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

The nurse asks a patient to shrug their shoulders against resistance. Which cranial nerve is being tested?

1. ATrigeminal nerve (V)
2. BAccessory nerve (XI)
3. CFacial nerve (VII)
4. DHypoglossal nerve (XII)

What happens in multiple sclerosis?

1. AA virus destroys the nerves in the arms and legs
2. BThe immune system damages myelin in the brain and spinal cord
3. CAntibodies block signals at the junction between nerve and muscle
4. DMotor nerve cells slowly die without any inflammation

Post-streptococcal glomerulonephritis typically follows which event?

1. AAn episode of bloody diarrhoea from food poisoning
2. BA kidney stone passed the week before
3. CA throat or skin infection a few weeks earlier
4. DA long course of antibiotics for pneumonia

A nurse is teaching a patient going home after a mild concussion. Which statement shows a need for further teaching?

1. A"I will return if my headache gets steadily worse."
2. B"Someone will stay with me for the first night."
3. C"A few drinks tonight will help me relax and sleep."
4. D"I will come back if I start vomiting again and again."

तीव्र गुर्दा क्षति के दौरान या जोखिम वाले मरीज़ों में आयोडीन युक्त कॉन्ट्रास्ट के आसपास मेटफ़ॉर्मिन आमतौर पर क्यों रोकी जाती है?

1. Aवह कॉन्ट्रास्ट को अवरुद्ध करती है ताकि स्कैन पढ़ा न जा सके
2. Bगुर्दे क्षतिग्रस्त होने पर वह हाइपरकैलीमिया करती है
3. Cवह जमा हो सकती है और लैक्टिक एसिडोसिस का जोखिम बढ़ा सकती है
4. Dकॉन्ट्रास्ट के साथ दी जाने पर वह गंभीर हाइपोग्लाइसीमिया करती है

After a lumbar discectomy, which finding should the nurse report promptly?

1. ANew weakness or numbness in the legs
2. BMild pain at the wound site
3. CA dry, intact wound dressing
4. DStiffness when getting out of bed

After a TURP, a patient on bladder irrigation has bladder spasms. The drainage has slowed and contains clots, and the bag holds less than the irrigant given. What should the nurse do first?

1. ATurn off the irrigation and leave the catheter alone
2. BSuspect a clot in the catheter and follow the protocol
3. CEncourage the patient to strain to pass the clots
4. DGive an antispasmodic and recheck in four hours

A patient with CKD has a potassium of 6.5 mmol/L. Which medicine combination is the most likely contributor?

1. AAmlodipine, simvastatin and aspirin
2. BRamipril, spironolactone and trimethoprim
3. CParacetamol (acetaminophen), omeprazole and senna
4. DFurosemide, salbutamol and insulin