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

Which symptoms are typical of diabetic peripheral neuropathy?

1. AA painful red, hot swollen big toe at night
2. BMorning stiffness of the small hand joints
3. CPain in the calves that starts when walking
4. DNumbness, tingling or burning in the feet

Which symptoms are typical of a prolactinoma in a woman?

1. AVery dark skin creases and a craving for salt
2. BWeight loss with heat intolerance and a fine tremor
3. CMilky nipple discharge and irregular periods
4. DKidney stones, bone pain and constipation

Which is a common effect of long-term corticosteroid treatment?

1. AA lower risk of infections
2. BWeight loss and a slim face
3. CThinning of the bones
4. DLow blood glucose

A man starts finasteride for an enlarged prostate. Which statement is correct?

1. AIt is used only for a few days at a time
2. BIt takes months to work; pregnant women must not handle broken tablets
3. CIt works within hours by relaxing the bladder muscle
4. DIt lowers the blood pressure, so dizziness is very common

A patient has confirmed meningococcal meningitis. What is usually offered to their close household contacts?

1. AA lumbar puncture to check for infection
2. BPreventive antibiotics
3. CA full course of IV antibiotics in hospital
4. DNo action unless they develop symptoms

Seorang pasien dengan insufisiensi adrenal primer mengalami demam. Apa nasihat hari sakit yang biasa untuk penggantian steroid?

1. AMempertahankan dosis biasa dan menghindari minum cairan tambahan untuk saat ini
2. BMengurangi dosis setengahnya untuk mengurangi efek samping
3. CMeningkatkan dosis glukokortikoid, sering menggandakannya
4. DMenghentikan steroid sampai demam mereda

Seorang pasien dengan cedera medula spinalis T4 mengalami sakit kepala berdenyut, TD 210/110 mmHg, kulit memerah dan berkeringat di atas cedera, dan nadi 50/menit. Setelah mendudukkan pasien, apa prioritas berikutnya?

1. AMembaringkan pasien datar lagi dan mengangkat tungkai di atas bantal
2. BMemberikan bolus cairan IV cepat untuk menunjang sirkulasi
3. CMemberikan sedatif dan memeriksa ulang tekanan darah dalam satu jam
4. DMencari dan menyingkirkan pemicu, dimulai dari kandung kemih

A patient with a brain injury has a mean arterial pressure of 80 mmHg and an ICP of 25 mmHg. How should the nurse interpret this?

1. AThe cerebral perfusion pressure is 55 mmHg, below the usual target
2. BThe ICP cannot affect brain perfusion if the blood pressure is normal
3. CThe cerebral perfusion pressure is 80 mmHg, which is normal
4. DThe cerebral perfusion pressure is 105 mmHg, which is too high