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

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

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

How do sulfonylureas such as gliclazide lower blood glucose?

1. AThey slow down the absorption of food
2. BThey replace insulin that the body lacks
3. CThey make the pancreas release more insulin
4. DThey make the kidneys pass more glucose

Which is a common cause of a low potassium level?

1. AAdvanced chronic kidney disease
2. BTaking an ACE inhibitor such as ramipril
3. CTaking a loop diuretic such as furosemide
4. DAddison's disease

Why is levodopa combined with carbidopa (or benserazide)?

1. ATo stop levodopa being converted to dopamine outside the brain
2. BTo prevent tolerance from developing to levodopa over time
3. CTo add a separate effect that reduces the resting tremor directly
4. DTo make levodopa cross into the brain more slowly and evenly

A patient with Conn's syndrome starts spironolactone. Which blood test should the nurse watch most closely?

1. APotassium
2. BGlucose
3. CAmylase
4. DCalcium

Припадок длится пять минут и продолжается. Каково обычное медикаментозное лечение первой линии?

1. AБензодиазепин, такой как лоразепам внутривенно или мидазолам трансбуккально
2. BВнутривенно 50% глюкоза у каждого пациента, затем переоценка
3. CНагрузочная доза фенитоина внутривенно до всего остального
4. DАдреналин внутримышечно в наружную поверхность бедра

The night after hip surgery, an 84-year-old becomes suddenly confused and tries to pull out their IV line. What is the most appropriate first step?

1. ATell the family that this is the start of dementia
2. BApply wrist restraints to protect the IV line
3. CLook for causes such as low oxygen, pain, retention or infection
4. DAsk for a strong sedative so that the patient can sleep

A patient with Parkinson's disease becomes agitated and confused at night. Which newly prescribed drug should the nurse question?

1. ALactulose
2. BParacetamol (acetaminophen)
3. CHaloperidol
4. DMelatonin