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

संदिग्ध स्ट्रोक वाले हर मरीज़ में कौन-सी सरल जाँच जल्दी की जानी चाहिए, क्योंकि उसका असामान्य परिणाम स्ट्रोक जैसा दिख सकता है?

1. Aपीक एक्सपिरेटरी फ़्लो दर
2. Bदृष्टि तीक्ष्णता चार्ट
3. Cकेशिका रक्त ग्लूकोज़
4. Dमूत्र डिपस्टिक

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

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

What is the main cause of type 1 diabetes?

1. AInsulin resistance caused mainly by excess body weight
2. BEating too much sugar and sweet food during childhood
3. CA lack of glucagon from the pancreas
4. DAutoimmune destruction of the insulin-making beta cells

A patient with gout has recurrent uric acid kidney stones. Which treatment helps prevent them?

1. AVitamin C supplements and a high-meat diet
2. BCalcium tablets and a low-fluid diet
3. CAllopurinol and making the urine less acidic
4. DRestricting fluids in the evening only

A patient is starting lamotrigine. Which teaching point is most important?

1. ATake it with a glass of grapefruit juice to improve its absorption
2. BDouble the dose if a seizure happens
3. CExpect an orange tint to tears and urine
4. DReport any skin rash promptly, especially in the first weeks

Why is propranolol given to a patient with hyperthyroidism?

1. ATo stop the thyroid gland from making any more hormones
2. BTo ease tremor and palpitations while other treatment starts
3. CTo replace the hormone lost from the thyroid gland
4. DTo destroy overactive thyroid tissue over a few weeks

A patient with SIADH is taught about a fluid restriction. Which statement shows a need for further teaching?

1. A"I will weigh myself every morning."
2. B"I will count all drinks, including soup, in my daily total."
3. C"If I feel thirsty, I can drink as much water as I like."
4. D"I will report any headaches or confusion."

A patient taking amiodarone has gained weight and feels tired and cold. Which blood test is most relevant?

1. ASerum amylase and lipase levels
2. BBlood alcohol level
3. CSerum ferritin
4. DThyroid function tests