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

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

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

أيّ عبارة عن النوبة الإقفارية العابرة (TIA) صحيحة؟

1. Aتزول الأعراض تمامًا، لكن خطر السكتة مرتفع، لذا تلزم مراجعة عاجلة
2. Bتدوم الأعراض أيامًا وتترك المريض بضعف دائم
3. Cلا حاجة إلى متابعة لأن كل الأعراض تزول
4. Dيسببها نزف صغير في نسيج الدماغ

Which description fits a cluster headache?

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

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

1. A11 أو أكثر
2. B13 أو أقل
3. C8 أو أقل
4. D15

Why is all urine strained in a patient with suspected kidney stones?

1. ATo remove blood clots before testing
2. BTo catch the stone so it can be analysed
3. CTo measure the urine volume more accurately
4. DTo stop the stone from blocking the toilet

Which nursing care is most important for a patient with diabetes insipidus?

1. AA strict fluid restriction to reduce the amount of urine passed
2. BGiving a loop diuretic to clear extra fluid
3. CWeighing the patient once a month
4. DStrict fluid balance, daily weight and free access to water

A 66-year-old smoker has had two episodes of painless red urine. Urine cultures are negative. Which plan is most appropriate?

1. AAdvise more fluids and review in a year
2. BReassure him, because the blood has stopped
3. CUrgent referral for cystoscopy and imaging
4. DAnother course of antibiotics for a UTI

Why may HbA1c be unreliable in a patient with haemolytic anaemia or a recent large blood transfusion?

1. AThe test only measures the glucose in the plasma, not in the cells
2. BAnaemia always makes the HbA1c very high
3. CIt depends on how long red blood cells survive in the blood
4. DBlood transfusions contain large amounts of glucose