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

Which symptom is the classic warning sign of bladder cancer?

1. APainless visible blood in the urine
2. BBurning pain on passing urine
3. CSevere loin pain that comes in waves
4. DLeaking urine when coughing

Which statement about adult polycystic kidney disease is correct?

1. AIt is caused by repeated urinary infections
2. BIt only ever affects one of the two kidneys
3. CIt is caused by drinking too little water
4. DIt is inherited, and cysts slowly enlarge both kidneys

Why should people with diabetic neuropathy avoid walking barefoot?

1. AInsulin is absorbed less well from the feet and the legs
2. BThey may not feel an injury, so it can go unnoticed
3. CBare feet lose too much heat through the skin
4. DWalking barefoot raises the blood glucose

Why is propranolol given to a patient with hyperthyroidism?

1. ATo stop the thyroid gland from making any more hormones
2. BTo ease tremor and palpitations while other treatment starts
3. CTo replace the hormone lost from the thyroid gland
4. DTo destroy overactive thyroid tissue over a few weeks

بعد 15 دقيقة من العلاج بأقراص الغلوكوز، ارتفع غلوكوز مريض من 3,2 إلى 5,1 mmol/L. وجبته التالية بعد ساعتين. ماذا ينبغي أن يحدث بعد ذلك؟

1. Aإعطاء وجبة خفيفة من كربوهيدرات أطول مفعولًا، مثل شطيرة
2. Bإعطاء الجرعة المعتادة من الإنسولين سريع المفعول فورًا
3. Cإعطاء جرعة أخرى من أقراص الغلوكوز لرفعه أكثر
4. Dلا حاجة إلى أي إجراء آخر حتى تُقدَّم الوجبة التالية لاحقًا

Before surgery for a phaeochromocytoma, why is an alpha-blocker started before any beta-blocker?

1. AA beta-blocker alone can cause a dangerous rise in BP
2. BAlpha-blockers lower the blood glucose before surgery
3. CThe order of the two drugs makes no difference
4. DBeta-blockers given first would make the tumour grow faster

The nurse has four endocrine patients. Which one needs to be seen first?

1. AA patient with hypothyroidism who has been constipated for three days
2. BA patient after thyroidectomy with mild pain on swallowing
3. CA patient with Graves' disease asking about radioactive iodine
4. DA patient with hyperthyroidism who is confused, with a temperature of 39,5 °C (103,1 °F)

A patient with suspected meningitis has a GCS of 9 and pupils that have become unequal. A doctor plans an immediate lumbar puncture. What is the main concern?

1. AA lumbar puncture would spread the infection to the blood
2. BThere is no concern, because the lumbar puncture lowers pressure safely
3. CThe patient is too confused to stay still, so it is not needed
4. DRaised pressure in the skull, so the procedure could cause herniation