उत्तरों सहित मेड-सर्ज: तंत्रिका, अंतःस्रावी और गुर्दा वर्कशीट

What does the term epilepsy mean?

1. AA tendency to have recurrent seizures that are not provoked
2. BAny brief loss of consciousness, such as fainting
3. CA single seizure caused by a high fever
4. DA seizure caused only by low blood sugar

Which type of insulin is given intravenously, for example in an insulin infusion?

1. APremixed biphasic insulin
2. BSoluble (regular) short-acting insulin
3. CIntermediate-acting NPH (isophane) insulin
4. DLong-acting insulin glargine

Which mineral is needed to make thyroid hormones?

1. AIodine
2. BZinc
3. CIron
4. DCalcium

After pressing the plunger of an insulin pen, what should the patient do?

1. AInject a second dose straight away to be sure
2. BLeave the needle on the pen for the next injection
3. CPull the needle out at once and rub the site firmly
4. DKeep the needle in the skin for about 10 seconds

After a change in the levothyroxine dose, when is the TSH usually rechecked?

1. AAfter about 6–8 weeks
2. BAfter 24 hours
3. CAfter 3 days
4. DAfter about 2 years of treatment

Why can a patient with an insulin pump develop DKA within hours if the pump stops working?

1. AThe body becomes allergic to insulin when the pump stops
2. BThe pump gives long-acting insulin, which builds up and stops working all at once
3. CThe pump gives only rapid-acting insulin, so there is no long-acting reserve
4. DThe battery in the pump releases chemicals into the blood

A patient with a new arm fistula says their hand on that side is cold, pale and painful, especially during dialysis. What is the concern?

1. AFluid overload in the arm
2. BAn allergic reaction to the dressing on the arm
3. CSteal syndrome, which needs urgent review
4. DNormal healing that needs no action

Which statement correctly distinguishes spinal shock from neurogenic shock?

1. ANeurogenic shock is caused by blood loss; spinal shock is caused by infection
2. BSpinal shock is lost reflexes; neurogenic shock is low BP and slow pulse
3. CThey are two names for exactly the same condition
4. DSpinal shock is low blood pressure; neurogenic shock is the loss of reflexes