정답이 있는 내외과: 신경계, 내분비계, 신장 학습지

What causes Graves' disease?

1. AToo much TSH from a pituitary tumour
2. BA viral infection of the parathyroid glands
3. CAntibodies that stimulate the TSH receptor
4. DA lack of iodine in the diet

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

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

일과성 허혈 발작(TIA)에 대해 올바른 설명은?

1. A증상이 며칠 지속되고 영구적인 근력 약화를 남긴다
2. B증상은 완전히 사라지지만 뇌졸중 위험이 높아 긴급 진료가 필요하다
3. C뇌 조직 속의 작은 출혈로 생긴다
4. D모든 증상이 사라지므로 추적 관찰이 필요 없다

Which action is part of an effective bowel programme after a spinal cord injury?

1. AAvoiding fibre to prevent bloating
2. BUsing strong laxatives only when the bowel has not opened for a week
3. CRestricting fluids to reduce the volume of stool
4. DA routine at the same time each day, often after a meal

만성 신장병 환자가 흔히 식사와 함께 인산염 결합제를 복용하는 이유는?

1. A신장이 배설하지 못하는 음식 속 인산염을 결합하기 때문
2. B부족한 호르몬인 에리트로포이에틴을 대체하기 때문
3. C장에서 음식 속 인산염의 흡수를 늘리기 때문
4. D장에서 칼륨을 결합하여 혈중 칼륨을 낮추기 때문

A patient has a nephrostomy tube. Which finding needs urgent action?

1. AA dry, intact dressing at the site
2. BSteady urine drainage into the bag
3. CDrainage that stops suddenly with new loin pain
4. DLight pink urine on the first day after insertion

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

1. AAnaemia always makes the HbA1c very high
2. BBlood transfusions contain large amounts of glucose
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

The nurse has four endocrine patients. Which one needs to be seen first?

1. AA patient with Graves' disease asking about radioactive iodine
2. BA patient with hypothyroidism who has been constipated for three days
3. CA patient after thyroidectomy with mild pain on swallowing
4. DA patient with hyperthyroidism who is confused, with a temperature of 39.5 °C (103.1 °F)