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

A stroke affects the anterior cerebral artery. Which weakness pattern is most typical?

1. AThe same side of the body is weak
2. BBoth legs are weak with normal arms
3. CThe opposite arm and face are weaker than the leg
4. DThe opposite leg is weaker than the arm

متى يُعطى الإنسولين سريع المفعول مثل الأسبارت أو الليسبرو عادةً؟

1. Aبعد الوجبة بنحو ساعتين
2. Bقبل الوجبة مباشرة أو معها
3. Cعند وقت النوم دون أي طعام
4. Dمرة في اليوم، مهما كانت الوجبات

أيّ اضطراب شاردي هو مضاعفة خطيرة للفشل الكلوي؟

1. Aنقص بوتاسيوم الدم
2. Bفرط بوتاسيوم الدم
3. Cفرط كالسيوم الدم
4. Dفرط صوديوم الدم

A patient with a suspected basal skull fracture needs a gastric tube. Which route is preferred?

1. AThrough the nose (nasogastric)
2. BThrough the nose with a guidewire
3. CThrough the mouth (orogastric)
4. DThrough a fine-bore nasal tube

A patient takes levodopa for Parkinson's disease. Which teaching point is correct?

1. AThe tablets work best taken with a large steak dinner
2. BThe drug cures the disease if taken for a full year
3. CLarge high-protein meals can reduce how well the drug works
4. DStop the drug for a day each week to avoid tolerance

A patient with migraine takes painkillers or triptans on most days and now has a headache almost every day. What is the likely problem?

1. AMedication overuse headache
2. BAn allergy to the painkillers
3. CNormal progress of migraine
4. DA brain tumour, which is almost certain

A patient on carbamazepine is admitted confused, with a sodium of 121 mmol/L. Which explanation is most likely?

1. AThe low sodium proves the patient has stopped taking the drug
2. BConfusion is a normal, expected effect of carbamazepine and is unrelated to sodium
3. CCarbamazepine causes salt loss through severe diarrhoea
4. DCarbamazepine can cause hyponatraemia through an SIADH-like effect

During a TURP, a patient becomes confused and nauseated, with a slow pulse and a raised BP. The sodium is 121 mmol/L. What is most likely?

1. AHypoglycaemia from fasting for many hours before surgery
2. BA normal reaction to the spinal anaesthetic
3. CTURP syndrome from absorbed irrigation fluid
4. DAn allergic reaction to the catheter