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

A stroke affects the anterior cerebral artery. Which weakness pattern is most typical?

1. AThe same side of the body is weak
2. BThe opposite arm and face are weaker than the leg
3. CBoth legs are weak with normal arms
4. DThe opposite leg is weaker than the arm

After an acute stroke, what must happen before the patient is given food, drink or oral medicines?

1. AA chest X-ray to check the lungs
2. BA full set of blood tests
3. CA swallow screen by a trained professional
4. DA check that bowel sounds are present in all four quadrants

What is the main effect of parathyroid hormone (PTH)?

1. AIt raises blood calcium
2. BIt lowers blood potassium
3. CIt raises blood sodium
4. DIt lowers blood glucose

A patient with a spinal cord injury can still feel a light touch around the anus. What does this show?

1. AThe patient has an injury of the brain, not the cord
2. BThe injury is incomplete, which suggests a better chance of recovery
3. CThe sensation is only a spinal reflex and has no real meaning for recovery
4. DThe injury is complete, and recovery is not possible

Mengapakah metformin biasanya ditahan semasa kecederaan buah pinggang akut atau sekitar kontras beriodin pada pesakit berisiko?

1. AIa menyebabkan hiperkalemia apabila buah pinggang cedera
2. BIa menyekat kontras supaya imbasan tidak dapat dibaca
3. CIa menyebabkan hipoglisemia teruk apabila diberikan bersama kontras
4. DIa boleh terkumpul dan meningkatkan risiko asidosis laktik

Which nursing care is most important for a patient with diabetes insipidus?

1. AWeighing the patient once a month
2. BGiving a loop diuretic to clear extra fluid
3. CA strict fluid restriction to reduce the amount of urine passed
4. DStrict fluid balance, daily weight and free access to water

Isu masa pemberian ubat manakah yang penting bagi pesakit hemodialisis?

1. AUbat yang boleh didialisis mungkin perlu diberikan selepas sesi
2. BSemua ubat mesti diberikan sejurus sebelum sesi
3. CTiada ubat boleh diambil pada hari dialisis
4. DDialisis tidak menyingkirkan sebarang ubat

Three days after a stroke, a patient with dysphagia on a modified diet has a temperature of 38.2 °C (100.8 °F), a respiratory rate of 24/min and crackles at the right lung base. What should the nurse do?

1. AEncourage more fluids by mouth to treat the fever
2. BSuspect aspiration pneumonia, stop oral intake and escalate for review
3. CRecord the findings and recheck them at the next routine observation
4. DGive paracetamol (acetaminophen) and continue the modified diet as before