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

What is a suprapubic catheter?

1. AA catheter put into the bladder through the abdomen
2. BA small catheter used only once and then removed
3. CA tube placed into the kidney through the back
4. DA catheter passed into the bladder through the urethra

Why should insulin injection sites be rotated?

1. ATo prevent fatty lumps that absorb insulin unevenly
2. BTo stop the insulin from spreading to other organs
3. CTo avoid building up an immune response to the insulin
4. DTo make the insulin work faster each time

Which description best fits an absence seizure?

1. AStiffening and then jerking of all four limbs for several minutes
2. BA sudden loss of muscle tone that makes the person fall
3. CA brief staring spell of a few seconds with a quick return to normal
4. DJerking that starts in one hand and spreads up the arm

Which measure best detects a decline in breathing in a patient with Guillain–Barré syndrome?

1. ADaily chest X-rays
2. BOxygen saturation alone
3. CPeak flow before and after a bronchodilator
4. DRegular forced vital capacity measurements

A patient with advanced CKD asks how to manage indigestion. Which option should they avoid?

1. AMagnesium-containing antacids
2. BRaising the head of the bed at night
3. CEating smaller, more frequent meals
4. DAvoiding large meals late in the evening

A patient is starting lamotrigine. Which teaching point is most important?

1. ATake it with a glass of grapefruit juice to improve its absorption
2. BReport any skin rash promptly, especially in the first weeks
3. CDouble the dose if a seizure happens
4. DExpect an orange tint to tears and urine

A nurse teaches a young adult with newly diagnosed epilepsy. Which statement shows a need for further teaching?

1. A"As long as I take my tablets, I can swim alone."
2. B"I will keep a record of any seizures I have."
3. C"I will tell my friends what to do if I have a seizure."
4. D"I will take a shower rather than a bath."

Six weeks after a kidney transplant, a patient has a fever, tenderness over the graft, less urine and a rising creatinine. What is most likely?

1. AA side effect of sun exposure
2. BA normal finding as the kidney settles in
3. CAcute rejection, needing urgent transplant team review
4. DDehydration that needs only more oral fluids and rest