정답이 있는 내외과: 신경계, 내분비계, 신장 학습지

Which picture is typical of Guillain–Barré syndrome?

1. AA resting tremor that slowly spreads to the other hand
2. BMuscle weakness that worsens late in the day and improves with rest
3. CRising weakness from the legs, weeks after an infection
4. DA sudden one-sided facial droop with slurred speech

How is the pain of renal colic typically described?

1. AA dull ache in the lower back after lifting
2. BPain in the right lower abdomen that started near the navel
3. CSevere pain that comes in waves from the loin to the groin
4. DBurning pain in the chest after meals

Which symptom is the classic warning sign of bladder cancer?

1. ALeaking urine when coughing
2. BBurning pain on passing urine
3. CSevere loin pain that comes in waves
4. DPainless visible blood in the urine

Why are tacrolimus blood levels checked regularly?

1. AThe levels show how much urine the kidney is making
2. BThe drug only works if levels are as high as possible
3. CThe levels show whether the patient has diabetes
4. DToo high harms the kidney; too low risks rejection

An older patient with a long-term catheter has bacteria in the urine but no symptoms. What is usually appropriate?

1. ARemove the catheter permanently at once
2. BAntibiotics for life to keep the urine sterile
3. CA full course of antibiotics straight away
4. DNo antibiotics, as long as there are no symptoms

Why is propranolol given to a patient with hyperthyroidism?

1. ATo stop the thyroid gland from making any more hormones
2. BTo replace the hormone lost from the thyroid gland
3. CTo ease tremor and palpitations while other treatment starts
4. DTo destroy overactive thyroid tissue over a few weeks

A patient with stable epilepsy on phenytoin started a new medicine last week. They now have nystagmus, an unsteady gait and slurred speech. What should the nurse do?

1. AGive the next phenytoin dose early to prevent a seizure
2. BEncourage the patient to walk more to improve their balance
3. CSuspect phenytoin toxicity, hold the next dose and ask for a drug level
4. DSuspect a new stroke and give aspirin straight away before any scan

A patient arrives five hours after the onset of a stroke. A CT angiogram shows a blockage of a large artery in the brain. What is the most appropriate next step?

1. AUrgent referral for assessment for mechanical thrombectomy
2. BGive aspirin and plan a review on the ward tomorrow
3. CNo treatment, because the time for any reperfusion has passed
4. DStart IV alteplase immediately without further imaging