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

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

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

Which statement about metformin is correct?

1. AIt works by making the pancreas release a lot more insulin
2. BUsed on its own, it rarely causes hypoglycaemia
3. CIt is the usual first treatment for type 1 diabetes in adults
4. DIt is given by injection into the abdomen once a week

Which finding is a common reason for urgent dialysis?

1. AA single episode of itching
2. BA mildly raised creatinine with no symptoms
3. CHyperkalaemia that does not respond to treatment
4. DA haemoglobin of 105 g/L (10,5 g/dL) with mild tiredness

مريض مصاب بسكتة في نصف الكرة الأيمن يتجاهل الطعام في الجانب الأيسر من الصحن. ماذا يسمى ذلك؟

1. Aعسر البلع
2. Bحبسة تعبيرية
3. Cرنح مخيخي
4. Dإهمال الجانب الأيسر

An 85-year-old care home resident becomes newly confused and is falling more often. A UTI is one possibility. Why?

1. AConfusion is the only symptom of a UTI at any age
2. BOlder adults often show infection as confusion
3. CUrinary infections always cause a high fever in older adults
4. DA UTI cannot occur in people over 80

كيف ينبغي تسخين سائل الغسيل الصفاقي قبل الاستخدام؟

1. Aيجب استخدامه باردًا من الثلاجة
2. Bفي مسخّن حراري جاف مخصص
3. Cفي فرن الميكروويف
4. Dفي وعاء من ماء الصنبور الساخن

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

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

A patient on levothyroxine has palpitations, weight loss and poor sleep. TSH is suppressed, and free T4 is high. What is the most likely explanation?

1. AThe dose is too high
2. BThe dose is too low
3. CThe thyroid has stopped working
4. DA normal response to the drug