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

Kelenjar mana yang menghasilkan kortisol?

1. AMedula adrenal
2. BHipofisis posterior
3. CKelenjar tiroid
4. DKorteks adrenal

Which cranial nerve makes the pupil constrict in response to light?

1. AAbducens nerve (VI)
2. BOptic nerve (II) alone
3. CTrochlear nerve (IV)
4. DOculomotor nerve (III)

Which head injury is classically linked to a lucid interval after a blow to the side of the head?

1. AExtradural haematoma
2. BConcussion
3. CDiffuse axonal injury
4. DChronic subdural haematoma

A patient taking warfarin is diagnosed with an intracerebral haemorrhage. What is the priority treatment?

1. AIV thrombolysis within 4,5 hours
2. BDoubling the warfarin dose to stabilise the INR
3. CStarting aspirin to prevent further clots
4. DUrgent reversal of the anticoagulant effect

The day after a thyroidectomy, a patient reports tingling around the mouth and in the fingers. Why might this happen?

1. AThe parathyroid glands may have been damaged, lowering calcium
2. BThe patient is breathing too slowly after the operation
3. CThe anaesthetic has caused an allergic reaction
4. DThe thyroid hormone level has risen too high after surgery

Skor Glasgow Coma Scale mana yang biasanya menunjukkan bahwa pasien mungkin tidak dapat melindungi jalan napasnya sendiri?

1. A13 atau kurang
2. B11 atau lebih
3. C8 atau kurang
4. D15

Which statement correctly distinguishes spinal shock from neurogenic shock?

1. AThey are two names for exactly the same condition
2. BSpinal shock is lost reflexes; neurogenic shock is low BP and slow pulse
3. CNeurogenic shock is caused by blood loss; spinal shock is caused by infection
4. DSpinal shock is low blood pressure; neurogenic shock is the loss of reflexes

Seorang pasien dengan pemberian makan enteral kontinu semalaman menerima insulin yang disesuaikan dengan makanan. Pukul 02:00 selang tersumbat dan pemberian makan berhenti. Apa risiko utamanya, dan apa yang harus dilakukan perawat?

1. AKetoasidosis; hentikan semua insulin sampai pagi
2. BHipoglikemia; periksa glukosa sering dan ikuti rencana untuk penutup glukosa
3. CTidak ada risiko; insulin akan tersimpan sampai pemberian makan dimulai lagi
4. DHiperglikemia; berikan dosis insulin tambahan segera