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

What does dysarthria mean?

1. AInability to read or write after a brain injury
2. BUnclear speech caused by weak or poorly coordinated speech muscles
3. CDifficulty swallowing food and drink safely
4. DLoss of the ability to understand spoken or written language

Which three responses make up the Glasgow Coma Scale?

1. AOrientation to time, place and person, plus memory
2. BEye opening, verbal response and motor response
3. CPupil size, pulse and blood pressure
4. DReflexes, muscle tone and sensation

How is the headache of a subarachnoid haemorrhage typically described?

1. AOne-sided and throbbing, with an aura beforehand
2. BSudden and severe, reaching its peak within about a minute
3. CA tight band around the head that comes and goes
4. DSlowly worsening over several weeks, worst in the morning

A patient with type 1 diabetes plans a long cycle ride. Which advice is most appropriate?

1. ASkip breakfast so the exercise burns body fat
2. BAvoid checking glucose until the ride is over
3. CCheck glucose before and after, and carry fast-acting carbohydrate
4. DTake an extra dose of rapid-acting insulin before setting off

The day after a thyroidectomy, a patient reports tingling around the mouth and in the fingers. Why might this happen?

1. AThe parathyroid glands may have been damaged, lowering calcium
2. BThe thyroid hormone level has risen too high after surgery
3. CThe patient is breathing too slowly after the operation
4. DThe anaesthetic has caused an allergic reaction

A patient taking a GLP-1 receptor agonist has severe, constant upper abdominal pain spreading to the back, with vomiting. What should the nurse suspect?

1. ANormal nausea from the drug
2. BA simple urinary tract infection
3. CAcute pancreatitis
4. DLow blood glucose

Six weeks after a kidney transplant, a patient has a fever, tenderness over the graft, less urine and a rising creatinine. What is most likely?

1. ADehydration that needs only more oral fluids and rest
2. BAcute rejection, needing urgent transplant team review
3. CA normal finding as the kidney settles in
4. DA side effect of sun exposure

A patient with Parkinson's disease is nil by mouth after abdominal surgery. Their levodopa is due. What is the best action?

1. AContact the prescriber or pharmacist about another route
2. BOmit the dose until the patient can swallow again
3. CGive the tablets with a sip of water anyway
4. DGive double the dose once eating restarts