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I. Quando há dúvidas diagnósticas pelo exame clínico, é necessário avaliar o conteúdo do saco herniário, assim como as dimensões do anel, e podem ser solicitados exames de imagem. II. A radiografia abdominal permite observar a presença de anéis herniários e a protusão de conteúdo herniário para dentro do saco quando o paciente realiza a manobra de Valsalva. III. A tomografia computadorizada e a ressonância magnética mostram, com exatidão, os limites do defeito e as condições da musculatura lateral do abdome.
Estão corretas as afirmativas
COLUNA I
1. Superior direito 2. Superior esquerdo 3. Inferior direito 4. Inferior esquerdo
COLUNA II
( ) Colite isquêmica, gravidez ectópica e torção de ovário ( ) Gastrite / esofagite, diverticulite, obstrução intestinal e herpes-zóster ( ) Apendicite, doença inflamatória intestinal, adenite mesentérica e salpingite ( ) Colangite, pancreatite, pneumonia e empiema
Assinale a sequência correta.
Paciente masculino, 30 anos de idade, sem comorbidades, sem história de alergias ou de farmacodermias, procura atendimento com angiologista com queixa de dor, edema e eritema em perna esquerda, iniciados há três dias. Ao exame físico, o médico percebeu, além do eritema e do edema na perna, que o paciente também apresentava tinea pedis entre o terceiro e o quarto pododáctilos e concluiu como sendo provável erisipela.
Dentre as opções abaixo, a melhor escolha de agente antimicrobiano para esse paciente é
Homem, 72 anos de idade, tremor nas mãos. Ao examiná-lo, o médico pede para que ele pegue um copo sobre a mesa com as duas mãos e o mantenha suspenso por uns 30 segundos, em seguida, o coloque de novo sobre a mesa e depois repouse as mãos sobre os próprios joelhos.
Em caso de tremor de ação cinético de intenção, suspeita de disfunção cerebelar, espera-se que esse tremor
Entre os diagnósticos diferenciais da demência no idoso, analise as características a seguir.
I. Início gradual
II. Consciência rebaixada
III. Estado vigil flutuante, letargia ou excitação
São características do Delirium os itens
Homem, 52 anos de idade, queixa dor abdominal em quadrante superior direito e, ao exame físico, o sinal de Murphy é positivo.
A principal hipótese diagnóstica nesse caso é
Mulher de 58 anos de idade, hipertensa, tabagista, em uso de losartana 100 mg ao dia, assintomática, IMC 33 kg/m², apresenta PA, aferida em três medidas na mesma consulta, igual a 165x100 mmHg. Relata que faz uso correto do anti-hipertensivo prescrito, mas que tem grande dificuldade em adotar as modificações de estilo de vida propostas. Traz exames complementares, realizados na semana anterior: potássio = 4,7 mEq/L, creatinina = 1,2 mg/dL com clearance calculado = 79 mL/min/1,73m2 , ureia = 35 mg/dL, ácido úrico = 7,5 mg/dL.
Uma proposta adequada para a hipertensão dessa paciente é
Learning goals, which are referred to in version 3 of the BNCC as abilities, are intended to list the basic knowledge to be acquired by students, and to serve as a reference for drafting and updating the regional, state and municipal curricula. […]
Available at: https://www.britishcouncil.org.br/sites/default/files/leitura_critica_bncc_-_en_-_v4_final.pdf. [Fragment] Accessed on: April 26, 2022.
Cognates are words in two languages that share a similar meaning, spelling, and pronunciation. Researchers who study
first and second language acquisition have found that students benefit from cognate awareness. Cognate awareness is the
ability to use cognates in a primary language as a tool for understanding a second language. To develop the BNCC ability
EF06LI08, which includes recognizing cognate words, an English teacher, when working with a group of beginners, may
Available at: https://newh.org/news/back-to-school/. Accessed on: April 26, 2022.
Available at: https://newh.org/news/back-to-school/. Accessed on: April 26, 2022.
By Clare Lavery
Keeping students’ attention and stopping them from getting distracted is a big challenge. Here are some reasons why students’ attention may wander and ways to keep your classes on track.
• Keep in control. Anticipation is the best form of teacher defence so keep scanning the room, making eye contact with all students. You will catch those who are starting to fidget, look out of window or chat to their mates. Then you can react accordingly before the noise level has distracted everyone and created a situation.
