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

Which mineral is needed to make thyroid hormones?

1. ACalcium
2. BIron
3. CIodine
4. DZinc

Which symptoms in a patient with back pain suggest cauda equina syndrome?

1. AMild stiffness in the morning that soon wears off
2. BPain that is worse after a long day at work
3. CNumbness between the legs and new bladder problems
4. DBack pain that eases when walking around the house

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

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

Which symptoms are typical of hypokalaemia?

1. AExcess thirst and very high glucose
2. BTingling lips and facial twitching
3. CHeat intolerance and weight loss
4. DMuscle weakness, cramps and palpitations

Which CSF result is most typical of bacterial meningitis?

1. AClear fluid, many lymphocytes, normal glucose and slightly raised protein
2. BClear fluid with normal cells, glucose and protein
3. CCloudy fluid, many neutrophils, low glucose and high protein
4. DBlood-stained fluid that clears in later tubes

Which group of problems is typical of primary hyperparathyroidism?

1. AHair loss, weight gain and feeling cold
2. BHeat intolerance, tremor, weight loss and diarrhoea
3. CKidney stones, bone pain, abdominal pain and low mood
4. DMuscle cramps, tingling lips and seizures

A patient had a witnessed tonic-clonic seizure. Afterwards their left arm is weak, and the weakness improves over the next few hours. What is the best interpretation?

1. AA sign that the patient is pretending to be weak
2. BNormal postictal tiredness that needs no further assessment or imaging at all
3. CCertainly a stroke, so the seizure can be ignored
4. DPossible postictal (Todd's) paresis, but a stroke must still be excluded

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. CEncourage hard, crunchy foods to strengthen the jaw muscles
4. DAdvise very hot drinks to relax the facial nerves