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

What is the lowest possible score on the Glasgow Coma Scale?

1. A5
2. B1
3. C0
4. D3

Which description fits a cluster headache?

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

Which HbA1c result is commonly used as the threshold for diagnosing diabetes?

1. A48 mmol/mol (6,5%) or higher
2. B75 mmol/mol (9,0%) or higher
3. C30 mmol/mol (4,9%) or higher
4. D38 mmol/mol (5,6%) or higher

Why does a patient with untreated hypothyroidism need extra care when given opioids or sedatives?

1. AThey clear the drugs too fast, so higher doses are needed
2. BThere is no difference compared with other patients
3. CThese drugs make the thyroid gland overactive
4. DThey break the drugs down slowly and are more sensitive to them

A man starts tamsulosin for BPH. Which teaching point is most important?

1. AStop it if the urine stream improves
2. BExpect the drug to shrink the prostate within a day
3. CStand up slowly, because it can make you dizzy
4. DTake it with grapefruit juice to make it work better

An 82-year-old taking apixaban fell three weeks ago. Since then their family has noticed increasing confusion and headaches. Which condition is most likely?

1. ASubarachnoid haemorrhage from an aneurysm
2. BChronic subdural haematoma
3. CNormal ageing with mild memory loss
4. DAcute extradural haematoma

يبدأ مريض مصاب بالسكري الكاذب المركزي الديسموبريسين. أيّ مضاعفة ينبغي أن تراقبها الممرضة؟

1. Aنقص صوديوم الدم
2. Bفرط بوتاسيوم الدم
3. Cإسهال شديد
4. Dفرط سكر الدم

Why may nitrofurantoin be avoided in an older patient with significantly reduced kidney function?

1. AIt cures kidney disease too quickly
2. BIt cannot be taken with food in kidney disease
3. CIt turns the urine red in kidney disease
4. DIt works less well and is more likely to be toxic