정답이 있는 내외과: 신경계, 내분비계, 신장 학습지

A patient with Bell's palsy cannot close one eye fully. Which advice is most important?

1. AMassage the closed eyeball firmly several times every day
2. BUse lubricating eye drops and protect or tape the eye at night
3. CLeave the eye uncovered so air can dry it out
4. DWear contact lenses to keep the eye moist

두개내압이 상승한 환자에게 일반적으로 사용하는 머리 자세는?

1. A목을 앞으로 구부린 채 똑바로 앉는다
2. B목을 곧게 하고 머리를 약 30° 올린다
3. C머리를 한쪽으로 크게 돌린 채 평평하게 눕는다
4. D머리를 몸보다 낮게 한다(트렌델렌버그)

당뇨병성 케톤산증에서 보통 처음 투여하는 수액은?

1. A정맥 0.9% 염화나트륨
2. B경구 단 음료와 물
3. C정맥 주사용 멸균수
4. D정맥 50% 포도당 용액

A patient takes levodopa for Parkinson's disease. Which teaching point is correct?

1. AThe tablets work best taken with a large steak dinner
2. BStop the drug for a day each week to avoid tolerance
3. CThe drug cures the disease if taken for a full year
4. DLarge high-protein meals can reduce how well the drug works

뇌졸중 환자가 말하는 것은 이해하지만 단어를 찾기 어려워하고 짧고 힘겨운 구절로 말합니다. 어떤 유형의 실어증입니까?

1. A표현성(브로카) 실어증
2. B이해가 전혀 없는 전실어증
3. C수용성(베르니케) 실어증
4. D얼굴 근육 약화로 인한 구음장애

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

1. AAvoid drinking fluids to reduce the vomiting
2. BKeep taking basal insulin and check glucose and ketones more often
3. CCheck glucose once a day only and rest in bed until better
4. DStop all insulin until normal eating restarts

A patient had a witnessed tonic-clonic seizure. Afterwards their left arm is weak, and the weakness improves over the next few hours. What is the best interpretation?

1. AA sign that the patient is pretending to be weak
2. BCertainly a stroke, so the seizure can be ignored
3. CPossible postictal (Todd's) paresis, but a stroke must still be excluded
4. DNormal postictal tiredness that needs no further assessment or imaging at all

수 주 동안 약을 걸렀던 갑상선기능저하증 환자가 저체온, 졸림, 맥박 46회/분, 낮은 나트륨, 상승한 PaCO₂로 입원했습니다. 가장 가능성 높은 질환은?

1. A부신 위기
2. B점액부종 혼수
3. C열사병
4. D갑상선 위기