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नाम: ____________________ दिनांक: ____________
1.आसान
"मेलीना" (melaena) शब्द किसका वर्णन करता है?
Aउल्टी या बलगम में मिला चमकीला लाल रक्त
Bहल्के मिट्टी के रंग का मल
Cकाला, तारकोल जैसा, दुर्गंधयुक्त मल
Dगहरा पीला मूत्र
2.आसान
ग्लासगो कोमा स्केल (GCS) किसका आकलन करता है?
Aप्रतिवर्त (reflexes), मांसपेशी टोन और संवेदना
Bपुतली का आकार और प्रतिक्रिया, रक्तचाप और नाड़ी
Cदर्द, मतली और चिंता
Dआँख खोलना, मौखिक प्रतिक्रिया और मोटर प्रतिक्रिया
3.आसान
What is a normal capillary refill time in an adult?
A8–10 seconds
BMore than 15 seconds
C2 seconds or less
D5–6 seconds
4.मध्यम
Why is an urgent brain scan needed before thrombolysis for a suspected stroke?
ATo measure the size of the ventricles
BTo confirm the patient's age
CTo rule out bleeding in the brain
DTo check for brain tumours only
5.मध्यम
Why is continuous bladder irrigation used after a transurethral resection of the prostate (TURP)?
ATo stretch the bladder back to its normal size
BTo give antibiotics directly into the kidneys
CTo stop blood clots from blocking the catheter
DTo measure the patient's kidney function
6.मध्यम
Why is lactulose given to a patient with hepatic encephalopathy?
ATo lower the blood glucose
BTo increase the liver's production of albumin
CTo reduce the absorption of ammonia from the gut
DTo stop bleeding from varices
7.कठिन
A patient with a central venous catheter needs the line removed. Which position reduces the risk of air embolism during removal of a neck or chest line?
ALying flat or slightly head-down, holding the breath or breathing out
BStanding up and walking
CLying on the right side with the legs raised
DSitting fully upright and taking a deep breath in as the line comes out
8.कठिन
The fluid in an underwater seal chest drain has stopped swinging with breathing. What could this mean?
AThe drain is working perfectly and needs no checks
BThe patient's breathing has become normal and the drain can be pulled out by the nurse
CThe tube may be kinked or blocked, or the lung may have fully re-expanded
DThe water seal has been set up correctly for the first time
उत्तर कुंजी
1. C · काला, तारकोल जैसा, दुर्गंधयुक्त मल
2. D · आँख खोलना, मौखिक प्रतिक्रिया और मोटर प्रतिक्रिया
3. C · 2 seconds or less
4. C · To rule out bleeding in the brain
5. C · To stop blood clots from blocking the catheter
6. C · To reduce the absorption of ammonia from the gut
7. A · Lying flat or slightly head-down, holding the breath or breathing out
8. C · The tube may be kinked or blocked, or the lung may have fully re-expanded
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