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

बढ़े हुए इंट्राक्रेनियल दाब का सबसे शुरुआती और संवेदनशील संकेत क्या है?

1. Aलंबे विरामों के साथ अनियमित साँस
2. Bचेतना के स्तर में बदलाव
3. Cउच्च रक्तचाप के साथ ब्रैडीकार्डिया
4. Dदोनों ओर स्थिर, फैली हुई पुतलियाँ

नर्स कैसे जाँचती है कि हीमोडायलिसिस के लिए आर्टेरियोवीनस फ़िस्टुला काम कर रहा है?

1. Aफ़िस्टुला वाली बाँह में रक्तचाप मापकर
2. Bदूसरी बाँह में रेडियल नाड़ी जाँचकर
3. Cथ्रिल महसूस करके और ब्रूट सुनकर
4. Dफ़िस्टुला स्थल पर लालिमा देखकर

How should a peritoneal dialysis catheter exit site be cared for?

1. ACleaned with a strong bleach solution
2. BCovered with a tight bandage and not looked at for a week
3. CKept clean and dry and checked daily for redness
4. DSoaked in a hot bath every day

A urine dipstick is positive for nitrites. What does this suggest?

1. AThe patient is dehydrated and needs more fluid
2. BThe urine has a lot of glucose in it
3. CBacteria that convert nitrate are present
4. DThe kidneys are losing too much protein

Why is levodopa combined with carbidopa (or benserazide)?

1. ATo stop levodopa being converted to dopamine outside the brain
2. BTo make levodopa cross into the brain more slowly and evenly
3. CTo prevent tolerance from developing to levodopa over time
4. DTo add a separate effect that reduces the resting tremor directly

During continuous bladder irrigation, 3200 mL drains out in a shift. 2500 mL of irrigation fluid was put in. What is the true urine output?

1. A3200 mL
2. B5700 mL
3. C700 mL
4. D2500 mL

A patient with an external ventricular drain sat up in bed without help. The drain stayed at its old height, and the drainage bag filled quickly. The patient now has a headache. What is the concern?

1. AUnderdrainage, so the drain should be lowered further
2. BNo concern, because more drainage always lowers the ICP safely
3. COverdrainage of CSF, so act per protocol and inform the team
4. DAn infected drain, so the dressing should be removed

The nurse has four neurology patients. Which one needs to be seen first?

1. AA patient with a headache after a lumbar puncture this morning
2. BA patient with Guillain–Barré syndrome whose vital capacity is falling
3. CA patient with Parkinson's disease whose next dose is due in one hour
4. DA patient with multiple sclerosis who is tired after physiotherapy