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

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

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

Which statement about metformin is correct?

1. AIt works by making the pancreas release a lot more insulin
2. BUsed on its own, it rarely causes hypoglycaemia
3. CIt is the usual first treatment for type 1 diabetes in adults
4. DIt is given by injection into the abdomen once a week

Which finding is a common reason for urgent dialysis?

1. AA single episode of itching
2. BA mildly raised creatinine with no symptoms
3. CHyperkalaemia that does not respond to treatment
4. DA haemoglobin of 105 g/L (10,5 g/dL) with mild tiredness

Пациент с инсультом в правом полушарии игнорирует еду на левой стороне тарелки. Как это называется?

1. AДисфагия
2. BЭкспрессивная афазия
3. CМозжечковая атаксия
4. DЛевостороннее пренебрежение (неглект)

An 85-year-old care home resident becomes newly confused and is falling more often. A UTI is one possibility. Why?

1. AConfusion is the only symptom of a UTI at any age
2. BOlder adults often show infection as confusion
3. CUrinary infections always cause a high fever in older adults
4. DA UTI cannot occur in people over 80

Как следует подогревать жидкость для перитонеального диализа перед использованием?

1. AЕё следует использовать холодной из холодильника
2. BВ специальном сухожаровом подогревателе
3. CВ микроволновой печи
4. DВ миске с горячей водопроводной водой

A patient with a subarachnoid haemorrhage develops a low sodium. Why is fluid restriction usually avoided in this patient?

1. ALow sodium in this condition always corrects itself
2. BLow blood volume can worsen vasospasm and brain ischaemia
3. CFluid restriction would cause the aneurysm to re-bleed
4. DFluid restriction raises the risk of seizures

A patient on levothyroxine has palpitations, weight loss and poor sleep. TSH is suppressed, and free T4 is high. What is the most likely explanation?

1. AThe dose is too high
2. BThe dose is too low
3. CThe thyroid has stopped working
4. DA normal response to the drug