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

Which symptoms are typical of a prolactinoma in a woman?

1. AMilky nipple discharge and irregular periods
2. BVery dark skin creases and a craving for salt
3. CWeight loss with heat intolerance and a fine tremor
4. DKidney stones, bone pain and constipation

Quale insulina si aspira per prima quando si mescolano nella stessa siringa un'insulina ad azione rapida e una intermedia (NPH, torbida)?

1. AIn qualsiasi ordine, perché non fa differenza
2. BL'insulina torbida, poi quella rapida limpida
3. CL'insulina rapida limpida, poi quella torbida
4. DEntrambe insieme, dopo averle miscelate in un unico flacone

Which mineral is needed to make thyroid hormones?

1. AIron
2. BZinc
3. CIodine
4. DCalcium

Why should antiepileptic drugs not be stopped suddenly?

1. AStopping them suddenly causes a dangerous rise in blood pressure
2. BThe drugs build up in the body and become toxic after stopping
3. CStopping them suddenly causes permanent damage to the liver and kidneys
4. DSudden withdrawal can trigger seizures, including status epilepticus

Un paziente con ictus dell'emisfero destro ignora il cibo sul lato sinistro del piatto. Come si chiama?

1. AEminegligenza sinistra
2. BAfasia espressiva
3. CAtassia cerebellare
4. DDisfagia

Which group of problems is typical of primary hyperparathyroidism?

1. AHeat intolerance, tremor, weight loss and diarrhoea
2. BHair loss, weight gain and feeling cold
3. CMuscle cramps, tingling lips and seizures
4. DKidney stones, bone pain, abdominal pain and low mood

A patient with an external ventricular drain sat up in bed without help. The drain stayed at its old height, and the drainage bag filled quickly. The patient now has a headache. What is the concern?

1. ANo concern, because more drainage always lowers the ICP safely
2. BAn infected drain, so the dressing should be removed
3. CUnderdrainage, so the drain should be lowered further
4. DOverdrainage of CSF, so act per protocol and inform the team

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