SET 3 2010

1. Anatomy & Physiology

1. Lesions of lower motor neurons will cause Jawapan

A flaccid paralysis A
B changes in behavior
C spastic muscle activity
D changes in consciousness

Assessment & Intervention

2. Your advised on a patient prior electroencephalogram (EEG) is to Jawapan

A drink coca-cola
B remove all hair gel B
C sleep until the procedure schedule
D take anticonvulsant in a regular dose

3. Caloric test is done as an assessment for brain death. The Jawapan

tympanic membrane is irrigated with

A ice water A
B cold saline
C warm saline
D distilled water

Fluid & Electrolyte

4. Complication of intravenous mannitol 20% is hyponatraemia. What is Jawapan

the value?

A 134 mEq/L A
B 135 mEq/L
C 136 mEq/L
 D 137 mEq/L

Pharmacology

5. Immediate action you should do when patient with Cryptoccoccal Jawapan

Meningitis complaint of sharp lower back pain during
Amphothericin B infusion is

A monitor urine output

B monitor serum sodium
C encouraged fluid intake
D stopped infusion immediately D

Craniocerebral

6. Which of the following is the best description of battle sign? Jawapan

A Hyperreflexia
B Generalised petchial development
C Bleeding from the paranasal sinus
D Ecchymosis over the mastoid projection D

7. Injury at the frontal lobe after motor vehicle accident can Jawapan
cause the following disorder

A aphasia
B vision disturbance
C hearing distubance
D behavioral changes D

Spine

8. What is the primary management of a patient with a severe Jawapan

low back pain?

A Palliative care A
B Full spinal immobilization
C Partial spinal immobilization
D Rapid transport to Emergency Department
9. In which area would the nurse expect loss of motor control & Jawapan
sensation if the patient experienced a spinal cord injury below
the level of L4
A legs & pelvis
B below the mid-chest
C parts of the thighs & legs C
D parts of the arms & hands

Neurovascular

10. You are using thrombolytic checklist on a patient Jawapan

presenting with stroke symptoms. Which of the following
is an exclusion criterion for the use of fibryolitics?
A Alert mental illness
B Able to give consent
C Uncontrolled hypertension C
D Onset of symptoms less than 3 hours

Neuroendocrine
11. Jawapan
A
B
C
D

CONGENITAL ANOMALIES
12. Intervention to prevent leakage of CSF or rupture of the Jawapan
myelomeningocele sac is
A position infant on prone
B cover sac with moisten sterile normal saline B
C place a diaper or other covering directly over the
D check the position of the child at least once every hour
13. Shaken baby syndrome is a group of signs and symptom Jawapan
associated with

A Severe head trauma A

B Paralyzing spinal injury
C A long history of child abuse
D Intra abdominal haemorrhage

SPECIFIC NEUROLOGICAL DISORDER

14. Cholinergic crisis in myasthenia gravis is due to which of the Jawapan

following event?

A Overdose of medication A
B Fatigue, stress or infection
C Insufficient on dos medication
D Worsening of the diseases process

15. Madam Suzie had a multiple sclerosis. Your advised on her from Jawapan
exacerbation of the disease would be
A eye pad the affected eye
B sleeping 8 hours every night B
C taking hot baths for relaxation
D drinking 1.5 – 2 litre of water per day
16. A brief involuntary movement of distal extremities and facial Jawapan
weakness, which often occurs in Huntington’s diseases and
Parkinson’s diseases is
A Tics
B Chorea B
C Ballism
D Myclonus

AIRWAY MANAGEMENT & VENTILATION

17. Mr Muthu had craniotomy for removal of blood clots and Jawapan
transferred to neuro intensive care unit for cerebral protection. His
arterial blood gases result PaO2 100 mmHg. PaCO2 30 mm Hg
and oxygen saturation 99%. What is your action?

A Decreased tidal volume

B Increased respiratory rate
C Decreased respiratory rate
D Maintain fractional inspiratory rate D

18. Sterile suction technique is necessary when Jawapan

A Suctioning the nose only

B Suctioning tracheobronchiol region B
C Performing any type of patient’s suctioning
D Patient has an oropharyngeal airway in place
ICP & EVD

19. The statement below are management for a patient who is on Jawapan
External ventricular drainage EXCEPT

A maintain sterility
B flush the ventricular catheter B
C maintain patent drainage system
D clamp the drain prior reading intracranial pressure

20. Which of the following is an early sign of central herniation Jawapan

syndrome?

A Papilledema A
B Dilated pupils
C Respiratory depression
D Depressed level of consciousness

OPERATION THEATRE

21. Ventriculo-arterial shunt (VA shunt) is a technique to treat Jawapan

A meningocele
B encephalocele
C hydrocephalus C
D Mylomeningocele
RADIOSURGERY & EMBOLISATION

22. Skill catheterization technique for management of arteriovenous Jawapan

malformation without surgery is
A Embolization A
B radiosurgery
C radiotheraphy
D gamma knife surgery

REHABILITATION

23. This technique by placing hand flat just below umbilical area & Jawapan
pressing firmly down & inward toward the pelvis arch to express
urine from bladder is known as

A Crede’s method A
B Valsalva’s maneuver
C Supra pubic stimulation
D Bladder –triggering technique

24. Ahmad is 15 years old boy and had cerebral concussion. What is Jawapan
your advised to her mother before discharge?

A Take seizure precaution

B Give antibiotics as prescribed
C Take him to neurosurgery clinic for follow up
D Observe sign and symptom of increase intracranial pressure D
ETHICS

25. You are doing cardio pulmonary resuscitation on Mr Troy who Jawapan
sudden deteriorate from arteriovenous malformation. Patient’s
son approached and tell that his mother refused any form of
resuscitation on her husband. What should you do?

A When in doubt, resuscitate A

B Stop cardiopulmonary resuscitation
C Call patient’s wife to confirm her request
D Ask the hospital security to keep patient’s son away from
interrupting