정답이 있는 내외과: 신경계, 내분비계, 신장 학습지

How is diabetic retinopathy usually picked up early?

1. ARegular eye screening with retinal photographs
2. BChecking the pupils with a torch at every visit
3. CWaiting until the patient notices blurred vision
4. DA yearly blood test for HbA1c only

뇌졸중에서 혈전용해 전에 머리 CT를 먼저 찍어야 하는 이유는?

1. A혈전용해로 악화될 출혈을 배제하기 위해
2. B환자에게 두개골 골절도 있는지 보기 위해
3. C증상이 얼마 전에 시작되었는지 측정하기 위해
4. D환자가 이전에 뇌졸중을 겪었는지 확인하기 위해

Why should insulin injection sites be rotated?

1. ATo stop the insulin from spreading to other organs
2. BTo avoid building up an immune response to the insulin
3. CTo make the insulin work faster each time
4. DTo prevent fatty lumps that absorb insulin unevenly

다파글리플로진(SGLT2 억제제)을 복용 중인 환자가 구토하며 혈중 케톤 4.5 mmol/L이지만 혈당은 11 mmol/L에 불과합니다. 의심해야 하는 것은?

1. A구토로 인한 저혈당
2. B조치가 필요 없는 정상적인 부작용
3. C고삼투압 고혈당 상태
4. D정상 혈당 당뇨병성 케톤산증

Which blood gas pattern is typical of acute kidney injury?

1. AHigh pH and high bicarbonate
2. BLow pH and high carbon dioxide only
3. CHigh pH and low carbon dioxide
4. DLow pH and low bicarbonate

After pressing the plunger of an insulin pen, what should the patient do?

1. ALeave the needle on the pen for the next injection
2. BPull the needle out at once and rub the site firmly
3. CKeep the needle in the skin for about 10 seconds
4. DInject a second dose straight away to be sure

A patient taking digoxin has a potassium of 2.9 mmol/L. Why is this especially dangerous?

1. ALow potassium increases the risk of digoxin toxicity
2. BLow potassium makes digoxin leave the body faster
3. CDigoxin stops working when potassium is low
4. DDigoxin raises the potassium to dangerous levels

Four patients had a minor head injury with no loss of consciousness and a GCS of 15. Which one most needs a CT scan of the head?

1. AA 78-year-old who takes warfarin for atrial fibrillation
2. BA 25-year-old with a small scalp graze after a fall
3. CA 30-year-old who bumped their head on a cupboard door
4. DA 40-year-old with a mild headache that is improving