ورقة عمل التمريض السريري مع الإجابات

The term "hemiplegia" means:

1. AParalysis of both legs
2. BParalysis of all four limbs
3. CParalysis of one side of the body
4. DWeakness of the facial muscles only

What is a transient ischaemic attack (TIA)?

1. AA type of migraine with no risk of stroke
2. BShort-lived stroke-like symptoms that resolve completely
3. CA permanent stroke caused by bleeding into the brain
4. DA heart attack affecting the brain

Which heart rhythm needs immediate defibrillation in a patient in cardiac arrest?

1. AFirst-degree heart block
2. BAsystole
3. CSinus bradycardia
4. DVentricular fibrillation

A patient on insulin reports nightmares, night sweats and morning headaches. What should be suspected?

1. ANight-time hypoglycaemia
2. BA urinary tract infection
3. CRaised intracranial pressure
4. DHyperthyroidism

تبدو فغرة قولونية جديدة أرجوانية داكنة إلى سوداء في اليوم الثاني بعد الجراحة. على ماذا يدل ذلك؟

1. Aكدمات طبيعية بعد الجراحة في الفغرة لا تحتاج إلى إجراء
2. Bفغرة سليمة طبيعية
3. Cالإمساك
4. Dاحتمال نقص تروية الفغرة، مما يستلزم مراجعة عاجلة

Which blood result often rises in an upper GI bleed because blood is digested in the gut?

1. ASodium
2. BGlucose
3. CCalcium
4. DUrea (blood urea nitrogen)

Why must severe chronic hyponatraemia be corrected slowly?

1. ASodium given quickly causes immediate cardiac arrest
2. BFast correction causes severe hypoglycaemia and seizures in most patients
3. CToo-rapid correction can cause osmotic demyelination in the brain
4. DFast correction makes the kidneys stop producing urine

A patient's hypoglycaemia was caused by a sulfonylurea such as gliclazide or glipizide. Why might they need monitoring for longer than usual?

1. AThe drug makes glucose tablets and drinks ineffective
2. BSulfonylureas act for a long time, so hypoglycaemia can recur
3. CSulfonylureas only work at night
4. DThe drug causes rebound hyperglycaemia later the same day