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

Mengapakah imbasan CT kepala mesti dilakukan sebelum trombolisis untuk strok?

1. AUntuk melihat sama ada pesakit juga mengalami keretakan tengkorak
2. BUntuk menyemak sama ada pesakit pernah mengalami strok sebelum ini
3. CUntuk menyingkirkan pendarahan, yang akan diburukkan oleh trombolisis
4. DUntuk mengukur berapa lama dahulu gejala bermula

Which cranial nerves are mainly involved in the gag reflex?

1. AGlossopharyngeal (IX) and vagus (X)
2. BOlfactory (I) and optic (II)
3. CTrigeminal (V) and facial (VII)
4. DOculomotor (III) and abducens (VI)

Which is a common effect of long-term corticosteroid treatment?

1. AThinning of the bones
2. BWeight loss and a slim face
3. CLow blood glucose
4. DA lower risk of infections

Seminggu selepas pembedahan tiroid, suara pesakit masih serak dan lemah. Komplikasi manakah yang paling mungkin?

1. ATindak balas alergi terhadap pita pelekat pembalut
2. BRibut tiroid yang dicetuskan oleh pembedahan
3. CKalsium rendah akibat kecederaan paratiroid
4. DKerosakan pada saraf laringeal berulang

For which patient with migraine would the nurse question an order for sumatriptan?

1. AA patient with an allergy to penicillin
2. BA patient with well-controlled hypothyroidism
3. CA patient with a history of angina
4. DA patient who also has asthma

A patient has just started levetiracetam. Which side effect should the nurse teach them to report?

1. AOrange discoloration of the urine
2. BA persistent dry cough at night
3. CChanges in mood, such as irritability, low mood or anger
4. DSwelling and overgrowth of the gums around the teeth

The night after hip surgery, an 84-year-old becomes suddenly confused and tries to pull out their IV line. What is the most appropriate first step?

1. AAsk for a strong sedative so that the patient can sleep
2. BTell the family that this is the start of dementia
3. CLook for causes such as low oxygen, pain, retention or infection
4. DApply wrist restraints to protect the IV line

Antara pesakit strok iskemia akut ini, siapakah yang paling kurang berkemungkinan layak untuk trombolisis IV?

1. APesakit yang gejalanya bermula 90 minit lalu
2. BPesakit yang tekanan darahnya 170/95 mmHg
3. CPesakit yang menjalani pembedahan abdomen besar lima hari lalu
4. DPesakit yang imbasan CT-nya tidak menunjukkan tanda pendarahan intrakranial