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 main action of ADH (antidiuretic hormone)?
AIt makes the kidneys pass more water
BIt makes the kidneys keep potassium
CIt makes the kidneys reabsorb water
DIt makes the kidneys pass more glucose
2.Mudah
In neurological charting, what does PERRLA stand for?
APupils equal, round, reactive to light and accommodation
BPain eased, resting, relaxed, lying awake
CPulse even, regular, rate low and adequate
DPatient eating, resting, reading, learning and alert at all times
3.Mudah
Which symptoms are typical of diabetic peripheral neuropathy?
AA painful red, hot swollen big toe at night
BMorning stiffness of the small hand joints
CNumbness, tingling or burning in the feet
DPain in the calves that starts when walking
4.Sederhana
A patient has taken metformin for many years and now has tingling feet and a low haemoglobin. Which blood test is most relevant?
AVitamin B12 level
BThyroid antibodies
CBlood alcohol level
DSerum amylase
5.Sederhana
When the nurse squeezes the trapezius muscle, the patient brings a hand up above the collarbone towards the stimulus. Which GCS motor score is this?
A4, withdraws from pain
B6, obeys commands
C3, abnormal flexion
D5, localises to pain
6.Sederhana
A patient with migraine takes painkillers or triptans on most days and now has a headache almost every day. What is the likely problem?
AA brain tumour, which is almost certain
BMedication overuse headache
CNormal progress of migraine
DAn allergy to the painkillers
7.Sukar
After a TURP, a patient on bladder irrigation has bladder spasms. The drainage has slowed and contains clots, and the bag holds less than the irrigant given. What should the nurse do first?
AGive an antispasmodic and recheck in four hours
BTurn off the irrigation and leave the catheter alone
CSuspect a clot in the catheter and follow the protocol
DEncourage the patient to strain to pass the clots
8.Sukar
Selepas pembedahan, seorang pesakit penyakit Graves mempunyai suhu 39.8 °C, kadar jantung 160/min, kegelisahan dan muntah. Set rawatan manakah yang paling sesuai?
APenyejukan, penyekat beta, ubat antitiroid, kemudian iodin dan steroid
BSekatan cecair dan diuretik gelung untuk merawat takikardia
CAspirin untuk demam dan semakan oleh GP dalam seminggu
DLevotiroksin dan selimut hangat untuk menenangkan menggigil
Kunci jawapan
1. C · It makes the kidneys reabsorb water
2. A · Pupils equal, round, reactive to light and accommodation
3. C · Numbness, tingling or burning in the feet
4. A · Vitamin B12 level
5. D · 5, localises to pain
6. B · Medication overuse headache
7. C · Suspect a clot in the catheter and follow the protocol
8. A · Penyejukan, penyekat beta, ubat antitiroid, kemudian iodin dan steroid
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