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

दौरे के दौरान दर्ज करने के लिए सबसे उपयोगी बात क्या है?

1. Aवह कब शुरू और बंद हुआ, और कैसा दिखा
2. Bकेवल अंत में मरीज़ का तापमान
3. Cमरीज़ ने आखिरी बार कब कुछ खाया था
4. Dपूरे समय हर मिनट मरीज़ का रक्तचाप

स्ट्रोक के लिए थ्रोम्बोलाइसिस से पहले सिर का CT स्कैन क्यों किया जाना चाहिए?

1. Aयह जाँचने के लिए कि मरीज़ को पहले कभी स्ट्रोक हुआ है या नहीं
2. Bयह मापने के लिए कि लक्षण कितने समय पहले शुरू हुए
3. Cरक्तस्राव को खारिज करने के लिए, जिसे थ्रोम्बोलाइसिस बदतर करेगा
4. Dयह देखने के लिए कि क्या मरीज़ की खोपड़ी में फ्रैक्चर भी है

Which group of features is typical of Parkinson's disease?

1. AWeakness rising from the feet, with tingling and lost reflexes
2. BIntention tremor, muscle wasting and twitching under the skin
3. CResting tremor, rigidity and slow movement
4. DDrooping eyelids and double vision that get worse later in the day

A patient on peritoneal dialysis has gained weight and has higher glucose levels. Which part of the treatment is the likely cause?

1. ASodium lost into the dialysis fluid
2. BAir entering the abdomen during exchanges
3. CProtein lost into the dialysis fluid
4. DGlucose absorbed from the dialysis fluid

When a patient sticks out their tongue, it points to the right. Which nerve is affected?

1. AThe left trigeminal nerve (V)
2. BThe right hypoglossal nerve (XII)
3. CThe left hypoglossal nerve (XII)
4. DThe right facial nerve (VII)

Before a haemodialysis catheter is used, why is the lock solution withdrawn from each lumen?

1. AIt contains a strong antibiotic that must be kept
2. BIt contains the patient's urine
3. CIt contains air that keeps the line open
4. DIt contains concentrated anticoagulant

A patient with Guillain–Barré syndrome has a blood pressure that swings between 80/50 and 190/100 mmHg and a heart rate that changes suddenly. What does this suggest?

1. AAutonomic dysfunction, which needs continuous cardiac monitoring
2. BA faulty blood pressure cuff that should be replaced and the readings ignored
3. CA drug reaction that means all medicines must stop
4. DAnxiety that will settle with reassurance alone

A patient who has taken prednisolone daily for years is vomiting and cannot keep tablets down. What should the nurse do?

1. AGive the tablets again after every vomit
2. BOmit the steroid until the vomiting stops
3. CGive the next dose with a glass of milk
4. DEscalate urgently for steroid by injection