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

A patient with Bell's palsy cannot close one eye fully. Which advice is most important?

1. AWear contact lenses to keep the eye moist
2. BLeave the eye uncovered so air can dry it out
3. CMassage the closed eyeball firmly several times every day
4. DUse lubricating eye drops and protect or tape the eye at night

How should a patient collect a midstream urine sample?

1. ACollect urine over 24 hours into one bottle
2. BCollect urine from the toilet bowl afterwards
3. CCollect the very first drops into the container
4. DLet the first part go in the toilet, then catch the middle

What is the normal range for serum potassium in an adult?

1. AAbout 1,5–2,5 mmol/L
2. BAbout 6,0–7,5 mmol/L
3. CAbout 135–145 mmol/L
4. DAbout 3,5–5,0 mmol/L

Which approach helps most when talking to a patient with expressive aphasia?

1. AFinish their sentences quickly to save them effort
2. BSpeak louder, because the patient cannot hear well
3. CAvoid talking to them until their speech has recovered
4. DAsk questions that can be answered with yes, no or a gesture

Hemodiyalizin hangi komplikasyonu, özellikle ilk seanslarda baş ağrısı, bulantı, huzursuzluk ve bazen nöbetlere yol açar?

1. ABakteriyel peritonit
2. BDiyaliz dengesizliği sendromu
3. CDiyalizat hipoglisemisi
4. DHatlar yoluyla venöz hava embolisi

Why is nimodipine given to patients after a subarachnoid haemorrhage?

1. ATo reduce brain injury from delayed vasospasm
2. BTo raise the blood pressure and improve perfusion
3. CTo stop seizures in the first few days
4. DTo dissolve the blood clot around the aneurysm

A patient with acromegaly snores loudly, stops breathing at times in sleep and is sleepy during the day. What is most likely?

1. AObstructive sleep apnoea
2. BNormal snoring
3. CAn anxiety disorder
4. DNarcolepsy

A patient arrives five hours after the onset of a stroke. A CT angiogram shows a blockage of a large artery in the brain. What is the most appropriate next step?

1. ANo treatment, because the time for any reperfusion has passed
2. BStart IV alteplase immediately without further imaging
3. CGive aspirin and plan a review on the ward tomorrow
4. DUrgent referral for assessment for mechanical thrombectomy