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

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1.Лёгкая

Как обычно следует принимать левотироксин?

  1. AС плотным завтраком, включающим молоко и кофе
  2. BНа ночь вместе с таблеткой кальция или железа
  3. CНатощак, за 30–60 минут до завтрака
  4. DТолько в дни, когда пациент чувствует усталость
2.Лёгкая

Which head injury is classically linked to a lucid interval after a blow to the side of the head?

  1. AChronic subdural haematoma
  2. BDiffuse axonal injury
  3. CConcussion
  4. DExtradural haematoma
3.Лёгкая

What is the most common type of kidney stone?

  1. AStruvite
  2. BUric acid
  3. CCystine
  4. DCalcium oxalate
4.Средняя

A man starts tamsulosin for BPH. Which teaching point is most important?

  1. AStand up slowly, because it can make you dizzy
  2. BTake it with grapefruit juice to make it work better
  3. CExpect the drug to shrink the prostate within a day
  4. DStop it if the urine stream improves
5.Средняя

An 80-year-old with angina is diagnosed with hypothyroidism. How is levothyroxine usually started?

  1. AAs a single large weekly injection
  2. BAt a full dose from the first day
  3. COnly after the angina has been cured
  4. DAt a low dose, increased slowly
6.Средняя

Which measure best prevents catheter-associated urinary tract infection?

  1. ARemove the catheter as soon as it is no longer needed
  2. BKeep the drainage bag above bladder level
  3. CDisconnect the bag regularly to empty it
  4. DChange the catheter for a new one every day
7.Сложная

A patient with Parkinson's disease is nil by mouth after abdominal surgery. Their levodopa is due. What is the best action?

  1. AContact the prescriber or pharmacist about another route
  2. BOmit the dose until the patient can swallow again
  3. CGive double the dose once eating restarts
  4. DGive the tablets with a sip of water anyway
8.Сложная

A patient with known back pain says they now cannot feel the skin between their legs and have not passed urine for 12 hours. What should happen?

  1. AAdvice to rest at home and take stronger painkillers
  2. BA laxative and review in the clinic in a month
  3. CA routine physiotherapy appointment next week
  4. DUrgent MRI and referral to the spinal surgeons

Ответы

  1. 1. C · Натощак, за 30–60 минут до завтрака
  2. 2. D · Extradural haematoma
  3. 3. D · Calcium oxalate
  4. 4. A · Stand up slowly, because it can make you dizzy
  5. 5. D · At a low dose, increased slowly
  6. 6. A · Remove the catheter as soon as it is no longer needed
  7. 7. A · Contact the prescriber or pharmacist about another route
  8. 8. D · Urgent MRI and referral to the spinal surgeons

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