Scheda di esercizi di Area medico-chirurgica: neurologica, endocrina e renale con soluzioni

Which group of symptoms is classic for meningitis?

1. AChest pain, cough and wheeze
2. BJoint pain, rash on the cheeks and hair loss
3. CFlank pain, fever and painful urination
4. DFever, headache and neck stiffness

Quale modello respiratorio è tipico della chetoacidosi diabetica?

1. ARespiro di Cheyne-Stokes
2. BRespiro profondo e rapido (di Kussmaul)
3. CRespiro lento e superficiale
4. DAnsimare rapido e superficiale con sibilo

Qual è il segno più precoce e sensibile di ipertensione endocranica?

1. AUn cambiamento del livello di coscienza
2. BBradicardia con pressione arteriosa alta
3. CRespiro irregolare con lunghe pause
4. DPupille fisse e dilatate da entrambi i lati

A man starts tamsulosin for BPH. Which teaching point is most important?

1. AExpect the drug to shrink the prostate within a day
2. BStand up slowly, because it can make you dizzy
3. CTake it with grapefruit juice to make it work better
4. DStop it if the urine stream improves

Before surgery for a phaeochromocytoma, why is an alpha-blocker started before any beta-blocker?

1. AAlpha-blockers lower the blood glucose before surgery
2. BThe order of the two drugs makes no difference
3. CBeta-blockers given first would make the tumour grow faster
4. DA beta-blocker alone can cause a dangerous rise in BP

Which finding most suggests fluid overload in a patient with chronic kidney disease?

1. AA weight gain of 2 kg (4,4 lb) in two days with ankle swelling
2. BA weight loss of 1 kg (2,2 lb) after a hot day
3. CDark yellow urine and thirst
4. DA dry mouth and a low blood pressure when standing

Un paziente in dialisi peritoneale nota che esce meno liquido di quanto ne è stato introdotto. Non evacua da quattro giorni e l'effluente è limpido. Qual è la causa più probabile?

1. ANormale assorbimento che non richiede azioni
2. BDialisato somministrato troppo freddo
3. CPeritonite batterica
4. DStitichezza che ostruisce il deflusso

A patient with gastroparesis has hypos soon after their meal-time insulin, then high glucose several hours later. What is the best explanation?

1. AThe insulin has gone off and needs replacing
2. BThe patient is secretly eating sweets between meals
3. CThe meter gives false results for several hours after every meal
4. DFood is absorbed slowly, so the insulin peaks before the glucose rises