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

Which classic triad is described in renal cell carcinoma, although few patients have all three?

1. AFever, headache and a stiff neck
2. BDysuria, frequency and urgency
3. CPolyuria, thirst and weight loss with tiredness
4. DHaematuria, flank pain and a palpable mass

What does the HbA1c test show?

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

Which statement about adult polycystic kidney disease is correct?

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

A patient taking sodium valproate becomes tired and is vomiting, and the nurse notices yellowing of the eyes. What is the main concern?

1. ALiver toxicity from valproate
2. BA normal adjustment reaction to the drug
3. CA sign that the dose is too low
4. DDehydration from drinking too little

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

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

When the nurse squeezes the trapezius muscle, the patient brings a hand up above the collarbone towards the stimulus. Which GCS motor score is this?

1. A4, withdraws from pain
2. B5, localises to pain
3. C6, obeys commands
4. D3, abnormal flexion

A patient with Parkinson's disease is nil by mouth after abdominal surgery. Their levodopa is due. What is the best action?

1. AGive double the dose once eating restarts
2. BContact the prescriber or pharmacist about another route
3. COmit the dose until the patient can swallow again
4. DGive the tablets with a sip of water anyway

A patient with SIADH is taught about a fluid restriction. Which statement shows a need for further teaching?

1. A"If I feel thirsty, I can drink as much water as I like."
2. B"I will count all drinks, including soup, in my daily total."
3. C"I will weigh myself every morning."
4. D"I will report any headaches or confusion."