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

Which symptoms in a patient with back pain suggest cauda equina syndrome?

1. AMild stiffness in the morning that soon wears off
2. BBack pain that eases when walking around the house
3. CPain that is worse after a long day at work
4. DNumbness between the legs and new bladder problems

What is the most common cause of intrinsic (renal) acute kidney injury in hospital?

1. AKidney stones
2. BPolycystic kidney disease
3. CAn enlarged prostate
4. DAcute tubular necrosis

What happens in multiple sclerosis?

1. AMotor nerve cells slowly die without any inflammation
2. BThe immune system damages myelin in the brain and spinal cord
3. CA virus destroys the nerves in the arms and legs
4. DAntibodies block signals at the junction between nerve and muscle

How does bladder training help urge incontinence?

1. AA catheter is used every night
2. BThe patient drinks as little as possible
3. CThe time between voids is slowly increased
4. DThe patient goes to the toilet every 15 minutes

لماذا يُعلَّم القسطرة الذاتية المتقطعة غالبًا بعد إصابة الحبل الشوكي؟

1. Aلأنها تدرّب المثانة على النمو تدريجيًا ويكبر حجمها مع الوقت
2. Bلأنها تُستخدم أساسًا لقياس إدرار البول بدقة
3. Cلأن المثانة قد لا تفرغ، والتفريغ المنتظم يحمي الكليتين
4. Dلأنها تزيل خطر عدوى المسالك البولية تمامًا

بعد أسبوع من جراحة الغدة الدرقية، لا يزال صوت مريض أبحّ وضعيفًا. أيّ مضاعفة هي الأرجح؟

1. Aنقص الكالسيوم بسبب إصابة جارات الدرق
2. Bتفاعل تحسسي مع لاصق الضماد
3. Cتلف في العصب الحنجري الراجع
4. Dعاصفة درقية بسبب الجراحة

A patient with trigeminal neuralgia has lost weight and has poor oral hygiene. Which plan is most appropriate?

1. ATell the patient to stop brushing their teeth completely
2. BEncourage hard, crunchy foods to strengthen the jaw muscles
3. CAdvise very hot drinks to relax the facial nerves
4. DOffer soft, lukewarm food and advise chewing on the unaffected side

Which statement correctly distinguishes spinal shock from neurogenic shock?

1. ANeurogenic shock is caused by blood loss; spinal shock is caused by infection
2. BThey are two names for exactly the same condition
3. CSpinal shock is low blood pressure; neurogenic shock is the loss of reflexes
4. DSpinal shock is lost reflexes; neurogenic shock is low BP and slow pulse