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?
AGrowth hormone and prolactin
BADH (vasopressin) and oxytocin
CInsulin and cortisol
DTSH and ACTH
2.Лёгкая
Which feature best distinguishes delirium from dementia?
ADifficulty finding the right words
BA sudden onset with attention that comes and goes
CGetting lost in places that were familiar
DMemory problems in a person over the age of 75
3.Лёгкая
Where should a urinary catheter drainage bag be kept?
AOn the bed next to the patient's pillow
BBelow the level of the bladder and off the floor
CAbove the bladder so urine flows faster
DOn the floor under the bed, out of the way
4.Средняя
A patient uses a continuous glucose monitor. Which statement is correct?
AIt works by giving small doses of insulin automatically
BIt makes finger-prick checks unnecessary in every situation
CIt measures glucose directly in the blood every second of the day
DIt reads glucose in fluid under the skin, a little behind blood glucose
5.Средняя
Which complication is a particular risk in nephrotic syndrome?
ABleeding from low platelets
BLow cholesterol
CHypoglycaemia
DVenous thrombosis
6.Средняя
A patient with type 1 diabetes has gastroenteritis and cannot eat. Which sick-day advice is correct?
AKeep taking basal insulin and check glucose and ketones more often
BAvoid drinking fluids to reduce the vomiting
CStop all insulin until normal eating restarts
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?
AOral prednisolone
BOral amoxicillin
CIV insulin
DIV aciclovir
8.Сложная
A kidney transplant recipient has had vomiting and diarrhoea for two days. Why should the transplant team be contacted?
AThe patient may not be absorbing their immunosuppressants
BThe kidney will start to produce far too much urine
CThe tablets will make the vomiting stop
DVomiting proves that rejection has already happened
Ответы
1. B · ADH (vasopressin) and oxytocin
2. B · A sudden onset with attention that comes and goes
3. B · Below the level of the bladder and off the floor
4. D · It reads glucose in fluid under the skin, a little behind blood glucose
5. D · Venous thrombosis
6. A · Keep taking basal insulin and check glucose and ketones more often
7. D · IV aciclovir
8. A · The patient may not be absorbing their immunosuppressants
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