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

What is spinal shock?

1. AA permanent loss of feeling in both hands only, from nerve damage
2. BA temporary loss of reflexes and tone below a spinal cord injury
3. CA severe allergic reaction to spinal anaesthetic
4. DA very low blood pressure caused by blood loss after trauma

Which cranial nerve makes the pupil constrict in response to light?

1. ATrochlear nerve (IV)
2. BOculomotor nerve (III)
3. CAbducens nerve (VI)
4. DOptic nerve (II) alone

What is an early sign of kidney damage from diabetes?

1. APain felt in both kidneys at night
2. BA very low blood urea level
3. CBlood in the urine that is visible
4. DSmall amounts of albumin in the urine

Why is pyridostigmine often taken about 30–60 minutes before meals by patients with myasthenia gravis?

1. ATo reduce stomach acid so the food is digested better
2. BTo lower the blood glucose rise after eating a meal
3. CTo improve the strength of chewing and swallowing at mealtimes
4. DTo stop the drug from irritating an empty stomach later on

A patient with type 1 diabetes has gastroenteritis and cannot eat. Which sick-day advice is correct?

1. ACheck glucose once a day only and rest in bed until better
2. BKeep taking basal insulin and check glucose and ketones more often
3. CStop all insulin until normal eating restarts
4. DAvoid drinking fluids to reduce the vomiting

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

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

A 66-year-old smoker has had two episodes of painless red urine. Urine cultures are negative. Which plan is most appropriate?

1. AAnother course of antibiotics for a UTI
2. BReassure him, because the blood has stopped
3. CUrgent referral for cystoscopy and imaging
4. DAdvise more fluids and review in a year

Santral diabetes insipidusu olan bir hasta desmopressin başlıyor. Hemşire hangi komplikasyon açısından izlem yapmalıdır?

1. AAğır ishal
2. BHiponatremi
3. CHiperkalemi
4. DHiperglisemi