정답이 있는 내외과: 신경계, 내분비계, 신장 학습지

당뇨병 환자의 발에서 보호 감각 상실을 선별하는 간단한 검사는?

1. A발가락에서 모세혈관 혈당을 측정한다
2. B종아리 둘레를 측정한다
3. C10 g 모노필라멘트로 발바닥을 건드린다
4. D손가락의 모세혈관 재충전을 확인한다

전신 강직간대 발작 중 올바른 응급처치는?

1. A경련이 멈출 때까지 팔다리를 세게 붙잡는다
2. B질식을 막도록 앉히고 물을 조금씩 먹인다
3. C머리를 받치고, 발작 시간을 재고, 입에 아무것도 넣지 않는다
4. D가능한 한 빨리 이 사이에 숟가락이나 플라스틱 기도를 넣는다

What is the main action of ADH (antidiuretic hormone)?

1. AIt makes the kidneys pass more water
2. BIt makes the kidneys reabsorb water
3. CIt makes the kidneys keep potassium
4. DIt makes the kidneys pass more glucose

Why might a patient taking a beta-blocker not notice a hypoglycaemic episode?

1. ABeta-blockers block the effect of all diabetes medicines
2. BBeta-blockers can mask the tremor and racing heart of a hypo
3. CBeta-blockers make the patient sleep through every hypo
4. DBeta-blockers raise blood glucose, so hypos cannot happen

Which statement about storing insulin is correct?

1. AUnopened insulin goes in the fridge and must never be frozen
2. BAll insulin must be stored in the freezer to keep it stable
3. CInsulin that has been frozen can be used once it has thawed
4. DInsulin should be kept on a sunny windowsill to stay warm

A patient on ciclosporin or tacrolimus asks about grapefruit juice. Which advice is correct?

1. ADrink it with each dose to improve the absorption
2. BAvoid it, because it can raise the drug levels
3. CIt has no effect on these drugs
4. DDrink it daily to protect the kidney

A patient taking amiodarone has gained weight and feels tired and cold. Which blood test is most relevant?

1. ASerum amylase and lipase levels
2. BSerum ferritin
3. CBlood alcohol level
4. DThyroid function tests

A patient with untreated end-stage kidney disease has chest pain that is worse lying flat and better sitting forward. A rub is heard over the heart. What is most likely?

1. AIndigestion from phosphate binders
2. BA stable angina attack, which needs only a nitrate spray and rest
3. CUraemic pericarditis, which usually needs urgent dialysis
4. DA rib fracture from coughing