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

What is overflow incontinence?

1. AWetting caused by not being able to undress quickly
2. BDribbling from a bladder that does not empty properly
3. CLeaking when sneezing or jumping
4. DLeaking after a sudden strong urge

In primary hypothyroidism, what is the usual TSH result?

1. ANormal
2. BLow
3. CUndetectable
4. DHigh

Pemeriksaan darah mana yang paling umum digunakan untuk memperkirakan fungsi ginjal?

1. AHbA1c (hemoglobin terglikasi)
2. BKadar albumin serum
3. CKadar amilase serum
4. DKreatinin serum (eGFR)

A patient has just started haemodialysis. What usually happens to their protein needs?

1. AThey increase, because dialysis removes amino acids
2. BThey stay exactly the same as they were before dialysis
3. CThey fall to almost zero to rest the kidneys
4. DProtein must be replaced only by IV infusion

Why are tacrolimus blood levels checked regularly?

1. AToo high harms the kidney; too low risks rejection
2. BThe levels show how much urine the kidney is making
3. CThe drug only works if levels are as high as possible
4. DThe levels show whether the patient has diabetes

Why are patients on haemodialysis vaccinated against hepatitis B?

1. AThe vaccine lowers the potassium level
2. BShared dialysis units carry a higher infection risk
3. CThe vaccine is needed to make the dialyser work
4. DHepatitis B vaccine improves the fistula flow

Seorang pasien stroke dengan kelemahan sisi kanan siap dipindahkan dari tempat tidur ke kursi. Pendekatan mana yang paling aman?

1. AMenaruh kursi di kanan dan mengangkat melalui lengan yang lemah
2. BMeminta pasien berdiri sendiri dan berjalan ke kursi
3. CMenarik pasien ke atas pada bahu dan pergelangan tangan kanan
4. DMenaruh kursi di sisi kiri dan berputar ke arahnya

An 84-year-old man became more confused a week after starting oxybutynin. Infection has been ruled out. What should the nurse suspect?

1. AA symptom of a high potassium from the drug
2. BA sign that the drug dose is too low
3. CNormal ageing that needs no review
4. DAnticholinergic side effects of the drug