1.ง่าย
Which type of diabetes is mainly caused by autoimmune destruction of the insulin-producing beta cells?
- AType 1 diabetes
- BDiabetes insipidus
- CGestational diabetes
- DType 2 diabetes
2.ง่าย
What is ascites?
- AFluid in the knee joint
- BAir under the skin
- CFluid in the peritoneal cavity
- DFluid in the pericardial sac
3.ง่าย
Pain from gallstones (biliary colic) is typically felt in which area?
- ABehind the left knee
- BThe right upper abdomen, often after a fatty meal
- CThe lower back on the left, when walking
- DThe left lower abdomen, usually after drinking water
4.ปานกลาง
Which rule is essential for safe use of patient-controlled analgesia (PCA)?
- ARelatives should press it while the patient sleeps
- BThe button should be pressed before each meal
- CThe nurse should press it every hour
- DOnly the patient should press the button
5.ปานกลาง
A patient is prescribed two different eye drops at the same time. What is correct?
- AGive both drops at once into the same eye
- BGive one drop now and the other the next day
- CMix the two drops in one bottle
- DWait about five minutes between the two drops
6.ปานกลาง
Which side effect is associated with SGLT2 inhibitors such as dapagliflozin?
- AHair loss
- BSevere weight gain and fluid retention
- CGenital fungal infections
- DBradycardia
7.ยาก
A nurse phones a doctor about a deteriorating patient using SBAR. Which statement belongs in the "R" section?
- A"Please review him within the next 15 minutes."
- B"I am calling about Mr Smith, who is breathless."
- C"He was admitted three days ago with pneumonia."
- D"His blood pressure is 85/50 and he is confused."
8.ยาก
A patient has a blood pressure of 220/130 mmHg with headache, confusion and visual disturbance. Why is the blood pressure lowered in a controlled way rather than as fast as possible?
- AA sudden drop can reduce blood flow to the brain, heart and kidneys
- BRapid lowering causes hyperglycaemia
- CBlood pressure cannot be lowered with drugs
- DRapid lowering always causes the hypertension to come back much worse
เฉลย
- 1. A · Type 1 diabetes
- 2. C · Fluid in the peritoneal cavity
- 3. B · The right upper abdomen, often after a fatty meal
- 4. D · Only the patient should press the button
- 5. D · Wait about five minutes between the two drops
- 6. C · Genital fungal infections
- 7. A · "Please review him within the next 15 minutes."
- 8. A · A sudden drop can reduce blood flow to the brain, heart and kidneys
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