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

Which description fits a cluster headache?

1. ASevere one-sided pain around the eye with a watery eye
2. BA throbbing headache on both sides after drinking coffee
3. CA mild band-like ache across both sides of the head
4. DA slowly worsening headache over months with vomiting in the morning

What is the most common cause of Cushing's syndrome?

1. ALong-term use of glucocorticoid medicines
2. BAn autoimmune attack on the adrenal glands
3. CA lack of ACTH from the pituitary gland
4. DA tumour of the adrenal medulla

Which heart rhythm greatly increases the risk of an embolic stroke?

1. ASinus bradycardia
2. BAtrial fibrillation
3. CSinus arrhythmia
4. DFirst-degree heart block

أيّ درجة على مقياس غلاسكو للغيبوبة توحي عادةً بأن المريض قد لا يستطيع حماية مجراه الهوائي؟

1. A15
2. B8 أو أقل
3. C11 أو أكثر
4. D13 أو أقل

After a lumbar discectomy, which finding should the nurse report promptly?

1. AStiffness when getting out of bed
2. BNew weakness or numbness in the legs
3. CA dry, intact wound dressing
4. DMild pain at the wound site

يستيقظ مريض بأعراض سكتة. نام بصحة جيدة عند الساعة 23:00 واستيقظ عند 06:30. أيّ وقت يُستخدم وقتًا لبدء الأعراض؟

1. A23:00، عندما عُرف آخر مرة أنه بخير
2. Bوقت الوصول إلى المستشفى
3. C06:30، عندما لوحظت الأعراض أول مرة
4. Dوقت إجراء التصوير المقطعي المحوسب

A patient with gastroparesis has hypos soon after their meal-time insulin, then high glucose several hours later. What is the best explanation?

1. AThe insulin has gone off and needs replacing
2. BThe meter gives false results for several hours after every meal
3. CThe patient is secretly eating sweets between meals
4. DFood is absorbed slowly, so the insulin peaks before the glucose rises

A student has fever, a severe headache, a spreading non-blanching rash and a BP of 85/50 mmHg. A lumbar puncture is planned. What is the priority?

1. AArrange a CT scan of the head before any treatment
2. BGive paracetamol (acetaminophen) and recheck observations in an hour
3. CGive IV antibiotics at once and start sepsis treatment
4. DWait until after the lumbar puncture before giving antibiotics