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

Which group of features is typical of Parkinson's disease?

1. AIntention tremor, muscle wasting and twitching under the skin
2. BResting tremor, rigidity and slow movement
3. CWeakness rising from the feet, with tingling and lost reflexes
4. DDrooping eyelids and double vision that get worse later in the day

Which HbA1c result is commonly used as the threshold for diagnosing diabetes?

1. A38 mmol/mol (5,6%) or higher
2. B48 mmol/mol (6,5%) or higher
3. C30 mmol/mol (4,9%) or higher
4. D75 mmol/mol (9,0%) or higher

Which symptoms are typical of uraemia in advanced kidney disease?

1. AHeat intolerance, tremor and weight loss
2. BItching, nausea, tiredness and poor appetite
3. CSevere flank pain with visible blood in the urine
4. DExcess thirst with a very high glucose

Periton diyalizi sıvısı kullanımdan önce nasıl ısıtılmalıdır?

1. AÖzel bir kuru ısı ısıtıcısında
2. BBir kase sıcak musluk suyunda
3. CBuzdolabından soğuk olarak kullanılmalıdır
4. DMikrodalga fırında

A patient with multiple sclerosis says their symptoms get worse after a hot bath. What should the nurse explain?

1. AThey should take very cold baths to reverse the damage
2. BThis shows that the disease has entered a new progressive stage
3. CHot baths cause new areas of damage in the brain
4. DHeat can briefly worsen MS symptoms, which settle when they cool down

Which side effects are common with oxybutynin for an overactive bladder?

1. ADry mouth and constipation
2. BDiarrhoea and heavy sweating
3. CA cough and a raised potassium
4. DWeight loss and a fast tremor

A man who takes tamsulosin for BPH is listed for cataract surgery. Which statement is correct?

1. AThe eye surgeon must be told, as it can cause floppy iris during surgery
2. BTamsulosin has no effects outside the urinary tract, so nothing changes
3. CThe dose should be doubled before surgery to prevent urinary retention
4. DIt should be swapped for oxybutynin the night before to protect the eye

Which patient on a stroke unit is most at risk of falling?

1. AA patient with a left-hemisphere stroke who has expressive aphasia and waits for help
2. BA patient with a TIA whose symptoms resolved completely yesterday
3. CA patient with mild dysarthria who walks steadily with a frame
4. DA patient with a right-hemisphere stroke who is impulsive and denies having weakness