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

Which is a common effect of long-term corticosteroid treatment?

1. ALow blood glucose
2. BA lower risk of infections
3. CThinning of the bones
4. DWeight loss and a slim face

Which symptoms are typical early warning signs of hypoglycaemia?

1. AThirst, dry skin and passing a lot of urine
2. BDeep, rapid breathing with a fruity breath smell
3. CSlow pulse, constipation and feeling cold
4. DShaking, sweating, hunger and a fast heartbeat

Which description best fits an absence seizure?

1. AA sudden loss of muscle tone that makes the person fall
2. BA brief staring spell of a few seconds with a quick return to normal
3. CStiffening and then jerking of all four limbs for several minutes
4. DJerking that starts in one hand and spreads up the arm

A patient with severe vomiting and diarrhoea takes ramipril, furosemide and metformin. Which advice is correct?

1. ADouble the furosemide to prevent fluid retention
2. BPause these medicines until eating and drinking again
3. CKeep taking everything as normal and drink less
4. DAdd ibuprofen to treat the abdominal cramps

Why is propranolol given to a patient with hyperthyroidism?

1. ATo ease tremor and palpitations while other treatment starts
2. BTo replace the hormone lost from the thyroid gland
3. CTo stop the thyroid gland from making any more hormones
4. DTo destroy overactive thyroid tissue over a few weeks

Which group of drugs is a well-known cause of SIADH and hyponatraemia, especially in older people?

1. AProton pump inhibitors
2. BBulk-forming laxatives
3. CPenicillin antibiotics
4. DSSRI antidepressants

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

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

C5 omurilik yaralanmasından iki gün sonra bir hasta kaygılıdır, solunum hızı 30/dk'dır ve vital kapasitesi düşmektedir. Hemşire ne yapmalıdır?

1. ASolunumu yavaşlatmak ve kaygıyı gidermek için sedatif vermelidir
2. BVital kapasiteyi yaklaşık 12 saat sonra yeniden kontrol etmelidir
3. CAcilen üst basamağa bildirmeli: omurilik ödemi solunum yetmezliğine yol açabilir
4. DHava yolunu açmak için hastayı düz yatırıp başı geriye eğmelidir