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

How is the pain of trigeminal neuralgia typically described?

1. AA throbbing pain behind one eye with nausea and aura
2. BA burning pain in both feet, worse at night
3. CA dull ache across the forehead that lasts all day
4. DSudden electric-shock pain in the face set off by light touch

Apakah pertolongan cemas yang betul semasa sawan tonik-klonik umum?

1. AMendudukkan orang itu tegak dan memberikan teguk air untuk mencegah tercekik
2. BMenahan lengan dan kaki dengan kuat sehingga sentakan berhenti
3. CMelapik kepala, merekod tempoh sawan dan tidak meletakkan apa-apa dalam mulut
4. DMeletakkan sudu atau saluran udara plastik di antara gigi secepat mungkin

What is the main cause of the movement problems in Parkinson's disease?

1. ALoss of dopamine-producing cells in the substantia nigra
2. BAntibodies that attack acetylcholine receptors in muscle
3. CLoss of the myelin sheath around nerves in the brain and spinal cord
4. DToo much dopamine released in the basal ganglia

In the first trimester of pregnancy, why is propylthiouracil often preferred to carbimazole for hyperthyroidism?

1. ACarbimazole cannot cross into the mother's blood
2. BCarbimazole has a higher risk of birth defects early on
3. CPropylthiouracil works faster than any other drug
4. DPropylthiouracil has no side effects at all

A patient's potassium stays low despite replacement. Which other level should be checked?

1. ABilirubin
2. BAmylase
3. CFerritin
4. DMagnesium

A woman who takes the combined contraceptive pill is starting carbamazepine. What should she be taught?

1. ACarbamazepine can make the pill less effective, so other contraception is needed
2. BShe should take both at the same time so they are absorbed together
3. CThere is no interaction between these two medicines
4. DThe pill makes carbamazepine toxic, so she must stop the pill

A nurse teaches a patient with CKD and a high potassium about diet. Which statement shows a need for further teaching?

1. A"I will use a salt substitute instead of ordinary salt."
2. B"I will keep bananas and dried fruit to a minimum."
3. C"I will check food labels for added salt when I go shopping."
4. D"I will boil my potatoes and throw away the water."

A patient with an insulin pump is admitted with nausea, a glucose of 19 mmol/L (342 mg/dL) and blood ketones of 3.1 mmol/L. What is the priority?

1. AIncrease the pump rate and recheck the ketones in 12 hours
2. BDisconnect the pump and give no insulin until the ketones clear
3. CSuspect failed insulin delivery and give insulin by another route
4. DGive an antiemetic only, because nausea is causing the high glucose