정답이 있는 내외과: 신경계, 내분비계, 신장 학습지

What causes Graves' disease?

1. AA viral infection of the parathyroid glands
2. BToo much TSH from a pituitary tumour
3. CAntibodies that stimulate the TSH receptor
4. DA lack of iodine in the diet

What does aldosterone do?

1. AMakes the kidneys lose sodium and keep potassium
2. BMakes the kidneys keep sodium and lose potassium
3. CRaises the blood glucose between meals
4. DLowers the blood calcium after meals

How should a patient collect a midstream urine sample?

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

An 80-year-old with angina is diagnosed with hypothyroidism. How is levothyroxine usually started?

1. AAt a low dose, increased slowly
2. BOnly after the angina has been cured
3. CAs a single large weekly injection
4. DAt a full dose from the first day

갑상선 절제술 후 봉합사나 클립 제거기를 흔히 침상 옆에 두는 이유는?

1. A목 정맥에서 채혈하는 데 필요하기 때문
2. B수술 후 첫날 저녁에 봉합사를 제거해야 하기 때문
3. C배액관이 작동하지 않을 때 조정하는 데 쓰기 때문
4. D목의 혈종이 기도를 압박할 수 있어 풀어 줘야 할 수 있기 때문

A patient with CKD is booked for a CT scan with iodinated contrast. Which measure helps protect the kidneys?

1. AGiving a dose of ibuprofen before the scan
2. BRestricting all fluids for 24 hours before the scan
3. CDoubling the dose of contrast for a clearer image
4. DGood hydration around the scan, often with IV fluids

A nurse teaches foot care to a patient with diabetic neuropathy. Which statement shows a need for further teaching?

1. A"I will buy corn plasters from the pharmacy for my corn."
2. B"I will wear socks and shoes that fit well and do not rub."
3. C"I will check that the bath water is not too hot using my elbow."
4. D"I will check my feet every day, using a mirror for the soles."

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. BVomiting proves that rejection has already happened
3. CThe tablets will make the vomiting stop
4. DThe patient may not be absorbing their immunosuppressants