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Nama: ____________________ Tanggal: ____________
1.Mudah
A patient's care plan says "nil by mouth". What does this mean?
ANo food or drink by mouth unless specific exceptions are prescribed
BOnly clear fluids such as water and black tea are allowed
CFood is allowed, but drinks must be stopped until the next day
DThe patient may eat if they feel hungry
2.Mudah
What is the usual normal range for serum sodium in adults (in mmol/L, numerically equal to mEq/L)?
A135–145 mmol/L
B2,2–2,6 mmol/L
C3,5–5,0 mmol/L
D95–105 mmol/L
3.Mudah
Which structure is the heart's natural pacemaker?
AThe mitral valve in the left side of the heart
BThe sinoatrial (SA) node
CThe aorta
DThe left ventricle
4.Sedang
Which group of features is typical of nephrotic syndrome?
APolyuria, thirst and weight loss
BHeavy proteinuria, low serum albumin and oedema
CSevere loin pain and fever
DBlood in the urine, high blood pressure and reduced urine output only
5.Sedang
A very anxious patient breathes rapidly for a long period. Which change is expected?
AMetabolic alkalosis from vomiting
BMetabolic acidosis from a low bicarbonate
CRespiratory acidosis from a high PaCO2
DRespiratory alkalosis from a low PaCO2
6.Sedang
Which tool is commonly used at the bedside to screen for delirium?
AThe Malnutrition Universal Screening Tool
BThe Glasgow-Blatchford score
CThe Braden scale
DThe Confusion Assessment Method (CAM)
7.Sulit
A severely hypothermic patient is in cardiac arrest. Why is resuscitation usually continued until they are rewarmed?
AThe cold protects the brain, so recovery may be possible after long resuscitation
BHypothermia always causes brain death quickly
CAdrenaline works better in cold patients
DCold patients cannot be defibrillated at all, so CPR is the only possible treatment
8.Sulit
A patient with known prostate cancer reports new back pain, leg weakness and difficulty passing urine. What should be suspected?
AA urinary tract infection spreading to the back
BHypokalaemia
CSimple mechanical back pain
DMetastatic spinal cord compression
Kunci jawaban
1. A · No food or drink by mouth unless specific exceptions are prescribed
2. A · 135–145 mmol/L
3. B · The sinoatrial (SA) node
4. B · Heavy proteinuria, low serum albumin and oedema
5. D · Respiratory alkalosis from a low PaCO2
6. D · The Confusion Assessment Method (CAM)
7. A · The cold protects the brain, so recovery may be possible after long resuscitation
8. D · Metastatic spinal cord compression
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