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

What does the HbA1c test show?

1. AThe average blood glucose over about two to three months
2. BThe blood glucose at the exact moment that the sample is taken
3. CThe glucose level over the last 24 hours only
4. DThe amount of insulin the pancreas is making

What is sciatica?

1. APain in the front of the knee caused by arthritis
2. BStiffness of the hips in the morning
3. CPain that spreads down the back of the leg from an irritated nerve root
4. DCramp in the calf muscle after exercise, caused by low potassium levels

Perché è importante registrare quando un paziente con ictus è stato visto bene l'ultima volta?

1. AL'ora decide quale lato del cervello è colpito
2. BL'ora serve a calcolare il punteggio GCS del paziente
3. CI pazienti visti dopo un'ora non possono essere ricoverati in una stroke unit
4. DTrattamenti come la trombolisi dipendono dal tempo trascorso dall'esordio

A stroke patient with dysphagia has been started on a modified diet. Which action best reduces the risk of aspiration?

1. AGive fluids through a straw so they flow more slowly
2. BSit the patient fully upright for meals and for a while afterwards
3. CLay the patient flat straight after meals so they can rest and digest
4. DFeed quickly so the patient does not tire during the meal

Why is once-daily prednisolone usually taken in the morning with food?

1. ATo match the natural cortisol rhythm and protect the stomach
2. BBecause food doubles the strength of the dose
3. CBecause it causes drowsiness and is safer to take during the day
4. DBecause it cannot be absorbed at night

The day after a thyroidectomy, a patient reports tingling around the mouth and in the fingers. Why might this happen?

1. AThe anaesthetic has caused an allergic reaction
2. BThe thyroid hormone level has risen too high after surgery
3. CThe parathyroid glands may have been damaged, lowering calcium
4. DThe patient is breathing too slowly after the operation

Two days after surgery, an 80-year-old woman is quiet, sleepy, slow to answer and eating little. Her daughter says she is "not herself". What should the nurse suspect?

1. ANormal tiredness after an operation
2. BSimple low mood about being in hospital
3. CThe start of Alzheimer's disease
4. DHypoactive delirium

A patient with a cervical spinal cord injury is helped to sit up for the first time. They become dizzy and pale, and the BP falls from 110/70 to 78/46 mmHg. What should the nurse do?

1. AContinue sitting them upright, because it will pass in an hour
2. BStand the patient up to improve the blood flow to the legs
3. CGive a large meal and a strong coffee to raise the blood pressure
4. DLower the patient back towards lying, then raise them gradually later