Lembaran kerja Perubatan-pembedahan: neurologi, endokrin & renal dengan jawapan

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

1. AConcussion
2. BChronic subdural haematoma
3. CExtradural haematoma
4. DDiffuse axonal injury

Dapatan manakah yang tipikal bagi diabetes insipidus?

1. AAir kencing yang sangat pekat dalam jumlah kecil
2. BAir kencing cair dalam jumlah besar dan dahaga teramat sangat
3. CPengekalan cecair dengan natrium serum yang rendah
4. DGlukosa darah tinggi dengan sejumlah besar glukosa dalam air kencing

Which picture is typical of Guillain–Barré syndrome?

1. ARising weakness from the legs, weeks after an infection
2. BA resting tremor that slowly spreads to the other hand
3. CMuscle weakness that worsens late in the day and improves with rest
4. DA sudden one-sided facial droop with slurred speech

Mengapakah pesakit CKD sering mengambil pengikat fosfat bersama makanan?

1. AIa meningkatkan penyerapan fosfat daripada makanan dalam usus
2. BIa merendahkan kalium darah dengan mengikatnya dalam usus
3. CIa mengikat fosfat makanan yang tidak dapat dikumuhkan oleh buah pinggang
4. DIa menggantikan hormon eritropoietin yang hilang

What is the main purpose of continuous bladder irrigation after a transurethral resection of the prostate (TURP)?

1. ATo stop blood clots from blocking the catheter
2. BTo give the patient extra fluids
3. CTo treat a urinary infection after the operation
4. DTo measure the size of the bladder

A patient receives phenytoin through a nasogastric tube along with continuous enteral feed. Which issue should the nurse know about?

1. AThe feed increases phenytoin levels and causes toxicity within hours
2. BPhenytoin must be crushed and mixed into the feed bag
3. CThe feed can reduce phenytoin absorption, so the feed is often paused around the dose
4. DPhenytoin makes the feed curdle, so the two must never be used in one patient

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. ANormal tiredness after major surgery
2. BHypoglycaemia from reduced eating
3. CDelayed cerebral ischaemia from vasospasm
4. DRe-bleeding from the secured aneurysm

Seorang jururawat menjaga empat pesakit. Pesakit manakah yang perlu dilihat dahulu?

1. APesakit CKD yang bertanya tentang pengikat fosfatnya
2. BPesakit selepas kraniotomi yang anak mata kanannya baru melebar dan lambat bertindak balas
3. CPesakit hipotiroidisme stabil yang perlu mengambil levotiroksin
4. DPesakit dialisis peritoneal dengan efluen jernih