정답이 있는 내외과: 신경계, 내분비계, 신장 학습지

요붕증에 전형적인 소견은?

1. A묽은 소변이 많은 양으로 나오고 갈증이 심함
2. B낮은 혈청 나트륨과 수분 저류
3. C매우 농축된 소변이 적은 양으로 나옴
4. D높은 혈당과 소변 내 다량의 포도당

What is a goitre?

1. AA swollen lymph node in the armpit
2. BAn enlarged thyroid gland
3. CAn overactive parathyroid gland
4. DA tumour of the adrenal gland

What is stress urinary incontinence?

1. ALeaking urine when coughing, sneezing or lifting
2. BLeaking after a sudden, strong urge to pass urine
3. CConstant dribbling from an overfull bladder
4. DBeing unable to reach the toilet in time due to poor mobility

A woman who takes the combined contraceptive pill is starting carbamazepine. What should she be taught?

1. AThe pill makes carbamazepine toxic, so she must stop the pill
2. BThere is no interaction between these two medicines
3. CCarbamazepine can make the pill less effective, so other contraception is needed
4. DShe should take both at the same time so they are absorbed together

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. BStop all insulin until normal eating restarts
3. CCheck glucose once a day only and rest in bed until better
4. DKeep taking basal insulin and check glucose and ketones more often

환자가 뇌졸중 후 동측 반맹이 있습니다. 간호사는 처음에 어떻게 도와야 합니까?

1. A보이는 쪽에서 다가가고 머리를 돌려 살피도록 가르친다
2. B시각 자극을 줄이도록 방을 어둡게 둔다
3. C침범된 쪽 눈에 안대를 덮는다
4. D훈련을 위해 호출벨과 음료를 시야가 없는 쪽에 둔다

A prescription reads "Insulin 10U". Why is this a safety problem?

1. AInsulin doses must always be written in millilitres
2. BThere is no problem as long as the nurse can read it
3. C"U" means the insulin must be given intravenously
4. D"U" can be misread as a zero, giving a tenfold dose

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. BThe test only measures the glucose in the plasma, not in the cells
3. CAnaemia always makes the HbA1c very high
4. DIt depends on how long red blood cells survive in the blood