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

In primary hypothyroidism, what is the usual TSH result?

1. ALow
2. BHigh
3. CUndetectable
4. DNormal

Which picture is typical of Guillain–Barré syndrome?

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

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

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

Before surgery for a phaeochromocytoma, why is an alpha-blocker started before any beta-blocker?

1. AThe order of the two drugs makes no difference
2. BBeta-blockers given first would make the tumour grow faster
3. CA beta-blocker alone can cause a dangerous rise in BP
4. DAlpha-blockers lower the blood glucose before surgery

Which statement about the PSA blood test is correct?

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

Which statement about storing insulin is correct?

1. AAll insulin must be stored in the freezer to keep it stable
2. BInsulin that has been frozen can be used once it has thawed
3. CInsulin should be kept on a sunny windowsill to stay warm
4. DUnopened insulin goes in the fridge and must never be frozen

Во время инфузии алтеплазы при инсульте у пациента появляются сильная головная боль, рвота и снижение ШКГ. Что должна сделать медсестра в первую очередь?

1. AОстановить инфузию и срочно вызвать инсультную бригаду
2. BУскорить инфузию, чтобы она закончилась скорее
3. CДать седативное средство, чтобы успокоить пациента, и продолжить
4. DДать противорвотное и перепроверить ШКГ через час

At bedtime, a patient was given their rapid-acting insulin by mistake instead of their long-acting insulin. What should the nurse do?

1. AGive glucagon now, before the glucose has fallen
2. BSay nothing, because the patient is asleep and seems fine
3. CGive the long-acting dose as well and check glucose at breakfast
4. DTell the prescriber and check glucose often overnight