정답이 있는 내외과: 신경계, 내분비계, 신장 학습지

How is diabetic retinopathy usually picked up early?

1. AChecking the pupils with a torch at every visit
2. BA yearly blood test for HbA1c only
3. CRegular eye screening with retinal photographs
4. DWaiting until the patient notices blurred vision

Which picture is typical of Guillain–Barré syndrome?

1. AA resting tremor that slowly spreads to the other hand
2. BMuscle weakness that worsens late in the day and improves with rest
3. CA sudden one-sided facial droop with slurred speech
4. DRising weakness from the legs, weeks after an infection

What is the purpose of a steroid emergency card or medical alert ID?

1. ATo record the patient's blood glucose results
2. BTo let the patient buy steroids without a prescription
3. CTo warn staff that extra steroid is needed in illness or injury
4. DTo show that the patient is allergic to all types of steroid medicine

Why are tacrolimus blood levels checked regularly?

1. AThe levels show how much urine the kidney is making
2. BToo high harms the kidney; too low risks rejection
3. CThe levels show whether the patient has diabetes
4. DThe drug only works if levels are as high as possible

A man starts finasteride for an enlarged prostate. Which statement is correct?

1. AIt takes months to work; pregnant women must not handle broken tablets
2. BIt works within hours by relaxing the bladder muscle
3. CIt lowers the blood pressure, so dizziness is very common
4. DIt is used only for a few days at a time

척수 손상 환자에서 자율신경성 반사부전(autonomic dysreflexia)의 가장 흔한 유발 요인은?

1. A낮은 혈당
2. B긴 수면 시간
3. C가득 찬 방광이나 막힌 카테터
4. D밤에 너무 빨리 먹은 많은 식사

A patient with stable epilepsy on phenytoin started a new medicine last week. They now have nystagmus, an unsteady gait and slurred speech. What should the nurse do?

1. AGive the next phenytoin dose early to prevent a seizure
2. BSuspect phenytoin toxicity, hold the next dose and ask for a drug level
3. CEncourage the patient to walk more to improve their balance
4. DSuspect a new stroke and give aspirin straight away before any scan

수술 후 환자의 소변량이 3시간 동안 15 mL/h이고, 맥박 110회/분, 혈압 96/58 mmHg, 건조한 점막이 있습니다. 낮은 소변량의 가장 가능성 높은 원인은?

1. A저혈량으로 인한 신전성 AKI
2. B정맥 수액으로 인한 수분 과다
3. C마취 후 요붕증
4. D수술로 인한 SIADH