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

لماذا يصاب كثير من مرضى المرض الكلوي المزمن بفقر الدم؟

1. Aلأن الكليتين تصنعان إريثروبويتين أقل
2. Bلأن الغسيل يزيل الحديد من الدم
3. Cلأن الدم يُفقد في البول كل يوم
4. Dلأن الكليتين تحطمان خلايا الدم الحمراء

Which group of features defines nephrotic syndrome?

1. AHeavy proteinuria, low albumin and oedema
2. BSevere loin pain that spreads to the groin
3. CBlood in the urine, high BP and low urine output
4. DPainful urination, fever and frequency

Which symptoms are typical of benign prostatic hyperplasia?

1. APainless red urine with clots and weight loss
2. BLeaking urine only when coughing or laughing
3. CA weak stream, hesitancy and passing urine at night
4. DBurning pain on passing urine with a high fever

Before checking a capillary glucose, why should the patient wash their hands with soap and water?

1. ASoap makes the blood flow faster from the finger
2. BWashing prevents all infection from the lancet
3. CWashing lowers the glucose in the blood
4. DSugar on the skin can give a falsely high reading

Which symptoms are typical of hypokalaemia?

1. ATingling lips and facial twitching
2. BHeat intolerance and weight loss
3. CExcess thirst and very high glucose
4. DMuscle weakness, cramps and palpitations

Which CSF result is most typical of bacterial meningitis?

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

A student has fever, a severe headache, a spreading non-blanching rash and a BP of 85/50 mmHg. A lumbar puncture is planned. What is the priority?

1. AArrange a CT scan of the head before any treatment
2. BGive paracetamol (acetaminophen) and recheck observations in an hour
3. CGive IV antibiotics at once and start sepsis treatment
4. DWait until after the lumbar puncture before giving antibiotics

يلاحظ مريض غسيل صفاقي أن السائل الخارج أقل مما أُدخل. لم يتبرز منذ أربعة أيام، والسائل المصرَّف صافٍ. ما السبب الأرجح؟

1. Aامتصاص طبيعي لا يحتاج إلى إجراء
2. Bسائل غسيل أُعطي باردًا جدًا
3. Cالتهاب صفاق جرثومي
4. Dإمساك يعيق التدفق الخارج