THC TP SINH L BNH

------------------- THI THC HNH SLB MD LN II

LP CNDDK 20
------------XXX-----------CHN NG () HOC SAI (S):
BI 1: SC MT MU
1. sc mt mu l do gim th tch trong c th.
2. M hnh c thc hin 3 giai on: rt 10% lng mu, rt thm 40% lng mu v
truyn tr mu.
3. biu hin ca mt mu 10% lng mu l mch tng, h hp gim, huyt p gim,
thiu niu.
4. biu hin ca mt mu 40% l mch nhanh nh kh bt, kh th, huyt p gim, v
niu.
5. biu hin mt mu 10% tng ng vi giai on sc cng.
6. Khi mt 10% mu, Adrenaline lm co tiu ng mch i.
7. biu hin ca ch tiu nc tiu khi mt 10% mu: tng >> gim >> bnh thng.
8. biu hin ca ch tiu huyt p khi mt mu 10%: tng >> gim >> bnh thng.
9. biu hin ca ch tiu nc tiu sau khi truyn mu: s git tng vt sau tr v
bnh thng.
10. khi mt mu Angiotensin II c tit ra vi tc dng co mch.
BI 2: RI LON TIU HA.
1. Tc nhn gy vim on rut 1 l AgNO3.
2. on rut 2 l on rut chng.
3. Du hiu chng t nim mc rut 3 b vim l xung huyt v ph n.
4. Du hiu chng t nim mc rut 1 b vim l thnh rut mng v xut huyt.
5. Dch lc phn l dch lc ly t phn ca ch.
6. Khi tim dch lc phn vo tnh mch i, mc gim huyt p nhiu hn khi ta
tim vo tnh mch mc treo.
7. Khi ta tim adrenaline 1/10.000 vo tnh mch mc treo, mc HA s tng ln v tng
nhiu hn khi chng ta tim vo tnh mch i.
8. C ch khi ta tim thuc vo tnh mch mc treo mc thay i HA nhiu hn khi
ta tim vo tnh mch i nh gan kh c.
9. Tc nhn gy vim rut on 2 l nc nng 70oC.
BI 3: VIM
1. Tc nhn gy vim da do p nng l nc nng 100oC.
2. Kt qu vng vim: sng n, nng, xut hin mu xanh ni ln.
3. Mu xanh ca trypan nm trong lng mch.
4. C ch chnh hnh thnh dch r vim l tng tnh thm thnh mch.
5. Mc ch ln 3 5 pht ri mi tim xanh trypan qu trnh vim giai on sung
huyt tnh mch.
6. Xanh trypan gn kt vi globulin.
7. Tnh thm thnh mc lm cho xanh trypan thot ra gian bo.
8. Sung huyt ng mch c ngha l tiu ng mch co li.
9. X tr rch vim giai on sung huyt ng mch.

10. Trnh t tin hnh th nghim: ln 3 5 pht >> tim xanh trypan >> tip tc ln 15
20 pht.

THI THC TP B MN SLB MD

------------XXX-----------CHN CU NG () SAI (S):
1. Bnh nguyn gy sc trong bi sc chn thng thc nghim l: v 700g
2. Bnh sinh ca sc chn thng thc nghim gm 3 giai on: sc cng, sc nhc,
suy sp.
3. Phng php thc nghim ca sc chn thng thc nghim gm 3 bc.
4. Giai on u ca sc chn thng thc nghim cc ch tiu iu tng gi l giai on
sc cng.
5. Giai on sau ca sc chn thng thc nghim cc ch tiu tng gi l giai on sc
nhc.
6. Th nghim 1 ( tc dng ca tnh cht c) huyt p ca th c biu hin: tng >> gim
>> bnh thng.
7. Th ngim 2 ( tim liu cht Strychnine) th B cht trc th A.
8. C ch chnh gy sc chn thng thc nghim l au (thn kinh).
9. Th nghim 3 ( kch thch au n thun) chng minh cho gi thuyt v tun hon.
10. Yu t gp phn thc y trong c ch sc chn thng thc nghim l c cht t
p.
SLB MD TRM 1
CHN CU NG () HOC SAI (S)
1. Sc mt mu thc nghim c thc hin trn ch.
2. M hnh c thc hin 3 giai on: rt 10% lng mu, rt thm 40% lng mu v
tr mu.
3. Biu hin giai on mt mu 10% l mch tng, h hp gim, huyt p gim, thiu
niu.
4. Biu hin giai on mt mu 40% l mch nhanh nh kh bt, kh th, huyt p gim,
v niu.
5. tin hnh thc nghim th ch phi c gy m.
6. Khi mt mu 10% Adrenaline ni sinh lm co tiu ng mch i.
7. Biu hin ca ch tiu nc tiu khi mt mu 10%: tng >> gim >> bnh thng.
8. Biu hin ca ch tiu huyt p khi mt mu 10% : tng >> gim >> bnh thng.
9. Biu hin ca ch tiu nc tiu sau khi truyn mu: s git tng vt sau tr v
bnh thng.
SLB MD TRM 2:
CHN CU NG () HOC SAI (S):
1. Mc ch ca giai on truyn mu l thy c kh nng hi phc ca c th.
2. Giai on mt mu 10% nc tiu gim l do gim p lc lc ca cu thn v tc
dng ca Adrenaline.
3. Giai on mt mu 40% v niu l do p lc lc cu thn bng 0.
4. Giai on mt mu 10% c th c kh nng phc hi.
5. iu tr u tin hang u ca sc mt mu l truyn tr mu.

