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. AMeningococcal septicaemia
2. BHeat rash from a high temperature
3. CA simple viral skin rash
4. DAn allergic reaction to soap

How is the headache of a subarachnoid haemorrhage typically described?

1. ASudden and severe, reaching its peak within about a minute
2. BA tight band around the head that comes and goes
3. COne-sided and throbbing, with an aura beforehand
4. DSlowly worsening over several weeks, worst in the morning

Why do women get urinary tract infections more often than men?

1. AWomen have more bacteria in their blood
2. BThe urethra is shorter and closer to the anus
3. CWomen drink more fluids than men do each day
4. DWomen's kidneys are smaller than men's

What does a positive pronator drift test show?

1. AA normal response in older adults
2. BSubtle weakness in one arm
3. CWeakness of the eye muscles
4. DLoss of hearing on one side

Which measure best prevents catheter-associated urinary tract infection?

1. AKeep the drainage bag above bladder level
2. BDisconnect the bag regularly to empty it
3. CChange the catheter for a new one every day
4. DRemove the catheter as soon as it is no longer needed

A patient with diabetic neuropathy has an ulcer on the ball of the foot. Which measure is most important for healing?

1. AWalking more to improve blood flow
2. BTaking pressure off the ulcer
3. CSoaking the foot in hot water daily
4. DCovering it and checking it in a month

A patient had a witnessed tonic-clonic seizure. Afterwards their left arm is weak, and the weakness improves over the next few hours. What is the best interpretation?

1. APossible postictal (Todd's) paresis, but a stroke must still be excluded
2. BNormal postictal tiredness that needs no further assessment or imaging at all
3. CCertainly a stroke, so the seizure can be ignored
4. DA sign that the patient is pretending to be weak

A patient with known back pain says they now cannot feel the skin between their legs and have not passed urine for 12 hours. What should happen?

1. AA laxative and review in the clinic in a month
2. BAdvice to rest at home and take stronger painkillers
3. CA routine physiotherapy appointment next week
4. DUrgent MRI and referral to the spinal surgeons