Scheda di esercizi di Area medico-chirurgica: neurologica, endocrina e renale con soluzioni

Which symptoms are typical of benign prostatic hyperplasia?

1. AA weak stream, hesitancy and passing urine at night
2. BLeaking urine only when coughing or laughing
3. CPainless red urine with clots and weight loss
4. DBurning pain on passing urine with a high fever

Which finding is a common reason for urgent dialysis?

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

After an acute stroke, what must happen before the patient is given food, drink or oral medicines?

1. AA check that bowel sounds are present in all four quadrants
2. BA chest X-ray to check the lungs
3. CA swallow screen by a trained professional
4. DA full set of blood tests

Why does a patient with untreated hypothyroidism need extra care when given opioids or sedatives?

1. AThere is no difference compared with other patients
2. BThese drugs make the thyroid gland overactive
3. CThey break the drugs down slowly and are more sensitive to them
4. DThey clear the drugs too fast, so higher doses are needed

Un paziente si sveglia con sintomi di ictus. È andato a letto bene alle 23:00 e si è svegliato alle 06:30. Quale ora si usa come ora di esordio?

1. AL'ora in cui è stata eseguita la TC
2. BLe 06:30, quando i sintomi sono stati notati per la prima volta
3. CLe 23:00, quando è stato visto bene l'ultima volta
4. DL'ora di arrivo in ospedale

Which group of drugs is a well-known cause of SIADH and hyponatraemia, especially in older people?

1. APenicillin antibiotics
2. BProton pump inhibitors
3. CBulk-forming laxatives
4. DSSRI antidepressants

A patient with multiple sclerosis has had worse leg weakness for one day, together with a fever and burning on passing urine. What is the most likely explanation?

1. AA side effect of physiotherapy
2. BA change to progressive MS
3. CA pseudo-relapse caused by infection
4. DA true relapse that needs high-dose steroids

A patient had rapid-acting insulin before lunch, then vomited the meal 15 minutes later. What should the nurse do?

1. AGive the evening long-acting insulin early to balance it
2. BGive another insulin dose because the meal was lost
3. CMonitor glucose closely and tell the prescriber about the hypo risk
4. DIgnore it, because vomiting raises blood glucose