정답이 있는 내외과: 신경계, 내분비계, 신장 학습지

가로막이 작동하지 못하게 할 가능성이 가장 높은 척수 손상 수준은?

1. AT10 이하의 완전 손상
2. BL3 이하의 완전 손상
3. CC3 이상의 완전 손상
4. DS2 이하의 완전 손상

What is the normal range for serum potassium in an adult?

1. AAbout 6.0–7.5 mmol/L
2. BAbout 1.5–2.5 mmol/L
3. CAbout 135–145 mmol/L
4. DAbout 3.5–5.0 mmol/L

Which equipment should be ready at the bedside of a patient on seizure precautions?

1. AA tongue depressor to place between the teeth
2. BWorking suction and oxygen
3. CA urinary catheter in case of incontinence
4. DWrist restraints to stop the limbs jerking

DKA 치료 중 혈당이 약 14 mmol/L(약 250 mg/dL) 아래로 떨어졌지만 케톤은 여전히 높습니다. 보통 어떻게 합니까?

1. A인슐린 주입을 즉시 중단한다
2. B수액에 포도당을 추가하고 인슐린은 계속한다
3. C수분 과다를 피하려고 모든 정맥 수액을 중단한다
4. D환자가 식사를 하고 정맥 치료를 중단한다

A patient has a nephrostomy tube. Which finding needs urgent action?

1. ASteady urine drainage into the bag
2. BLight pink urine on the first day after insertion
3. CA dry, intact dressing at the site
4. DDrainage that stops suddenly with new loin pain

A patient taking sodium valproate becomes tired and is vomiting, and the nurse notices yellowing of the eyes. What is the main concern?

1. ADehydration from drinking too little
2. BLiver toxicity from valproate
3. CA sign that the dose is too low
4. DA normal adjustment reaction to the drug

A patient arrives five hours after the onset of a stroke. A CT angiogram shows a blockage of a large artery in the brain. What is the most appropriate next step?

1. ANo treatment, because the time for any reperfusion has passed
2. BGive aspirin and plan a review on the ward tomorrow
3. CStart IV alteplase immediately without further imaging
4. DUrgent referral for assessment for mechanical thrombectomy

A patient with suspected meningitis has a GCS of 9 and pupils that have become unequal. A doctor plans an immediate lumbar puncture. What is the main concern?

1. AA lumbar puncture would spread the infection to the blood
2. BThere is no concern, because the lumbar puncture lowers pressure safely
3. CRaised pressure in the skull, so the procedure could cause herniation
4. DThe patient is too confused to stay still, so it is not needed