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

What is a positive Kernig's sign?

1. APain and resistance when the knee is straightened with the hip flexed
2. BTwitching of the facial muscles when the cheek is tapped in front of the ear
3. CBending of the hips and knees when the neck is flexed
4. DBruising behind the ear after a head injury

İnme şüphesi olan her hastada erken yapılması gereken ve anormal sonucu inmeyi taklit edebilen basit test hangisidir?

1. Aİdrar çubuk testi
2. BKapiller kan glukozu
3. CTepe ekspiratuvar akım hızı
4. DGörme keskinliği tablosu

What is the most important risk factor for bladder cancer?

1. ADrinking a lot of water
2. BFrequent urinary infections in childhood
3. CA diet high in fruit
4. DSmoking

Which measure best prevents catheter-associated urinary tract infection?

1. ARemove the catheter as soon as it is no longer needed
2. BChange the catheter for a new one every day
3. CDisconnect the bag regularly to empty it
4. DKeep the drainage bag above bladder level

After a change in the levothyroxine dose, when is the TSH usually rechecked?

1. AAfter 24 hours
2. BAfter about 2 years of treatment
3. CAfter 3 days
4. DAfter about 6–8 weeks

A bladder scan straight after voiding shows 450 mL of urine still in the bladder. What does this show?

1. AThe patient has drunk too little fluid
2. BThe kidneys are making too little urine
3. CThe patient is passing urine normally
4. DThe bladder is not emptying properly

An 84-year-old man became more confused a week after starting oxybutynin. Infection has been ruled out. What should the nurse suspect?

1. AAnticholinergic side effects of the drug
2. BA symptom of a high potassium from the drug
3. CA sign that the drug dose is too low
4. DNormal ageing that needs no review

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. AUrgent referral for assessment for mechanical thrombectomy
2. BGive aspirin and plan a review on the ward tomorrow
3. CStart IV alteplase immediately without further imaging
4. DNo treatment, because the time for any reperfusion has passed