उत्तरों सहित मेड-सर्ज: तंत्रिका, अंतःस्रावी और गुर्दा वर्कशीट

Which statement about metformin is correct?

1. AIt is the usual first treatment for type 1 diabetes in adults
2. BIt works by making the pancreas release a lot more insulin
3. CUsed on its own, it rarely causes hypoglycaemia
4. DIt is given by injection into the abdomen once a week

यह दर्ज करना महत्वपूर्ण क्यों है कि स्ट्रोक का मरीज़ आखिरी बार कब ठीक पाया गया था?

1. Aमरीज़ के GCS स्कोर की गणना के लिए समय चाहिए
2. Bथ्रोम्बोलाइसिस जैसे उपचार शुरुआत के बाद बीते समय पर निर्भर करते हैं
3. Cएक घंटे बाद देखे गए मरीज़ों को स्ट्रोक यूनिट में भर्ती नहीं किया जा सकता
4. Dसमय तय करता है कि मस्तिष्क का कौन-सा भाग प्रभावित है

How is chronic kidney disease defined?

1. AAny single raised creatinine result
2. BKidney pain lasting more than a week
3. CAbnormal kidney function or structure for over 3 months
4. DA sudden rise in creatinine over 48 hours after surgery

Which action is part of an effective bowel programme after a spinal cord injury?

1. AA routine at the same time each day, often after a meal
2. BUsing strong laxatives only when the bowel has not opened for a week
3. CAvoiding fibre to prevent bloating
4. DRestricting fluids to reduce the volume of stool

Why are patients with an acute spinal cord injury at high risk of deep vein thrombosis?

1. AThe injury makes the blood too thin to clot properly in the veins
2. BParalysed leg muscles no longer pump blood back to the heart
3. CThey usually take oestrogen as part of their treatment
4. DSpinal injuries always damage the large veins of the legs

A man starts finasteride for an enlarged prostate. Which statement is correct?

1. AIt lowers the blood pressure, so dizziness is very common
2. BIt takes months to work; pregnant women must not handle broken tablets
3. CIt works within hours by relaxing the bladder muscle
4. DIt is used only for a few days at a time

A patient with acromegaly snores loudly, stops breathing at times in sleep and is sleepy during the day. What is most likely?

1. ANormal snoring
2. BAn anxiety disorder
3. CObstructive sleep apnoea
4. DNarcolepsy

क्रेनियल डायबिटीज़ इन्सिपिडस वाला मरीज़ डेस्मोप्रेसिन शुरू करता है। नर्स को किस जटिलता की निगरानी करनी चाहिए?

1. Aगंभीर दस्त
2. Bहाइपरग्लाइसीमिया
3. Cहाइपोनैट्रीमिया
4. Dहाइपरकैलीमिया