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

How is the pain of trigeminal neuralgia typically described?

1. AA dull ache across the forehead that lasts all day
2. BA throbbing pain behind one eye with nausea and aura
3. CSudden electric-shock pain in the face set off by light touch
4. DA burning pain in both feet, worse at night

Which cranial nerves are mainly involved in the gag reflex?

1. AOculomotor (III) and abducens (VI)
2. BTrigeminal (V) and facial (VII)
3. COlfactory (I) and optic (II)
4. DGlossopharyngeal (IX) and vagus (X)

What is the lowest possible score on the Glasgow Coma Scale?

1. A1
2. B0
3. C5
4. D3

Which nursing care is most important for a patient with diabetes insipidus?

1. AA strict fluid restriction to reduce the amount of urine passed
2. BGiving a loop diuretic to clear extra fluid
3. CWeighing the patient once a month
4. DStrict fluid balance, daily weight and free access to water

A patient with multiple sclerosis says their symptoms get worse after a hot bath. What should the nurse explain?

1. AHeat can briefly worsen MS symptoms, which settle when they cool down
2. BThey should take very cold baths to reverse the damage
3. CHot baths cause new areas of damage in the brain
4. DThis shows that the disease has entered a new progressive stage

A patient taking sodium valproate becomes tired and is vomiting, and the nurse notices yellowing of the eyes. What is the main concern?

1. AA normal adjustment reaction to the drug
2. BA sign that the dose is too low
3. CLiver toxicity from valproate
4. DDehydration from drinking too little

A patient's potassium is 7.1 mmol/L, and the ECG shows peaked T waves and broad QRS complexes. What is the first treatment?

1. AOral sodium bicarbonate
2. BIV calcium gluconate
3. CIV furosemide
4. DOral potassium binder

Why may nitrofurantoin be avoided in an older patient with significantly reduced kidney function?

1. AIt works less well and is more likely to be toxic
2. BIt turns the urine red in kidney disease
3. CIt cannot be taken with food in kidney disease
4. DIt cures kidney disease too quickly