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

Which is a common effect of long-term corticosteroid treatment?

1. AWeight loss and a slim face
2. BThinning of the bones
3. CLow blood glucose
4. DA lower risk of infections

Wat is een veelvoorkomende prerenale oorzaak van acute nierschade?

1. AEen vergrote prostaat die de afvoer blokkeert
2. BUitdroging of lage bloeddruk
3. CBeschadiging van de tubuli door gentamicine
4. DNierstenen die beide urineleiders blokkeren

Which substance do the kidneys release that helps raise blood pressure?

1. AInsulin
2. BRenin
3. CBile
4. DThyroxine

A patient with type 1 diabetes plans a long cycle ride. Which advice is most appropriate?

1. AAvoid checking glucose until the ride is over
2. BCheck glucose before and after, and carry fast-acting carbohydrate
3. CSkip breakfast so the exercise burns body fat
4. DTake an extra dose of rapid-acting insulin before setting off

When a patient sticks out their tongue, it points to the right. Which nerve is affected?

1. AThe right hypoglossal nerve (XII)
2. BThe left hypoglossal nerve (XII)
3. CThe left trigeminal nerve (V)
4. DThe right facial nerve (VII)

Why are patients with an acute spinal cord injury at high risk of deep vein thrombosis?

1. AParalysed leg muscles no longer pump blood back to the heart
2. BSpinal injuries always damage the large veins of the legs
3. CThe injury makes the blood too thin to clot properly in the veins
4. DThey usually take oestrogen as part of their treatment

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

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

A patient has erratic glucose readings. The nurse finds a soft, rubbery lump where they always inject. What is the most important teaching?

1. AKeep injecting into the lump, because it hurts less there
2. BMassage the lump firmly after every injection
3. CDouble the insulin dose because the lump blocks the insulin
4. DUse healthy sites and check glucose often, as less insulin may be needed