6.
7.
8.
9.

Mc ch rt mu nhiu giai on l thy c cc giai on ca sc.

Giai on mt mu 10% gi l giai on sc nhc.
Giai on mt mu 40% gi l giai on sc cng.
C th b tr khi mt 10% bng cch kch thch cc p cm th quan to
catecholamin.

THI THC TP IU DNG K32

SINH VIN CHN CU NG () HOC SAI (S)
BI 1: SC MT MU
1. M hnh c thc hin 3 giai on: rt 10% lng mu, rt thm 40% lng mu v
truyn mu bng ng tnh mch.
2. Mc ch ca giai on truyn tr mu l thy c kh nng hi phc ca c th
khi truyn mu ng cc ch tiu (mch, HA, h hp, nc tiu) khi mt mu 10%:
gim=> tng.
3. Cc ch tiu khi mt mu 40%: mch u, r, mnh; HA gim; h hp u, th su.
4. C th b tr bng cch kch thch to catecholamin.
5. Epinephrin c tc dng kch thch cng giao cm lm co mch ngoi bin, tng sc
co bp.
6. Mt mu 40% p cm th quan khng b kch thch nn khng tit adrenalin dn n
sc.
7. Cng thc tnh tng lng mu ca c th = 1/12*P (kg)
8. Khi c th mt mu, phc hp cn cu thn b kch thch v kch hot h Renin
Angiotensin.
9. Mc ch rt mu nhiu giai on l thy c cc giai on ca sc.
BI 2: RI LON TIU HA GAN MT
IN VO CH TRNG, NG SAI:
1. Tc nhn gy vim rut on rut 1 l:.....................................
2. on rut 2 l on rut chng.
3. Kt qu nim mc rut on 3 l:...................................
4. Kt qu nim mc rut on 1 l:.....................................
5. Dich lc phn l dch lc ly t phn ca .............................
6. Khi tim dch lc phn vo tnh mch i, mc gim HA.................khi ta tim vo
tnh mch mc treo

7. Khi tim adrenalin 1/10000 vo tnh mch mc treo, mc HA tng.......khi chng ta

tim vo tnh mch i.
8. Adrenalin v dch lc phn u c chuyn ha (kh c) ......................
9. Tc nhn gy vim rut on l.........................
10. Dch lc phn c tc dng.......................................
THI THC TP SINH L BNH MIN DCH
SV CHN CU NG HOC SAI
BI 1: SC CHN THNG
1. Sc chn thng thc nghim c thc hin trn th.
2. Strychnine s dng trong m hnh sc chn thng thc nghim nh l mt cht c
i vi ch.
3. Thi gian tc dng ca Lobeline tng sau th nghim c ngha l tc tun hon
trong th nghim tng.
4. Mc tng huyt p sau khi tim adrenalin ln 2 thp hn so vi trc th nghim
chng t kh nng vn mch ca c th ch sau th nghim gim.
5. Trong m hnh sc chn thng thc nghim, c cht t c th dp nt c th l
nguyn nhn gy sc cho ch.
6. Qu trnh bnh sinh ca sc chn thng trn ch din ra 2 giai on: sc cng v
sc nhc.
7. Biu hin ca cc giai on trong sc cng; mch nhanh nh kh bt, th nhanh su,
huyt p gim.
8. au chnh l nguyn nhn dn n sc chn thng thc nghim trn ch.
9. Trong sc chn thng, khi c vng xon bnh l xut hin, thi x tr ca thy
thuc cho vic ct t vng xon bnh l hn l x tr nguyn nhn.
BI 2: SC MT MU:
1. M hnh c thc hin 3 giai on: rt 10% lng mu, rt thm 40% lng mu v
truyn mu bng ng tnh mch.
2. Mc ch ca giai on truyn tr mu l thy c kh nng hi phc ca c th
khi ch ng cc ch tiu (mch, HA, h hp, nc tiu) khi mt mu 10%: gim tng.
3. Mt mu thc nghim c thc hin trn ch v th.
4. Cc ch tiu cn ly trn m hnh sc mt mu thc nghim: mch, huyt p, h hp,
nc tiu, ton trng.

