정답이 있는 내외과: 신경계, 내분비계, 신장 학습지

Which side effect of metformin is most common?

1. AGum overgrowth and a rash
2. BWeight gain and oedema
3. CA dry cough at night
4. DNausea and diarrhoea

A stroke affects the anterior cerebral artery. Which weakness pattern is most typical?

1. AThe same side of the body is weak
2. BBoth legs are weak with normal arms
3. CThe opposite leg is weaker than the arm
4. DThe opposite arm and face are weaker than the leg

Which cranial nerve makes the pupil constrict in response to light?

1. AOptic nerve (II) alone
2. BAbducens nerve (VI)
3. COculomotor nerve (III)
4. DTrochlear nerve (IV)

A patient is starting lamotrigine. Which teaching point is most important?

1. AExpect an orange tint to tears and urine
2. BDouble the dose if a seizure happens
3. CTake it with a glass of grapefruit juice to improve its absorption
4. DReport any skin rash promptly, especially in the first weeks

A urine dipstick is positive for nitrites. What does this suggest?

1. ABacteria that convert nitrate are present
2. BThe urine has a lot of glucose in it
3. CThe patient is dehydrated and needs more fluid
4. DThe kidneys are losing too much protein

A patient with a spinal cord injury can still feel a light touch around the anus. What does this show?

1. AThe patient has an injury of the brain, not the cord
2. BThe sensation is only a spinal reflex and has no real meaning for recovery
3. CThe injury is complete, and recovery is not possible
4. DThe injury is incomplete, which suggests a better chance of recovery

A large pituitary tumour presses on the optic chiasm. Which visual field defect is most typical?

1. AComplete blindness in one eye only
2. BLoss of the inner half of the field in both eyes
3. CLoss of central vision in both eyes
4. DLoss of the outer half of the field in both eyes

03:00에 환자의 혈당이 3.6 mmol/L인데, 아침 식사 전에는 높습니다. 저녁에 지속형 인슐린을 맞습니다. 간호사는 어떻게 해야 합니까?

1. A저혈당을 치료하고 저녁 용량을 재검토하도록 이 양상을 보고한다
2. B밤 측정값은 무시하고 아침 수치만으로 조치한다
3. C아침 수치가 높을 것이므로 03:00에 인슐린을 추가한다
4. D모든 인슐린을 영구히 중단하고 네 시간마다 혈당을 감시한다