Werkblad Medisch-chirurgisch: neurologie, endocrinologie en nieren met antwoorden

What is a goitre?

1. AAn overactive parathyroid gland
2. BAn enlarged thyroid gland
3. CA swollen lymph node in the armpit
4. DA tumour of the adrenal gland

A stroke affects the anterior cerebral artery. Which weakness pattern is most typical?

1. AThe opposite arm and face are weaker than the leg
2. BThe same side of the body is weak
3. CThe opposite leg is weaker than the arm
4. DBoth legs are weak with normal arms

Which symptoms are typical of cystitis (a bladder infection)?

1. ABurning on passing urine, frequency and urgency
2. BPainless red urine with clots
3. CHigh fever, shaking rigors and pain in the loin
4. DSwelling of the ankles and frothy urine

A kidney transplant recipient asks about travel vaccines. Which statement is correct?

1. AOnly live vaccines are effective after a transplant
2. BVaccines will cause the kidney to be rejected
3. CLive vaccines are usually avoided
4. DAll vaccines are completely safe after a transplant

During continuous bladder irrigation, 3200 mL drains out in a shift. 2500 mL of irrigation fluid was put in. What is the true urine output?

1. A3200 mL
2. B5700 mL
3. C700 mL
4. D2500 mL

A patient with myasthenia gravis wants to plan a busy day. Which advice fits the disease?

1. ADo the hardest tasks in the evening when muscles are warmed up
2. BAvoid rest periods, because rest makes the weakness worse
3. CExercise to exhaustion so the muscles get stronger quickly
4. DDo demanding tasks in the morning or when the drug works best

A nurse teaches a patient about peritoneal dialysis. Which statement shows a need for further teaching?

1. A"If the fluid is cloudy, I'll see if it clears next time."
2. B"I will check my exit site every day."
3. C"I will weigh myself daily and record my fluid balance."
4. D"I will wash my hands carefully before each exchange."

Near the end of a haemodialysis session, a patient has painful leg cramps and a falling blood pressure. What is the most likely cause?

1. ANot enough fluid is being removed
2. BAn allergic reaction to the needles
3. CFluid is being removed too quickly
4. DThe dialysate is too cold