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

What is diabetic gastroparesis?

1. AA stomach ulcer caused by long-term metformin use
2. BA blockage of the small bowel by scar tissue
3. CInflammation of the pancreas from high glucose
4. DSlow emptying of the stomach due to nerve damage

What does the HbA1c test show?

1. AThe blood glucose at the exact moment that the sample is taken
2. BThe average blood glucose over about two to three months
3. CThe glucose level over the last 24 hours only
4. DThe amount of insulin the pancreas is making

What is stress urinary incontinence?

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

A woman who takes the combined contraceptive pill is starting carbamazepine. What should she be taught?

1. AThere is no interaction between these two medicines
2. BThe pill makes carbamazepine toxic, so she must stop the pill
3. CCarbamazepine can make the pill less effective, so other contraception is needed
4. DShe should take both at the same time so they are absorbed together

A patient with Conn's syndrome starts spironolactone. Which blood test should the nurse watch most closely?

1. APotassium
2. BGlucose
3. CAmylase
4. DCalcium

A patient is starting nitrofurantoin for a UTI. Which teaching point is correct?

1. AIt turns the tears and sweat bright orange
2. BIt must be taken only once a week
3. CIt should be taken on an empty stomach with milk
4. DIt may turn the urine dark yellow or brown

A patient with diabetes insipidus after head trauma needs hourly urine output measurement. Which task can be delegated to a trained healthcare assistant (nursing assistant)?

1. AMeasuring hourly urine and reporting results above a set amount
2. BDeciding whether to give the next desmopressin dose
3. CAssessing the patient's level of consciousness
4. DInterpreting the serum sodium results

A patient with hypopituitarism needs both hydrocortisone and levothyroxine. Which is usually started first?

1. ANeither, until symptoms appear
2. BBoth on the same day, in any order
3. CHydrocortisone
4. DLevothyroxine