Терапия и хирургия: нервная, эндокринная системы и почки: лист заданий с ответами
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1.Лёгкая
Какой анализ крови чаще всего используют для оценки функции почек?
AУровень альбумина сыворотки
BУровень амилазы сыворотки
CКреатинин сыворотки (рСКФ)
DHbA1c (гликированный гемоглобин)
2.Лёгкая
What is sciatica?
ACramp in the calf muscle after exercise, caused by low potassium levels
BPain that spreads down the back of the leg from an irritated nerve root
CPain in the front of the knee caused by arthritis
DStiffness of the hips in the morning
3.Лёгкая
Which is a common cause of a low potassium level?
AAddison's disease
BTaking a loop diuretic such as furosemide
CTaking an ACE inhibitor such as ramipril
DAdvanced chronic kidney disease
4.Средняя
Why are insulin and glucose given together to treat hyperkalaemia?
AInsulin makes the kidneys pass more potassium in the urine
BInsulin protects the heart muscle cells from the potassium
CGlucose binds the potassium in the blood and removes it
DInsulin moves potassium into cells; glucose prevents a hypo
5.Средняя
Why must Parkinson's medicines be given on time in hospital?
AGiving them on time prevents the disease from getting worse
BLate doses cause the patient to develop high blood glucose
CLate doses can soon cause stiffness, falls and poor swallowing
DLate doses build up in the blood and cause an overdose
6.Средняя
Which finding most suggests fluid overload in a patient with chronic kidney disease?
AA weight gain of 2 kg (4,4 lb) in two days with ankle swelling
BDark yellow urine and thirst
CA weight loss of 1 kg (2,2 lb) after a hot day
DA dry mouth and a low blood pressure when standing
7.Сложная
A patient with stable epilepsy on phenytoin started a new medicine last week. They now have nystagmus, an unsteady gait and slurred speech. What should the nurse do?
AEncourage the patient to walk more to improve their balance
BSuspect phenytoin toxicity, hold the next dose and ask for a drug level
CSuspect a new stroke and give aspirin straight away before any scan
DGive the next phenytoin dose early to prevent a seizure
8.Сложная
A patient with SIADH is taught about a fluid restriction. Which statement shows a need for further teaching?
A"I will report any headaches or confusion."
B"If I feel thirsty, I can drink as much water as I like."
C"I will count all drinks, including soup, in my daily total."
D"I will weigh myself every morning."
Ответы
1. C · Креатинин сыворотки (рСКФ)
2. B · Pain that spreads down the back of the leg from an irritated nerve root
3. B · Taking a loop diuretic such as furosemide
4. D · Insulin moves potassium into cells; glucose prevents a hypo
5. C · Late doses can soon cause stiffness, falls and poor swallowing
6. A · A weight gain of 2 kg (4,4 lb) in two days with ankle swelling
7. B · Suspect phenytoin toxicity, hold the next dose and ask for a drug level
8. B · "If I feel thirsty, I can drink as much water as I like."
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