Cevaplı Dahili-cerrahi: nöroloji, endokrin ve böbrek çalışma kâğıdı

Which symptoms are classic for high blood glucose?

1. AJoint pain, morning stiffness and fever
2. BWeight gain, feeling cold all the time and dry skin
3. CShaking, sweating and a racing heart
4. DPassing a lot of urine, thirst and weight loss

How is the pain of trigeminal neuralgia typically described?

1. AA dull ache across the forehead that lasts all day
2. BA throbbing pain behind one eye with nausea and aura
3. CSudden electric-shock pain in the face set off by light touch
4. DA burning pain in both feet, worse at night

SIADH'de (uygunsuz ADH sekresyonu sendromu) başlıca laboratuvar bulgusu nedir?

1. ABöbrek kayıplarına bağlı düşük serum kalsiyumu
2. BSu retansiyonuna bağlı düşük serum sodyumu
3. CSu kaybına bağlı yüksek serum sodyumu
4. Dİnsülin direncine bağlı yüksek kan glukozu

Hiperozmolar hiperglisemik durumla (HHD) ilgili hangi ifade doğrudur?

1. AEsas olarak günler içinde tip 2 diyabetli yaşlıları etkiler
2. BDakikalar içinde gelişir ve DKA'dan daha az tehlikelidir
3. CEsas olarak tip 1 diyabetli küçük çocuklarda görülür
4. DHer zaman yüksek kan ketonlarına ve ağır metabolik asidoza yol açar

An 85-year-old care home resident becomes newly confused and is falling more often. A UTI is one possibility. Why?

1. AA UTI cannot occur in people over 80
2. BOlder adults often show infection as confusion
3. CConfusion is the only symptom of a UTI at any age
4. DUrinary infections always cause a high fever in older adults

After a change in the levothyroxine dose, when is the TSH usually rechecked?

1. AAfter 3 days
2. BAfter about 6–8 weeks
3. CAfter 24 hours
4. DAfter about 2 years of treatment

A patient on insulin has worsening chronic kidney disease and is having more hypos. What is the best explanation?

1. AKidney disease makes the body resistant to insulin
2. BThe kidneys clear less insulin, so it lasts longer
3. CThe patient is eating far more carbohydrate than before
4. DKidney disease makes the meter read too low

A nurse teaches foot care to a patient with diabetic neuropathy. Which statement shows a need for further teaching?

1. A"I will wear socks and shoes that fit well and do not rub."
2. B"I will buy corn plasters from the pharmacy for my corn."
3. C"I will check my feet every day, using a mirror for the soles."
4. D"I will check that the bath water is not too hot using my elbow."