• Keep in tune with the class. Don’t just glide along with the best. If one student answers your questions this is not proof that all the others are following what is being discussed. Aim for responses from as wide a sample as possible. Don’t just accept answers from the 3 or 4 class leaders or you will leave the rest behind.
• Keep checking understanding. Try not to use questions like “Do you understand?” or “Has everyone got that?” Students are notoriously wary of admitting they haven’t understood, especially if their peers are feigning comprehension! Use further questions to see if they have understood the concepts.
• Keep demonstrating. Attention wanders when they don’t know what to do and are too afraid to admit it. Keep your instructions to a minimum and demonstrate what to do rather than giving lengthy or detailed explanations. If nearly half of them are clearly unsure and starting to flounder or chat in their mother tongue, take action. Call on the pairs who are doing the task successfully to demonstrate their work as an example for others then try again.
Changing the pace
Here are some tried and tested techniques for changing the pace of the lesson to keep students awake.
• Chant. Select a weekly chant which rouses students. Students stand or sit, clap along or snap their fingers and repeat the rap you have devised. This can be a quotation for higher levels or a sentence construction covered by lower levels. Make it short, snappy and fun.
• Drill. Use some quick-fire questioning around the class and involve as many as possible. Then get the students to do the questions as well as supplying answers. Use visuals as prompts for this questioning.
• Play a game. Do a 10-minute revision game involving everyone pooling ideas, words or questions. Even a spelling game for beginners does the trick. Word association or memory games work well!
• Give a dictation. They do have to concentrate here! It might be just a short piece of text or a list of words. It could be some lines from a song in the charts.
Available at: https://www.teachingenglish.org.uk/article/
strategies-keeping-attention. Accessed on: April 26, 2022
By Clare Lavery
Keeping students’ attention and stopping them from getting distracted is a big challenge. Here are some reasons why students’ attention may wander and ways to keep your classes on track.
• Keep in control. Anticipation is the best form of teacher defence so keep scanning the room, making eye contact with all students. You will catch those who are starting to fidget, look out of window or chat to their mates. Then you can react accordingly before the noise level has distracted everyone and created a situation.
• Keep in tune with the class. Don’t just glide along with the best. If one student answers your questions this is not proof that all the others are following what is being discussed. Aim for responses from as wide a sample as possible. Don’t just accept answers from the 3 or 4 class leaders or you will leave the rest behind.
• Keep checking understanding. Try not to use questions like “Do you understand?” or “Has everyone got that?” Students are notoriously wary of admitting they haven’t understood, especially if their peers are feigning comprehension! Use further questions to see if they have understood the concepts.
• Keep demonstrating. Attention wanders when they don’t know what to do and are too afraid to admit it. Keep your instructions to a minimum and demonstrate what to do rather than giving lengthy or detailed explanations. If nearly half of them are clearly unsure and starting to flounder or chat in their mother tongue, take action. Call on the pairs who are doing the task successfully to demonstrate their work as an example for others then try again.
Changing the pace
Here are some tried and tested techniques for changing the pace of the lesson to keep students awake.
• Chant. Select a weekly chant which rouses students. Students stand or sit, clap along or snap their fingers and repeat the rap you have devised. This can be a quotation for higher levels or a sentence construction covered by lower levels. Make it short, snappy and fun.
• Drill. Use some quick-fire questioning around the class and involve as many as possible. Then get the students to do the questions as well as supplying answers. Use visuals as prompts for this questioning.
• Play a game. Do a 10-minute revision game involving everyone pooling ideas, words or questions. Even a spelling game for beginners does the trick. Word association or memory games work well!
• Give a dictation. They do have to concentrate here! It might be just a short piece of text or a list of words. It could be some lines from a song in the charts.
Available at: https://www.teachingenglish.org.uk/article/
strategies-keeping-attention. Accessed on: April 26, 2022
By Clare Lavery
Keeping students’ attention and stopping them from getting distracted is a big challenge. Here are some reasons why students’ attention may wander and ways to keep your classes on track.
• Keep in control. Anticipation is the best form of teacher defence so keep scanning the room, making eye contact with all students. You will catch those who are starting to fidget, look out of window or chat to their mates. Then you can react accordingly before the noise level has distracted everyone and created a situation.
• Keep in tune with the class. Don’t just glide along with the best. If one student answers your questions this is not proof that all the others are following what is being discussed. Aim for responses from as wide a sample as possible. Don’t just accept answers from the 3 or 4 class leaders or you will leave the rest behind.
