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

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1.Лёгкая

Which hormones are released from the posterior pituitary gland?

  1. AGrowth hormone and prolactin
  2. BADH (vasopressin) and oxytocin
  3. CInsulin and cortisol
  4. DTSH and ACTH
2.Лёгкая

Which feature best distinguishes delirium from dementia?

  1. ADifficulty finding the right words
  2. BA sudden onset with attention that comes and goes
  3. CGetting lost in places that were familiar
  4. DMemory problems in a person over the age of 75
3.Лёгкая

Where should a urinary catheter drainage bag be kept?

  1. AOn the bed next to the patient's pillow
  2. BBelow the level of the bladder and off the floor
  3. CAbove the bladder so urine flows faster
  4. DOn the floor under the bed, out of the way
4.Средняя

A patient uses a continuous glucose monitor. Which statement is correct?

  1. AIt works by giving small doses of insulin automatically
  2. BIt makes finger-prick checks unnecessary in every situation
  3. CIt measures glucose directly in the blood every second of the day
  4. DIt reads glucose in fluid under the skin, a little behind blood glucose
5.Средняя

Which complication is a particular risk in nephrotic syndrome?

  1. ABleeding from low platelets
  2. BLow cholesterol
  3. CHypoglycaemia
  4. DVenous thrombosis
6.Средняя

A patient with type 1 diabetes has gastroenteritis and cannot eat. Which sick-day advice is correct?

  1. AKeep taking basal insulin and check glucose and ketones more often
  2. BAvoid drinking fluids to reduce the vomiting
  3. CStop all insulin until normal eating restarts
  4. DCheck glucose once a day only and rest in bed until better
7.Сложная

A patient has fever, confusion, odd behaviour and a new seizure. Herpes simplex encephalitis is suspected. Which drug is usually started straight away?

  1. AOral prednisolone
  2. BOral amoxicillin
  3. CIV insulin
  4. DIV aciclovir
8.Сложная

A kidney transplant recipient has had vomiting and diarrhoea for two days. Why should the transplant team be contacted?

  1. AThe patient may not be absorbing their immunosuppressants
  2. BThe kidney will start to produce far too much urine
  3. CThe tablets will make the vomiting stop
  4. DVomiting proves that rejection has already happened

Ответы

  1. 1. B · ADH (vasopressin) and oxytocin
  2. 2. B · A sudden onset with attention that comes and goes
  3. 3. B · Below the level of the bladder and off the floor
  4. 4. D · It reads glucose in fluid under the skin, a little behind blood glucose
  5. 5. D · Venous thrombosis
  6. 6. A · Keep taking basal insulin and check glucose and ketones more often
  7. 7. D · IV aciclovir
  8. 8. A · The patient may not be absorbing their immunosuppressants

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