Choroby wewnętrzne i chirurgiczne: neurologia, endokrynologia i nerki: karta pracy z odpowiedziami
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Imię: ____________________ Data: ____________
1.Łatwy
Which HbA1c result is commonly used as the threshold for diagnosing diabetes?
A75 mmol/mol (9,0%) or higher
B30 mmol/mol (4,9%) or higher
C48 mmol/mol (6,5%) or higher
D38 mmol/mol (5,6%) or higher
2.Łatwy
Post-streptococcal glomerulonephritis typically follows which event?
AA long course of antibiotics for pneumonia
BAn episode of bloody diarrhoea from food poisoning
CA kidney stone passed the week before
DA throat or skin infection a few weeks earlier
3.Łatwy
Jaki poziom glukozy we krwi powszechnie przyjmuje się za definicję hipoglikemii u osoby z cukrzycą?
APoniżej 4,0 mmol/L (około 70 mg/dL)
BPoniżej 1,0 mmol/L (około 18 mg/dL)
CPoniżej 10 mmol/L (około 180 mg/dL)
DPoniżej 7,0 mmol/L (około 126 mg/dL)
4.Średni
Why are tacrolimus blood levels checked regularly?
AToo high harms the kidney; too low risks rejection
BThe levels show whether the patient has diabetes
CThe drug only works if levels are as high as possible
DThe levels show how much urine the kidney is making
5.Średni
A patient receives phenytoin through a nasogastric tube along with continuous enteral feed. Which issue should the nurse know about?
AThe feed increases phenytoin levels and causes toxicity within hours
BThe feed can reduce phenytoin absorption, so the feed is often paused around the dose
CPhenytoin makes the feed curdle, so the two must never be used in one patient
DPhenytoin must be crushed and mixed into the feed bag
6.Średni
Which picture fits Brown-Séquard syndrome?
AWeakness on the same side and loss of pain on the opposite side
BParalysis of both legs, with normal sensation everywhere in the body
CLoss of all feeling but normal movement on both sides
DWeakness of both arms with normal strength in the legs
7.Trudny
Weeks after starting insulin, a patient with newly diagnosed type 1 diabetes needs much less insulin and has frequent mild hypos. What is the most likely explanation?
AThe insulin has gone off and should be replaced
BThe patient actually has type 2 diabetes
CThe diabetes has been cured, so insulin can stop
DA honeymoon phase, but insulin is still needed
8.Trudny
A patient is being assessed for brain death (brainstem death). Which condition must be excluded before testing?
AA haemoglobin of 110 g/L (11 g/dL)
BEffects of sedative drugs or severe hypothermia
CA previous episode of migraine
DA history of high blood pressure
Klucz odpowiedzi
1. C · 48 mmol/mol (6,5%) or higher
2. D · A throat or skin infection a few weeks earlier
3. A · Poniżej 4,0 mmol/L (około 70 mg/dL)
4. A · Too high harms the kidney; too low risks rejection
5. B · The feed can reduce phenytoin absorption, so the feed is often paused around the dose
6. A · Weakness on the same side and loss of pain on the opposite side
7. D · A honeymoon phase, but insulin is still needed
8. B · Effects of sedative drugs or severe hypothermia
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