内外科护理：神经、内分泌与肾脏练习卷（附答案）

哪个腺体产生皮质醇？

1. A甲状腺
2. B肾上腺髓质
3. C垂体后叶
4. D肾上腺皮质

Which classic triad is described in renal cell carcinoma, although few patients have all three?

1. APolyuria, thirst and weight loss with tiredness
2. BHaematuria, flank pain and a palpable mass
3. CFever, headache and a stiff neck
4. DDysuria, frequency and urgency

Which picture is typical of Guillain–Barré syndrome?

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

Why may a person with long-standing diabetes have a heart attack without typical chest pain?

1. ANerve damage can blunt the pain signals
2. BInsulin acts as a strong painkiller
3. CPeople with diabetes do not have heart attacks
4. DHigh glucose protects the heart from pain

A patient taking sodium valproate becomes tired and is vomiting, and the nurse notices yellowing of the eyes. What is the main concern?

1. AA normal adjustment reaction to the drug
2. BDehydration from drinking too little
3. CA sign that the dose is too low
4. DLiver toxicity from valproate

Why is nimodipine given to patients after a subarachnoid haemorrhage?

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

A nurse teaches a woman with recurrent UTIs. Which statement shows a need for further teaching?

1. A"I will wipe from front to back."
2. B"I will pass urine soon after sex."
3. C"I will hold my urine for as long as I can."
4. D"I will drink enough fluids during the day."

A patient in thyroid storm has a temperature of 40 °C (104 °F). Which measure for the fever is usually avoided?

1. AParacetamol (acetaminophen)
2. BCooling blankets
3. CFanning with cool air
4. DAspirin