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

What does dysarthria mean?

1. ALoss of the ability to understand spoken or written language
2. BUnclear speech caused by weak or poorly coordinated speech muscles
3. CInability to read or write after a brain injury
4. DDifficulty swallowing food and drink safely

Which symptoms are typical of cystitis (a bladder infection)?

1. ASwelling of the ankles and frothy urine
2. BPainless red urine with clots
3. CBurning on passing urine, frequency and urgency
4. DHigh fever, shaking rigors and pain in the loin

Why do women get urinary tract infections more often than men?

1. AWomen have more bacteria in their blood
2. BWomen's kidneys are smaller than men's
3. CThe urethra is shorter and closer to the anus
4. DWomen drink more fluids than men do each day

A routine blood test shows a potassium of 6,4 mmol/L. The lab reports that the sample was haemolysed. The patient feels well. What should the nurse do?

1. AInform the doctor and arrange an urgent repeat sample
2. BIgnore it, because haemolysis always gives a normal result
3. CGive oral potassium supplements straight away
4. DStart dialysis as soon as possible

أيّ موجودة في البول تميّز السكري الكاذب من SIADH على أفضل وجه؟

1. Aالسكري الكاذب يعطي بولًا مخففًا؛ وSIADH يعطي بولًا مركّزًا
2. Bالسكري الكاذب يعطي بولًا مركّزًا؛ وSIADH يعطي بولًا مخففًا
3. Cكلتا الحالتين تعطيان بولًا شديد التركيز
4. Dالسكري الكاذب يعطي غلوكوزًا في البول؛ وSIADH يعطي بروتينًا

Why is pyridostigmine often taken about 30–60 minutes before meals by patients with myasthenia gravis?

1. ATo improve the strength of chewing and swallowing at mealtimes
2. BTo stop the drug from irritating an empty stomach later on
3. CTo lower the blood glucose rise after eating a meal
4. DTo reduce stomach acid so the food is digested better

A patient with type 1 diabetes has a seizure on the ward. Their capillary glucose is 1,9 mmol/L (34 mg/dL). They cannot swallow. What is the most appropriate treatment?

1. AIV glucose or IM glucagon, then recheck the glucose
2. BAn antiepileptic drug only, because seizures need seizure treatment
3. CGlucose gel squeezed into the mouth during the seizure
4. DA rapid-acting insulin dose to stabilise the glucose

A patient with SIADH needs IV fluid. Which fluid is most likely to worsen the hyponatraemia?

1. A3% saline
2. B8,4% sodium bicarbonate
3. C5% glucose (dextrose, D5W)
4. D20% human albumin