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

ما سبب شائع قبل الكلوي للأذية الكلوية الحادة؟

1. Aتلف الأنابيب الكلوية بسبب الجنتاميسين
2. Bتضخم البروستات المعيق للتصريف
3. Cالجفاف أو انخفاض ضغط الدم
4. Dحصى كلوية تسد الحالبين معًا

Which is a common effect of long-term corticosteroid treatment?

1. ALow blood glucose
2. BA lower risk of infections
3. CWeight loss and a slim face
4. DThinning of the bones

Which group of features is typical of Parkinson's disease?

1. AWeakness rising from the feet, with tingling and lost reflexes
2. BDrooping eyelids and double vision that get worse later in the day
3. CResting tremor, rigidity and slow movement
4. DIntention tremor, muscle wasting and twitching under the skin

A patient on insulin asks about drinking alcohol. Which advice is correct?

1. AAlcohol has no effect on blood glucose in people with diabetes
2. BAlcohol raises glucose, so extra insulin should be taken first
3. CAlcohol should replace a meal on the days it is drunk
4. DAlcohol can cause hypos, even the next day, so eat carbs with it

Which symptoms are typical of hypokalaemia?

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

مريض سكتة يفهم ما يُقال لكنه يعاني إيجاد الكلمات ويتكلم بعبارات قصيرة متعبة. ما نوع الحبسة؟

1. Aحبسة تعبيرية (بروكا)
2. Bحبسة شاملة بلا فهم
3. Cحبسة استقبالية (فيرنيكه)
4. Dعسر التلفظ بسبب ضعف عضلات الوجه

An 84-year-old man became more confused a week after starting oxybutynin. Infection has been ruled out. What should the nurse suspect?

1. AA symptom of a high potassium from the drug
2. BNormal ageing that needs no review
3. CAnticholinergic side effects of the drug
4. DA sign that the drug dose is too low

Why might a frail 88-year-old with type 2 diabetes have a less strict HbA1c target?

1. ATo save money on blood tests and drugs
2. BBecause older people cannot use any glucose medicines
3. CBecause diabetes cannot damage older people
4. DTo reduce the risk of hypos, falls and confusion