Lembar kerja Medikal-bedah: saraf, endokrin & ginjal dengan jawaban

Which symptoms are typical of a prolactinoma in a woman?

1. AKidney stones, bone pain and constipation
2. BMilky nipple discharge and irregular periods
3. CVery dark skin creases and a craving for salt
4. DWeight loss with heat intolerance and a fine tremor

Which features suggest pyelonephritis rather than simple cystitis?

1. AUrine that smells slightly stronger
2. BPassing urine more often at night only
3. CMild burning on passing urine only
4. DFever, rigors and pain in the loin

Kelompok gejala mana yang khas untuk hipotiroidisme?

1. ATidak tahan dingin, lelah, penambahan berat badan, dan konstipasi
2. BSangat haus dan buang air kecil dalam volume besar
3. CDiare, ansietas, berkeringat, dan mata menonjol
4. DTidak tahan panas, penurunan berat badan, tremor halus, dan palpitasi

An older patient with a long-term catheter has bacteria in the urine but no symptoms. What is usually appropriate?

1. ARemove the catheter permanently at once
2. BA full course of antibiotics straight away
3. CAntibiotics for life to keep the urine sterile
4. DNo antibiotics, as long as there are no symptoms

Why might a patient taking a beta-blocker not notice a hypoglycaemic episode?

1. ABeta-blockers make the patient sleep through every hypo
2. BBeta-blockers can mask the tremor and racing heart of a hypo
3. CBeta-blockers raise blood glucose, so hypos cannot happen
4. DBeta-blockers block the effect of all diabetes medicines

Why is once-daily prednisolone usually taken in the morning with food?

1. ABecause it causes drowsiness and is safer to take during the day
2. BBecause it cannot be absorbed at night
3. CTo match the natural cortisol rhythm and protect the stomach
4. DBecause food doubles the strength of the dose

Six weeks after a kidney transplant, a patient has a fever, tenderness over the graft, less urine and a rising creatinine. What is most likely?

1. ADehydration that needs only more oral fluids and rest
2. BA side effect of sun exposure
3. CA normal finding as the kidney settles in
4. DAcute rejection, needing urgent transplant team review

Setelah tiroidektomi total, seorang pasien menjadi cemas dengan stridor dan pembengkakan tegang di leher. Apa yang harus dilakukan perawat pertama kali?

1. AMemberikan analgesia dan menilai ulang pembengkakan satu jam kemudian
2. BMeminta bantuan darurat: hematoma dapat menekan jalan napas
3. CMemasang kantong es di leher dan membaringkan pasien datar
4. DMeminta pasien berbicara sebanyak mungkin untuk menguji suara