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

How is the pain of trigeminal neuralgia typically described?

1. AA dull ache across the forehead that lasts all day
2. BA burning pain in both feet, worse at night
3. CSudden electric-shock pain in the face set off by light touch
4. DA throbbing pain behind one eye with nausea and aura

Insulin mana yang disedot lebih dulu saat mencampur insulin kerja pendek dan intermediet (NPH, keruh) dalam satu spuit?

1. AKeduanya bersamaan, setelah dicampur dalam satu vial
2. BInsulin kerja pendek yang jernih, lalu insulin yang keruh
3. CInsulin yang keruh, lalu insulin kerja pendek yang jernih
4. DUrutan mana pun, karena tidak ada bedanya

Which organism causes most urinary tract infections?

1. ACandida albicans
2. BEscherichia coli
3. CStaphylococcus aureus
4. DStreptococcus pneumoniae

How does the nurse test the facial nerve (VII)?

1. AAsk the patient to stick out the tongue and move it from side to side
2. BTouch the forehead, cheek and chin with cotton wool
3. CShine a light in each eye and check the pupil response
4. DAsk them to raise the eyebrows, shut the eyes tightly and smile

A patient with a suspected basal skull fracture needs a gastric tube. Which route is preferred?

1. AThrough the nose with a guidewire
2. BThrough a fine-bore nasal tube
3. CThrough the nose (nasogastric)
4. DThrough the mouth (orogastric)

A urine dipstick is positive for nitrites. What does this suggest?

1. ABacteria that convert nitrate are present
2. BThe patient is dehydrated and needs more fluid
3. CThe urine has a lot of glucose in it
4. DThe kidneys are losing too much protein

After removal of a cortisol-producing adrenal adenoma, why may the patient need hydrocortisone for months?

1. AThe operation always removes both adrenal glands
2. BThe tumour will grow back quickly without it
3. CHydrocortisone helps the wound to heal
4. DThe other adrenal gland has been suppressed

A patient with a new arm fistula says their hand on that side is cold, pale and painful, especially during dialysis. What is the concern?

1. ANormal healing that needs no action
2. BFluid overload in the arm
3. CAn allergic reaction to the dressing on the arm
4. DSteal syndrome, which needs urgent review