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

In primary hypothyroidism, what is the usual TSH result?

1. AHigh
2. BNormal
3. CUndetectable
4. DLow

What is automated peritoneal dialysis?

1. ADialysis that needs no fluid at all
2. BDialysis in hospital through an arm fistula
3. CExchanges done overnight by a machine
4. DA single exchange done once a week

Why do patients with chronic kidney disease often develop bone disease?

1. APatients usually drink too much milk
2. BThe kidneys release too much calcium into the bones
3. CThe kidneys cannot activate vitamin D or clear phosphate
4. DThe bones are attacked by antibodies made in the kidneys

Which approach helps most when talking to a patient with expressive aphasia?

1. AFinish their sentences quickly to save them effort
2. BSpeak louder, because the patient cannot hear well
3. CAsk questions that can be answered with yes, no or a gesture
4. DAvoid talking to them until their speech has recovered

Which group of drugs is a well-known cause of SIADH and hyponatraemia, especially in older people?

1. AProton pump inhibitors
2. BPenicillin antibiotics
3. CSSRI antidepressants
4. DBulk-forming laxatives

Which symptoms are typical of hypokalaemia?

1. AExcess thirst and very high glucose
2. BTingling lips and facial twitching
3. CHeat intolerance and weight loss
4. DMuscle weakness, cramps and palpitations

A patient with a known ureteric stone develops a fever of 39 °C (102,2 °F) and rigors. Scanning shows a blocked, swollen kidney. What is needed?

1. AUrgent drainage of the kidney plus IV antibiotics
2. BOral antibiotics and waiting for the stone to pass
3. CStrong pain relief alone, then discharge
4. DA fluid restriction to reduce the swelling

Pacjent z podwyższonym ciśnieniem wewnątrzczaszkowym wymaga odsysania z rurki intubacyjnej. Które podejście jest najodpowiedniejsze?

1. AOdsysać co najmniej 30 sekund, aby usunąć całą wydzielinę za jednym razem
2. BOdsysać rutynowo co 15 minut, nawet bez wydzieliny
3. CPołożyć pacjenta płasko z głową odwróconą podczas odsysania
4. DWstępnie dotlenić, wykonywać każde odsysanie krótko i ograniczyć liczbę przejść