Терапия и хирургия: нервная, эндокринная системы и почки: лист заданий с ответами
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1.Лёгкая
Which description best fits an absence seizure?
AStiffening and then jerking of all four limbs for several minutes
BJerking that starts in one hand and spreads up the arm
CA sudden loss of muscle tone that makes the person fall
DA brief staring spell of a few seconds with a quick return to normal
2.Лёгкая
What does dysarthria mean?
ADifficulty swallowing food and drink safely
BInability to read or write after a brain injury
CLoss of the ability to understand spoken or written language
DUnclear speech caused by weak or poorly coordinated speech muscles
3.Лёгкая
Which group of features is typical of Parkinson's disease?
AResting tremor, rigidity and slow movement
BDrooping eyelids and double vision that get worse later in the day
CWeakness rising from the feet, with tingling and lost reflexes
DIntention tremor, muscle wasting and twitching under the skin
4.Средняя
Which CSF result is most typical of bacterial meningitis?
AClear fluid, many lymphocytes, normal glucose and slightly raised protein
BBlood-stained fluid that clears in later tubes
CClear fluid with normal cells, glucose and protein
DCloudy fluid, many neutrophils, low glucose and high protein
5.Средняя
Which headache feature most suggests raised intracranial pressure from a brain tumour?
AA tight band across the forehead that eases with rest
BWorse on waking and on coughing, with vomiting
COnly present after reading for a long time
DBetter in the morning and worse with stress
6.Средняя
Why are patients with an acute spinal cord injury at high risk of deep vein thrombosis?
AThey usually take oestrogen as part of their treatment
BThe injury makes the blood too thin to clot properly in the veins
CParalysed leg muscles no longer pump blood back to the heart
DSpinal injuries always damage the large veins of the legs
7.Сложная
A patient's potassium is 7,1 mmol/L, and the ECG shows peaked T waves and broad QRS complexes. What is the first treatment?
AIV calcium gluconate
BOral sodium bicarbonate
COral potassium binder
DIV furosemide
8.Сложная
The nurse has four patients with diabetes. Which one needs to be seen first?
AA patient with a glucose of 2,8 mmol/L (50 mg/dL) who is sweaty and confused
BA patient with a glucose of 14 mmol/L (252 mg/dL) who feels well and is eating
CA patient waiting for a routine HbA1c test
DA newly diagnosed patient asking about which foods to eat
Ответы
1. D · A brief staring spell of a few seconds with a quick return to normal
2. D · Unclear speech caused by weak or poorly coordinated speech muscles
3. A · Resting tremor, rigidity and slow movement
4. D · Cloudy fluid, many neutrophils, low glucose and high protein
5. B · Worse on waking and on coughing, with vomiting
6. C · Paralysed leg muscles no longer pump blood back to the heart
7. A · IV calcium gluconate
8. A · A patient with a glucose of 2,8 mmol/L (50 mg/dL) who is sweaty and confused
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