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

डायबेटिक कीटोएसिडोसिस के लिए कौन-सा साँस का पैटर्न विशिष्ट है?

1. Aगहरी, तेज़ (कुसमाउल) साँस
2. Bचेयन–स्टोक्स साँस
3. Cघरघराहट के साथ तेज़, उथली हाँफ़ी
4. Dधीमी, उथली साँस

A patient with Bell's palsy cannot close one eye fully. Which advice is most important?

1. AMassage the closed eyeball firmly several times every day
2. BLeave the eye uncovered so air can dry it out
3. CUse lubricating eye drops and protect or tape the eye at night
4. DWear contact lenses to keep the eye moist

SIADH (अनुचित ADH स्राव का सिंड्रोम) में मुख्य प्रयोगशाला निष्कर्ष क्या है?

1. Aइंसुलिन प्रतिरोध से उच्च रक्त ग्लूकोज़
2. Bपानी के रुकाव से कम सीरम सोडियम
3. Cपानी की हानि से उच्च सीरम सोडियम
4. Dगुर्दे की हानि से कम सीरम कैल्शियम

After transsphenoidal pituitary surgery, which advice should the patient follow?

1. ABlow the nose often to clear any clots
2. BLie completely flat for at least a week after surgery
3. CAvoid blowing the nose, straining and bending forward
4. DDrink through a straw to keep the nose clean

Why are patients on haemodialysis vaccinated against hepatitis B?

1. AThe vaccine lowers the potassium level
2. BShared dialysis units carry a higher infection risk
3. CThe vaccine is needed to make the dialyser work
4. DHepatitis B vaccine improves the fistula flow

Why is good blood pressure control important in chronic kidney disease?

1. AIt raises the haemoglobin level in the blood
2. BIt lowers the blood glucose
3. CIt cures chronic kidney disease
4. DIt slows the decline in kidney function

A patient with nephrotic syndrome suddenly has loin pain, blood in the urine and a rise in creatinine. What is a likely cause?

1. AA simple bladder infection
2. BRenal vein thrombosis
3. CNormal fluctuation in the disease
4. DToo much dietary protein

Four patients had a minor head injury with no loss of consciousness and a GCS of 15. Which one most needs a CT scan of the head?

1. AA 78-year-old who takes warfarin for atrial fibrillation
2. BA 30-year-old who bumped their head on a cupboard door
3. CA 40-year-old with a mild headache that is improving
4. DA 25-year-old with a small scalp graze after a fall