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

Which hormones are released from the posterior pituitary gland?

1. AInsulin and cortisol
2. BADH (vasopressin) and oxytocin
3. CTSH and ACTH
4. DGrowth hormone and prolactin

What is the purpose of a steroid emergency card or medical alert ID?

1. ATo warn staff that extra steroid is needed in illness or injury
2. BTo record the patient's blood glucose results
3. CTo let the patient buy steroids without a prescription
4. DTo show that the patient is allergic to all types of steroid medicine

Waar staat de letter A voor in de FAST-test voor een beroerte?

1. AAlertness (alertheid): is de persoon volledig wakker?
2. BArms (armen): kunnen beide armen worden opgetild en omhooggehouden?
3. CAirway (luchtweg): is de luchtweg open en vrij?
4. DAllergies (allergieën): is de persoon allergisch voor iets?

A stroke patient with dysphagia has been started on a modified diet. Which action best reduces the risk of aspiration?

1. AGive fluids through a straw so they flow more slowly
2. BSit the patient fully upright for meals and for a while afterwards
3. CFeed quickly so the patient does not tire during the meal
4. DLay the patient flat straight after meals so they can rest and digest

Why are patients on haemodialysis vaccinated against hepatitis B?

1. AHepatitis B vaccine improves the fistula flow
2. BShared dialysis units carry a higher infection risk
3. CThe vaccine is needed to make the dialyser work
4. DThe vaccine lowers the potassium level

A patient has just started levetiracetam. Which side effect should the nurse teach them to report?

1. AOrange discoloration of the urine
2. BA persistent dry cough at night
3. CChanges in mood, such as irritability, low mood or anger
4. DSwelling and overgrowth of the gums around the teeth

Which patient on a stroke unit is most at risk of falling?

1. AA patient with a TIA whose symptoms resolved completely yesterday
2. BA patient with a right-hemisphere stroke who is impulsive and denies having weakness
3. CA patient with a left-hemisphere stroke who has expressive aphasia and waits for help
4. DA patient with mild dysarthria who walks steadily with a frame

A patient with Guillain–Barré syndrome has a blood pressure that swings between 80/50 and 190/100 mmHg and a heart rate that changes suddenly. What does this suggest?

1. AA faulty blood pressure cuff that should be replaced and the readings ignored
2. BA drug reaction that means all medicines must stop
3. CAutonomic dysfunction, which needs continuous cardiac monitoring
4. DAnxiety that will settle with reassurance alone