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

What does dysarthria mean?

1. ADifficulty swallowing food and drink safely
2. BUnclear speech caused by weak or poorly coordinated speech muscles
3. CInability to read or write after a brain injury
4. DLoss of the ability to understand spoken or written language

Which description best fits type 2 diabetes?

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

Seorang pasien mengalami stroke yang mengenai sisi kiri otak. Di mana kelemahan paling mungkin muncul?

1. ADi sisi kiri tubuh
2. BHanya di sisi kiri wajah
3. CDi sisi kanan tubuh
4. DDi kedua tungkai tetapi tidak lengan

Before a haemodialysis catheter is used, why is the lock solution withdrawn from each lumen?

1. AIt contains a strong antibiotic that must be kept
2. BIt contains the patient's urine
3. CIt contains air that keeps the line open
4. DIt contains concentrated anticoagulant

Seorang pasien mengalami hemianopia homonim setelah stroke. Bagaimana perawat membantu pada awalnya?

1. AMenutup mata pada sisi yang terkena dengan penutup
2. BMendekati dari sisi yang dapat melihat dan mengajarkan menoleh untuk memindai
3. CMenjaga ruangan gelap untuk mengurangi rangsangan visual
4. DMenaruh bel panggil dan minuman di sisi tanpa penglihatan, untuk melatihnya

Why is levodopa combined with carbidopa (or benserazide)?

1. ATo make levodopa cross into the brain more slowly and evenly
2. BTo add a separate effect that reduces the resting tremor directly
3. CTo prevent tolerance from developing to levodopa over time
4. DTo stop levodopa being converted to dopamine outside the brain

Seorang pasien KAD membaik: glukosa 9 mmol/L, keton 0,4 mmol/L, pH 7,36. Ia makan dan minum. Bagaimana insulin IV dihentikan?

1. AMemberikan insulin subkutan hanya bila glukosa naik di atas 20 mmol/L
2. BMenghentikan insulin IV sekarang dan memulai insulin subkutan besok
3. CMenghentikan semua insulin, karena ketoasidosis telah teratasi sepenuhnya
4. DMemberikan insulin subkutan bersama makan, lalu menghentikan IV setelah tumpang tindih

A patient with an acute stroke has a glucose of 15 mmol/L (270 mg/dL). They do not have known diabetes. What is appropriate?

1. AReport it and monitor glucose, as it can worsen outcome
2. BIgnore it, because stress always raises glucose
3. CGive glucose gel to stabilise the level
4. DStop all IV fluids to lower the glucose