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

Which mineral is needed to make thyroid hormones?

1. AZinc
2. BIron
3. CCalcium
4. DIodine

Bagaimana pasien dengan dugaan cedera tulang belakang harus dimiringkan?

1. ADiminta berguling perlahan sendiri
2. BDengan log-roll oleh tim yang menjaga kesejajaran tulang belakang
3. CDiangkat pada lengan dan tungkai oleh satu orang
4. DDimiringkan pada bahu dahulu, lalu pinggul

What is the normal range for total serum calcium in an adult?

1. AAbout 0,7–1,0 mmol/L (2,8–4,0 mg/dL)
2. BAbout 3,5–5,0 mmol/L (14–20 mg/dL)
3. CAbout 2,2–2,6 mmol/L (8,5–10,5 mg/dL)
4. DAbout 1,0–1,5 mmol/L (4,0–6,0 mg/dL)

A patient takes an SGLT2 inhibitor. Which sick-day advice is correct?

1. ADouble the dose during illness to control the glucose
2. BStop drinking fluids while taking the drug
3. CKeep taking it as normal, whatever the illness
4. DPause the drug during illness with vomiting or poor intake

A man starts tamsulosin for BPH. Which teaching point is most important?

1. AStop it if the urine stream improves
2. BStand up slowly, because it can make you dizzy
3. CExpect the drug to shrink the prostate within a day
4. DTake it with grapefruit juice to make it work better

An 82-year-old taking apixaban fell three weeks ago. Since then their family has noticed increasing confusion and headaches. Which condition is most likely?

1. AAcute extradural haematoma
2. BChronic subdural haematoma
3. CSubarachnoid haemorrhage from an aneurysm
4. DNormal ageing with mild memory loss

A patient with myasthenia gravis took extra pyridostigmine doses. They now have more weakness, heavy salivation, sweating, diarrhoea, small pupils and a slow pulse. What is most likely?

1. AA cholinergic crisis from too much medication
2. BA myasthenic crisis from too little medication
3. CA normal response to a higher dose
4. DAn allergic reaction to the drug

A patient has fever, confusion, odd behaviour and a new seizure. Herpes simplex encephalitis is suspected. Which drug is usually started straight away?

1. AOral amoxicillin
2. BIV insulin
3. CIV aciclovir
4. DOral prednisolone