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

What does the HbA1c test show?

1. AThe average blood glucose over about two to three months
2. BThe glucose level over the last 24 hours only
3. CThe blood glucose at the exact moment that the sample is taken
4. DThe amount of insulin the pancreas is making

Какое простое исследование нужно сделать рано у каждого пациента с подозрением на инсульт, потому что нарушение результата может имитировать инсульт?

1. AТест-полоска мочи
2. BКапиллярная глюкоза крови
3. CПиковая скорость выдоха
4. DТаблица остроты зрения

After a head injury, a patient has bruising behind the ear over the mastoid bone. What does this suggest?

1. AA fractured jaw
2. BA simple scalp laceration
3. CA fracture of the base of the skull
4. DAn injury to the outer ear only

A patient has taken metformin for many years and now has tingling feet and a low haemoglobin. Which blood test is most relevant?

1. AThyroid antibodies
2. BBlood alcohol level
3. CVitamin B12 level
4. DSerum amylase

Which headache feature most suggests raised intracranial pressure from a brain tumour?

1. AOnly present after reading for a long time
2. BA tight band across the forehead that eases with rest
3. CBetter in the morning and worse with stress
4. DWorse on waking and on coughing, with vomiting

A patient has had a calcium oxalate kidney stone. Which advice best helps prevent another?

1. ADrink plenty of fluid so the urine stays pale
2. BTake extra vitamin C supplements
3. CDrink only a little to avoid diluting the urine
4. DCut all calcium out of the diet

A patient with acromegaly snores loudly, stops breathing at times in sleep and is sleepy during the day. What is most likely?

1. ANormal snoring
2. BObstructive sleep apnoea
3. CAn anxiety disorder
4. DNarcolepsy

On day 6 after a subarachnoid haemorrhage, a patient becomes newly confused and develops weakness in one arm. The aneurysm was secured on day 1. What is the most likely cause?

1. ARe-bleeding from the secured aneurysm
2. BHypoglycaemia from reduced eating
3. CDelayed cerebral ischaemia from vasospasm
4. DNormal tiredness after major surgery