5. tin hnh sc mt mu thc nghim th ch phi c gy m.

6. Giai on mt mu 10% nc tiu gim l do gim p lc lc cu thn.
7. Giai on mt 40% v niu l do p lc lc cu thn bng 0.
8. Giai on mt mu 10% c th c kh nng phc hi.
9. Biu hin giai on mt mu 10% l mch tng, h hp gim, huyt p gim, thiu
niu.
BI 3: RI LON H HP
1. gy nhim toan, tim 2ml acid lactid nng 10% vo tnh mch ra tai th.
2. gy nhim kim, tim 2ml NaHCO3 nng 10% vo tnh mch ra tai th.
3. Biu hin ca nhim toan th l h hp tng c bin ln tn s.
4. Biu hin nhim kim ca th l h hp giai on u tng, giai on sau gim
5. Gy ngt thc nghim bng cch kp kh qun th.
6. Biu hin ca ngt thc nghim tri qua 3 giai on: hng phn, c ch, suy sp hon
ton
7. Ph phi cp thc nghim c thc hin trn th.
8. Nhng biu hin ca ph phi cp thc nghim l kh th, huyt p gim v tro bt
hng.
9. Biu hin th ngp c gp trong m hnh ngt thc nghim.
BI 4: RI LON TIU HA
1. Tc nhn gy vim rut on cui rut I l AgNO3
2. on rut II l on rut chng
3. Du hiu chng t nim mc rut on III b vim l xung huyt v ph n
4. Du hiu chng t nim mc rut on I b vim l thnh rut mng v xut huyt
5. Dch lc phn l dch lc ly t phn ca ch
6. Khi dch lc phn vo tnh mch i, mc gim HA nhiu hn khi ta tim vo tnh
mch treo
7. Khi ta tim Adrenaline 1/10000 vo tnh mch mc treo, mc HA s tng ln v tng
nhiu hn chng ta tim vo tnh mch i
8. C ch khi ta tim thuc vo tnh mch mc treo mc thay i HA t hn khi ta
tim vo mch i nh gan c kh c

9. Tc nhn gy vim rut on II l nc nng 70oC

BI 5: SC TRUYN MU KHC LOI
1. Sc truyn mu khc loi l th bnh l ca qu trnh mn type 3
2. Khng th tham gia trong c ch ca sc truyn mu khc loi l IgM
3. Khng th tham gia trong c ch ca sc truyn mu khc loi l IgG
4. Khng th tham gia trong c ch ca sc truyn mu khc loi l IgE
5. Nc tiu con vt c mu l do c Hb trong nc tiu
6. Gy sc truyn mu khc loi bng cch ly mu ch truyn cho th
7. Trong c ch bnh sinh sc truyn mu khc loi c s hot ha b th
8. Tan hng cu trong sc truyn mu khc loi l do s c mt ca ha cht
9. Biu hin rung c trong sc truyn mu khc loi l do s phng thch K+

THI THC TP DIU DNG K32 LN 1

THI GIAN :8 PHT ( 02)
SINH VIN CHN CU NG() HOC SAI (S)
BI 1: SC MT MU
1. Sc mt mu din tin theo 2 giai on.
2. Giai on mt 10% c th khng cn kh nng phc hi.
3. Tin hnh mt mu 40% bng cch ly thm 40% mu.
4. Cng thc tnh tng lng mu trong c th V= 1/12 x P
5. Ch c c nh v khng gy m.
6.

Biu hin ca mt 40% mu: mch nhanh nh kh bt, huyt p tang, thiu niu, kh
th.

7. iu tr ch o ca sc mt mu l truyn mu.
8. Biu hin ca mt 10% mu: mch tng , huyt p tng, ch th nhanh su.
9. M hnh th nghim c tin hnh trn th v ch.
10. Cc ch tiu cn ly trn m hnh l mch, huyt p, h hp, nc tiu, ton trng.
SINH VIN CHN CU NG HOC SAI:
BI 2: SC MT MU

