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

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Imię: ____________________   Data: ____________

1.Łatwy

Which hourly urine output is usually taken as the minimum acceptable for an adult?

  1. AAbout 10 mL/kg per hour
  2. BAbout 0,05 mL/kg per hour
  3. CAbout 0,5 mL/kg per hour
  4. DAbout 5 mL/kg per hour
2.Łatwy

Which symptoms are typical of diabetic peripheral neuropathy?

  1. AMorning stiffness of the small hand joints
  2. BA painful red, hot swollen big toe at night
  3. CPain in the calves that starts when walking
  4. DNumbness, tingling or burning in the feet
3.Łatwy

What is an aura before a seizure?

  1. AA lasting change in vision that is caused by long-term epilepsy
  2. BA warning sensation, which is itself a small focal seizure
  3. CThe confusion and sleepiness after a seizure ends
  4. DA rash that appears after some antiepileptic drugs
4.Średni

Po operacji przysadki pacjent oddaje 400 mL moczu na godzinę przez trzy godziny, z niskim ciężarem właściwym. Co powinna podejrzewać pielęgniarka?

  1. APrawidłową diurezę
  2. BSIADH
  3. COstre uszkodzenie nerek
  4. DMoczówkę prostą
5.Średni

Why is once-daily prednisolone usually taken in the morning with food?

  1. ABecause food doubles the strength of the dose
  2. BTo match the natural cortisol rhythm and protect the stomach
  3. CBecause it cannot be absorbed at night
  4. DBecause it causes drowsiness and is safer to take during the day
6.Średni

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

  1. AAt a low dose, increased slowly
  2. BAt a full dose from the first day
  3. COnly after the angina has been cured
  4. DAs a single large weekly injection
7.Trudny

A patient on insulin has worsening chronic kidney disease and is having more hypos. What is the best explanation?

  1. AThe patient is eating far more carbohydrate than before
  2. BKidney disease makes the body resistant to insulin
  3. CKidney disease makes the meter read too low
  4. DThe kidneys clear less insulin, so it lasts longer
8.Trudny

A patient with gastroparesis has hypos soon after their meal-time insulin, then high glucose several hours later. What is the best explanation?

  1. AFood is absorbed slowly, so the insulin peaks before the glucose rises
  2. BThe patient is secretly eating sweets between meals
  3. CThe insulin has gone off and needs replacing
  4. DThe meter gives false results for several hours after every meal

Klucz odpowiedzi

  1. 1. C · About 0,5 mL/kg per hour
  2. 2. D · Numbness, tingling or burning in the feet
  3. 3. B · A warning sensation, which is itself a small focal seizure
  4. 4. D · Moczówkę prostą
  5. 5. B · To match the natural cortisol rhythm and protect the stomach
  6. 6. A · At a low dose, increased slowly
  7. 7. D · The kidneys clear less insulin, so it lasts longer
  8. 8. A · Food is absorbed slowly, so the insulin peaks before the glucose rises

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