Lembaran kerja Perubatan-pembedahan: neurologi, endokrin & renal dengan jawapan
Lembaran kerja Perubatan-pembedahan: neurologi, endokrin & renal percuma untuk dicetak: 8 soalan dari mudah hingga tahap peperiksaan, dengan skema jawapan. Cetak atau simpan sebagai PDF.
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Nama: ____________________ Tarikh: ____________
1.Mudah
What is the most common cause of intrinsic (renal) acute kidney injury in hospital?
AKidney stones
BPolycystic kidney disease
CAn enlarged prostate
DAcute tubular necrosis
2.Mudah
A patient with Bell's palsy cannot close one eye fully. Which advice is most important?
AUse lubricating eye drops and protect or tape the eye at night
BLeave the eye uncovered so air can dry it out
CMassage the closed eyeball firmly several times every day
DWear contact lenses to keep the eye moist
3.Mudah
Which cranial nerve makes the pupil constrict in response to light?
AOptic nerve (II) alone
BTrochlear nerve (IV)
COculomotor nerve (III)
DAbducens nerve (VI)
4.Sederhana
A patient has radioactive iodine treatment for hyperthyroidism. Which advice is correct?
AThere are no precautions, because the dose is tiny
BLimit close contact with children and pregnant women for a time
CStay in strict isolation in hospital for several months
DStart breastfeeding again the next day
5.Sederhana
Why might a patient bleed more from the needle sites straight after haemodialysis?
ADialysis removes all the platelets from the blood
BThe fistula has been damaged and must be tied off
CHeparin is often used to stop the circuit from clotting
DDialysis raises the blood pressure sharply for several hours
6.Sederhana
The day after a thyroidectomy, a patient reports tingling around the mouth and in the fingers. Why might this happen?
AThe thyroid hormone level has risen too high after surgery
BThe parathyroid glands may have been damaged, lowering calcium
CThe anaesthetic has caused an allergic reaction
DThe patient is breathing too slowly after the operation
7.Sukar
A patient has had a high sodium of 160 mmol/L for several days. Why must it be corrected slowly?
ARapid correction can cause brain swelling
BRapid correction causes kidney stones
CThe sodium will rise again if corrected quickly
DRapid correction raises the blood glucose
8.Sukar
A patient received IV insulin and glucose for hyperkalaemia an hour ago. What must the nurse monitor over the next few hours?
ASkin, for a drug rash
BCapillary glucose, for hypoglycaemia
CPupils, for raised intracranial pressure
DUrine colour, for blood in the urine
Kunci jawapan
1. D · Acute tubular necrosis
2. A · Use lubricating eye drops and protect or tape the eye at night
3. C · Oculomotor nerve (III)
4. B · Limit close contact with children and pregnant women for a time
5. C · Heparin is often used to stop the circuit from clotting
6. B · The parathyroid glands may have been damaged, lowering calcium
7. A · Rapid correction can cause brain swelling
8. B · Capillary glucose, for hypoglycaemia
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