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.

Lembaran kerja baharuBerlatih dalam talian dengan petunjuk

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Nama: ____________________   Tarikh: ____________

1.Mudah

Which ECG change is typical of hyperkalaemia?

  1. AProminent U waves
  2. BTall, peaked T waves
  3. CA shortened PR interval
  4. DFlattened T waves
2.Mudah

What is a positive Kernig's sign?

  1. ABruising behind the ear after a head injury
  2. BBending of the hips and knees when the neck is flexed
  3. CPain and resistance when the knee is straightened with the hip flexed
  4. DTwitching of the facial muscles when the cheek is tapped in front of the ear
3.Mudah

Gangguan elektrolit manakah yang merupakan komplikasi berbahaya bagi kegagalan buah pinggang?

  1. AHiperkalemia
  2. BHiperkalsemia
  3. CHipokalemia
  4. DHipernatremia
4.Sederhana

What is the dexamethasone suppression test used for?

  1. ATo help diagnose Cushing's syndrome
  2. BTo diagnose diabetes insipidus
  3. CTo check thyroid function
  4. DTo measure kidney function
5.Sederhana

Which group of problems is typical of primary hyperparathyroidism?

  1. AHair loss, weight gain and feeling cold
  2. BMuscle cramps, tingling lips and seizures
  3. CHeat intolerance, tremor, weight loss and diarrhoea
  4. DKidney stones, bone pain, abdominal pain and low mood
6.Sederhana

A patient has acute glomerulonephritis with oedema and high blood pressure. Which nursing care is most appropriate?

  1. AGive large amounts of IV fluid
  2. BMonitor BP, fluid balance and daily weight
  3. CCheck the weight once a week
  4. DEncourage a high-salt diet to balance the fluids
7.Sukar

Seorang pesakit diabetes jenis 1 berpuasa sebelum pembedahan esok. Pelan manakah yang paling selamat?

  1. AMeneruskan sedikit insulin (basal atau infusi IV kadar boleh ubah) dengan semakan glukosa
  2. BMemberikan insulin hanya jika keton air kencing menjadi sangat positif semalaman
  3. CMemberikan insulin waktu makan yang biasa, walaupun tiada makanan akan dimakan
  4. DMenghentikan semua insulin sehingga pesakit makan dan minum seperti biasa semula
8.Sukar

A patient with an insulin pump is admitted with nausea, a glucose of 19 mmol/L (342 mg/dL) and blood ketones of 3.1 mmol/L. What is the priority?

  1. AGive an antiemetic only, because nausea is causing the high glucose
  2. BIncrease the pump rate and recheck the ketones in 12 hours
  3. CDisconnect the pump and give no insulin until the ketones clear
  4. DSuspect failed insulin delivery and give insulin by another route

Kunci jawapan

  1. 1. B · Tall, peaked T waves
  2. 2. C · Pain and resistance when the knee is straightened with the hip flexed
  3. 3. A · Hiperkalemia
  4. 4. A · To help diagnose Cushing's syndrome
  5. 5. D · Kidney stones, bone pain, abdominal pain and low mood
  6. 6. B · Monitor BP, fluid balance and daily weight
  7. 7. A · Meneruskan sedikit insulin (basal atau infusi IV kadar boleh ubah) dengan semakan glukosa
  8. 8. D · Suspect failed insulin delivery and give insulin by another route

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