정답이 있는 내외과: 신경계, 내분비계, 신장 학습지

Which symptoms are typical of a prolactinoma in a woman?

1. AKidney stones, bone pain and constipation
2. BWeight loss with heat intolerance and a fine tremor
3. CMilky nipple discharge and irregular periods
4. DVery dark skin creases and a craving for salt

Which common painkiller can harm the kidneys, especially in dehydration?

1. AParacetamol (acetaminophen)
2. BMorphine
3. CCodeine
4. DIbuprofen

Which feature best distinguishes delirium from dementia?

1. AMemory problems in a person over the age of 75
2. BA sudden onset with attention that comes and goes
3. CDifficulty finding the right words
4. DGetting lost in places that were familiar

Why are patients on haemodialysis vaccinated against hepatitis B?

1. AShared dialysis units carry a higher infection risk
2. BHepatitis B vaccine improves the fistula flow
3. CThe vaccine lowers the potassium level
4. DThe vaccine is needed to make the dialyser work

For which patient with migraine would the nurse question an order for sumatriptan?

1. AA patient with well-controlled hypothyroidism
2. BA patient with a history of angina
3. CA patient who also has asthma
4. DA patient with an allergy to penicillin

A patient with Graves' eye disease has gritty eyes and swelling around them in the morning. Which advice is most appropriate?

1. AStay in bright sunlight to dry the eyes
2. BUse lubricating drops and sleep with the head raised
3. CSmoking more will not affect the eyes
4. DRub the eyes firmly each morning to reduce the swelling

Why may HbA1c be unreliable in a patient with haemolytic anaemia or a recent large blood transfusion?

1. ABlood transfusions contain large amounts of glucose
2. BAnaemia always makes the HbA1c very high
3. CIt depends on how long red blood cells survive in the blood
4. DThe test only measures the glucose in the plasma, not in the cells

A patient with SIADH is taught about a fluid restriction. Which statement shows a need for further teaching?

1. A"I will report any headaches or confusion."
2. B"I will count all drinks, including soup, in my daily total."
3. C"I will weigh myself every morning."
4. D"If I feel thirsty, I can drink as much water as I like."