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

How is diabetic retinopathy usually picked up early?

1. AA yearly blood test for HbA1c only
2. BChecking the pupils with a torch at every visit
3. CWaiting until the patient notices blurred vision
4. DRegular eye screening with retinal photographs

In primary hypothyroidism, what is the usual TSH result?

1. AHigh
2. BNormal
3. CUndetectable
4. DLow

Which description best fits an absence seizure?

1. AA sudden loss of muscle tone that makes the person fall
2. BStiffening and then jerking of all four limbs for several minutes
3. CJerking that starts in one hand and spreads up the arm
4. DA brief staring spell of a few seconds with a quick return to normal

Seorang pasien stroke memahami apa yang dikatakan tetapi kesulitan menemukan kata dan berbicara dengan frasa pendek yang terbata-bata. Jenis afasia apa ini?

1. ADisartria akibat otot wajah lemah
2. BAfasia reseptif (Wernicke)
3. CAfasia ekspresif (Broca)
4. DAfasia global tanpa pemahaman

After pressing the plunger of an insulin pen, what should the patient do?

1. ALeave the needle on the pen for the next injection
2. BPull the needle out at once and rub the site firmly
3. CKeep the needle in the skin for about 10 seconds
4. DInject a second dose straight away to be sure

Which blood gas pattern is typical of acute kidney injury?

1. ALow pH and high carbon dioxide only
2. BHigh pH and low carbon dioxide
3. CLow pH and low bicarbonate
4. DHigh pH and high bicarbonate

Seorang pasien hemodialisis bertanya mengapa cairan di antara sesi harus dibatasi. Penjelasan mana yang benar?

1. APembatasan cairan terutama untuk mempersingkat waktu di mesin
2. BCairan berlebih menumpuk, menaikkan TD dan menyebabkan sesak napas serta kram saat dialisis
3. CCairan tambahan melemahkan dinding fistula dan membuatnya lebih mungkin pecah
4. DMinum air membuat dialisis mengeluarkan terlalu banyak kalium dari darah

Six weeks after a kidney transplant, a patient has a fever, tenderness over the graft, less urine and a rising creatinine. What is most likely?

1. AA side effect of sun exposure
2. BDehydration that needs only more oral fluids and rest
3. CAcute rejection, needing urgent transplant team review
4. DA normal finding as the kidney settles in