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

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Imię: ____________________   Data: ____________

1.Łatwy

What is the normal intracranial pressure in a resting adult?

  1. AAbout 20–30 mmHg
  2. BAbout 40–60 mmHg
  3. CAbout 80–100 mmHg
  4. DAbout 5–15 mmHg
2.Łatwy

The nurse asks a patient to shrug their shoulders against resistance. Which cranial nerve is being tested?

  1. AHypoglossal nerve (XII)
  2. BAccessory nerve (XI)
  3. CTrigeminal nerve (V)
  4. DFacial nerve (VII)
3.Łatwy

Which is the most important modifiable risk factor for stroke?

  1. AHigh blood pressure
  2. BFamily history of stroke
  3. COlder age
  4. DMale sex
4.Średni

Po operacji przysadki pacjent oddaje 400 mL moczu na godzinę przez trzy godziny, z niskim ciężarem właściwym. Co powinna podejrzewać pielęgniarka?

  1. ASIADH
  2. BMoczówkę prostą
  3. COstre uszkodzenie nerek
  4. DPrawidłową diurezę
5.Średni

Why should long-term steroid treatment not be stopped suddenly?

  1. AThe steroids build up and become toxic after they are stopped
  2. BStopping causes the blood glucose to fall sharply
  3. CThe suppressed adrenal glands cannot make enough cortisol at once
  4. DStopping suddenly makes the bones grow too quickly and then fracture
6.Średni

Which statement about storing insulin is correct?

  1. AUnopened insulin goes in the fridge and must never be frozen
  2. BAll insulin must be stored in the freezer to keep it stable
  3. CInsulin that has been frozen can be used once it has thawed
  4. DInsulin should be kept on a sunny windowsill to stay warm
7.Trudny

The nurse has four renal patients. Which one needs to be seen first?

  1. AA patient with a potassium of 6,8 mmol/L who reports palpitations
  2. BA patient with CKD asking about their phosphate binder
  3. CA patient with a creatinine slightly above their usual level
  4. DA patient with mild itching from uraemia who wants a cream
8.Trudny

A patient with known back pain says they now cannot feel the skin between their legs and have not passed urine for 12 hours. What should happen?

  1. AA routine physiotherapy appointment next week
  2. BA laxative and review in the clinic in a month
  3. CUrgent MRI and referral to the spinal surgeons
  4. DAdvice to rest at home and take stronger painkillers

Klucz odpowiedzi

  1. 1. D · About 5–15 mmHg
  2. 2. B · Accessory nerve (XI)
  3. 3. A · High blood pressure
  4. 4. B · Moczówkę prostą
  5. 5. C · The suppressed adrenal glands cannot make enough cortisol at once
  6. 6. A · Unopened insulin goes in the fridge and must never be frozen
  7. 7. A · A patient with a potassium of 6,8 mmol/L who reports palpitations
  8. 8. C · Urgent MRI and referral to the spinal surgeons

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