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

Which symptoms are typical of uraemia in advanced kidney disease?

1. ASevere flank pain with visible blood in the urine
2. BItching, nausea, tiredness and poor appetite
3. CExcess thirst with a very high glucose
4. DHeat intolerance, tremor and weight loss

Which group of features is typical of Parkinson's disease?

1. ADrooping eyelids and double vision that get worse later in the day
2. BWeakness rising from the feet, with tingling and lost reflexes
3. CIntention tremor, muscle wasting and twitching under the skin
4. DResting tremor, rigidity and slow movement

لماذا من المهم تسجيل آخر وقت عُرف فيه أن مريض السكتة كان بخير؟

1. Aلا يمكن إدخال المرضى الذين يُرَون بعد ساعة إلى وحدة السكتة
2. Bيحدد الوقت أيّ جانب من الدماغ مصاب
3. Cتعتمد علاجات مثل حلّ الخثرة على الوقت المنقضي منذ البدء
4. Dالوقت لازم لحساب درجة GCS للمريض

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. AGlobal aphasia with no speech at all
2. BDysarthria from facial weakness
3. CReceptive (Wernicke's) aphasia
4. DExpressive (Broca's) aphasia

Several hours after a carotid endarterectomy, which finding needs the most urgent action?

1. AA blood pressure slightly above the baseline
2. BMild pain at the incision site
3. CA small amount of dried blood on the dressing
4. DAn expanding neck swelling with noisy breathing

After transsphenoidal pituitary surgery, which advice should the patient follow?

1. AAvoid blowing the nose, straining and bending forward
2. BDrink through a straw to keep the nose clean
3. CLie completely flat for at least a week after surgery
4. DBlow the nose often to clear any clots

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. AGive paracetamol (acetaminophen) and recheck observations in an hour
2. BWait until after the lumbar puncture before giving antibiotics
3. CArrange a CT scan of the head before any treatment
4. DGive IV antibiotics at once and start sepsis treatment

مريض لديه نوبات من صداع شديد وتعرق وخفقان وارتفاع شديد في ضغط الدم. أيّ حالة ينبغي النظر فيها؟

1. Aداء أديسون
2. Bقصور الغدة الدرقية
3. Cالسكري الكاذب
4. Dورم القواتم (phaeochromocytoma)