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

Scheda di esercizi di Area medico-chirurgica: neurologica, endocrina e renale gratuita e stampabile: 8 esercizi dal livello facile a quello d’esame, con le soluzioni. Stampala o salvala come PDF.

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Nome: ____________________   Data: ____________

1.Facile

Which symptoms are typical of uraemia in advanced kidney disease?

  1. ASevere flank pain with visible blood in the urine
  2. BItching, nausea, tiredness and poor appetite
  3. CExcess thirst with a very high glucose
  4. DHeat intolerance, tremor and weight loss
2.Facile

In dialysis care, what does "dry weight" mean?

  1. AThe weight without excess fluid in the body
  2. BThe weight after the patient has drunk nothing for a day
  3. CThe weight of the patient's clothes
  4. DThe weight measured with an empty bladder
3.Facile

What does aldosterone do?

  1. ARaises the blood glucose between meals
  2. BMakes the kidneys keep sodium and lose potassium
  3. CMakes the kidneys lose sodium and keep potassium
  4. DLowers the blood calcium after meals
4.Media

A patient with type 1 diabetes has gastroenteritis and cannot eat. Which sick-day advice is correct?

  1. ACheck glucose once a day only and rest in bed until better
  2. BAvoid drinking fluids to reduce the vomiting
  3. CStop all insulin until normal eating restarts
  4. DKeep taking basal insulin and check glucose and ketones more often
5.Media

Why is all urine strained in a patient with suspected kidney stones?

  1. ATo remove blood clots before testing
  2. BTo stop the stone from blocking the toilet
  3. CTo catch the stone so it can be analysed
  4. DTo measure the urine volume more accurately
6.Media

What does a positive pronator drift test show?

  1. ASubtle weakness in one arm
  2. BLoss of hearing on one side
  3. CA normal response in older adults
  4. DWeakness of the eye muscles
7.Difficile

Why might a frail 88-year-old with type 2 diabetes have a less strict HbA1c target?

  1. ABecause older people cannot use any glucose medicines
  2. BTo save money on blood tests and drugs
  3. CBecause diabetes cannot damage older people
  4. DTo reduce the risk of hypos, falls and confusion
8.Difficile

An older patient with a UTI is now confused, with a respiratory rate of 24/min, BP 88/50 mmHg and a pulse of 120/min. What should happen?

  1. AEncourage oral fluids and wait for the urine culture
  2. BStart sepsis care at once, with IV antibiotics and fluids
  3. CTreat the confusion with a sedative
  4. DGive oral antibiotics and recheck in four hours

Soluzioni

  1. 1. B · Itching, nausea, tiredness and poor appetite
  2. 2. A · The weight without excess fluid in the body
  3. 3. B · Makes the kidneys keep sodium and lose potassium
  4. 4. D · Keep taking basal insulin and check glucose and ketones more often
  5. 5. C · To catch the stone so it can be analysed
  6. 6. A · Subtle weakness in one arm
  7. 7. D · To reduce the risk of hypos, falls and confusion
  8. 8. B · Start sepsis care at once, with IV antibiotics and fluids

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