1. M hnh c thc hin 3 giai on: rt 10% lng mu, rt thm 40% lng mu v
tru mu bng ng tnh mch.
2. Mc ch ca giai on truyn tr mu l thy c kh nng hi phc ca c th
khi ng cc ch tiu (mch, HA, h hp, nc tiu) khi mt mu 10%: gim tng
3. Cc ch tiu khi mt mu 40%: mch u r mnh, HA gim, h hp u th su
4. C th b tr bng cch kch thch to Catecholamin
5. Epinephrine c tc dng kch thch cng giao cm lm co mch ngoi bin, tng sc
co bp.
6. Mt mu 40% p cm th quan khng b kch thch nn khng tit adrenaline dn n
s
7. Cng thc tnh tng lng mu ca c th = 1/12 x P(kg)
8. Khi c th mt mu phc hp cnh cu thn b kch thch v hot h ReninAngiotensin
9. Mc ch rt mu nhiu giai on l thy c cc giai on ca sc.
BI 3: RI LON TIU HA GAN MT
SV HY IN VO CH TRNG CU TR LI..
1. Tc nhn gy vim rut on rut 1 l :.
2. on rut 2 l on rut chng
3. Kt qu nim mc rut on 3 l
4. Kt qu nim mc rut on 1 l
5. Dch lc phn l dch lc ly t phn ca
6. Khi tim dch lc phn vo tnh mch i, mc gim HAkhi ta tim
vo tnh mch mc treo
7. Khi ta tim adrenaline 1/10000 vo tnh mch mc treo, mc HA tngkhi
chng ta tim vo tnh mch i.
8. Adrenaline v dch lc phn u c chuyn ha (kh c) .
9. Tc nhn gy vim rut on 2 l
10. Dch lc phn c tc dng
THI THC TP IU DNG K32 ( 2)
THI GIAN: 10 PHT
BI 1 : RI LON TIT NIU
SV HY CHN CU NG NHT:

1. Khi tim glucose 30% cc du hiu sinh tn :

a. Mch, HA, h hp khng thay i ng k, s git nc tiu tng.
b. Mch, HA, h hp khng thay i ng k, s git nc tiu gim.
c. Mch, HA, h hp, s git nc tiu khng thay i ng k.
d. Mch, HA, h hp, s git nc tiu thay i ng k.
2. Khi tim adrenaline 1/10000 cc du hiu sinh tn:
a. Mch, HA, h hp tng, s git nc tiu gim vi pht u sau tng tr li
b. Mch, HA, h hp tng, s git nc tiu gim nhiu
c. Mch, HA, h hp gim, s git nc tiu gim vi pht sau tng tr li
d. Mch, HA, h hp gim, s git nc tiu gim nhiu
3. Adrenaline 1/10000 c tc dng
a. Co mch ngoi bin
b. Tng sc co bp c tim, tng nhp tim
c. Co mnh c tiu ng mch n (vo) v i (ra)
d. Tt c u ng
e. Ch c a v b ng
4. Mc ch tim adrenaline :
a. Chng minh thn kinh nh hng n qu trnh bi tit nc tiu
b. Ty vo nng adrenaline m biu hin bi tit nc tiu khc nhau
c. Tim adrenaline s nh hng n p sut lc ca cu thn
d. Tt c u ng
e. Ch c a v b ng
5. Tim glucose 30% tiu nhiu l do:
a. Do tng p sut thy tnh trong lng ng thn
b. Glucose 30% lm tng lu lng mu n cu thn
c. Qu ngng ti hp thu ca ng ln gn
d. Glucose 30% lm co tiu ng mch i (ra) nhiu hn tiu ng mch n (vo)

RI LON TIT NIU

SV HY CHN CU NG NHT:
1. Khi tim glucose 5% cc du hiu sinh tn
a. Mch, HA, h hp, s git nc tiu tng ng k
b. Mch, HA, h hp, s git nc tiu gim ng k
c. Mch, HA, h hp, s git nc tiu khng thay i ng k
d. Mch, HA, h hp, s git nc tiu thay i ng k
2. Khi tim adrenaline 1/100000 cc du hiu sinh tn:
a. Mch, HA, h hp tng, s git nc tiu gim vi pht u sau tng tr li
b. Mch, HA, h hp tng, s git nc tiu gim c trong 5 pht
c. Mch, HA, h hp gim, s git nc tiu gim vi pht u sau tng tr li
d. Mch, HA, h hp gim, s git nc tiu c trong 5 pht
3. Adrenaline 1/100000 c tc dng:
a. Co mch ngoi bin
b. Tng sc co bp co tim, tng nhp tim
c. Co c tiu ng mch n (vo) v i (ra)
d. Tt c u ng
e. Ch c a v c ng
4. Mc ch tim glucose 30% :
a. Chng minh khi c s thay i v thnh phn glucose trong mu s nh hng
n bi tit nc tiu
b. Minh ha triu chng bnh tiu ng
c. Minh ha c ch tng p sut thm thu trong lng ng thn s gy tiu nhiu
d. Tt c u ng
e. Ch c b v c ng
5. Tim glucose 30% tiu nhiu l do:
a. Do tng p sut thy tnh trong lng ng thn
b. Ko nc t vi mao mch quanh ng thn vo ng thn

c. Do tng thm 10ml glucose 30%

d. Glucose 30% lm co tiu ng mch i (ra) nhiu hn tiu ng mch n (vo)

