Cevaplı Dahili-cerrahi: nöroloji, endokrin ve böbrek çalışma kâğıdı

Nöbet sırasında kaydedilecek en yararlı şey nedir?

1. ABoyunca her dakika hastanın kan basıncı
2. BYalnızca sonunda hastanın vücut sıcaklığı
3. CNe zaman başladığı ve bittiği ve nasıl göründüğü
4. DHastanın en son ne zaman bir şey yediği

Which feature best distinguishes delirium from dementia?

1. AA sudden onset with attention that comes and goes
2. BMemory problems in a person over the age of 75
3. CGetting lost in places that were familiar
4. DDifficulty finding the right words

Which side effect is linked to SGLT2 inhibitors such as dapagliflozin?

1. AGenital fungal infections
2. BOvergrowth of the gums
3. COrange urine
4. DHair loss

A patient has had a calcium oxalate kidney stone. Which advice best helps prevent another?

1. ACut all calcium out of the diet
2. BDrink only a little to avoid diluting the urine
3. CDrink plenty of fluid so the urine stays pale
4. DTake extra vitamin C supplements

Which picture fits Brown-Séquard syndrome?

1. AWeakness of both arms with normal strength in the legs
2. BWeakness on the same side and loss of pain on the opposite side
3. CLoss of all feeling but normal movement on both sides
4. DParalysis of both legs, with normal sensation everywhere in the body

Why are patients on haemodialysis vaccinated against hepatitis B?

1. AThe vaccine lowers the potassium level
2. BThe vaccine is needed to make the dialyser work
3. CHepatitis B vaccine improves the fistula flow
4. DShared dialysis units carry a higher infection risk

A patient taking an SGLT2 inhibitor is booked for major surgery. Which statement is correct?

1. ASurgery is not possible in patients taking this drug
2. BThe drug must be taken right up until the operation starts
3. CThe dose is usually doubled on the morning of surgery
4. DIt is usually paused in the days before surgery

A patient with myasthenia gravis took extra pyridostigmine doses. They now have more weakness, heavy salivation, sweating, diarrhoea, small pupils and a slow pulse. What is most likely?

1. AAn allergic reaction to the drug
2. BA myasthenic crisis from too little medication
3. CA cholinergic crisis from too much medication
4. DA normal response to a higher dose