정답이 있는 내외과: 신경계, 내분비계, 신장 학습지

After a head injury, a patient has bruising behind the ear over the mastoid bone. What does this suggest?

1. AA fractured jaw
2. BAn injury to the outer ear only
3. CA fracture of the base of the skull
4. DA simple scalp laceration

Which hormone do the alpha cells of the pancreatic islets make?

1. AInsulin
2. BSomatostatin
3. CGlucagon
4. DAmylase

속효성 인슐린과 중간형(NPH, 혼탁) 인슐린을 한 주사기에 섞을 때 먼저 뽑는 인슐린은?

1. A한 바이알에서 섞은 뒤 둘을 함께
2. B맑은 속효성 인슐린을 먼저, 그다음 혼탁한 인슐린
3. C혼탁한 인슐린을 먼저, 그다음 맑은 속효성 인슐린
4. D차이가 없으므로 어느 순서든

An 80-year-old with angina is diagnosed with hypothyroidism. How is levothyroxine usually started?

1. AAt a low dose, increased slowly
2. BOnly after the angina has been cured
3. CAs a single large weekly injection
4. DAt a full dose from the first day

Before surgery for a phaeochromocytoma, why is an alpha-blocker started before any beta-blocker?

1. AA beta-blocker alone can cause a dangerous rise in BP
2. BBeta-blockers given first would make the tumour grow faster
3. CAlpha-blockers lower the blood glucose before surgery
4. DThe order of the two drugs makes no difference

Which action is part of an effective bowel programme after a spinal cord injury?

1. ARestricting fluids to reduce the volume of stool
2. BAvoiding fibre to prevent bloating
3. CUsing strong laxatives only when the bowel has not opened for a week
4. DA routine at the same time each day, often after a meal

An older man was found on the floor after lying there for many hours. His urine is dark brown, and his creatine kinase is very high. What is the main kidney risk and the key treatment?

1. AA urinary infection, treated with oral antibiotics only
2. BHypothermia, treated with a fluid restriction
3. CA kidney stone, treated with strong pain relief
4. DAKI from rhabdomyolysis, treated with generous IV fluids

On day 6 after a subarachnoid haemorrhage, a patient becomes newly confused and develops weakness in one arm. The aneurysm was secured on day 1. What is the most likely cause?

1. ANormal tiredness after major surgery
2. BHypoglycaemia from reduced eating
3. CDelayed cerebral ischaemia from vasospasm
4. DRe-bleeding from the secured aneurysm