ورقة عمل التمريض الباطني الجراحي: الأعصاب والغدد الصماء والكلى مع الإجابات

What is diabetic gastroparesis?

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

How is the headache of a subarachnoid haemorrhage typically described?

1. ASudden and severe, reaching its peak within about a minute
2. BOne-sided and throbbing, with an aura beforehand
3. CA tight band around the head that comes and goes
4. DSlowly worsening over several weeks, worst in the morning

Which fasting plasma glucose level is used to diagnose diabetes?

1. A15,0 mmol/L (270 mg/dL) or higher
2. B7,0 mmol/L (126 mg/dL) or higher
3. C5,5 mmol/L (99 mg/dL) or higher
4. D4,0 mmol/L (72 mg/dL) or higher

A patient has confirmed meningococcal meningitis. What is usually offered to their close household contacts?

1. AA full course of IV antibiotics in hospital
2. BNo action unless they develop symptoms
3. CA lumbar puncture to check for infection
4. DPreventive antibiotics

Why should antiepileptic drugs not be stopped suddenly?

1. AThe drugs build up in the body and become toxic after stopping
2. BStopping them suddenly causes a dangerous rise in blood pressure
3. CSudden withdrawal can trigger seizures, including status epilepticus
4. DStopping them suddenly causes permanent damage to the liver and kidneys

أيّ عبارة عن إعطاء الفينيتوئين وريديًا صحيحة؟

1. Aينبغي دفعه بسرعة خلال بضع ثوانٍ
2. Bلا يحتاج إلى مراقبة نظم القلب أو ضغط الدم
3. Cيمكن مزجه في أي تسريب غلوكوز
4. Dيُعطى في كلوريد الصوديوم 0,9% مع مراقبة القلب

A patient with an insulin pump is admitted with nausea, a glucose of 19 mmol/L (342 mg/dL) and blood ketones of 3,1 mmol/L. What is the priority?

1. AIncrease the pump rate and recheck the ketones in 12 hours
2. BGive an antiemetic only, because nausea is causing the high glucose
3. CDisconnect the pump and give no insulin until the ketones clear
4. DSuspect failed insulin delivery and give insulin by another route

أثناء تسريب الألتيبلاز للسكتة، يصاب المريض بصداع شديد وتقيؤ وانخفاض في GCS. ماذا ينبغي أن تفعل الممرضة أولًا؟

1. Aتسريع التسريب لينتهي أسرع
2. Bإيقاف التسريب واستدعاء فريق السكتة عاجلًا
3. Cإعطاء مضاد قيء وإعادة فحص GCS بعد ساعة
4. Dإعطاء مهدئ لتهدئة المريض والمتابعة