정답이 있는 내외과: 신경계, 내분비계, 신장 학습지

일과성 허혈 발작(TIA)에 대해 올바른 설명은?

1. A뇌 조직 속의 작은 출혈로 생긴다
2. B증상이 며칠 지속되고 영구적인 근력 약화를 남긴다
3. C모든 증상이 사라지므로 추적 관찰이 필요 없다
4. D증상은 완전히 사라지지만 뇌졸중 위험이 높아 긴급 진료가 필요하다

Why should people with diabetic neuropathy avoid walking barefoot?

1. AInsulin is absorbed less well from the feet and the legs
2. BThey may not feel an injury, so it can go unnoticed
3. CWalking barefoot raises the blood glucose
4. DBare feet lose too much heat through the skin

How does glucagon raise blood glucose?

1. AIt blocks the absorption of glucose in muscle
2. BIt makes the liver release stored glucose
3. CIt stops the kidneys losing glucose in urine
4. DIt adds glucose directly into the bloodstream

A patient with severe vomiting and diarrhoea takes ramipril, furosemide and metformin. Which advice is correct?

1. AAdd ibuprofen to treat the abdominal cramps
2. BKeep taking everything as normal and drink less
3. CPause these medicines until eating and drinking again
4. DDouble the furosemide to prevent fluid retention

What is the dexamethasone suppression test used for?

1. ATo measure kidney function
2. BTo help diagnose Cushing's syndrome
3. CTo diagnose diabetes insipidus
4. DTo check thyroid function

A patient with atrial fibrillation has had an ischaemic stroke. Which long-term medicine type most reduces the risk of another stroke?

1. AA loop diuretic
2. BA beta-agonist inhaler
3. CAn oral anticoagulant
4. DA proton pump inhibitor

A patient had rapid-acting insulin before lunch, then vomited the meal 15 minutes later. What should the nurse do?

1. AMonitor glucose closely and tell the prescriber about the hypo risk
2. BGive another insulin dose because the meal was lost
3. CGive the evening long-acting insulin early to balance it
4. DIgnore it, because vomiting raises blood glucose

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