Choroby wewnętrzne i chirurgiczne: neurologia, endokrynologia i nerki: karta pracy z odpowiedziami

After a head injury, a patient has bruising behind the ear over the mastoid bone. What does this suggest?

1. AA fracture of the base of the skull
2. BA fractured jaw
3. CA simple scalp laceration
4. DAn injury to the outer ear only

Which fasting plasma glucose level is used to diagnose diabetes?

1. A5,5 mmol/L (99 mg/dL) or higher
2. B7,0 mmol/L (126 mg/dL) or higher
3. C15,0 mmol/L (270 mg/dL) or higher
4. D4,0 mmol/L (72 mg/dL) or higher

What does a complete spinal cord injury mean?

1. AThe spinal cord has been cut into two separate pieces
2. BNo movement or feeling below the injury, even in the sacral area
3. CThe patient can move but cannot feel below the injury
4. DAll vertebrae in the neck are broken

Po urazie głowy z nosa pacjenta kapie przejrzysty płyn. Jakie jest główne zagrożenie?

1. AReakcja alergiczna na środek kontrastowy do TK
2. BWyciek płynu mózgowo-rdzeniowego z powodu złamania czaszki
3. CPrawidłowa wydzielina po płaczu
4. DZwykłe przeziębienie lub napad kataru siennego

Which picture fits Brown-Séquard syndrome?

1. ALoss of all feeling but normal movement on both sides
2. BWeakness on the same side and loss of pain on the opposite side
3. CParalysis of both legs, with normal sensation everywhere in the body
4. DWeakness of both arms with normal strength in the legs

An 82-year-old taking apixaban fell three weeks ago. Since then their family has noticed increasing confusion and headaches. Which condition is most likely?

1. ANormal ageing with mild memory loss
2. BChronic subdural haematoma
3. CAcute extradural haematoma
4. DSubarachnoid haemorrhage from an aneurysm

Which task for a stroke patient can a registered nurse safely delegate to a healthcare assistant (nursing assistant)?

1. ACarrying out the first bedside water swallow screen after admission
2. BAssessing a new weakness the patient reports in the leg
3. CRepositioning the patient every two hours as set out in the care plan
4. DTeaching the patient how to take a new anticoagulant

A 74-year-old falls forward and hits their chin. Their arms are much weaker than their legs, and they have burning pain in the hands. Which injury is most likely?

1. ACentral cord syndrome
2. BBrown-Séquard syndrome
3. CCauda equina syndrome
4. DA complete lumbar cord injury