Терапия и хирургия: нервная, эндокринная системы и почки: лист заданий с ответами
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1.Лёгкая
What is the normal range for total serum calcium in an adult?
AAbout 1,0–1,5 mmol/L (4,0–6,0 mg/dL)
BAbout 3,5–5,0 mmol/L (14–20 mg/dL)
CAbout 0,7–1,0 mmol/L (2,8–4,0 mg/dL)
DAbout 2,2–2,6 mmol/L (8,5–10,5 mg/dL)
2.Лёгкая
Which equipment should be ready at the bedside of a patient on seizure precautions?
AA urinary catheter in case of incontinence
BWrist restraints to stop the limbs jerking
CA tongue depressor to place between the teeth
DWorking suction and oxygen
3.Лёгкая
Which statement about metformin is correct?
AUsed on its own, it rarely causes hypoglycaemia
BIt works by making the pancreas release a lot more insulin
CIt is given by injection into the abdomen once a week
DIt is the usual first treatment for type 1 diabetes in adults
4.Средняя
A patient has confirmed meningococcal meningitis. What is usually offered to their close household contacts?
AA lumbar puncture to check for infection
BA full course of IV antibiotics in hospital
CPreventive antibiotics
DNo action unless they develop symptoms
5.Средняя
Какая картина электролитов типична для болезни Аддисона?
AВысокий натрий и низкий калий
BНизкий натрий и высокий калий
CНизкий калий и низкая глюкоза
DВысокий кальций и низкий фосфат
6.Средняя
Which signs suggest rejection of a kidney transplant?
ALess urine, a rising creatinine and a tender graft
BMore urine, a falling creatinine and weight loss
CA rash on the face after sun exposure
DA cough, wheeze and a runny nose with sneezing
7.Сложная
A 74-year-old falls forward and hits their chin. Their arms are much weaker than their legs, and they have burning pain in the hands. Which injury is most likely?
ACentral cord syndrome
BCauda equina syndrome
CA complete lumbar cord injury
DBrown-Séquard syndrome
8.Сложная
A patient with Parkinson's disease is nil by mouth after abdominal surgery. Their levodopa is due. What is the best action?
AGive double the dose once eating restarts
BContact the prescriber or pharmacist about another route
CGive the tablets with a sip of water anyway
DOmit the dose until the patient can swallow again
Ответы
1. D · About 2,2–2,6 mmol/L (8,5–10,5 mg/dL)
2. D · Working suction and oxygen
3. A · Used on its own, it rarely causes hypoglycaemia
4. C · Preventive antibiotics
5. B · Низкий натрий и высокий калий
6. A · Less urine, a rising creatinine and a tender graft
7. A · Central cord syndrome
8. B · Contact the prescriber or pharmacist about another route
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