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

Which symptoms in a patient with back pain suggest cauda equina syndrome?

1. ANumbness between the legs and new bladder problems
2. BBack pain that eases when walking around the house
3. CPain that is worse after a long day at work
4. DMild stiffness in the morning that soon wears off

How does glucagon raise blood glucose?

1. AIt stops the kidneys losing glucose in urine
2. BIt makes the liver release stored glucose
3. CIt blocks the absorption of glucose in muscle
4. DIt adds glucose directly into the bloodstream

Jakie proste badanie służy do przesiewowej oceny stóp osób z cukrzycą pod kątem utraty czucia ochronnego?

1. ADotknięcie podeszwy monofilamentem 10 g
2. BPomiar obwodu łydki
3. CPomiar glikemii z krwi włośniczkowej na palcu stopy
4. DSprawdzenie nawrotu włośniczkowego w palcach rąk

Pacjent z SIADH ma stężenie sodu 126 mmol/L i łagodne objawy. Jakie leczenie jest zwykle pierwszego rzutu?

1. AOgraniczenie płynów
2. BDesmopresyna
3. CDodatkowa woda doustnie
4. DDożylny wlew 5% glukozy

After a lumbar discectomy, which finding should the nurse report promptly?

1. AStiffness when getting out of bed
2. BMild pain at the wound site
3. CNew weakness or numbness in the legs
4. DA dry, intact wound dressing

A man starts finasteride for an enlarged prostate. Which statement is correct?

1. AIt is used only for a few days at a time
2. BIt lowers the blood pressure, so dizziness is very common
3. CIt works within hours by relaxing the bladder muscle
4. DIt takes months to work; pregnant women must not handle broken tablets

Two days after a spinal cord injury, a patient has a swollen abdomen, no bowel sounds and is vomiting. What is most likely, and what is the nursing action?

1. ANormal constipation, so give a large meal to stimulate the bowel
2. BA full bladder, so encourage oral fluids
3. CAn allergic reaction to food, so give an antihistamine
4. DParalytic ileus, so keep nil by mouth and prepare for an NG tube

A patient had rapid-acting insulin before lunch, then vomited the meal 15 minutes later. What should the nurse do?

1. AGive another insulin dose because the meal was lost
2. BGive the evening long-acting insulin early to balance it
3. CMonitor glucose closely and tell the prescriber about the hypo risk
4. DIgnore it, because vomiting raises blood glucose