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

Quale semplice esame va eseguito precocemente in ogni paziente con sospetto ictus, perché un risultato anomalo può simulare un ictus?

1. AStick urinario
2. BTabella dell'acuità visiva
3. CGlicemia capillare
4. DPicco di flusso espiratorio

In primary hypothyroidism, what is the usual TSH result?

1. ALow
2. BHigh
3. CUndetectable
4. DNormal

Which eGFR defines stage 5 chronic kidney disease (kidney failure)?

1. ABelow 120 mL/min/1,73 m²
2. BBelow 90 mL/min/1,73 m²
3. CBelow 15 mL/min/1,73 m²
4. DBelow 60 mL/min/1,73 m²

Before a haemodialysis catheter is used, why is the lock solution withdrawn from each lumen?

1. AIt contains a strong antibiotic that must be kept
2. BIt contains air that keeps the line open
3. CIt contains concentrated anticoagulant
4. DIt contains the patient's urine

Dopo una tiroidectomia, perché al letto del paziente si tengono spesso gli strumenti per rimuovere punti o clip?

1. AServono per prelevare sangue dalle vene del collo
2. BI punti devono essere rimossi la prima sera dopo l'intervento
3. CUn ematoma del collo può comprimere le vie aeree e potrebbe dover essere decompresso
4. DServono per regolare il drenaggio quando smette di funzionare

A conscious patient with a glucose of 3,1 mmol/L (56 mg/dL) can swallow safely. Which is the best first treatment?

1. AA dose of rapid-acting insulin with a sandwich
2. BGlucose tablets or a small glass of fruit juice
3. CA chocolate bar and a cup of tea with milk
4. DA glass of milk and two plain biscuits

During a TURP, a patient becomes confused and nauseated, with a slow pulse and a raised BP. The sodium is 121 mmol/L. What is most likely?

1. ATURP syndrome from absorbed irrigation fluid
2. BA normal reaction to the spinal anaesthetic
3. CAn allergic reaction to the catheter
4. DHypoglycaemia from fasting for many hours before surgery

A nurse teaches a woman with recurrent UTIs. Which statement shows a need for further teaching?

1. A"I will pass urine soon after sex."
2. B"I will hold my urine for as long as I can."
3. C"I will wipe from front to back."
4. D"I will drink enough fluids during the day."