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

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Imię: ____________________   Data: ____________

1.Łatwy

In countries with enough iodine in the diet, what is the most common cause of hypothyroidism?

  1. AToo much iodine in salt
  2. BThyroid cancer
  3. CA pituitary tumour pressing on the gland
  4. DAutoimmune thyroiditis (Hashimoto's)
2.Łatwy

What is the lowest possible score on the Glasgow Coma Scale?

  1. A3
  2. B0
  3. C5
  4. D1
3.Łatwy

What is a suprapubic catheter?

  1. AA catheter passed into the bladder through the urethra
  2. BA catheter put into the bladder through the abdomen
  3. CA tube placed into the kidney through the back
  4. DA small catheter used only once and then removed
4.Średni

Why might a patient taking a beta-blocker not notice a hypoglycaemic episode?

  1. ABeta-blockers make the patient sleep through every hypo
  2. BBeta-blockers can mask the tremor and racing heart of a hypo
  3. CBeta-blockers block the effect of all diabetes medicines
  4. DBeta-blockers raise blood glucose, so hypos cannot happen
5.Średni

A patient with migraine takes painkillers or triptans on most days and now has a headache almost every day. What is the likely problem?

  1. AA brain tumour, which is almost certain
  2. BAn allergy to the painkillers
  3. CMedication overuse headache
  4. DNormal progress of migraine
6.Średni

A patient on peritoneal dialysis has gained weight and has higher glucose levels. Which part of the treatment is the likely cause?

  1. ASodium lost into the dialysis fluid
  2. BAir entering the abdomen during exchanges
  3. CGlucose absorbed from the dialysis fluid
  4. DProtein lost into the dialysis fluid
7.Trudny

A patient has frothy urine and marked leg swelling. Serum albumin is 18 g/L (1,8 g/dL), and BP is normal. The urine shows heavy protein but little blood. What is most likely?

  1. ANephrotic syndrome
  2. BAcute pyelonephritis
  3. CNephritic syndrome
  4. DA urethral stricture
8.Trudny

A patient with a long-term catheter has fever and rigors, and a catheter UTI is suspected. Which action is recommended before starting antibiotics?

  1. AReplace the catheter and take a sample from the new one
  2. BRemove the catheter and leave it out permanently
  3. CFlush the catheter with saline and continue
  4. DTake a sample from the drainage bag and send it to the lab

Klucz odpowiedzi

  1. 1. D · Autoimmune thyroiditis (Hashimoto's)
  2. 2. A · 3
  3. 3. B · A catheter put into the bladder through the abdomen
  4. 4. B · Beta-blockers can mask the tremor and racing heart of a hypo
  5. 5. C · Medication overuse headache
  6. 6. C · Glucose absorbed from the dialysis fluid
  7. 7. A · Nephrotic syndrome
  8. 8. A · Replace the catheter and take a sample from the new one

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