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

Ujian mudah manakah yang patut dilakukan awal pada setiap pesakit yang disyaki strok, kerana keputusan yang tidak normal boleh meniru strok?

1. AGlukosa darah kapilari
2. BKadar aliran ekspirasi puncak
3. CCarta ketajaman penglihatan
4. DDipstik air kencing

Tapping the cheek in front of the ear makes the facial muscles twitch. What is this sign called?

1. AChvostek's sign
2. BBattle's sign
3. CTrousseau's sign
4. DKernig's sign

Which features suggest pyelonephritis rather than simple cystitis?

1. AMild burning on passing urine only
2. BUrine that smells slightly stronger
3. CFever, rigors and pain in the loin
4. DPassing urine more often at night only

Seorang pesakit terjaga dengan gejala strok. Mereka tidur dalam keadaan sihat pada pukul 23:00 dan terjaga pada pukul 06:30. Masa manakah yang digunakan sebagai masa permulaan?

1. AMasa imbasan CT dilakukan
2. B23:00, ketika mereka kali terakhir diketahui sihat
3. CMasa tiba di hospital
4. D06:30, ketika gejala mula-mula disedari

A patient on insulin asks about drinking alcohol. Which advice is correct?

1. AAlcohol raises glucose, so extra insulin should be taken first
2. BAlcohol has no effect on blood glucose in people with diabetes
3. CAlcohol should replace a meal on the days it is drunk
4. DAlcohol can cause hypos, even the next day, so eat carbs with it

Sawan telah berlangsung lima minit dan masih berterusan. Apakah rawatan ubat barisan pertama yang biasa?

1. AGlukosa 50% IV pada setiap pesakit, kemudian nilai semula
2. BDos pemuat fenitoin IV sebelum apa-apa yang lain
3. CBenzodiazepin seperti lorazepam IV atau midazolam bukal
4. DAdrenalin IM ke dalam paha luar

A man with chronic urinary retention is catheterised. Over the next hours he passes very large volumes of urine. What is the main nursing concern?

1. AA urinary infection caused by the high flow of urine
2. BFluid and electrolyte loss from post-obstructive diuresis
3. CRupture of the bladder from the catheter
4. DA rise in blood glucose from the urine

A nurse teaches a patient about peritoneal dialysis. Which statement shows a need for further teaching?

1. A"If the fluid is cloudy, I'll see if it clears next time."
2. B"I will weigh myself daily and record my fluid balance."
3. C"I will wash my hands carefully before each exchange."
4. D"I will check my exit site every day."