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

What is the main action of ADH (antidiuretic hormone)?

1. AIt makes the kidneys reabsorb water
2. BIt makes the kidneys pass more water
3. CIt makes the kidneys pass more glucose
4. DIt makes the kidneys keep potassium

What is the main cause of the movement problems in Parkinson's disease?

1. ALoss of dopamine-producing cells in the substantia nigra
2. BAntibodies that attack acetylcholine receptors in muscle
3. CLoss of the myelin sheath around nerves in the brain and spinal cord
4. DToo much dopamine released in the basal ganglia

What is a common complication after a lumbar puncture?

1. AA rapid rise in blood glucose
2. BA headache that is worse when sitting or standing
3. CPermanent paralysis of both legs from nerve damage
4. DLoss of hearing in one ear

A patient with type 1 diabetes has gastroenteritis and cannot eat. Which sick-day advice is correct?

1. AAvoid drinking fluids to reduce the vomiting
2. BCheck glucose once a day only and rest in bed until better
3. CStop all insulin until normal eating restarts
4. DKeep taking basal insulin and check glucose and ketones more often

What is the dexamethasone suppression test used for?

1. ATo diagnose diabetes insipidus
2. BTo check thyroid function
3. CTo measure kidney function
4. DTo help diagnose Cushing's syndrome

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

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

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

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

مريض يتعافى من النخر الأنبوبي الحاد يدخل طور بوال، فيخرج أكثر من 4 L من البول يوميًا. ما القلق التمريضي الرئيسي؟

1. Aنقص سكر الدم بسبب فرط الإنسولين
2. Bاحتباس البول في مثانة منتفخة
3. Cفرط السوائل مع ارتفاع مستويات البوتاسيوم
4. Dجفاف مع انخفاض البوتاسيوم والصوديوم