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

What is sciatica?

1. ACramp in the calf muscle after exercise, caused by low potassium levels
2. BPain that spreads down the back of the leg from an irritated nerve root
3. CPain in the front of the knee caused by arthritis
4. DStiffness of the hips in the morning

How should a patient collect a midstream urine sample?

1. ACollect the very first drops into the container
2. BCollect urine over 24 hours into one bottle
3. CCollect urine from the toilet bowl afterwards
4. DLet the first part go in the toilet, then catch the middle

How is the headache of a subarachnoid haemorrhage typically described?

1. ASlowly worsening over several weeks, worst in the morning
2. BSudden and severe, reaching its peak within about a minute
3. COne-sided and throbbing, with an aura beforehand
4. DA tight band around the head that comes and goes

A patient on ciclosporin or tacrolimus asks about grapefruit juice. Which advice is correct?

1. ADrink it with each dose to improve the absorption
2. BAvoid it, because it can raise the drug levels
3. CIt has no effect on these drugs
4. DDrink it daily to protect the kidney

A patient takes levodopa for Parkinson's disease. Which teaching point is correct?

1. AThe tablets work best taken with a large steak dinner
2. BStop the drug for a day each week to avoid tolerance
3. CThe drug cures the disease if taken for a full year
4. DLarge high-protein meals can reduce how well the drug works

Which statement about the PSA blood test is correct?

1. AA normal result always rules out any prostate cancer
2. BA raised result always means prostate cancer
3. CIt is only raised in women with bladder cancer
4. DIt can be raised by benign problems as well as by cancer

A patient arrives five hours after the onset of a stroke. A CT angiogram shows a blockage of a large artery in the brain. What is the most appropriate next step?

1. AUrgent referral for assessment for mechanical thrombectomy
2. BGive aspirin and plan a review on the ward tomorrow
3. CNo treatment, because the time for any reperfusion has passed
4. DStart IV alteplase immediately without further imaging

Пациент с инсультом и слабостью справа готов к переводу с кровати на стул. Какой подход наиболее безопасен?

1. AПопросить пациента встать самостоятельно и дойти до стула
2. BПоставить стул справа и поднимать за слабую руку
3. CПодтянуть пациента за правое плечо и запястье
4. DПоставить стул слева и повернуться к нему