Werkblad Medisch-chirurgisch: neurologie, endocrinologie en nieren met antwoorden

What is the usual first-line treatment for stress urinary incontinence in women?

1. ARestricting fluids to half a litre a day
2. BA permanent urinary catheter
3. CPelvic floor muscle training
4. DSurgery straight away

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

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

What does a complete spinal cord injury mean?

1. AThe patient can move but cannot feel below the injury
2. BNo movement or feeling below the injury, even in the sacral area
3. CThe spinal cord has been cut into two separate pieces
4. DAll vertebrae in the neck are broken

Which headache feature most suggests raised intracranial pressure from a brain tumour?

1. AWorse on waking and on coughing, with vomiting
2. BBetter in the morning and worse with stress
3. COnly present after reading for a long time
4. DA tight band across the forehead that eases with rest

A patient has acute low back pain with no red flags. Which advice is most appropriate?

1. AStay as active as possible and use simple pain relief
2. BWear a rigid back brace all day and night for at least three months
3. CAvoid all movement until an MRI scan has been done
4. DStay in bed for two weeks until the pain is gone

Welke bewering over langwerkende basale insuline zoals glargine is juist?

1. AHet wordt in dezelfde spuit gemengd met snelwerkende insuline
2. BHet wordt alleen na grote maaltijden gegeven om de koolhydraten af te dekken
3. CHet heeft een scherpe piek in werking ongeveer 30 minuten na injectie
4. DBij diabetes type 1 wordt het voortgezet, ook als de patiënt niet eet

On day 6 after a subarachnoid haemorrhage, a patient becomes newly confused and develops weakness in one arm. The aneurysm was secured on day 1. What is the most likely cause?

1. ANormal tiredness after major surgery
2. BDelayed cerebral ischaemia from vasospasm
3. CHypoglycaemia from reduced eating
4. DRe-bleeding from the secured aneurysm

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

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