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
Which group of symptoms is classic for meningitis?
AJoint pain, rash on the cheeks and hair loss
BFlank pain, fever and painful urination
CFever, headache and neck stiffness
DChest pain, cough and wheeze
2.Mudah
What is the most common type of kidney stone?
AUric acid
BStruvite
CCystine
DCalcium oxalate
3.Mudah
Which equipment should be ready at the bedside of a patient on seizure precautions?
AWrist restraints to stop the limbs jerking
BA urinary catheter in case of incontinence
CA tongue depressor to place between the teeth
DWorking suction and oxygen
4.Sederhana
A patient receives phenytoin through a nasogastric tube along with continuous enteral feed. Which issue should the nurse know about?
APhenytoin must be crushed and mixed into the feed bag
BThe feed can reduce phenytoin absorption, so the feed is often paused around the dose
CThe feed increases phenytoin levels and causes toxicity within hours
DPhenytoin makes the feed curdle, so the two must never be used in one patient
5.Sederhana
Which symptoms are typical of hypokalaemia?
ATingling lips and facial twitching
BMuscle weakness, cramps and palpitations
CHeat intolerance and weight loss
DExcess thirst and very high glucose
6.Sederhana
A patient with a suspected basal skull fracture needs a gastric tube. Which route is preferred?
AThrough the nose (nasogastric)
BThrough the nose with a guidewire
CThrough the mouth (orogastric)
DThrough a fine-bore nasal tube
7.Sukar
Selepas pembedahan, pengeluaran air kencing pesakit ialah 15 mL/j selama 3 jam, dengan nadi 110/min, TD 96/58 mmHg dan membran mukus kering. Apakah punca yang paling mungkin bagi pengeluaran air kencing yang rendah?
ADiabetes insipidus selepas anestesia
BAKI prarenal akibat hipovolemia
CSIADH disebabkan oleh pembedahan
DLebihan cecair daripada cecair IV
8.Sukar
A drowsy patient's glucose meter shows "HI". What should the nurse do?
ATreat it as very high, check ketones and escalate
BGive glucose gel in case the reading is wrong
CAssume the meter is broken and recheck tomorrow
DRecord "normal" in the notes because no number appears
Kunci jawapan
1. C · Fever, headache and neck stiffness
2. D · Calcium oxalate
3. D · Working suction and oxygen
4. B · The feed can reduce phenytoin absorption, so the feed is often paused around the dose
5. B · Muscle weakness, cramps and palpitations
6. C · Through the mouth (orogastric)
7. B · AKI prarenal akibat hipovolemia
8. A · Treat it as very high, check ketones and escalate
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