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

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

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

What does dysarthria mean?

1. AInability to read or write after a brain injury
2. BDifficulty swallowing food and drink safely
3. CUnclear speech caused by weak or poorly coordinated speech muscles
4. DLoss of the ability to understand spoken or written language

What is the main cause of type 1 diabetes?

1. AA lack of glucagon from the pancreas
2. BEating too much sugar and sweet food during childhood
3. CInsulin resistance caused mainly by excess body weight
4. DAutoimmune destruction of the insulin-making beta cells

Tiroidektomiden sonra sütür veya klips çıkarıcılar neden sıklıkla yatak başında bulundurulur?

1. ABoyun venlerinden kan almak için gereklidirler
2. BDren çalışmayı bırakınca ayarlamak için kullanılırlar
3. CSütürler ameliyattan sonraki ilk akşam alınmalıdır
4. DBoyun hematomu hava yolunu sıkıştırabilir ve açılması gerekebilir

Why must Parkinson's medicines be given on time in hospital?

1. ALate doses can soon cause stiffness, falls and poor swallowing
2. BLate doses build up in the blood and cause an overdose
3. CGiving them on time prevents the disease from getting worse
4. DLate doses cause the patient to develop high blood glucose

Uzun süreli fenitoin kullanan bir hasta hangi yan etki konusunda bilgilendirilmelidir?

1. AKilo kaybı ve sıcağa dayanıksızlık
2. BGiderek artan, kalıcı işitme kaybı
3. CHemen her hastada kafa derisinde saç dökülmesi
4. DDiş eti aşırı büyümesi, bu yüzden iyi ağız hijyeni önemlidir

At bedtime, a patient was given their rapid-acting insulin by mistake instead of their long-acting insulin. What should the nurse do?

1. AGive the long-acting dose as well and check glucose at breakfast
2. BTell the prescriber and check glucose often overnight
3. CGive glucagon now, before the glucose has fallen
4. DSay nothing, because the patient is asleep and seems fine

The nurse has four renal patients. Which one needs to be seen first?

1. AA patient with mild itching from uraemia who wants a cream
2. BA patient with a creatinine slightly above their usual level
3. CA patient with CKD asking about their phosphate binder
4. DA patient with a potassium of 6,8 mmol/L who reports palpitations