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

Which group of features defines nephrotic syndrome?

1. APainful urination, fever and frequency
2. BSevere loin pain that spreads to the groin
3. CBlood in the urine, high BP and low urine output
4. DHeavy proteinuria, low albumin and oedema

Which serum sodium result shows hyponatraemia in an adult?

1. A138 mmol/L
2. B147 mmol/L
3. C129 mmol/L
4. D142 mmol/L

Pada tes stroke FAST, apa kepanjangan huruf A?

1. AAirway (jalan napas): apakah jalan napas terbuka dan bersih?
2. BArms (lengan): apakah kedua lengan dapat diangkat dan ditahan?
3. CAllergies (alergi): apakah orang tersebut alergi terhadap sesuatu?
4. DAlertness (kewaspadaan): apakah orang tersebut sepenuhnya terjaga?

When the nurse squeezes the trapezius muscle, the patient brings a hand up above the collarbone towards the stimulus. Which GCS motor score is this?

1. A3, abnormal flexion
2. B6, obeys commands
3. C4, withdraws from pain
4. D5, localises to pain

Why should long-term steroid treatment not be stopped suddenly?

1. AStopping suddenly makes the bones grow too quickly and then fracture
2. BThe steroids build up and become toxic after they are stopped
3. CThe suppressed adrenal glands cannot make enough cortisol at once
4. DStopping causes the blood glucose to fall sharply

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

1. AProton pump inhibitors
2. BPenicillin antibiotics
3. CSSRI antidepressants
4. DBulk-forming laxatives

A patient with acromegaly snores loudly, stops breathing at times in sleep and is sleepy during the day. What is most likely?

1. ANormal snoring
2. BAn anxiety disorder
3. CNarcolepsy
4. DObstructive sleep apnoea

A patient with suspected meningitis has a GCS of 9 and pupils that have become unequal. A doctor plans an immediate lumbar puncture. What is the main concern?

1. AThere is no concern, because the lumbar puncture lowers pressure safely
2. BRaised pressure in the skull, so the procedure could cause herniation
3. CA lumbar puncture would spread the infection to the blood
4. DThe patient is too confused to stay still, so it is not needed