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

What is the main effect of parathyroid hormone (PTH)?

1. AIt lowers blood glucose
2. BIt raises blood sodium
3. CIt raises blood calcium
4. DIt lowers blood potassium

What is the lowest possible score on the Glasgow Coma Scale?

1. A0
2. B3
3. C1
4. D5

What is the most important risk factor for bladder cancer?

1. AA diet high in fruit
2. BSmoking
3. CFrequent urinary infections in childhood
4. DDrinking a lot of water

Why must Parkinson's medicines be given on time in hospital?

1. AGiving them on time prevents the disease from getting worse
2. BLate doses cause the patient to develop high blood glucose
3. CLate doses can soon cause stiffness, falls and poor swallowing
4. DLate doses build up in the blood and cause an overdose

For which patient would the nurse question an order for pioglitazone?

1. AA patient with heart failure
2. BA patient with hypothyroidism
3. CA patient with an allergy to latex
4. DA patient with asthma

Why is IV calcium gluconate given in severe hyperkalaemia?

1. AIt removes potassium through the kidneys
2. BIt moves potassium into the cells
3. CIt protects the heart from arrhythmias
4. DIt binds potassium in the gut

A patient arrives five hours after the onset of a stroke. A CT angiogram shows a blockage of a large artery in the brain. What is the most appropriate next step?

1. AUrgent referral for assessment for mechanical thrombectomy
2. BStart IV alteplase immediately without further imaging
3. CGive aspirin and plan a review on the ward tomorrow
4. DNo treatment, because the time for any reperfusion has passed

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

1. AA patient with multiple sclerosis who is tired after physiotherapy
2. BA patient with Parkinson's disease whose next dose is due in one hour
3. CA patient with a headache after a lumbar puncture this morning
4. DA patient with Guillain–Barré syndrome whose vital capacity is falling