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

A stroke affects the anterior cerebral artery. Which weakness pattern is most typical?

1. ABoth legs are weak with normal arms
2. BThe opposite leg is weaker than the arm
3. CThe opposite arm and face are weaker than the leg
4. DThe same side of the body is weak

In primary hypothyroidism, what is the usual TSH result?

1. ALow
2. BHigh
3. CUndetectable
4. DNormal

Selama kejang, apa hal yang paling berguna untuk dicatat?

1. AKapan terakhir pasien makan sesuatu
2. BKapan dimulai dan berhenti, serta bagaimana tampilannya
3. CTekanan darah pasien setiap menit sepanjang waktu
4. DSuhu pasien hanya di akhir

Which picture fits anterior cord syndrome?

1. AArms much weaker than legs after a neck injury
2. BWeakness on one side and loss of pain sensation on the other side
3. CLoss of movement and pain sense, with position sense kept
4. DNormal movement but complete loss of position sense

A patient with type 1 diabetes has gastroenteritis and cannot eat. Which sick-day advice is correct?

1. AKeep taking basal insulin and check glucose and ketones more often
2. BAvoid drinking fluids to reduce the vomiting
3. CCheck glucose once a day only and rest in bed until better
4. DStop all insulin until normal eating restarts

Lima belas menit setelah diobati dengan tablet glukosa, glukosa pasien naik dari 3,2 menjadi 5,1 mmol/L. Makan berikutnya dua jam lagi. Apa yang harus dilakukan selanjutnya?

1. AMemberikan camilan karbohidrat kerja lebih lama, seperti sandwich
2. BTidak perlu tindakan lebih lanjut sampai makan berikutnya disajikan nanti
3. CMemberikan dosis biasa insulin kerja cepat segera
4. DMemberikan dosis tablet glukosa lagi untuk menaikkannya lebih tinggi

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. AFluid is being removed too quickly
2. BNot enough fluid is being removed
3. CThe dialysate is too cold
4. DAn allergic reaction to the needles

Setelah operasi, keluaran urine pasien 15 mL/jam selama 3 jam, dengan nadi 110/menit, TD 96/58 mmHg, dan selaput lendir kering. Apa penyebab keluaran urine rendah yang paling mungkin?

1. AKelebihan cairan dari cairan IV
2. BDiabetes insipidus setelah anestesi
3. CSIADH akibat operasi
4. DAKI prarenal akibat hipovolemia