Phiếu bài tập Nội–ngoại khoa: thần kinh, nội tiết và thận có đáp án

Which description fits a cluster headache?

1. ASevere one-sided pain around the eye with a watery eye
2. BA throbbing headache on both sides after drinking coffee
3. CA slowly worsening headache over months with vomiting in the morning
4. DA mild band-like ache across both sides of the head

Why can a new arteriovenous fistula not be used straight away?

1. AThe vein needs weeks to enlarge and thicken
2. BThe artery must first grow back to its full size
3. CThe arm must be in plaster for a month
4. DThe stitches must be removed first

Khi nào thường tiêm insulin tác dụng rất nhanh như insulin aspart hoặc lispro?

1. ALúc đi ngủ, không ăn gì
2. BMột lần mỗi ngày, bất kể bữa ăn
3. CKhoảng hai giờ sau bữa ăn
4. DNgay trước hoặc cùng bữa ăn

A patient with type 1 diabetes has gastroenteritis and cannot eat. Which sick-day advice is correct?

1. AKeep taking basal insulin and check glucose and ketones more often
2. BStop all insulin until normal eating restarts
3. CCheck glucose once a day only and rest in bed until better
4. DAvoid drinking fluids to reduce the vomiting

After a change in the levothyroxine dose, when is the TSH usually rechecked?

1. AAfter about 2 years of treatment
2. BAfter 3 days
3. CAfter 24 hours
4. DAfter about 6–8 weeks

Why are tacrolimus blood levels checked regularly?

1. AThe levels show whether the patient has diabetes
2. BThe drug only works if levels are as high as possible
3. CToo high harms the kidney; too low risks rejection
4. DThe levels show how much urine the kidney is making

During a water deprivation test for suspected diabetes insipidus, the patient loses more than 3% of body weight and becomes hypotensive. What should the nurse do?

1. AStop the test and inform the doctor
2. BGive desmopressin without a prescription
3. CGive the patient a large drink and then restart the test
4. DContinue the test, because this result is expected

During haemodialysis, a patient suddenly becomes breathless with chest pain, and air is seen in the line. What should the nurse do first?

1. AClamp the lines and lay the patient left side down, head low
2. BSit the patient upright and give a drink of water
3. CContinue the session and recheck in 30 minutes
4. DSpeed up the pump to clear the air into the patient