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

أيّ نصيحة يومية للعناية بالقدم صحيحة لمريض السكري؟

1. Aفحص القدمين مرة في السنة في العيادة
2. Bفحص القدمين يوميًا وعدم المشي حافيًا أبدًا
3. Cنقع القدمين في ماء ساخن ساعة كل يوم
4. Dإزالة الثآليل في المنزل بشفرة حلاقة

Which nerve cells are damaged in amyotrophic lateral sclerosis (motor neurone disease)?

1. AUpper and lower motor neurons
2. BSensory nerves in the skin only
3. CThe optic nerves and retina
4. DThe nerves of the autonomic system only

What is the main action of ADH (antidiuretic hormone)?

1. AIt makes the kidneys keep potassium
2. BIt makes the kidneys pass more water
3. CIt makes the kidneys reabsorb water
4. DIt makes the kidneys pass more glucose

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. ANormal progress of migraine
2. BA brain tumour, which is almost certain
3. CMedication overuse headache
4. DAn allergy to the painkillers

A patient has acute low back pain with no red flags. Which advice is most appropriate?

1. AAvoid all movement until an MRI scan has been done
2. BStay in bed for two weeks until the pain is gone
3. CWear a rigid back brace all day and night for at least three months
4. DStay as active as possible and use simple pain relief

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

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

A patient with motor neurone disease reports morning headaches, poor sleep and sleepiness during the day. What do these symptoms suggest?

1. AWeak breathing at night, so a review for ventilation support
2. BLow mood, which should be treated with an antidepressant first
3. CNormal tiredness that needs no specific action
4. DA side effect of riluzole, which should be stopped straight away by the nurse

A patient arrives five hours after the onset of a stroke. A CT angiogram shows a blockage of a large artery in the brain. What is the most appropriate next step?

1. AGive aspirin and plan a review on the ward tomorrow
2. BUrgent referral for assessment for mechanical thrombectomy
3. CNo treatment, because the time for any reperfusion has passed
4. DStart IV alteplase immediately without further imaging