정답이 있는 내외과: 신경계, 내분비계, 신장 학습지

Which classic triad is described in renal cell carcinoma, although few patients have all three?

1. AHaematuria, flank pain and a palpable mass
2. BFever, headache and a stiff neck
3. CDysuria, frequency and urgency
4. DPolyuria, thirst and weight loss with tiredness

How does glucagon raise blood glucose?

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

Which symptoms are typical of a prolactinoma in a woman?

1. AMilky nipple discharge and irregular periods
2. BVery dark skin creases and a craving for salt
3. CKidney stones, bone pain and constipation
4. DWeight loss with heat intolerance and a fine tremor

A patient with a spinal cord injury can still feel a light touch around the anus. What does this show?

1. AThe patient has an injury of the brain, not the cord
2. BThe injury is incomplete, which suggests a better chance of recovery
3. CThe injury is complete, and recovery is not possible
4. DThe sensation is only a spinal reflex and has no real meaning for recovery

Which picture fits anterior cord syndrome?

1. ALoss of movement and pain sense, with position sense kept
2. BNormal movement but complete loss of position sense
3. CWeakness on one side and loss of pain sensation on the other side
4. DArms much weaker than legs after a neck injury

A routine blood test shows a potassium of 6.4 mmol/L. The lab reports that the sample was haemolysed. The patient feels well. What should the nurse do?

1. AStart dialysis as soon as possible
2. BGive oral potassium supplements straight away
3. CIgnore it, because haemolysis always gives a normal result
4. DInform the doctor and arrange an urgent repeat sample

A man who takes tamsulosin for BPH is listed for cataract surgery. Which statement is correct?

1. AIt should be swapped for oxybutynin the night before to protect the eye
2. BThe eye surgeon must be told, as it can cause floppy iris during surgery
3. CThe dose should be doubled before surgery to prevent urinary retention
4. DTamsulosin has no effects outside the urinary tract, so nothing changes

A nurse teaches foot care to a patient with diabetic neuropathy. Which statement shows a need for further teaching?

1. A"I will wear socks and shoes that fit well and do not rub."
2. B"I will check my feet every day, using a mirror for the soles."
3. C"I will check that the bath water is not too hot using my elbow."
4. D"I will buy corn plasters from the pharmacy for my corn."