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

Which statement about Huntington's disease is correct?

1. AIt mainly affects children under the age of five years
2. BIt is caused by a bacterial infection of the brain
3. CIt is cured by levodopa
4. DIt is inherited and causes involuntary jerky movements

Quale gruppo di sintomi è tipico dell'ipotiroidismo?

1. AIntolleranza al freddo, stanchezza, aumento di peso e stitichezza
2. BGrande sete ed eliminazione di grandi volumi di urina
3. CDiarrea, ansia, sudorazione e occhi sporgenti
4. DIntolleranza al caldo, perdita di peso, tremore fine e palpitazioni

Which HbA1c result is commonly used as the threshold for diagnosing diabetes?

1. A48 mmol/mol (6,5%) or higher
2. B75 mmol/mol (9,0%) or higher
3. C38 mmol/mol (5,6%) or higher
4. D30 mmol/mol (4,9%) or higher

Why might a patient taking a beta-blocker not notice a hypoglycaemic episode?

1. ABeta-blockers block the effect of all diabetes medicines
2. BBeta-blockers can mask the tremor and racing heart of a hypo
3. CBeta-blockers make the patient sleep through every hypo
4. DBeta-blockers raise blood glucose, so hypos cannot happen

Which group of problems is typical of primary hyperparathyroidism?

1. AMuscle cramps, tingling lips and seizures
2. BKidney stones, bone pain, abdominal pain and low mood
3. CHair loss, weight gain and feeling cold
4. DHeat intolerance, tremor, weight loss and diarrhoea

Why does a patient with untreated hypothyroidism need extra care when given opioids or sedatives?

1. AThey break the drugs down slowly and are more sensitive to them
2. BThese drugs make the thyroid gland overactive
3. CThere is no difference compared with other patients
4. DThey clear the drugs too fast, so higher doses are needed

A patient with motor neurone disease reports morning headaches, poor sleep and sleepiness during the day. What do these symptoms suggest?

1. AWeak breathing at night, so a review for ventilation support
2. BA side effect of riluzole, which should be stopped straight away by the nurse
3. CNormal tiredness that needs no specific action
4. DLow mood, which should be treated with an antidepressant first

Un infermiere assiste quattro pazienti. Quale paziente deve essere visto per primo?

1. AUn paziente in dialisi peritoneale con effluente limpido
2. BUn paziente dopo craniotomia la cui pupilla destra è di recente dilatata e lenta a reagire
3. CUn paziente con ipotiroidismo stabile che deve ricevere la levotiroxina
4. DUn paziente con MRC che chiede del suo chelante del fosfato