Терапия и хирургия: нервная, эндокринная системы и почки: лист заданий с ответами

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1.Лёгкая

Which symptoms are typical of uraemia in advanced kidney disease?

  1. AExcess thirst with a very high glucose
  2. BHeat intolerance, tremor and weight loss
  3. CItching, nausea, tiredness and poor appetite
  4. DSevere flank pain with visible blood in the urine
2.Лёгкая

In primary hypothyroidism, what is the usual TSH result?

  1. ALow
  2. BUndetectable
  3. CHigh
  4. DNormal
3.Лёгкая

Which group of symptoms is classic for meningitis?

  1. AJoint pain, rash on the cheeks and hair loss
  2. BChest pain, cough and wheeze
  3. CFever, headache and neck stiffness
  4. DFlank pain, fever and painful urination
4.Средняя

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

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

A patient has just started haemodialysis. What usually happens to their protein needs?

  1. AThey fall to almost zero to rest the kidneys
  2. BThey increase, because dialysis removes amino acids
  3. CThey stay exactly the same as they were before dialysis
  4. DProtein must be replaced only by IV infusion
6.Средняя

Which measure best prevents catheter-associated urinary tract infection?

  1. AChange the catheter for a new one every day
  2. BDisconnect the bag regularly to empty it
  3. CRemove the catheter as soon as it is no longer needed
  4. DKeep the drainage bag above bladder level
7.Сложная

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
8.Сложная

A patient with stable epilepsy on phenytoin started a new medicine last week. They now have nystagmus, an unsteady gait and slurred speech. What should the nurse do?

  1. AEncourage the patient to walk more to improve their balance
  2. BSuspect a new stroke and give aspirin straight away before any scan
  3. CSuspect phenytoin toxicity, hold the next dose and ask for a drug level
  4. DGive the next phenytoin dose early to prevent a seizure

Ответы

  1. 1. C · Itching, nausea, tiredness and poor appetite
  2. 2. C · High
  3. 3. C · Fever, headache and neck stiffness
  4. 4. B · Beta-blockers can mask the tremor and racing heart of a hypo
  5. 5. B · They increase, because dialysis removes amino acids
  6. 6. C · Remove the catheter as soon as it is no longer needed
  7. 7. A · Replace the catheter and take a sample from the new one
  8. 8. C · Suspect phenytoin toxicity, hold the next dose and ask for a drug level

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