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

What is the main cause of the movement problems in Parkinson's disease?

1. ALoss of the myelin sheath around nerves in the brain and spinal cord
2. BLoss of dopamine-producing cells in the substantia nigra
3. CAntibodies that attack acetylcholine receptors in muscle
4. DToo much dopamine released in the basal ganglia

In neurological charting, what does PERRLA stand for?

1. APupils equal, round, reactive to light and accommodation
2. BPatient eating, resting, reading, learning and alert at all times
3. CPulse even, regular, rate low and adequate
4. DPain eased, resting, relaxed, lying awake

What happens in multiple sclerosis?

1. AMotor nerve cells slowly die without any inflammation
2. BA virus destroys the nerves in the arms and legs
3. CAntibodies block signals at the junction between nerve and muscle
4. DThe immune system damages myelin in the brain and spinal cord

A patient with atrial fibrillation has had an ischaemic stroke. Which long-term medicine type most reduces the risk of another stroke?

1. AAn oral anticoagulant
2. BA beta-agonist inhaler
3. CA proton pump inhibitor
4. DA loop diuretic

A patient with migraine takes painkillers or triptans on most days and now has a headache almost every day. What is the likely problem?

1. AA brain tumour, which is almost certain
2. BMedication overuse headache
3. CAn allergy to the painkillers
4. DNormal progress of migraine

Una crisi dura da cinque minuti e continua. Qual è di solito il trattamento farmacologico di prima linea?

1. AAdrenalina IM nella parte esterna della coscia
2. BGlucosio EV al 50% in ogni paziente, poi rivalutare
3. CUna dose di carico EV di fenitoina prima di qualsiasi altra cosa
4. DUna benzodiazepina come lorazepam EV o midazolam buccale

A patient has fever, confusion, odd behaviour and a new seizure. Herpes simplex encephalitis is suspected. Which drug is usually started straight away?

1. AOral amoxicillin
2. BIV insulin
3. CIV aciclovir
4. DOral prednisolone

A patient on haemodialysis is on a medical ward. Which task can the registered nurse delegate to a healthcare assistant (nursing assistant)?

1. ADeciding which morning medicines to hold
2. BAssessing the thrill and bruit of the fistula
3. CWeighing the patient before they go to dialysis
4. DTeaching the patient about fluid restriction