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

What is an aura before a seizure?

1. AA warning sensation, which is itself a small focal seizure
2. BThe confusion and sleepiness after a seizure ends
3. CA lasting change in vision that is caused by long-term epilepsy
4. DA rash that appears after some antiepileptic drugs

Which equipment should be ready at the bedside of a patient on seizure precautions?

1. AWrist restraints to stop the limbs jerking
2. BWorking suction and oxygen
3. CA urinary catheter in case of incontinence
4. DA tongue depressor to place between the teeth

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. CSprawdzenie nawrotu włośniczkowego w palcach rąk
4. DPomiar glikemii z krwi włośniczkowej na palcu stopy

A patient receives phenytoin through a nasogastric tube along with continuous enteral feed. Which issue should the nurse know about?

1. APhenytoin must be crushed and mixed into the feed bag
2. BThe feed increases phenytoin levels and causes toxicity within hours
3. CThe feed can reduce phenytoin absorption, so the feed is often paused around the dose
4. DPhenytoin makes the feed curdle, so the two must never be used in one patient

Which statement about giving IV potassium is correct?

1. AIt can be given quickly as a push to correct the level fast
2. BIt needs no monitoring at all once the infusion is running
3. CIt is safest given through a small vein in the hand at a fast rate
4. DIt is diluted and given through an infusion pump, never as a bolus

Why are patients on haemodialysis vaccinated against hepatitis B?

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

A patient who had pituitary surgery has fatigue and feels cold. TSH is low, and free T4 is low. What is the most likely cause?

1. APrimary hypothyroidism from thyroid failure
2. BSecondary hypothyroidism
3. CHyperthyroidism from Graves' disease
4. DOver-replacement with levothyroxine

Pacjent z ostrym udarem niedokrwiennym nie jest kandydatem do trombolizy. W pierwszej dobie ciśnienie krwi wynosi 190/100 mmHg, bez innego stanu nagłego. Co jest zasadniczo właściwe?

1. ASzybko obniżyć do 110/70 mmHg lekami dożylnymi
2. BPołożyć pacjenta płasko i podać duży bolus płynów
3. CUnikać agresywnego obniżania i stosować cele wyznaczone przez zespół udarowy
4. DPodawać azotany w aerozolu co 5 minut, aż do spadku poniżej 120 mmHg