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

गुर्दे की विफलता की खतरनाक जटिलता कौन-सा इलेक्ट्रोलाइट विकार है?

1. Aहाइपोकैलीमिया
2. Bहाइपरकैलीमिया
3. Cहाइपरकैल्सीमिया
4. Dहाइपरनैट्रीमिया

Which description fits a cluster headache?

1. ASevere one-sided pain around the eye with a watery eye
2. BA throbbing headache on both sides after drinking coffee
3. CA mild band-like ache across both sides of the head
4. DA slowly worsening headache over months with vomiting in the morning

In countries with enough iodine in the diet, what is the most common cause of hypothyroidism?

1. AThyroid cancer
2. BAutoimmune thyroiditis (Hashimoto's)
3. CToo much iodine in salt
4. DA pituitary tumour pressing on the gland

When the nurse squeezes the trapezius muscle, the patient brings a hand up above the collarbone towards the stimulus. Which GCS motor score is this?

1. A4, withdraws from pain
2. B6, obeys commands
3. C3, abnormal flexion
4. D5, localises to pain

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

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

What is the main purpose of continuous bladder irrigation after a transurethral resection of the prostate (TURP)?

1. ATo stop blood clots from blocking the catheter
2. BTo give the patient extra fluids
3. CTo measure the size of the bladder
4. DTo treat a urinary infection after the operation

Which statement correctly distinguishes spinal shock from neurogenic shock?

1. ANeurogenic shock is caused by blood loss; spinal shock is caused by infection
2. BSpinal shock is low blood pressure; neurogenic shock is the loss of reflexes
3. CThey are two names for exactly the same condition
4. DSpinal shock is lost reflexes; neurogenic shock is low BP and slow pulse

A patient with Parkinson's disease is nil by mouth after abdominal surgery. Their levodopa is due. What is the best action?

1. AOmit the dose until the patient can swallow again
2. BGive double the dose once eating restarts
3. CContact the prescriber or pharmacist about another route
4. DGive the tablets with a sip of water anyway