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

Which picture is typical of Guillain–Barré syndrome?

1. ARising weakness from the legs, weeks after an infection
2. BA resting tremor that slowly spreads to the other hand
3. CA sudden one-sided facial droop with slurred speech
4. DMuscle weakness that worsens late in the day and improves with rest

How is the pain of renal colic typically described?

1. ABurning pain in the chest after meals
2. BPain in the right lower abdomen that started near the navel
3. CSevere pain that comes in waves from the loin to the groin
4. DA dull ache in the lower back after lifting

Which finding is a common reason for urgent dialysis?

1. AA haemoglobin of 105 g/L (10,5 g/dL) with mild tiredness
2. BA single episode of itching
3. CHyperkalaemia that does not respond to treatment
4. DA mildly raised creatinine with no symptoms

After transsphenoidal pituitary surgery, which advice should the patient follow?

1. ALie completely flat for at least a week after surgery
2. BBlow the nose often to clear any clots
3. CDrink through a straw to keep the nose clean
4. DAvoid blowing the nose, straining and bending forward

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. CAvoid talking to them until their speech has recovered
4. DAsk questions that can be answered with yes, no or a gesture

Why can a patient with an insulin pump develop DKA within hours if the pump stops working?

1. AThe pump gives long-acting insulin, which builds up and stops working all at once
2. BThe pump gives only rapid-acting insulin, so there is no long-acting reserve
3. CThe battery in the pump releases chemicals into the blood
4. DThe body becomes allergic to insulin when the pump stops

A patient who had pituitary surgery has fatigue and feels cold. TSH is low, and free T4 is low. What is the most likely cause?

1. ASecondary hypothyroidism
2. BOver-replacement with levothyroxine
3. CHyperthyroidism from Graves' disease
4. DPrimary hypothyroidism from thyroid failure

A patient with myasthenia gravis is admitted with pneumonia. Which newly prescribed antibiotic should the nurse question?

1. AGentamicin
2. BCeftriaxone
3. CBenzylpenicillin
4. DAmoxicillin