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

Which group of features is typical of Parkinson's disease?

1. ADrooping eyelids and double vision that get worse later in the day
2. BWeakness rising from the feet, with tingling and lost reflexes
3. CResting tremor, rigidity and slow movement
4. DIntention tremor, muscle wasting and twitching under the skin

Which picture is typical of Guillain–Barré syndrome?

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

What is an aura before a seizure?

1. AA rash that appears after some antiepileptic drugs
2. BA warning sensation, which is itself a small focal seizure
3. CThe confusion and sleepiness after a seizure ends
4. DA lasting change in vision that is caused by long-term epilepsy

Which side effects are common with oxybutynin for an overactive bladder?

1. AWeight loss and a fast tremor
2. BDry mouth and constipation
3. CDiarrhoea and heavy sweating
4. DA cough and a raised potassium

A patient with Alzheimer's disease starts donepezil. Which side effects should the nurse look for?

1. AA persistent dry cough and a raised potassium
2. BDry mouth, constipation and a fast heart rate
3. CNausea, diarrhoea and a slow heart rate
4. DWeight gain, high glucose and swollen ankles

Почему метформин обычно отменяют при остром повреждении почек или в связи с йодсодержащим контрастом у пациентов из группы риска?

1. AОн может накапливаться и повышать риск лактатацидоза
2. BОн блокирует контраст, поэтому снимок невозможно прочитать
3. CОн вызывает тяжёлую гипогликемию при совместном применении с контрастом
4. DОн вызывает гиперкалиемию при повреждении почек

Six weeks after a kidney transplant, a patient has a fever, tenderness over the graft, less urine and a rising creatinine. What is most likely?

1. AA normal finding as the kidney settles in
2. BDehydration that needs only more oral fluids and rest
3. CAcute rejection, needing urgent transplant team review
4. DA side effect of sun exposure

A patient with type 1 diabetes has a seizure on the ward. Their capillary glucose is 1,9 mmol/L (34 mg/dL). They cannot swallow. What is the most appropriate treatment?

1. AAn antiepileptic drug only, because seizures need seizure treatment
2. BA rapid-acting insulin dose to stabilise the glucose
3. CGlucose gel squeezed into the mouth during the seizure
4. DIV glucose or IM glucagon, then recheck the glucose