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

Post-streptococcal glomerulonephritis typically follows which event?

1. AA long course of antibiotics for pneumonia
2. BAn episode of bloody diarrhoea from food poisoning
3. CA kidney stone passed the week before
4. DA throat or skin infection a few weeks earlier

Which description fits a cluster headache?

1. ASevere one-sided pain around the eye with a watery eye
2. BA mild band-like ache across both sides of the head
3. CA throbbing headache on both sides after drinking coffee
4. DA slowly worsening headache over months with vomiting in the morning

Which picture is typical of Guillain–Barré syndrome?

1. AMuscle weakness that worsens late in the day and improves with rest
2. BA sudden one-sided facial droop with slurred speech
3. CRising weakness from the legs, weeks after an infection
4. DA resting tremor that slowly spreads to the other hand

The day after a thyroidectomy, a patient reports tingling around the mouth and in the fingers. Why might this happen?

1. AThe thyroid hormone level has risen too high after surgery
2. BThe anaesthetic has caused an allergic reaction
3. CThe parathyroid glands may have been damaged, lowering calcium
4. DThe patient is breathing too slowly after the operation

A patient has just started levetiracetam. Which side effect should the nurse teach them to report?

1. AOrange discoloration of the urine
2. BA persistent dry cough at night
3. CSwelling and overgrowth of the gums around the teeth
4. DChanges in mood, such as irritability, low mood or anger

Why is IV calcium gluconate given in severe hyperkalaemia?

1. AIt binds potassium in the gut
2. BIt protects the heart from arrhythmias
3. CIt moves potassium into the cells
4. DIt removes potassium through the kidneys

A patient has erratic glucose readings. The nurse finds a soft, rubbery lump where they always inject. What is the most important teaching?

1. AKeep injecting into the lump, because it hurts less there
2. BMassage the lump firmly after every injection
3. CUse healthy sites and check glucose often, as less insulin may be needed
4. DDouble the insulin dose because the lump blocks the insulin

A patient with an external ventricular drain sat up in bed without help. The drain stayed at its old height, and the drainage bag filled quickly. The patient now has a headache. What is the concern?

1. AUnderdrainage, so the drain should be lowered further
2. BAn infected drain, so the dressing should be removed
3. COverdrainage of CSF, so act per protocol and inform the team
4. DNo concern, because more drainage always lowers the ICP safely