Терапия и хирургия: нервная, эндокринная системы и почки: лист заданий с ответами
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1.Лёгкая
Как обычно следует принимать левотироксин?
AС плотным завтраком, включающим молоко и кофе
BНа ночь вместе с таблеткой кальция или железа
CНатощак, за 30–60 минут до завтрака
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?
AChronic subdural haematoma
BDiffuse axonal injury
CConcussion
DExtradural haematoma
3.Лёгкая
What is the most common type of kidney stone?
AStruvite
BUric acid
CCystine
DCalcium oxalate
4.Средняя
A man starts tamsulosin for BPH. Which teaching point is most important?
AStand up slowly, because it can make you dizzy
BTake it with grapefruit juice to make it work better
CExpect the drug to shrink the prostate within a day
DStop it if the urine stream improves
5.Средняя
An 80-year-old with angina is diagnosed with hypothyroidism. How is levothyroxine usually started?
AAs a single large weekly injection
BAt a full dose from the first day
COnly after the angina has been cured
DAt a low dose, increased slowly
6.Средняя
Which measure best prevents catheter-associated urinary tract infection?
ARemove the catheter as soon as it is no longer needed
BKeep the drainage bag above bladder level
CDisconnect the bag regularly to empty it
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?
AContact the prescriber or pharmacist about another route
BOmit the dose until the patient can swallow again
CGive double the dose once eating restarts
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?
AAdvice to rest at home and take stronger painkillers
BA laxative and review in the clinic in a month
CA routine physiotherapy appointment next week
DUrgent MRI and referral to the spinal surgeons
Ответы
1. C · Натощак, за 30–60 минут до завтрака
2. D · Extradural haematoma
3. D · Calcium oxalate
4. A · Stand up slowly, because it can make you dizzy
5. D · At a low dose, increased slowly
6. A · Remove the catheter as soon as it is no longer needed
7. A · Contact the prescriber or pharmacist about another route
8. D · Urgent MRI and referral to the spinal surgeons
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