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

Kelenjar mana yang menghasilkan kortisol?

1. AKorteks adrenal
2. BKelenjar tiroid
3. CMedula adrenal
4. DHipofisis posterior

Mengapa penting mencatat kapan pasien stroke terakhir diketahui dalam keadaan baik?

1. AWaktu diperlukan untuk menghitung skor GCS pasien
2. BPengobatan seperti trombolisis bergantung pada waktu sejak onset
3. CPasien yang terlihat setelah satu jam tidak dapat dirawat di unit stroke
4. DWaktu menentukan sisi otak mana yang terkena

Kadar glukosa darah mana yang umum digunakan untuk mendefinisikan hipoglikemia pada penderita diabetes?

1. ADi bawah 10 mmol/L (sekitar 180 mg/dL)
2. BDi bawah 1,0 mmol/L (sekitar 18 mg/dL)
3. CDi bawah 4,0 mmol/L (sekitar 70 mg/dL)
4. DDi bawah 7,0 mmol/L (sekitar 126 mg/dL)

A woman who takes the combined contraceptive pill is starting carbamazepine. What should she be taught?

1. AShe should take both at the same time so they are absorbed together
2. BThere is no interaction between these two medicines
3. CCarbamazepine can make the pill less effective, so other contraception is needed
4. DThe pill makes carbamazepine toxic, so she must stop the pill

Why is propranolol given to a patient with hyperthyroidism?

1. ATo ease tremor and palpitations while other treatment starts
2. BTo replace the hormone lost from the thyroid gland
3. CTo stop the thyroid gland from making any more hormones
4. DTo destroy overactive thyroid tissue over a few weeks

When a patient sticks out their tongue, it points to the right. Which nerve is affected?

1. AThe right hypoglossal nerve (XII)
2. BThe left trigeminal nerve (V)
3. CThe right facial nerve (VII)
4. DThe left hypoglossal nerve (XII)

A patient on levothyroxine has palpitations, weight loss and poor sleep. TSH is suppressed, and free T4 is high. What is the most likely explanation?

1. AA normal response to the drug
2. BThe dose is too low
3. CThe thyroid has stopped working
4. DThe dose is too high

Seorang pasien hipotiroidisme yang melewatkan obat selama berminggu-minggu dirawat dengan hipotermia dan mengantuk, nadi 46/menit, natrium rendah, dan PaCO₂ meningkat. Kondisi mana yang paling mungkin?

1. AKrisis adrenal
2. BKoma miksedema
3. CBadai tiroid
4. DSengatan panas