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

यह दर्ज करना महत्वपूर्ण क्यों है कि स्ट्रोक का मरीज़ आखिरी बार कब ठीक पाया गया था?

1. Aएक घंटे बाद देखे गए मरीज़ों को स्ट्रोक यूनिट में भर्ती नहीं किया जा सकता
2. Bसमय तय करता है कि मस्तिष्क का कौन-सा भाग प्रभावित है
3. Cमरीज़ के GCS स्कोर की गणना के लिए समय चाहिए
4. Dथ्रोम्बोलाइसिस जैसे उपचार शुरुआत के बाद बीते समय पर निर्भर करते हैं

Which finding is a common reason for urgent dialysis?

1. AHyperkalaemia that does not respond to treatment
2. BA single episode of itching
3. CA haemoglobin of 105 g/L (10.5 g/dL) with mild tiredness
4. DA mildly raised creatinine with no symptoms

Which statement about adult polycystic kidney disease is correct?

1. AIt is caused by drinking too little water
2. BIt only ever affects one of the two kidneys
3. CIt is inherited, and cysts slowly enlarge both kidneys
4. DIt is caused by repeated urinary infections

What is the dexamethasone suppression test used for?

1. ATo check thyroid function
2. BTo help diagnose Cushing's syndrome
3. CTo measure kidney function
4. DTo diagnose diabetes insipidus

A patient who has had type 1 diabetes for 30 years says they no longer feel the warning signs of a hypo. What is this called?

1. AThe dawn phenomenon
2. BInsulin resistance
3. CDiabetic ketoacidosis
4. DHypoglycaemia unawareness

Which side effects are common with oxybutynin for an overactive bladder?

1. ADiarrhoea and heavy sweating
2. BA cough and a raised potassium
3. CDry mouth and constipation
4. DWeight loss and a fast tremor

A patient with an external ventricular drain sat up in bed without help. The drain stayed at its old height, and the drainage bag filled quickly. The patient now has a headache. What is the concern?

1. AUnderdrainage, so the drain should be lowered further
2. BNo concern, because more drainage always lowers the ICP safely
3. CAn infected drain, so the dressing should be removed
4. DOverdrainage of CSF, so act per protocol and inform the team

A nurse teaches the family of a patient on insulin how to manage a severe hypo. Which statement shows a need for further teaching?

1. A"I will give the glucagon as I was shown."
2. B"I will put her on her side and call an ambulance straight away."
3. C"If she is unconscious, I will pour juice into her mouth."
4. D"When she can swallow, I will give her a snack."