1.Dễ
Which symptoms are typical of a prolactinoma in a woman?
- AVery dark skin creases and a craving for salt
- BKidney stones, bone pain and constipation
- CMilky nipple discharge and irregular periods
- DWeight loss with heat intolerance and a fine tremor
2.Dễ
After an acute stroke, what must happen before the patient is given food, drink or oral medicines?
- AA swallow screen by a trained professional
- BA check that bowel sounds are present in all four quadrants
- CA full set of blood tests
- DA chest X-ray to check the lungs
3.Dễ
Which group of symptoms is classic for meningitis?
- AChest pain, cough and wheeze
- BJoint pain, rash on the cheeks and hair loss
- CFever, headache and neck stiffness
- DFlank pain, fever and painful urination
4.Trung bình
A patient's potassium stays low despite replacement. Which other level should be checked?
- AAmylase
- BFerritin
- CBilirubin
- DMagnesium
5.Trung bình
A patient is due a rapid-acting insulin dose before lunch, but the meal trays are delayed. What should the nurse do?
- AGive the insulin now and the meal when it comes
- BWait to give the insulin until the meal arrives
- COmit the dose entirely for the rest of the day
- DGive the insulin with a glass of water instead
6.Trung bình
Which CSF result is most typical of bacterial meningitis?
- ABlood-stained fluid that clears in later tubes
- BClear fluid with normal cells, glucose and protein
- CClear fluid, many lymphocytes, normal glucose and slightly raised protein
- DCloudy fluid, many neutrophils, low glucose and high protein
7.Khó
Sau phẫu thuật, một bệnh nhân bệnh Graves có thân nhiệt 39,8 °C, nhịp tim 160/phút, kích động và nôn. Bộ điều trị nào phù hợp nhất?
- AHạn chế dịch và thuốc lợi tiểu quai để điều trị nhịp nhanh
- BAspirin cho sốt và bác sĩ gia đình xem lại trong một tuần
- CHạ nhiệt, thuốc chẹn beta, thuốc kháng giáp, rồi iod và steroid
- DLevothyroxine và chăn ấm để làm dịu run lạnh
8.Khó
A drowsy patient's glucose meter shows "HI". What should the nurse do?
- ATreat it as very high, check ketones and escalate
- BGive glucose gel in case the reading is wrong
- CAssume the meter is broken and recheck tomorrow
- DRecord "normal" in the notes because no number appears
Đáp án
- 1. C · Milky nipple discharge and irregular periods
- 2. A · A swallow screen by a trained professional
- 3. C · Fever, headache and neck stiffness
- 4. D · Magnesium
- 5. B · Wait to give the insulin until the meal arrives
- 6. D · Cloudy fluid, many neutrophils, low glucose and high protein
- 7. C · Hạ nhiệt, thuốc chẹn beta, thuốc kháng giáp, rồi iod và steroid
- 8. A · Treat it as very high, check ketones and escalate
Lời giải đầy đủ từng bước: hãy luyện chủ đề này trên examproblems.com.