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

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1.Лёгкая

Where should a urinary catheter drainage bag be kept?

  1. AAbove the bladder so urine flows faster
  2. BOn the bed next to the patient's pillow
  3. CBelow the level of the bladder and off the floor
  4. DOn the floor under the bed, out of the way
2.Лёгкая

A patient with Bell's palsy cannot close one eye fully. Which advice is most important?

  1. AUse lubricating eye drops and protect or tape the eye at night
  2. BMassage the closed eyeball firmly several times every day
  3. CLeave the eye uncovered so air can dry it out
  4. DWear contact lenses to keep the eye moist
3.Лёгкая

Когда обычно вводят инсулин быстрого действия, такой как инсулин аспарт или лизпро?

  1. AПримерно через два часа после еды
  2. BНа ночь, без еды
  3. CОдин раз в день независимо от приёмов пищи
  4. DНепосредственно перед едой или во время еды
4.Средняя

When a patient sticks out their tongue, it points to the right. Which nerve is affected?

  1. AThe right hypoglossal nerve (XII)
  2. BThe right facial nerve (VII)
  3. CThe left trigeminal nerve (V)
  4. DThe left hypoglossal nerve (XII)
5.Средняя

A patient has radioactive iodine treatment for hyperthyroidism. Which advice is correct?

  1. AStay in strict isolation in hospital for several months
  2. BStart breastfeeding again the next day
  3. CLimit close contact with children and pregnant women for a time
  4. DThere are no precautions, because the dose is tiny
6.Средняя

A patient with a spinal cord injury can still feel a light touch around the anus. What does this show?

  1. AThe injury is incomplete, which suggests a better chance of recovery
  2. BThe injury is complete, and recovery is not possible
  3. CThe patient has an injury of the brain, not the cord
  4. DThe sensation is only a spinal reflex and has no real meaning for recovery
7.Сложная

A patient with untreated end-stage kidney disease has chest pain that is worse lying flat and better sitting forward. A rub is heard over the heart. What is most likely?

  1. AA rib fracture from coughing
  2. BUraemic pericarditis, which usually needs urgent dialysis
  3. CIndigestion from phosphate binders
  4. DA stable angina attack, which needs only a nitrate spray and rest
8.Сложная

A large pituitary tumour presses on the optic chiasm. Which visual field defect is most typical?

  1. ALoss of the inner half of the field in both eyes
  2. BLoss of the outer half of the field in both eyes
  3. CLoss of central vision in both eyes
  4. DComplete blindness in one eye only

Ответы

  1. 1. C · Below the level of the bladder and off the floor
  2. 2. A · Use lubricating eye drops and protect or tape the eye at night
  3. 3. D · Непосредственно перед едой или во время еды
  4. 4. A · The right hypoglossal nerve (XII)
  5. 5. C · Limit close contact with children and pregnant women for a time
  6. 6. A · The injury is incomplete, which suggests a better chance of recovery
  7. 7. B · Uraemic pericarditis, which usually needs urgent dialysis
  8. 8. B · Loss of the outer half of the field in both eyes

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