvdi rrifu chr?ng ttrin klnh rrio,ig rrdng k€ hyruiit hu1'dt vilrg vo nio 4J t6t diu -.r tay? @:;; ;iil;;,ffi - - , ,cllciirr [r va c dirr_u 47' X!t^t,!:.!!!(m MRI.sp.ndi iluytc chi {inh !rung trutlng hpp a)Eadtl6urn6ikhoiph6t.kh6ngd6uthAnkinh itau ttdu nio.sou d6v? ii[rldrT"e"ir Dau dAu cpm * lo*s-rf zo tu6i c) Dau diu migraine ttang tlap trng di€u tri O Dau ciu o ngudi nhi€m -* 4ll, Dau dau tttio suu ildy hh6ng phdi rd rtau tdu nggfun phutr? -bi ffiV ru) [).rr iti rrrigrainc' @i.i ciu.t.ng r6i loSrr r6rn rhfirr : ' It) l)iiu cliiu cirrrg crr -fOuu nta dAuiiCn tpc , nt ltttt, tticm tti.tt i,tu ttiiy.plth 1qt fong.(uu.!d" "il'rg.;, a) t hrr