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

What is a common complication after a lumbar puncture?

1. ALoss of hearing in one ear
2. BPermanent paralysis of both legs from nerve damage
3. CA rapid rise in blood glucose
4. DA headache that is worse when sitting or standing

What is the purpose of a steroid emergency card or medical alert ID?

1. ATo warn staff that extra steroid is needed in illness or injury
2. BTo let the patient buy steroids without a prescription
3. CTo record the patient's blood glucose results
4. DTo show that the patient is allergic to all types of steroid medicine

Which classic triad is described in renal cell carcinoma, although few patients have all three?

1. AFever, headache and a stiff neck
2. BPolyuria, thirst and weight loss with tiredness
3. CHaematuria, flank pain and a palpable mass
4. DDysuria, frequency and urgency

Before a haemodialysis catheter is used, why is the lock solution withdrawn from each lumen?

1. AIt contains concentrated anticoagulant
2. BIt contains a strong antibiotic that must be kept
3. CIt contains air that keeps the line open
4. DIt contains the patient's urine

Пациент, принимающий дапаглифлозин (ингибитор SGLT2), страдает от рвоты, кетоны в крови 4,5 mmol/L, но глюкоза всего 11 mmol/L. Что следует заподозрить?

1. AОбычный побочный эффект, не требующий действий
2. BГиперосмолярное гипергликемическое состояние
3. CЭугликемический диабетический кетоацидоз
4. DГипогликемию, вызванную рвотой

An 82-year-old taking apixaban fell three weeks ago. Since then their family has noticed increasing confusion and headaches. Which condition is most likely?

1. ANormal ageing with mild memory loss
2. BAcute extradural haematoma
3. CChronic subdural haematoma
4. DSubarachnoid haemorrhage from an aneurysm

A patient on warfarin starts levothyroxine for hypothyroidism. What should the nurse expect to monitor more closely?

1. AThe potassium, because it may rise
2. BThe INR, because it may rise
3. CThe blood glucose, because it may fall
4. DThe urine output, because it may stop

A patient arrives five hours after the onset of a stroke. A CT angiogram shows a blockage of a large artery in the brain. What is the most appropriate next step?

1. ANo treatment, because the time for any reperfusion has passed
2. BUrgent referral for assessment for mechanical thrombectomy
3. CStart IV alteplase immediately without further imaging
4. DGive aspirin and plan a review on the ward tomorrow