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

Which feature best distinguishes delirium from dementia?

1. AMemory problems in a person over the age of 75
2. BDifficulty finding the right words
3. CA sudden onset with attention that comes and goes
4. DGetting lost in places that were familiar

Which symptoms in a patient with back pain suggest cauda equina syndrome?

1. ANumbness between the legs and new bladder problems
2. BBack pain that eases when walking around the house
3. CMild stiffness in the morning that soon wears off
4. DPain that is worse after a long day at work

Why are patients with an acute spinal cord injury at high risk of deep vein thrombosis?

1. AParalysed leg muscles no longer pump blood back to the heart
2. BThey usually take oestrogen as part of their treatment
3. CThe injury makes the blood too thin to clot properly in the veins
4. DSpinal injuries always damage the large veins of the legs

A patient has just started levetiracetam. Which side effect should the nurse teach them to report?

1. AChanges in mood, such as irritability, low mood or anger
2. BA persistent dry cough at night
3. COrange discoloration of the urine
4. DSwelling and overgrowth of the gums around the teeth

C6 급성 척수 손상 환자에서 신경인성 쇼크를 시사하는 양상은?

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

Why might a frail 88-year-old with type 2 diabetes have a less strict HbA1c target?

1. ATo reduce the risk of hypos, falls and confusion
2. BBecause diabetes cannot damage older people
3. CTo save money on blood tests and drugs
4. DBecause older people cannot use any glucose medicines

A kidney transplant recipient has had vomiting and diarrhoea for two days. Why should the transplant team be contacted?

1. AThe kidney will start to produce far too much urine
2. BThe tablets will make the vomiting stop
3. CVomiting proves that rejection has already happened
4. DThe patient may not be absorbing their immunosuppressants