Терапия и хирургия: нервная, эндокринная системы и почки: лист заданий с ответами
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1.Лёгкая
Which symptoms are typical of benign prostatic hyperplasia?
AA weak stream, hesitancy and passing urine at night
BLeaking urine only when coughing or laughing
CPainless red urine with clots and weight loss
DBurning pain on passing urine with a high fever
2.Лёгкая
What is the main action of ADH (antidiuretic hormone)?
AIt makes the kidneys keep potassium
BIt makes the kidneys reabsorb water
CIt makes the kidneys pass more glucose
DIt makes the kidneys pass more water
3.Лёгкая
Which picture is typical of Guillain–Barré syndrome?
AMuscle weakness that worsens late in the day and improves with rest
BA sudden one-sided facial droop with slurred speech
CA resting tremor that slowly spreads to the other hand
DRising weakness from the legs, weeks after an infection
4.Средняя
Пациент с инсультом в правом полушарии игнорирует еду на левой стороне тарелки. Как это называется?
AМозжечковая атаксия
BЭкспрессивная афазия
CДисфагия
DЛевостороннее пренебрежение (неглект)
5.Средняя
Why is levodopa combined with carbidopa (or benserazide)?
ATo make levodopa cross into the brain more slowly and evenly
BTo prevent tolerance from developing to levodopa over time
CTo stop levodopa being converted to dopamine outside the brain
DTo add a separate effect that reduces the resting tremor directly
6.Средняя
A patient uses a continuous glucose monitor. Which statement is correct?
AIt measures glucose directly in the blood every second of the day
BIt works by giving small doses of insulin automatically
CIt makes finger-prick checks unnecessary in every situation
DIt reads glucose in fluid under the skin, a little behind blood glucose
7.Сложная
After removal of a cortisol-producing adrenal adenoma, why may the patient need hydrocortisone for months?
AThe tumour will grow back quickly without it
BHydrocortisone helps the wound to heal
CThe other adrenal gland has been suppressed
DThe operation always removes both adrenal glands
8.Сложная
A patient with type 1 diabetes is vomiting at home. Their glucose is 12 mmol/L (216 mg/dL), and blood ketones are 3,5 mmol/L. What advice is correct?
AStop insulin until the vomiting has settled
BSeek urgent hospital assessment for possible DKA
CWait until the glucose is above 20 mmol/L (360 mg/dL)
DDrink less fluid to stop the vomiting
Ответы
1. A · A weak stream, hesitancy and passing urine at night
2. B · It makes the kidneys reabsorb water
3. D · Rising weakness from the legs, weeks after an infection
4. D · Левостороннее пренебрежение (неглект)
5. C · To stop levodopa being converted to dopamine outside the brain
6. D · It reads glucose in fluid under the skin, a little behind blood glucose
7. C · The other adrenal gland has been suppressed
8. B · Seek urgent hospital assessment for possible DKA
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