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

What is the normal range for total serum calcium in an adult?

1. AAbout 3,5–5,0 mmol/L (14–20 mg/dL)
2. BAbout 0,7–1,0 mmol/L (2,8–4,0 mg/dL)
3. CAbout 1,0–1,5 mmol/L (4,0–6,0 mg/dL)
4. DAbout 2,2–2,6 mmol/L (8,5–10,5 mg/dL)

Which features suggest pyelonephritis rather than simple cystitis?

1. APassing urine more often at night only
2. BUrine that smells slightly stronger
3. CFever, rigors and pain in the loin
4. DMild burning on passing urine only

أيّ نصيحة يومية للعناية بالقدم صحيحة لمريض السكري؟

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

Why may a person with long-standing diabetes have a heart attack without typical chest pain?

1. AInsulin acts as a strong painkiller
2. BPeople with diabetes do not have heart attacks
3. CNerve damage can blunt the pain signals
4. DHigh glucose protects the heart from pain

A stroke patient speaks fluently, but the words make little sense, and they do not follow simple instructions. Which type of aphasia is this?

1. AExpressive (Broca's) aphasia
2. BDysarthria from facial weakness
3. CGlobal aphasia with no speech at all
4. DReceptive (Wernicke's) aphasia

A patient has just started haemodialysis. What usually happens to their protein needs?

1. AThey fall to almost zero to rest the kidneys
2. BThey increase, because dialysis removes amino acids
3. CThey stay exactly the same as they were before dialysis
4. DProtein must be replaced only by IV infusion

An older man was found on the floor after lying there for many hours. His urine is dark brown, and his creatine kinase is very high. What is the main kidney risk and the key treatment?

1. AAKI from rhabdomyolysis, treated with generous IV fluids
2. BA urinary infection, treated with oral antibiotics only
3. CA kidney stone, treated with strong pain relief
4. DHypothermia, treated with a fluid restriction

An older patient with a UTI is now confused, with a respiratory rate of 24/min, BP 88/50 mmHg and a pulse of 120/min. What should happen?

1. AStart sepsis care at once, with IV antibiotics and fluids
2. BGive oral antibiotics and recheck in four hours
3. CTreat the confusion with a sedative
4. DEncourage oral fluids and wait for the urine culture