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

Which statement about adult polycystic kidney disease is correct?

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

Which picture is typical of Guillain–Barré syndrome?

1. ARising weakness from the legs, weeks after an infection
2. BMuscle weakness that worsens late in the day and improves with rest
3. CA sudden one-sided facial droop with slurred speech
4. DA resting tremor that slowly spreads to the other hand

Why can a new arteriovenous fistula not be used straight away?

1. AThe vein needs weeks to enlarge and thicken
2. BThe arm must be in plaster for a month
3. CThe stitches must be removed first
4. DThe artery must first grow back to its full size

Pada pasien dengan cedera medula spinalis akut di C6, gambaran mana yang menunjukkan syok neurogenik?

1. ATekanan darah normal, nadi cepat, dan demam tinggi
2. BTekanan darah tinggi, nadi lambat, dan sakit kepala berdenyut
3. CTekanan darah rendah, nadi lambat, dan kulit hangat dan kering
4. DTekanan darah rendah, nadi cepat, dan kulit dingin dan lembap

Which approach helps most when talking to a patient with expressive aphasia?

1. ASpeak louder, because the patient cannot hear well
2. BAvoid talking to them until their speech has recovered
3. CFinish their sentences quickly to save them effort
4. DAsk questions that can be answered with yes, no or a gesture

Kriteria cedera ginjal akut (KDIGO) mana yang berkaitan dengan keluaran urine?

1. ADi bawah 1 L dalam 24 jam berapa pun asupannya
2. BDi bawah 2 mL/kg/jam selama 1 jam
3. CDi bawah 0,5 mL/kg/jam selama 6 jam atau lebih
4. DPerubahan warna urine apa pun

Masalah waktu pemberian obat mana yang penting bagi pasien hemodialisis?

1. ATidak ada obat yang dapat diminum pada hari dialisis
2. BDialisis tidak mengeluarkan obat apa pun
3. CObat yang dapat didialisis mungkin perlu diberikan setelah sesi
4. DSemua obat harus diberikan tepat sebelum sesi

A haemodialysis patient missed their last two sessions. They are breathless, with crackles, and the potassium is 6,9 mmol/L. What is the priority?

1. ALarge IV fluid boluses to improve the circulation
2. BUrgent dialysis, with cardiac monitoring meanwhile
3. COral potassium supplements and rest
4. DA routine dialysis session at the next planned slot