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

Which statement about Huntington's disease is correct?

1. AIt is caused by a bacterial infection of the brain
2. BIt is cured by levodopa
3. CIt mainly affects children under the age of five years
4. DIt is inherited and causes involuntary jerky movements

What does a complete spinal cord injury mean?

1. AAll vertebrae in the neck are broken
2. BNo movement or feeling below the injury, even in the sacral area
3. CThe spinal cord has been cut into two separate pieces
4. DThe patient can move but cannot feel below the injury

Which symptoms are classic for high blood glucose?

1. AShaking, sweating and a racing heart
2. BPassing a lot of urine, thirst and weight loss
3. CWeight gain, feeling cold all the time and dry skin
4. DJoint pain, morning stiffness and fever

A patient uses a continuous glucose monitor. Which statement is correct?

1. AIt makes finger-prick checks unnecessary in every situation
2. BIt reads glucose in fluid under the skin, a little behind blood glucose
3. CIt works by giving small doses of insulin automatically
4. DIt measures glucose directly in the blood every second of the day

Which group of drugs is a well-known cause of SIADH and hyponatraemia, especially in older people?

1. ABulk-forming laxatives
2. BSSRI antidepressants
3. CPenicillin antibiotics
4. DProton pump inhibitors

A patient has just started levetiracetam. Which side effect should the nurse teach them to report?

1. ASwelling and overgrowth of the gums around the teeth
2. BA persistent dry cough at night
3. CChanges in mood, such as irritability, low mood or anger
4. DOrange discoloration of the urine

Near the end of a haemodialysis session, a patient has painful leg cramps and a falling blood pressure. What is the most likely cause?

1. AAn allergic reaction to the needles
2. BThe dialysate is too cold
3. CNot enough fluid is being removed
4. DFluid is being removed too quickly

A patient with trigeminal neuralgia has lost weight and has poor oral hygiene. Which plan is most appropriate?

1. ATell the patient to stop brushing their teeth completely
2. BOffer soft, lukewarm food and advise chewing on the unaffected side
3. CAdvise very hot drinks to relax the facial nerves
4. DEncourage hard, crunchy foods to strengthen the jaw muscles