• Keep checking understanding. Try not to use questions like “Do you understand?” or “Has everyone got that?” Students are notoriously wary of admitting they haven’t understood, especially if their peers are feigning comprehension! Use further questions to see if they have understood the concepts.
• Keep demonstrating. Attention wanders when they don’t know what to do and are too afraid to admit it. Keep your instructions to a minimum and demonstrate what to do rather than giving lengthy or detailed explanations. If nearly half of them are clearly unsure and starting to flounder or chat in their mother tongue, take action. Call on the pairs who are doing the task successfully to demonstrate their work as an example for others then try again.
Changing the pace
Here are some tried and tested techniques for changing the pace of the lesson to keep students awake.
• Chant. Select a weekly chant which rouses students. Students stand or sit, clap along or snap their fingers and repeat the rap you have devised. This can be a quotation for higher levels or a sentence construction covered by lower levels. Make it short, snappy and fun.
• Drill. Use some quick-fire questioning around the class and involve as many as possible. Then get the students to do the questions as well as supplying answers. Use visuals as prompts for this questioning.
• Play a game. Do a 10-minute revision game involving everyone pooling ideas, words or questions. Even a spelling game for beginners does the trick. Word association or memory games work well!
• Give a dictation. They do have to concentrate here! It might be just a short piece of text or a list of words. It could be some lines from a song in the charts.
Available at: https://www.teachingenglish.org.uk/article/
strategies-keeping-attention. Accessed on: April 26, 2022
Why can group work be a challenge in monolingual classes?
[1] Firstly, and most obviously, the lack of a need to communicate in English means that any communication between learners in that language will seem artificial and arguably even unnecessary. Secondly, the fact that all the learners in the class share a common culture (and are often all from the same age group) will mean that there will often be a lack of curiosity about what other class members do or think, thus making questionnaire-based activities superfluous. Thirdly, there is the paradox that the more interesting and motivating the activity is (and particularly if it involves a competitive element of some sort), the more likely the learners are to use their mother tongue in order to complete the task successfully or to finish first. Finally, the very fact that more effort is involved to communicate in a foreign language when the same task may be performed with much less effort in the mother tongue will also tend to ensure that very little English is used.
Is group work worth the effort?
[2] Taken as a whole, these factors will probably convince many teachers that it is simply not worth bothering with pair and group work in monolingual classes. This, however, would be to exclude from one’s teaching a whole range of potentially motivating and useful activities and to deny learners the opportunity to communicate in English in class time with anyone but the teacher.
[3] Simple mathematics will tell us that in a one-hour lesson with 20 learners, each learner will speak for just 90 seconds if the teacher speaks for half the lesson. In order to encourage learners in a monolingual class to participate in pair and group work, it might be worth asking them whether they regard speaking for just three per cent of the lesson to be good value and point out that they can increase that percentage substantially if they try to use English in group activities.
[4] At first, learners may find it strange to use English when communicating with their peers but this is, first and foremost, a question of habit and it is a gradual process. For the teacher to insist that English is used may well be counter-productive and may provoke active resistance. If the task is in English, on the other hand, and learners have to communicate with each other about the task, some English will inevitably be used. It may be very little at first but, as with any habit, it should increase noticeably as time goes by. Indeed, it is not unusual to hear more motivated learners in a monolingual situation communicating with each other in English outside the classroom.
Conclusion
[5] If the benefits of using English to perform purposeful communicative tasks are clearly explained to the class and if the teacher is not excessively authoritarian in insisting that English must be used, a modest and increasing success rate can be achieved. It is far too much to expect that all learners will immediately begin using English to communicate with their peers all the time. But, if at least some of the class use English some of the time, that should be regarded as a significant step on the road to promoting greater use of English in pair and group work in the monolingual classroom.
Available at: https://www.onestopenglish.com/methodologytips-for-teachers/classroom-management-pair-and-group-workin-efl/esol/146454.article. Accessed on: April 26, 2022.
Why can group work be a challenge in monolingual classes?
[1] Firstly, and most obviously, the lack of a need to communicate in English means that any communication between learners in that language will seem artificial and arguably even unnecessary. Secondly, the fact that all the learners in the class share a common culture (and are often all from the same age group) will mean that there will often be a lack of curiosity about what other class members do or think, thus making questionnaire-based activities superfluous. Thirdly, there is the paradox that the more interesting and motivating the activity is (and particularly if it involves a competitive element of some sort), the more likely the learners are to use their mother tongue in order to complete the task successfully or to finish first. Finally, the very fact that more effort is involved to communicate in a foreign language when the same task may be performed with much less effort in the mother tongue will also tend to ensure that very little English is used.
