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

What causes Graves' disease?

1. AA lack of iodine in the diet
2. BAntibodies that stimulate the TSH receptor
3. CToo much TSH from a pituitary tumour
4. DA viral infection of the parathyroid glands

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

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

أيّ مجموعة أعراض نموذجية لقصور الغدة الدرقية؟

1. Aعدم تحمل البرد والتعب وزيادة الوزن والإمساك
2. Bعطش شديد وإخراج كميات كبيرة من البول
3. Cإسهال وقلق وتعرق وجحوظ العينين
4. Dعدم تحمل الحرارة ونقص الوزن ورعشة دقيقة وخفقان

A patient with CKD is booked for a CT scan with iodinated contrast. Which measure helps protect the kidneys?

1. AGiving a dose of ibuprofen before the scan
2. BGood hydration around the scan, often with IV fluids
3. CRestricting all fluids for 24 hours before the scan
4. DDoubling the dose of contrast for a clearer image

Why is levodopa combined with carbidopa (or benserazide)?

1. ATo make levodopa cross into the brain more slowly and evenly
2. BTo prevent tolerance from developing to levodopa over time
3. CTo stop levodopa being converted to dopamine outside the brain
4. DTo add a separate effect that reduces the resting tremor directly

بعد إصابة في الرأس، يقطر سائل صافٍ من أنف المريض. ما القلق الرئيسي؟

1. Aزكام بسيط أو نوبة حمى القش
2. Bتسرب سائل دماغي شوكي بسبب كسر في الجمجمة
3. Cتفاعل تحسسي مع مادة التباين في التصوير المقطعي
4. Dمخاط طبيعي ينتج بعد البكاء

A patient on insulin has worsening chronic kidney disease and is having more hypos. What is the best explanation?

1. AThe kidneys clear less insulin, so it lasts longer
2. BThe patient is eating far more carbohydrate than before
3. CKidney disease makes the meter read too low
4. DKidney disease makes the body resistant to insulin

Which task for a patient with a urinary catheter can the nurse delegate to a healthcare assistant (nursing assistant)?

1. AAssessing a patient whose irrigation is not draining
2. BDeciding whether the catheter can be removed
3. CEmptying the drainage bag and recording the volume
4. DTeaching self-catheterisation for the first time