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

What causes Graves' disease?

1. AToo much TSH from a pituitary tumour
2. BA viral infection of the parathyroid glands
3. CAntibodies that stimulate the TSH receptor
4. DA lack of iodine in the diet

What is stress urinary incontinence?

1. ALeaking after a sudden, strong urge to pass urine
2. BConstant dribbling from an overfull bladder
3. CLeaking urine when coughing, sneezing or lifting
4. DBeing unable to reach the toilet in time due to poor mobility

What is overflow incontinence?

1. ADribbling from a bladder that does not empty properly
2. BLeaking when sneezing or jumping
3. CWetting caused by not being able to undress quickly
4. DLeaking after a sudden strong urge

Một bệnh nhân thức dậy với triệu chứng đột quỵ. Họ đi ngủ khỏe mạnh lúc 23:00 và thức dậy lúc 06:30. Thời điểm nào được dùng làm thời điểm khởi phát?

1. A06:30, khi triệu chứng được nhận ra lần đầu
2. B23:00, lần cuối biết là bình thường
3. CThời điểm chụp CT
4. DThời điểm đến bệnh viện

A conscious patient with a glucose of 3,1 mmol/L (56 mg/dL) can swallow safely. Which is the best first treatment?

1. AGlucose tablets or a small glass of fruit juice
2. BA chocolate bar and a cup of tea with milk
3. CA dose of rapid-acting insulin with a sandwich
4. DA glass of milk and two plain biscuits

Why might a patient taking a beta-blocker not notice a hypoglycaemic episode?

1. ABeta-blockers block the effect of all diabetes medicines
2. BBeta-blockers make the patient sleep through every hypo
3. CBeta-blockers can mask the tremor and racing heart of a hypo
4. DBeta-blockers raise blood glucose, so hypos cannot happen

Six weeks after a kidney transplant, a patient has a fever, tenderness over the graft, less urine and a rising creatinine. What is most likely?

1. AA normal finding as the kidney settles in
2. BA side effect of sun exposure
3. CAcute rejection, needing urgent transplant team review
4. DDehydration that needs only more oral fluids and rest

A patient on warfarin starts levothyroxine for hypothyroidism. What should the nurse expect to monitor more closely?

1. AThe blood glucose, because it may fall
2. BThe urine output, because it may stop
3. CThe potassium, because it may rise
4. DThe INR, because it may rise