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

Which is the most important modifiable risk factor for stroke?

1. AMale sex
2. BHigh blood pressure
3. CFamily history of stroke
4. DOlder age

Which symptoms are classic for high blood glucose?

1. APassing a lot of urine, thirst and weight loss
2. BShaking, sweating and a racing heart
3. CWeight gain, feeling cold all the time and dry skin
4. DJoint pain, morning stiffness and fever

أيّ غدة تنتج الكورتيزول؟

1. Aقشرة الكظر
2. Bلب الكظر
3. Cالنخامية الخلفية
4. Dالغدة الدرقية

يُدخل إلى المستشفى مريض يتناول الغليكلازيد (سلفونيل يوريا) بسبب نقص سكر الدم. لماذا تلزم مراقبة ممتدة؟

1. Aلأن الدواء يعمل ليلًا فقط، فلا فائدة من فحوص الصباح
2. Bلأن السلفونيل يوريا لا يمكن أن تسبب نقص سكر الدم وحدها
3. Cلأن الدواء يعمل ساعات طويلة فقد يعود انخفاض الغلوكوز
4. Dلأن الدواء يرفع الغلوكوز بعد تأخر عدة ساعات

In the first trimester of pregnancy, why is propylthiouracil often preferred to carbimazole for hyperthyroidism?

1. APropylthiouracil has no side effects at all
2. BCarbimazole cannot cross into the mother's blood
3. CPropylthiouracil works faster than any other drug
4. DCarbimazole has a higher risk of birth defects early on

Why is good blood pressure control important in chronic kidney disease?

1. AIt raises the haemoglobin level in the blood
2. BIt lowers the blood glucose
3. CIt cures chronic kidney disease
4. DIt slows the decline in kidney function

A patient taking an SGLT2 inhibitor is booked for major surgery. Which statement is correct?

1. AIt is usually paused in the days before surgery
2. BSurgery is not possible in patients taking this drug
3. CThe dose is usually doubled on the morning of surgery
4. DThe drug must be taken right up until the operation starts

A patient with Addison's disease has been vomiting for a day. They are confused, with BP 78/40 mmHg, sodium 126 mmol/L and potassium 6,0 mmol/L. What is the priority?

1. AIV hydrocortisone straight away, plus IV fluids
2. BOral hydrocortisone and an antiemetic by mouth
3. CA fluid restriction for the low sodium
4. DIV potassium to correct the electrolytes