Chn cu ng (), sai (S) :

1. Bnh nguyn gy sc chn thng thc nghim l : V 700g S
2. Bnh sinh ca sc chn thng thc nghim qua 3 giai on: Sc cng, Sc nhc, Suy
sp. S
3. Phng php thc nghim ca sc chn thng thc nghim gm 3 bc
4. Giai on u ca sc chn thng thc nghim cc ch tiu u gi l sc cng
5. Giai on sau ca sc chn thng thc nghim cc ch tiu u tng gi l sc nhc S
6. Th nghim 1 (Tc dng ca tinh cht c) huyt p ca th c biu hin tng --> gim
-->thng S
7. Th nghim 2 (Tim liu cht Strychnin) th B cht trc th A S
8. C ch chnh gy sc chn thng thc nghim l au (Thn Kinh)
9. Th nghim 3 (kch thch au n thun) chng minh cho gi thuyt v tun hon S
10. Yu t gp phn thc y trong c ch sc chn thng thc nghim l c cht t dp

Chn cu ng nht:
1. Giai on u ca sc chn thng thc nghim:
a. Mch tng , h hp nhanh su, huyt p tt , ch ku la giy gia
b. Mch nhanh nh, kh bt, h hp nhanh nng, huyt p tng
c. Mch nhanh, mnh, h hp nhanh su, huyt p tng
d. Mch nhanh mnh, h hp nhanh nng, kh th huyt p tng
2. Giai on sau ca sc chn thng thc nghim:
a. Mch nhanh nh kh bt, kh th, huyt p tng.
b. Mch gim, kh th, huyt p gim
c. Mch tng mnh, gim th, huyt p gim.
d. Mch nhanh nh, kh bt, kh th, h hp nhanh nng, huyt p gim.
3. Kt qu khi m bng ch
a. Gan, lch , thn tm ti
b. Rut tm ti
c. ng mch ch bng cng phng (xp)
d. Tnh mch mc treo xp (cng phng)
4. Kt qu khi m dp nt
a. dp nt khu tr
b. C mu t khong 90ml
c. C dp nt
d. Tt c u ng

5. Th nghim 3 (kch thch au n thun) huyt p ca Th din tin nh sau:

a . Tng --> Gim --> Huyt p =0
b. Tng --> Gim --> bnh thng
c. Gim --> bnh thng --> huyt p = 0
d. Gim --> Tng --> bnh thng
Chn cu ng, sai
1. Du hiu chng t nim mc rut on 1 b Vim l thnh rut mng v xut huyt S
2. Gan kh c DLP v Adrenaline bng cch c nh
S
(C nh v thi tr)
3. AgNo3 gy vim mnh hn nc nng 70oC
4. Tc nhn gy vim rut on 1 l AgNo3 S
5. Du hiu chng t nim mc rut non on 3 b vim l xung huyt v ph n
S
6. DLP v Adrenaline tim TMMT u qua Gan

7. Khi tim DLP vo TM, mc HA gim t hn khi tim vo TM

8. Khi tim Adrenaline 1/10000 vo TMMT, Huyt p tng t hn khi tim vo TM

9. Hu qu ca tn thng nim mc rut l ng dch trong lng rut

10. Tc nhn gy vim rut on 3 l nc nng 70oC

S
11. T bo Kuffer kh c theo 2 cch : C nh v thi tr
S
(C nh
v thc bo)
12. Dch trng c on 3 l do AgNO3 kt ta
S (AgCl)
13. DLP cha Histamin, Serotonin, Adrenaline gc phenol
14. AgNO3 l cht kh mnh nn ph hy c mch mu ln t bo nim mc rut
S
(cht Oxy ha)
15. Nguyn nhn thng gp gy vim rut l virus
S
16. S lng dch tng ln l do tng hp thu , gim bi tit
S
17. DLP v Adrenaline tim vo TM khng i qua gan nn mc gim, tng nhiu hn
S (vn qua Gan)
18. DLP l dch lc phn t ch

Trm 1 Ri lon tit niu

1. Khi tim Glucose 5% ch tiu mch , huyt p......... Thay i khng ng k
2. Khi tim Glucose 30% ch tiu nc tiu ..............Thay i ng k (tng)
3. Khi tim Adrenaline 1/100000 ch tiu mch , HA , h hp................. Tng
4. Khi tim Adrenaline 1/10.000 ch tiu nc tiu.....................xung thp --> tng cao
5. Ngng ti hp thu Glucose.............180mg/dl hay 1.8g/l
Trm 2 Ri lon tit niu
1. Tim Glucose 5% tc l tim vo c th 0.5 g Glucose
2. Tim Glucose 30% tc l tim vo c th 3 g Glucose
3. Glucose c ti hp thu hon ton ........ng ln gn
4. Tiu nhiu trong bnh tiu ng l do ..........tng p sut thm thu
5. Glucose khng c ti hp thu ht s lm tng.............p sut lc cu thn
Trm 3 in vo ch trng
1. Adrenaline 1/10.000 c tc dng g trn mao mch thn (Co m n v i )
2. Adrenaline 1/10.000 c tc dng..... co mch....... ngoi bin
3. Glucose ti hp thu hon ton .........ng ln gn
4. Tiu nhiu trong bnh i tho ng do ............tng as thm thu

