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

Nasihat penjagaan kaki harian manakah yang betul bagi orang yang menghidap diabetes?

1. ABuang kapalan di rumah dengan bilah pisau cukur
2. BPeriksa kaki setahun sekali di klinik
3. CRendam kaki dalam air panas selama sejam setiap hari
4. DPeriksa kaki setiap hari dan jangan sekali-kali berjalan berkaki ayam

What is the most important risk factor for bladder cancer?

1. AFrequent urinary infections in childhood
2. BA diet high in fruit
3. CDrinking a lot of water
4. DSmoking

The nurse asks a patient to shrug their shoulders against resistance. Which cranial nerve is being tested?

1. ATrigeminal nerve (V)
2. BFacial nerve (VII)
3. CHypoglossal nerve (XII)
4. DAccessory nerve (XI)

What is the main purpose of continuous bladder irrigation after a transurethral resection of the prostate (TURP)?

1. ATo treat a urinary infection after the operation
2. BTo give the patient extra fluids
3. CTo measure the size of the bladder
4. DTo stop blood clots from blocking the catheter

During continuous bladder irrigation, 3200 mL drains out in a shift. 2500 mL of irrigation fluid was put in. What is the true urine output?

1. A2500 mL
2. B700 mL
3. C3200 mL
4. D5700 mL

Why is levodopa combined with carbidopa (or benserazide)?

1. ATo make levodopa cross into the brain more slowly and evenly
2. BTo stop levodopa being converted to dopamine outside the brain
3. CTo prevent tolerance from developing to levodopa over time
4. DTo add a separate effect that reduces the resting tremor directly

A patient with acute glomerulonephritis has a BP of 190/115 mmHg, a severe headache and blurred vision. Which is the priority?

1. AGive extra oral fluids to correct the low urine output
2. BUrgent escalation for BP control and close neuro checks
3. CRecheck the BP at the next routine round
4. DEncourage a walk to relieve the headache

A patient with acromegaly snores loudly, stops breathing at times in sleep and is sleepy during the day. What is most likely?

1. ANarcolepsy
2. BObstructive sleep apnoea
3. CAn anxiety disorder
4. DNormal snoring