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

Which description best fits type 2 diabetes?

1. AA total lack of insulin from birth
2. BAutoimmune destruction of all beta cells in childhood
3. CToo much insulin released after meals
4. DInsulin resistance with a relative lack of insulin

What is automated peritoneal dialysis?

1. AA single exchange done once a week
2. BExchanges done overnight by a machine
3. CDialysis that needs no fluid at all
4. DDialysis in hospital through an arm fistula

Mengapa CT scan kepala harus dilakukan sebelum trombolisis untuk stroke?

1. AUntuk mengukur sudah berapa lama gejala dimulai
2. BUntuk menyingkirkan perdarahan, yang akan diperburuk oleh trombolisis
3. CUntuk melihat apakah pasien juga mengalami fraktur tengkorak
4. DUntuk memeriksa apakah pasien pernah mengalami stroke sebelumnya

A patient who has had type 1 diabetes for 30 years says they no longer feel the warning signs of a hypo. What is this called?

1. AThe dawn phenomenon
2. BInsulin resistance
3. CDiabetic ketoacidosis
4. DHypoglycaemia unawareness

A patient has radioactive iodine treatment for hyperthyroidism. Which advice is correct?

1. ALimit close contact with children and pregnant women for a time
2. BThere are no precautions, because the dose is tiny
3. CStay in strict isolation in hospital for several months
4. DStart breastfeeding again the next day

Seorang pasien dengan stroke hemisfer kanan mengabaikan makanan di sisi kiri piring. Apa nama kondisi ini?

1. AAtaksia serebelar
2. BNeglect sisi kiri
3. CDisfagia
4. DAfasia ekspresif

A patient on carbamazepine is admitted confused, with a sodium of 121 mmol/L. Which explanation is most likely?

1. ACarbamazepine can cause hyponatraemia through an SIADH-like effect
2. BConfusion is a normal, expected effect of carbamazepine and is unrelated to sodium
3. CThe low sodium proves the patient has stopped taking the drug
4. DCarbamazepine causes salt loss through severe diarrhoea

On day 6 after a subarachnoid haemorrhage, a patient becomes newly confused and develops weakness in one arm. The aneurysm was secured on day 1. What is the most likely cause?

1. ARe-bleeding from the secured aneurysm
2. BHypoglycaemia from reduced eating
3. CNormal tiredness after major surgery
4. DDelayed cerebral ischaemia from vasospasm