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

What is stress urinary incontinence?

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

What is a positive Kernig's sign?

1. ATwitching of the facial muscles when the cheek is tapped in front of the ear
2. BPain and resistance when the knee is straightened with the hip flexed
3. CBending of the hips and knees when the neck is flexed
4. DBruising behind the ear after a head injury

What is a goitre?

1. AAn enlarged thyroid gland
2. BA tumour of the adrenal gland
3. CAn overactive parathyroid gland
4. DA swollen lymph node in the armpit

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

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

Which symptoms are typical of hypokalaemia?

1. ATingling lips and facial twitching
2. BExcess thirst and very high glucose
3. CHeat intolerance and weight loss
4. DMuscle weakness, cramps and palpitations

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. BThời điểm chụp CT
3. CThời điểm đến bệnh viện
4. D23:00, lần cuối biết là bình thường

The nurse has four urology patients. Which one needs to be seen first?

1. AA patient after TURP with light pink drainage and mild discomfort
2. BA patient with stress incontinence asking about pelvic floor exercises
3. CA patient with a nephrostomy who has rigors and a BP of 86/50 mmHg
4. DA patient with a suprapubic catheter due for a routine change

A patient who had pituitary surgery has fatigue and feels cold. TSH is low, and free T4 is low. What is the most likely cause?

1. APrimary hypothyroidism from thyroid failure
2. BSecondary hypothyroidism
3. CHyperthyroidism from Graves' disease
4. DOver-replacement with levothyroxine