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

Which group of features defines nephrotic syndrome?

1. AHeavy proteinuria, low albumin and oedema
2. BPainful urination, fever and frequency
3. CSevere loin pain that spreads to the groin
4. DBlood in the urine, high BP and low urine output

Which description best fits an absence seizure?

1. AStiffening and then jerking of all four limbs for several minutes
2. BJerking that starts in one hand and spreads up the arm
3. CA brief staring spell of a few seconds with a quick return to normal
4. DA sudden loss of muscle tone that makes the person fall

أيّ نوع من السكري يرتبط في الغالب بالحماض الكيتوني السكري (DKA)؟

1. Aالسكري من النوع 1
2. Bمقدمات السكري
3. Cالسكري الكاذب
4. Dالسكري من النوع 2 المعالَج بالحمية فقط

A patient with diabetic neuropathy has an ulcer on the ball of the foot. Which measure is most important for healing?

1. ACovering it and checking it in a month
2. BSoaking the foot in hot water daily
3. CWalking more to improve blood flow
4. DTaking pressure off the ulcer

After a kidney biopsy, which observation is most important?

1. AThe colour of the patient's skin on the face
2. BSigns of bleeding, such as haematuria and a rising pulse
3. CThe temperature every four hours only
4. DThe patient's appetite at the next meal

A patient who has had type 1 diabetes for 30 years says they no longer feel the warning signs of a hypo. What is this called?

1. AInsulin resistance
2. BThe dawn phenomenon
3. CDiabetic ketoacidosis
4. DHypoglycaemia unawareness

بعد استئصال الغدة الدرقية الكلي، يصبح مريض قلقًا مع صرير وتورم متوتر في العنق. ماذا ينبغي أن تفعل الممرضة أولًا؟

1. Aإعطاء مسكن وإعادة تقييم التورم بعد ساعة
2. Bأن تطلب من المريض الكلام قدر الإمكان لاختبار الصوت
3. Cاستدعاء مساعدة طارئة: فقد يضغط ورم دموي على المجرى الهوائي
4. Dوضع كمادة ثلج على العنق وإضجاع المريض

A patient arrives five hours after the onset of a stroke. A CT angiogram shows a blockage of a large artery in the brain. What is the most appropriate next step?

1. AGive aspirin and plan a review on the ward tomorrow
2. BNo treatment, because the time for any reperfusion has passed
3. CUrgent referral for assessment for mechanical thrombectomy
4. DStart IV alteplase immediately without further imaging