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

What is acromegaly?

1. AToo much growth hormone in an adult
2. BToo little growth hormone in a child
3. CToo much cortisol from the adrenal glands
4. DToo little thyroid hormone in an adult

Какое утверждение о транзиторной ишемической атаке (ТИА) верно?

1. AНаблюдение не нужно, потому что все симптомы проходят
2. BСимптомы длятся дни и оставляют стойкую слабость
3. CОна вызвана небольшим кровоизлиянием в ткань мозга
4. DСимптомы полностью проходят, но риск инсульта высок, поэтому нужна срочная оценка

Which is a common effect of long-term corticosteroid treatment?

1. AA lower risk of infections
2. BLow blood glucose
3. CThinning of the bones
4. DWeight loss and a slim face

Which nursing action helps most to prevent and manage delirium in an older inpatient?

1. AKeep the lights on all night so the patient can see clearly
2. BUse glasses and hearing aids and reorient the patient often
3. CMove the patient to a different room each day for variety
4. DRestrain the patient so that they do not wander off the ward

Какое утверждение о внутривенном введении фенитоина верно?

1. AЕго следует вводить быстро, за несколько секунд
2. BНе требуется контроль сердечного ритма и артериального давления
3. CЕго можно добавлять в любую инфузию глюкозы
4. DЕго вводят в 0,9% хлориде натрия при кардиомониторинге

A patient with migraine takes painkillers or triptans on most days and now has a headache almost every day. What is the likely problem?

1. AA brain tumour, which is almost certain
2. BMedication overuse headache
3. CAn allergy to the painkillers
4. DNormal progress of migraine

After a stroke, a patient suddenly cries or laughs at odd moments. They say they do not feel sad. Which response is most appropriate?

1. AIgnore it, because it shows that the patient is seeking attention from the staff
2. BAsk the doctor for a sedative to stop the outbursts
3. CExplain that this is emotional lability after stroke and help the family understand
4. DTell the patient that crying will slow their recovery

A prescription reads "Insulin 10U". Why is this a safety problem?

1. A"U" means the insulin must be given intravenously
2. BThere is no problem as long as the nurse can read it
3. CInsulin doses must always be written in millilitres
4. D"U" can be misread as a zero, giving a tenfold dose