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

A febrile patient has a rash that does not fade when a glass is pressed against it. What should the nurse suspect?

1. AMeningococcal septicaemia
2. BHeat rash from a high temperature
3. CAn allergic reaction to soap
4. DA simple viral skin rash

What is a suprapubic catheter?

1. AA small catheter used only once and then removed
2. BA catheter put into the bladder through the abdomen
3. CA catheter passed into the bladder through the urethra
4. DA tube placed into the kidney through the back

What is an early sign of kidney damage from diabetes?

1. APain felt in both kidneys at night
2. BA very low blood urea level
3. CSmall amounts of albumin in the urine
4. DBlood in the urine that is visible

After pressing the plunger of an insulin pen, what should the patient do?

1. APull the needle out at once and rub the site firmly
2. BInject a second dose straight away to be sure
3. CLeave the needle on the pen for the next injection
4. DKeep the needle in the skin for about 10 seconds

Which measure best detects a decline in breathing in a patient with Guillain–Barré syndrome?

1. APeak flow before and after a bronchodilator
2. BDaily chest X-rays
3. CRegular forced vital capacity measurements
4. DOxygen saturation alone

A patient with atrial fibrillation has had an ischaemic stroke. Which long-term medicine type most reduces the risk of another stroke?

1. AA beta-agonist inhaler
2. BA proton pump inhibitor
3. CA loop diuretic
4. DAn oral anticoagulant

तीव्र इस्केमिक स्ट्रोक वाले इन मरीज़ों में से किसके IV थ्रोम्बोलाइसिस के लिए पात्र होने की सबसे कम संभावना है?

1. Aवह मरीज़ जिसके लक्षण 90 मिनट पहले शुरू हुए
2. Bवह मरीज़ जिसके CT स्कैन में इंट्राक्रेनियल रक्तस्राव का कोई संकेत नहीं है
3. Cवह मरीज़ जिसकी पाँच दिन पहले बड़ी पेट की सर्जरी हुई थी
4. Dवह मरीज़ जिसका रक्तचाप 170/95 mmHg है

A man who takes tamsulosin for BPH is listed for cataract surgery. Which statement is correct?

1. AThe dose should be doubled before surgery to prevent urinary retention
2. BThe eye surgeon must be told, as it can cause floppy iris during surgery
3. CTamsulosin has no effects outside the urinary tract, so nothing changes
4. DIt should be swapped for oxybutynin the night before to protect the eye