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

Which symptoms are typical of diabetic peripheral neuropathy?

1. ANumbness, tingling or burning in the feet
2. BA painful red, hot swollen big toe at night
3. CMorning stiffness of the small hand joints
4. DPain in the calves that starts when walking

What is an early sign of kidney damage from diabetes?

1. ASmall amounts of albumin in the urine
2. BA very low blood urea level
3. CPain felt in both kidneys at night
4. DBlood in the urine that is visible

How is diabetic retinopathy usually picked up early?

1. AA yearly blood test for HbA1c only
2. BChecking the pupils with a torch at every visit
3. CWaiting until the patient notices blurred vision
4. DRegular eye screening with retinal photographs

Which CSF result is most typical of bacterial meningitis?

1. AClear fluid with normal cells, glucose and protein
2. BCloudy fluid, many neutrophils, low glucose and high protein
3. CBlood-stained fluid that clears in later tubes
4. DClear fluid, many lymphocytes, normal glucose and slightly raised protein

لدى مريض عمى نصفي متماثل الجانب بعد سكتة. كيف ينبغي أن تساعده الممرضة في البداية؟

1. Aإبقاء الغرفة مظلمة لتقليل التنبيه البصري
2. Bتغطية العين في الجانب المصاب بلصاقة
3. Cوضع جرس النداء والمشروبات في الجانب غير المبصر لتدريبه
4. Dالاقتراب من الجانب المبصر وتعليمه إدارة الرأس للمسح

Which headache feature most suggests raised intracranial pressure from a brain tumour?

1. AA tight band across the forehead that eases with rest
2. BOnly present after reading for a long time
3. CBetter in the morning and worse with stress
4. DWorse on waking and on coughing, with vomiting

بعد الجراحة، إدرار بول المريض 15 mL/h لمدة 3 ساعات، مع نبض 110/min وBP 96/58 mmHg وأغشية مخاطية جافة. ما السبب الأرجح لقلة البول؟

1. Aفرط السوائل من السوائل الوريدية
2. Bالسكري الكاذب بعد التخدير
3. Cأذية كلوية حادة قبل كلوية بسبب نقص الحجم
4. DSIADH سببه الجراحة

Which patient on a stroke unit is most at risk of falling?

1. AA patient with mild dysarthria who walks steadily with a frame
2. BA patient with a left-hemisphere stroke who has expressive aphasia and waits for help
3. CA patient with a right-hemisphere stroke who is impulsive and denies having weakness
4. DA patient with a TIA whose symptoms resolved completely yesterday