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

Which description fits a cluster headache?

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

How is chronic kidney disease defined?

1. AAbnormal kidney function or structure for over 3 months
2. BKidney pain lasting more than a week
3. CAny single raised creatinine result
4. DA sudden rise in creatinine over 48 hours after surgery

Which serum sodium result shows hyponatraemia in an adult?

1. A147 mmol/L
2. B129 mmol/L
3. C138 mmol/L
4. D142 mmol/L

In the first trimester of pregnancy, why is propylthiouracil often preferred to carbimazole for hyperthyroidism?

1. APropylthiouracil has no side effects at all
2. BCarbimazole has a higher risk of birth defects early on
3. CCarbimazole cannot cross into the mother's blood
4. DPropylthiouracil works faster than any other drug

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

1. ATake it with grapefruit juice to make it work better
2. BExpect the drug to shrink the prostate within a day
3. CStop it if the urine stream improves
4. DStand up slowly, because it can make you dizzy

एक दौरा पाँच मिनट से चल रहा है और जारी है। सामान्य प्रथम-पंक्ति दवा उपचार क्या है?

1. Aकिसी भी अन्य उपचार से पहले फ़ेनिटॉइन की IV लोडिंग खुराक
2. Bबाहरी जाँघ में IM एड्रेनालिन
3. Cहर मरीज़ में IV ग्लूकोज़ 50%, फिर पुनः आकलन
4. Dबेंज़ोडायज़ेपीन, जैसे IV लोराज़ेपाम या बक्कल मिडाज़ोलम

Which patient on a stroke unit is most at risk of falling?

1. AA patient with mild dysarthria who walks steadily with a frame
2. BA patient with a right-hemisphere stroke who is impulsive and denies having weakness
3. CA patient with a left-hemisphere stroke who has expressive aphasia and waits for help
4. DA patient with a TIA whose symptoms resolved completely yesterday

क्रेनियल डायबिटीज़ इन्सिपिडस वाला मरीज़ डेस्मोप्रेसिन शुरू करता है। नर्स को किस जटिलता की निगरानी करनी चाहिए?

1. Aगंभीर दस्त
2. Bहाइपोनैट्रीमिया
3. Cहाइपरग्लाइसीमिया
4. Dहाइपरकैलीमिया