5. Glucose ko c ti hp thu lm tng p lc cu thn.

THI BLOCK TIM MCH CTK19

TRM 1: 1
SINH VIN VIT P N TRC TIP VO BI THI:
Lit k cho ch tiu v cc biu hin ca n khi mt mu 10%?
THI BLOCK TIM MCH CTK19
TRM 1: 2
SINH VIN VIT P N TRC TIP VO BI THI:
Lit k cho ch tiu v cc biu hin ca n khi mt mu 40%?
TRM : SC MT MU
SINH VIN CHN NG HAY SAI:
1. Gy sc mt mu bng cch ly 10% v ly thm 40% lng mu.
2. Khi ly 10% lng mu c th c kh nng b tr bng cch tng tit Catecholamin.
3. Khi ly 40% lng mu c th khng c kh nng b tr do khng tng tit
Angiotensin.
4. Khi ly 40% lng mu ch v niu ch yu l do gim lc cu thn.
5. tin hnh th nghim sc mt mu ch phi gy m.
6. Mc ch ca vic truyn tr mu l minh ha s p ng ca iu tr.
7. Th tch mu ch bng 1/12 trng lng ca c th.
8. C th c kh nng b tr bng cch kch thch cc p cm th quan quai M ch
v xoang cnh.
9. Sc mt mu cng phi tri qua 3 giai on.
10. Catecholamin v Angiotesinogen gy co mch ngoi bin.
BM SLB-MD
TRM 1: VIM
1: Hy in vo bi lm tr li cc khong trng....ca cc cu hi sau y:
1. Lit k 1 kt qu th nghim vim da do p nng:..............................
2. Xanh Trypan 1% gn kt vi..............................
3. Tc nhn gy vim l.......................................
4. Ln trong vng..............ri mi tim xanh Trypan.
5. Mu xanh ni ln l do xanh Trypan nm ..........................

BM SLB-MD
TRM 1: VIM
2: Hy in vo bi lm tr li cc khong trng....ca cc cu hi sau y:
1. C ch chnh gy ph......................................

2.
3.
4.
5.

Sng n trong vim l do.......................................

Ln ch mt bn thnh bng mc ch ................................
Ln 3-5 pht mc ch qu trnh vim giai on........................................
Sau khi tim Trypan tip tc ln thm............................

TRM 1: RI LON CHUYN HA MUI NC.

BI 2: RI LON TIU HA GAN MT
1. Tc nhn gy vim rut on III l AgNO3.
2. on rut II l on rut chng.
3. Du hiu chng t nim mc rut non II b vim l xung huyt v ph n.
4. Du hiu chng t nim mc rut non I b vim l thnh rut mng v xut huyt.
5. Dch lc phn l dch lc ly t phn ca ngi.
6. Khi tim dch lc phn vo tnh mch i, mc gim huyt p t hn khi ta tim
vo tnh mch mc treo.
7. Khi ta tim Adrenaline 1/10000 vo tnh mch mc treo, mc huyt p s tng ln v
tng t hn khi ta tim vo tnh mch i.
8. C ch khi ta tim thuc vo tnh mch mc treo mc thay i huyt p t hn khi
ta tim vo tnh mch i nh gan kh c.
9. Trong dch lc phn c cha cc acid amin hot mch c tc dng co mch.
10. Dch lc phn c tc dng tng huyt p.

BI 3: RI LON TIT NIU

1. Khi tim Glucose 30% th tng lng ng trong c th l 3g.
2. Kt qu khi tim Glucose 5% : M,HA,HH,s git nc tiu dao ng khng ng
k.
3. Khi tim Glucose 5% tng lng ng trong c th qu ngng hp thu ca
ng thn.
4. C ch tiu nhiu trong bnh tiu ng c gii thch khi tim Glucose 30%.
5. Theo di ch tiu nc tiu mi pht trong 5 pht.
6. Khi tim Adrenalin 1/100.000: M,HA,HH tng nhiu hn khi ta tim nng
1/10.000
7. Adrenalin 1/100.000 ch yu lm co tiu ng mch vo.
8. tin hnh th nghim ri lon tit niu ch phi gy t.
9. Khi tim Glucose 30%, s git nc tiu tng ln ng k do tng p lc thy
tnh.
10. Adrenalin 1/10.000 co c tiu ng mch vo v ra.

