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

Which hormones does the adrenal medulla release?

1. AThyroxine and calcitonin
2. BCortisol and aldosterone
3. CInsulin and glucagon
4. DAdrenaline and noradrenaline

How is chronic kidney disease defined?

1. AA sudden rise in creatinine over 48 hours after surgery
2. BAbnormal kidney function or structure for over 3 months
3. CKidney pain lasting more than a week
4. DAny single raised creatinine result

Which symptoms are typical of a prolactinoma in a woman?

1. AKidney stones, bone pain and constipation
2. BWeight loss with heat intolerance and a fine tremor
3. CMilky nipple discharge and irregular periods
4. DVery dark skin creases and a craving for salt

Which statement about the PSA blood test is correct?

1. AA normal result always rules out any prostate cancer
2. BIt is only raised in women with bladder cancer
3. CA raised result always means prostate cancer
4. DIt can be raised by benign problems as well as by cancer

A patient with atrial fibrillation has had an ischaemic stroke. Which long-term medicine type most reduces the risk of another stroke?

1. AA beta-agonist inhaler
2. BA proton pump inhibitor
3. CAn oral anticoagulant
4. DA loop diuretic

A patient with Conn's syndrome starts spironolactone. Which blood test should the nurse watch most closely?

1. APotassium
2. BGlucose
3. CAmylase
4. DCalcium

A patient with a subarachnoid haemorrhage develops a low sodium. Why is fluid restriction usually avoided in this patient?

1. AFluid restriction raises the risk of seizures
2. BFluid restriction would cause the aneurysm to re-bleed
3. CLow blood volume can worsen vasospasm and brain ischaemia
4. DLow sodium in this condition always corrects itself

A patient on IV gentamicin has a rising creatinine and a high trough level. What should the nurse do?

1. AEncourage more fluids and give the dose as planned
2. BHold the next dose and inform the prescriber
3. CGive the next dose early to clear the infection quickly
4. DStop measuring the drug levels