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

Which classic triad is described in renal cell carcinoma, although few patients have all three?

1. APolyuria, thirst and weight loss with tiredness
2. BFever, headache and a stiff neck
3. CDysuria, frequency and urgency
4. DHaematuria, flank pain and a palpable mass

Why are patients with a spinal cord injury at very high risk of pressure injuries?

1. ATheir skin is thinner than other people's skin
2. BThey cannot feel or move the body below the injury
3. CTheir blood sugar is always very high, which damages the skin
4. DThey usually have a high fever for many weeks

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

1. AHypoglossal nerve (XII)
2. BTrigeminal nerve (V)
3. CFacial nerve (VII)
4. DAccessory nerve (XI)

Why are patients with an acute spinal cord injury at high risk of deep vein thrombosis?

1. ASpinal injuries always damage the large veins of the legs
2. BThe injury makes the blood too thin to clot properly in the veins
3. CThey usually take oestrogen as part of their treatment
4. DParalysed leg muscles no longer pump blood back to the heart

Why are tacrolimus blood levels checked regularly?

1. AThe levels show how much urine the kidney is making
2. BToo high harms the kidney; too low risks rejection
3. CThe drug only works if levels are as high as possible
4. DThe levels show whether the patient has diabetes

A stroke patient speaks fluently, but the words make little sense, and they do not follow simple instructions. Which type of aphasia is this?

1. AReceptive (Wernicke's) aphasia
2. BDysarthria from facial weakness
3. CGlobal aphasia with no speech at all
4. DExpressive (Broca's) aphasia

Pacjent ma napady silnego bólu głowy, pocenia się, kołatania serca i bardzo wysokiego ciśnienia krwi. Jakie schorzenie należy rozważyć?

1. AChorobę Addisona
2. BGuz chromochłonny (phaeochromocytoma)
3. CMoczówkę prostą
4. DNiedoczynność tarczycy

A man with chronic urinary retention is catheterised. Over the next hours he passes very large volumes of urine. What is the main nursing concern?

1. ARupture of the bladder from the catheter
2. BA rise in blood glucose from the urine
3. CFluid and electrolyte loss from post-obstructive diuresis
4. DA urinary infection caused by the high flow of urine