 1: Hy in vo bi lm tr li cc khong trng....ca cc cu hi sau y:

1. ch A tim..................... v ngm trong...............................
2. Kt qu ch A: .
3. Biu hin ca ch A l tnh trng:
4. C ch ph ca TN l do:..
5. Tnh cht ph ca th nghim 1 :
Ri lon chuyn ha mui nc
2 :Hy in vo bi lm tr li cc khong trng ca cu hi sau y :
1. ch B tim .. v ngm trong..
2. Kt qu ch B .
3. C ch ph ca TN1 l do :
4. Tnh cht ph ca TN1 l :..
5. ch B l ch
3 : Hy in vo bi lm tr li cc khong trng ca cu hi sau y :
1. ch C tim. V ngm trong
2. Kt qu ch C
3. Biu hin kt qu ch C l tnh trng ..
4. C ch ph ca TN1 l do
5. Tnh cht ph ca TN1 l
4 : Hy in vo bi lm tr li cc khong trng ca cu hi sau y :
1. Kt qu ch D
2. C ch ph ca TN2 l do
3. Tnh cht ph ca TN2 l
4. Kt qu ca m hnh th
5. C ch ph ca TN3 l do.
5 : Hy in vo bi lm tr li cc khong trng ca cu hi sau y :
1. Loi b huyt tng tc l loi b :
2. Mch mu no ca ch D b tc hon ton :.
3. Hu qu ca tnh trng ph l do mt cn bng..
4. Thnh mch l mng..
5. Mng t bo l mng
Vim rut cp thc nghim :
1 : Hy in vo bi lm tr li cc khong trng ca cu hi sau y :
1. Tc nhn gy vim rut ca on 1 :..
2. V tr tim tc nhn gy vim ca on 1..

3. Tnh trng nim mc rut on 1

4. Tnh cht dch ca on 1
5. Hu qu ca tn thng nim mc rut
2 : Hy in vo bi lm tr li cc khong trng ca cu hi sau y :
1. Tc nhn gy vim rut ca on 2.
2. Tnh trng nim mc rut ca on 2..
3. Sau.pht c kt qu th nghim
4. Chc nngca rut b ri lon.
5. on 2 l on ..
3 : Hy in vo bi lm tr li cc khong trng ca cu hi sau y :
1. Tc nhn gy vim rut ca on 3
2. Tnh trng nim mc rut ca on 3..
3. Tnh cht dch ca on 3.
4. Mc tn thng nim mc ca on 3 . So vi on 2
5. S lng dch ca on 2 . So vi on 3.
Vai tr kh c ca gan.
1 : Hy in vo bi lm tr li cc khong trng ca cu hi sau y :
1. Dch lc phn c tc dng :.
2. Dch lc phn cha :.
3. Mc thay i HA khi tim vo TMMT hn khi tim vo TM
4. Gan kh c bng :
5. Tim vo TM s vo trc khi n.
2 : Hy in vo bi lm tr li cc khong trng ca cu hi sau y :
1. Adrenaline c tc dng
2. Mc thay i HA khi tim vo TM ..hn khi tim vo TMMT
3. Tim vo TMMT s vo trc khi vo.
4. Gan kh c bng cch..
5. Adrenaline v dch lc phn u c
Vim
Chn cu ng () hoc Sai (S)
1. Kt qu m hnh vim da do p nng : vng da nng, , sng n, con vt kch thch.
2. Xanh tryphan 1% gn kt vi Albumin c trong mu
3. Tc nhn gy vim da do p nng l ha cht
4. Mc ch ln trong 5p u qu trnh vim giai on xung huyt ng mch.
5. Mu xanh ni ln l do xanh tryphan nm trong lng mch
6. C ch chnh gy ph trong vim l do tng p sut thy tnh
7. Sng n trong vim l do thot dch gian bo
8. Ln ch mt bn thnh bng mc ch lm chng
9. Trong qu trnh tim tryphan 1% phi ngng ln nc nng
10. M hnh c tin hnh trn th.
Sc truyn mu khc loi:

Chn cu ng () hoc Sai (S)

