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

Which classic triad is described in renal cell carcinoma, although few patients have all three?

1. AHaematuria, flank pain and a palpable mass
2. BPolyuria, thirst and weight loss with tiredness
3. CDysuria, frequency and urgency
4. DFever, headache and a stiff neck

डायबेटिक कीटोएसिडोसिस में आमतौर पर पहले कौन-सा द्रव दिया जाता है?

1. AIV 0.9% सोडियम क्लोराइड
2. BIV 50% ग्लूकोज़ घोल
3. Cइंजेक्शन के लिए IV स्टेराइल पानी
4. Dमुँह से मीठे पेय और पानी

Which substance do the kidneys release that helps raise blood pressure?

1. AInsulin
2. BThyroxine
3. CRenin
4. DBile

A patient with severe vomiting and diarrhoea takes ramipril, furosemide and metformin. Which advice is correct?

1. ADouble the furosemide to prevent fluid retention
2. BPause these medicines until eating and drinking again
3. CKeep taking everything as normal and drink less
4. DAdd ibuprofen to treat the abdominal cramps

An 82-year-old taking apixaban fell three weeks ago. Since then their family has noticed increasing confusion and headaches. Which condition is most likely?

1. AAcute extradural haematoma
2. BNormal ageing with mild memory loss
3. CChronic subdural haematoma
4. DSubarachnoid haemorrhage from an aneurysm

Why are patients with an acute spinal cord injury at high risk of deep vein thrombosis?

1. AParalysed leg muscles no longer pump blood back to the heart
2. BSpinal injuries always damage the large veins of the legs
3. CThey usually take oestrogen as part of their treatment
4. DThe injury makes the blood too thin to clot properly in the veins

A nurse teaches a wheelchair user with a spinal cord injury about skin care. Which statement shows a need for further teaching?

1. A"I will use a mirror to check my bottom and heels every day."
2. B"I will shift my weight in the chair regularly."
3. C"I only need to check my skin when something hurts."
4. D"I will keep my skin clean and dry."

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

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