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

Which classic triad is described in renal cell carcinoma, although few patients have all three?

1. ADysuria, frequency and urgency
2. BHaematuria, flank pain and a palpable mass
3. CPolyuria, thirst and weight loss with tiredness
4. DFever, headache and a stiff neck

Which cranial nerves are mainly involved in the gag reflex?

1. AOlfactory (I) and optic (II)
2. BTrigeminal (V) and facial (VII)
3. CGlossopharyngeal (IX) and vagus (X)
4. DOculomotor (III) and abducens (VI)

What is the most common cause of Cushing's syndrome?

1. ALong-term use of glucocorticoid medicines
2. BA tumour of the adrenal medulla
3. CA lack of ACTH from the pituitary gland
4. DAn autoimmune attack on the adrenal glands

Which nursing action helps most to prevent and manage delirium in an older inpatient?

1. AMove the patient to a different room each day for variety
2. BRestrain the patient so that they do not wander off the ward
3. CUse glasses and hearing aids and reorient the patient often
4. DKeep the lights on all night so the patient can see clearly

Why must Parkinson's medicines be given on time in hospital?

1. ALate doses cause the patient to develop high blood glucose
2. BLate doses can soon cause stiffness, falls and poor swallowing
3. CLate doses build up in the blood and cause an overdose
4. DGiving them on time prevents the disease from getting worse

SIADH वाले मरीज़ का सोडियम 126 mmol/L है और लक्षण हल्के हैं। आमतौर पर प्रथम-पंक्ति उपचार कौन-सा है?

1. Aडेस्मोप्रेसिन
2. Bअतिरिक्त मौखिक पानी
3. Cद्रव प्रतिबंध
4. DIV 5% ग्लूकोज़ इन्फ़्यूज़न

A prescription reads "Insulin 10U". Why is this a safety problem?

1. AThere is no problem as long as the nurse can read it
2. B"U" can be misread as a zero, giving a tenfold dose
3. C"U" means the insulin must be given intravenously
4. DInsulin doses must always be written in millilitres

An adult stares blankly for about a minute, smacks their lips and fumbles with their clothes. Afterwards they are confused for ten minutes and remember nothing. Which seizure type fits best?

1. AMyoclonic seizure
2. BFocal impaired awareness seizure
3. CAbsence seizure
4. DAtonic (drop) seizure with a fall