1. Sc truyn mu khc loi l th bnh l ca qu trnh mn type 3.
2. Histamin ph hy mng hng cu phng thch Hb
3. Khng th tham gia trong c ch ca sc truyn mu khc loi l IgE
4. ng nghim sau truyn mu huyt tng c mu
5. Gy sc truyn mu khc loi bng cch ly mu ch truyn cho th
6. Trong c ch bnh sinh sc truyn mu khc loi c s hot ha b th
7. Ch kh th do co tht c trn kh ph qun
8. Biu hin run c trong sc truyn mu khc loi l do s phng thch K+
THI THC TP BLOCK TIU HA
Sinh vin chn ng hoc sai
BI 3: RI LON TIU HA GAN MT
1.Tc nhn gy vim rut on rut 1 l AgNO3. ( S)
2. Du hiu chng t nim mac rut on III b vim l xung huyt v ph n. (S)
3. Dch lc phn ly t phn ca ch. (S)
4.Du hiu chng t nim mc rut a I b vim l thnh rut mng v xut huyt. (S)
5. Khi tim DLP vo TM i, mc gim HA nhiu hn khi tim vo tnh mch mc treo.
()
6. Khi tim Adrenaline 1/10000 vo TMMT, mc HA tng t hn khi tim vao TM. ()
7.Gan kh c DLP v Adrenaline bng cch c nh. (S) ( v thi tr)
8. Tc nhn gy vim rut on II l nc nng 700C. (S)
9. T bo Kuffer kh c theo 2 cch c nh v thi tr. (S) ( thc bo)
10. AgNO3 gy vim mnh hn nc nng 700C. ().
11. Dch trng c on III l AgNO3 kt ta. (S)
12. DLP cha Histamin, Serotonin, Adrenalin, gc Phenol (S)
13. Hu qu ca tn thng nim mc rut l ng dch trong lng rut. ()
14. Nguyn nhn thng gp gy vim rut l do virus. (S)
15. S lng dch tng ln l do tng hp thu gim bi tit.( S)
16. DLP v Adrenaline tim vo TMMT u i qua gan. ()
17. DLP v Adrenaline tim vo TM khng i qua gan nn mc gim v tng nhiu hn.
(S)
18. AgNO3 l cht kh mnh nn ph hy c mch mu ln t bo nim mc rut. (S). ( cht
oxi ha)
THI THC TP SLB- MD
CN IU DNG VNH LONG
BI 1: SC CHN THNG
1. Trong m hnh sc chn thng thc nghim ch phi c gy m. (S)
2. Thi gian tc dng ca Lobeline tng sau th nghim, c ngha l tc tun hon tng (S)
3. Mc huyt p sau khi tim Adrenaline ln 2 thp hn so vi trt th nghim do kh
nng vn mch ca c th ch sau th nghim gim. (S)
4. Qu trnh bnh sinh ca sc chn thng trn ch din ra 2 giai on l sc cng v sc
nhc.
5. Trong m hnh sc chn thng thc nghim c cht t c dp nt l nguyn nhn chnh
cho ch. (S)
6.Kt qu th nghim 1 tinh cht c c tc dng tng huyt p (S)

7.Biu hin cc ch tiu giai on sc cng: Mch nhanh nh kh bt, th su,HA tng, m.
(S)
8. au l nguyn nhn chnh dn n sc chn thng thc nghim trn ch. ()
9. Kt qu TN 2: th A cht trt th B ()
10. Trong sc chn thng khi c vng xon bnh l xut hin, thi x tr ca thy thuc
u tin l ct t vng xon l hn l x tr nguyn nhn. ().
BI 2: SC MT MU
1. M hnh c thc hin 3 giai on: Rt 10% lng mu rt thm 40% lng mu va
truyn mu vo ng TM (S)
2. Mc ch ca giai on truyn mu l thy c kh nng hi phc ca c th ()
3. Th tch mu ch bng 1/12 trng lng c th (S)
4. Khi ly 40% lng mu c th khng c kh nng b tr. ()
5. Khi ly 10% lng mu c th c kh nng b tr. ()
6. Biu hin ca giai on mt mu 40%:mch nhanh nh kh bt, kh th, HA tng. (S)
7. Giai on mt mu 40% l v niu l do p lc lc cu thn bng 0.()
8. C th c kh nng b tr bng cch kch thch cc p cm th quan quai M ch v
xoang cnh.
9. Biu hin giai on mt mu 10% l mch tng, h hp gim, HA gim, thiu niu.
10. Mc ch rt mu nhiu giai on l thy c cc giai on ca sc. (S)
TRM 3: SC PHN V
1. Khng th tham gia vo c ch sc phn v l IgE v IgG. (S)
2. Hoa cht trng gian ch c phng thch l Histamin. (S)
3. Histamin c tc dng co tht c trn kh ph qun, tng tnh thm thnh mch. ()
4. Biu hin sc phn v kh th th ht vo,tt HA,tm ti, co git, tiu tiu khng t ch.
5. Th nghim 1 sc xy ra l do Histamin (S)
6.Th nghim 3 sc xy ra l do s kt hp ca KN- KT. (S)
7.Thuc u tay ca sc phn v l khng Histamin ()
8. IgE gn trn t bo Mast v t bo i kim. ()