Choroby wewnętrzne i chirurgiczne: neurologia, endokrynologia i nerki: karta pracy z odpowiedziami

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Imię: ____________________   Data: ____________

1.Łatwy

Why should insulin injection sites be rotated?

  1. ATo avoid building up an immune response to the insulin
  2. BTo prevent fatty lumps that absorb insulin unevenly
  3. CTo make the insulin work faster each time
  4. DTo stop the insulin from spreading to other organs
2.Łatwy

Which fasting plasma glucose level is used to diagnose diabetes?

  1. A15,0 mmol/L (270 mg/dL) or higher
  2. B7,0 mmol/L (126 mg/dL) or higher
  3. C4,0 mmol/L (72 mg/dL) or higher
  4. D5,5 mmol/L (99 mg/dL) or higher
3.Łatwy

Which is a common effect of long-term corticosteroid treatment?

  1. AA lower risk of infections
  2. BWeight loss and a slim face
  3. CLow blood glucose
  4. DThinning of the bones
4.Średni

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

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

What is the dexamethasone suppression test used for?

  1. ATo check thyroid function
  2. BTo measure kidney function
  3. CTo help diagnose Cushing's syndrome
  4. DTo diagnose diabetes insipidus
6.Średni

A patient with advanced CKD asks how to manage indigestion. Which option should they avoid?

  1. AAvoiding large meals late in the evening
  2. BRaising the head of the bed at night
  3. CMagnesium-containing antacids
  4. DEating smaller, more frequent meals
7.Trudny

The nurse has four neurology patients. Which one needs to be seen first?

  1. AA patient with Guillain–Barré syndrome whose vital capacity is falling
  2. BA patient with a headache after a lumbar puncture this morning
  3. CA patient with Parkinson's disease whose next dose is due in one hour
  4. DA patient with multiple sclerosis who is tired after physiotherapy
8.Trudny

A patient arrives five hours after the onset of a stroke. A CT angiogram shows a blockage of a large artery in the brain. What is the most appropriate next step?

  1. AUrgent referral for assessment for mechanical thrombectomy
  2. BStart IV alteplase immediately without further imaging
  3. CNo treatment, because the time for any reperfusion has passed
  4. DGive aspirin and plan a review on the ward tomorrow

Klucz odpowiedzi

  1. 1. B · To prevent fatty lumps that absorb insulin unevenly
  2. 2. B · 7,0 mmol/L (126 mg/dL) or higher
  3. 3. D · Thinning of the bones
  4. 4. D · At a low dose, increased slowly
  5. 5. C · To help diagnose Cushing's syndrome
  6. 6. C · Magnesium-containing antacids
  7. 7. A · A patient with Guillain–Barré syndrome whose vital capacity is falling
  8. 8. A · Urgent referral for assessment for mechanical thrombectomy

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