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

Why are patients with a spinal cord injury at very high risk of pressure injuries?

1. ATheir skin is thinner than other people's skin
2. BThey usually have a high fever for many weeks
3. CThey cannot feel or move the body below the injury
4. DTheir blood sugar is always very high, which damages the skin

What does dysarthria mean?

1. ALoss of the ability to understand spoken or written language
2. BUnclear speech caused by weak or poorly coordinated speech muscles
3. CDifficulty swallowing food and drink safely
4. DInability to read or write after a brain injury

What is the most common cause of Cushing's syndrome?

1. AA lack of ACTH from the pituitary gland
2. BLong-term use of glucocorticoid medicines
3. CA tumour of the adrenal medulla
4. DAn autoimmune attack on the adrenal glands

What is the dexamethasone suppression test used for?

1. ATo help diagnose Cushing's syndrome
2. BTo diagnose diabetes insipidus
3. CTo check thyroid function
4. DTo measure kidney function

A patient taking warfarin is diagnosed with an intracerebral haemorrhage. What is the priority treatment?

1. ADoubling the warfarin dose to stabilise the INR
2. BStarting aspirin to prevent further clots
3. CUrgent reversal of the anticoagulant effect
4. DIV thrombolysis within 4.5 hours

A man starts tamsulosin for BPH. Which teaching point is most important?

1. AExpect the drug to shrink the prostate within a day
2. BStand up slowly, because it can make you dizzy
3. CTake it with grapefruit juice to make it work better
4. DStop it if the urine stream improves

एक मरीज़ का दीर्घकालिक हाइपोनैट्रीमिया 24 घंटे में 115 से 132 mmol/L तक सुधारा गया। दो दिन बाद उसे अस्पष्ट वाणी, निगलने में कठिनाई और अंगों की कमज़ोरी होती है। सबसे संभावित कारण क्या है?

1. Aहाइपोनैट्रीमिया से सामान्य स्वास्थ्य लाभ
2. Bऑस्मोटिक डीमायलिनेशन सिंड्रोम
3. Cसोडियम से असंबंधित नया स्ट्रोक
4. Dकम सेवन से हाइपोग्लाइसीमिया

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

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