정답이 있는 내외과: 신경계, 내분비계, 신장 학습지

How should a patient collect a midstream urine sample?

1. ALet the first part go in the toilet, then catch the middle
2. BCollect the very first drops into the container
3. CCollect urine from the toilet bowl afterwards
4. DCollect urine over 24 hours into one bottle

Which symptoms are typical of diabetic peripheral neuropathy?

1. AA painful red, hot swollen big toe at night
2. BPain in the calves that starts when walking
3. CNumbness, tingling or burning in the feet
4. DMorning stiffness of the small hand joints

What happens in multiple sclerosis?

1. AMotor nerve cells slowly die without any inflammation
2. BAntibodies block signals at the junction between nerve and muscle
3. CA virus destroys the nerves in the arms and legs
4. DThe immune system damages myelin in the brain and spinal cord

뇌졸중 정맥 혈전용해 후 처음 24시간 동안 가장 중요한 관찰은?

1. A매시간 장음과 복부 둘레
2. B매시간 최대 호기 유속과 산소포화도
3. C잦은 신경학적 확인과 혈압
4. D매일 체중과 수분 균형만

C6 급성 척수 손상 환자에서 신경인성 쇼크를 시사하는 양상은?

1. A낮은 혈압, 느린 맥박, 따뜻하고 건조한 피부
2. B정상 혈압, 빠른 맥박, 고열
3. C높은 혈압, 느린 맥박, 박동성 두통
4. D낮은 혈압, 빠른 맥박, 차갑고 축축한 피부

A patient has taken metformin for many years and now has tingling feet and a low haemoglobin. Which blood test is most relevant?

1. AVitamin B12 level
2. BSerum amylase
3. CBlood alcohol level
4. DThyroid antibodies

A 74-year-old falls forward and hits their chin. Their arms are much weaker than their legs, and they have burning pain in the hands. Which injury is most likely?

1. AA complete lumbar cord injury
2. BBrown-Séquard syndrome
3. CCauda equina syndrome
4. DCentral cord syndrome

An older patient with a UTI is now confused, with a respiratory rate of 24/min, BP 88/50 mmHg and a pulse of 120/min. What should happen?

1. ATreat the confusion with a sedative
2. BGive oral antibiotics and recheck in four hours
3. CStart sepsis care at once, with IV antibiotics and fluids
4. DEncourage oral fluids and wait for the urine culture