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

A febrile patient has a rash that does not fade when a glass is pressed against it. What should the nurse suspect?

1. AA simple viral skin rash
2. BHeat rash from a high temperature
3. CMeningococcal septicaemia
4. DAn allergic reaction to soap

Which group of features is typical of Parkinson's disease?

1. ADrooping eyelids and double vision that get worse later in the day
2. BIntention tremor, muscle wasting and twitching under the skin
3. CResting tremor, rigidity and slow movement
4. DWeakness rising from the feet, with tingling and lost reflexes

Which side effect is common when starting a GLP-1 receptor agonist such as semaglutide?

1. AA dry cough
2. BNausea
3. CWeight gain
4. DHair growth

A patient has radioactive iodine treatment for hyperthyroidism. Which advice is correct?

1. AThere are no precautions, because the dose is tiny
2. BStart breastfeeding again the next day
3. CStay in strict isolation in hospital for several months
4. DLimit close contact with children and pregnant women for a time

Which picture fits anterior cord syndrome?

1. AArms much weaker than legs after a neck injury
2. BWeakness on one side and loss of pain sensation on the other side
3. CNormal movement but complete loss of position sense
4. DLoss of movement and pain sense, with position sense kept

A patient with migraine takes painkillers or triptans on most days and now has a headache almost every day. What is the likely problem?

1. AA brain tumour, which is almost certain
2. BMedication overuse headache
3. CNormal progress of migraine
4. DAn allergy to the painkillers

Why may HbA1c be unreliable in a patient with haemolytic anaemia or a recent large blood transfusion?

1. AIt depends on how long red blood cells survive in the blood
2. BAnaemia always makes the HbA1c very high
3. CBlood transfusions contain large amounts of glucose
4. DThe test only measures the glucose in the plasma, not in the cells

Near the end of a haemodialysis session, a patient has painful leg cramps and a falling blood pressure. What is the most likely cause?

1. AAn allergic reaction to the needles
2. BNot enough fluid is being removed
3. CThe dialysate is too cold
4. DFluid is being removed too quickly