Is group work worth the effort?
[2] Taken as a whole, these factors will probably convince many teachers that it is simply not worth bothering with pair and group work in monolingual classes. This, however, would be to exclude from one’s teaching a whole range of potentially motivating and useful activities and to deny learners the opportunity to communicate in English in class time with anyone but the teacher.
[3] Simple mathematics will tell us that in a one-hour lesson with 20 learners, each learner will speak for just 90 seconds if the teacher speaks for half the lesson. In order to encourage learners in a monolingual class to participate in pair and group work, it might be worth asking them whether they regard speaking for just three per cent of the lesson to be good value and point out that they can increase that percentage substantially if they try to use English in group activities.
[4] At first, learners may find it strange to use English when communicating with their peers but this is, first and foremost, a question of habit and it is a gradual process. For the teacher to insist that English is used may well be counter-productive and may provoke active resistance. If the task is in English, on the other hand, and learners have to communicate with each other about the task, some English will inevitably be used. It may be very little at first but, as with any habit, it should increase noticeably as time goes by. Indeed, it is not unusual to hear more motivated learners in a monolingual situation communicating with each other in English outside the classroom.
Conclusion
[5] If the benefits of using English to perform purposeful communicative tasks are clearly explained to the class and if the teacher is not excessively authoritarian in insisting that English must be used, a modest and increasing success rate can be achieved. It is far too much to expect that all learners will immediately begin using English to communicate with their peers all the time. But, if at least some of the class use English some of the time, that should be regarded as a significant step on the road to promoting greater use of English in pair and group work in the monolingual classroom.
Available at: https://www.onestopenglish.com/methodologytips-for-teachers/classroom-management-pair-and-group-workin-efl/esol/146454.article. Accessed on: April 26, 2022.
Why can group work be a challenge in monolingual classes?
[1] Firstly, and most obviously, the lack of a need to communicate in English means that any communication between learners in that language will seem artificial and arguably even unnecessary. Secondly, the fact that all the learners in the class share a common culture (and are often all from the same age group) will mean that there will often be a lack of curiosity about what other class members do or think, thus making questionnaire-based activities superfluous. Thirdly, there is the paradox that the more interesting and motivating the activity is (and particularly if it involves a competitive element of some sort), the more likely the learners are to use their mother tongue in order to complete the task successfully or to finish first. Finally, the very fact that more effort is involved to communicate in a foreign language when the same task may be performed with much less effort in the mother tongue will also tend to ensure that very little English is used.
Is group work worth the effort?
[2] Taken as a whole, these factors will probably convince many teachers that it is simply not worth bothering with pair and group work in monolingual classes. This, however, would be to exclude from one’s teaching a whole range of potentially motivating and useful activities and to deny learners the opportunity to communicate in English in class time with anyone but the teacher.
[3] Simple mathematics will tell us that in a one-hour lesson with 20 learners, each learner will speak for just 90 seconds if the teacher speaks for half the lesson. In order to encourage learners in a monolingual class to participate in pair and group work, it might be worth asking them whether they regard speaking for just three per cent of the lesson to be good value and point out that they can increase that percentage substantially if they try to use English in group activities.
[4] At first, learners may find it strange to use English when communicating with their peers but this is, first and foremost, a question of habit and it is a gradual process. For the teacher to insist that English is used may well be counter-productive and may provoke active resistance. If the task is in English, on the other hand, and learners have to communicate with each other about the task, some English will inevitably be used. It may be very little at first but, as with any habit, it should increase noticeably as time goes by. Indeed, it is not unusual to hear more motivated learners in a monolingual situation communicating with each other in English outside the classroom.
Conclusion
[5] If the benefits of using English to perform purposeful communicative tasks are clearly explained to the class and if the teacher is not excessively authoritarian in insisting that English must be used, a modest and increasing success rate can be achieved. It is far too much to expect that all learners will immediately begin using English to communicate with their peers all the time. But, if at least some of the class use English some of the time, that should be regarded as a significant step on the road to promoting greater use of English in pair and group work in the monolingual classroom.
Available at: https://www.onestopenglish.com/methodologytips-for-teachers/classroom-management-pair-and-group-workin-efl/esol/146454.article. Accessed on: April 26, 2022.