Lembar kerja Medikal-bedah: saluran cerna, perioperatif & onkologi dengan jawaban

Which non-invasive test is commonly used to detect Helicobacter pylori infection?

1. ASerum amylase test
2. BLiver function tests
3. CUrea breath test
4. DFaecal occult blood test

What is the usual adult reference range for platelets?

1. AAbout 1500–4000 × 10⁹/L
2. BAbout 150–400 × 10⁹/L
3. CAbout 15–40 × 10⁹/L
4. DAbout 4–11 × 10⁹/L

Which preoperative allergy must be communicated so that theatre equipment can be changed?

1. AHouse dust mite allergy
2. BCat hair allergy
3. CLatex allergy
4. DPollen allergy

Which group of findings suggests obstruction of the bile duct?

1. ARed urine, black stools and a high blood glucose
2. BNormal skin colour with diarrhoea and fever
3. CJaundice, dark urine, pale stools and itching
4. DPale urine, dark stools and a flapping tremor

Which risk is particularly linked with tramadol?

1. AHigh blood pressure that needs emergency treatment in most patients
2. BRapid liver failure at normal doses
3. CSerotonin syndrome with some antidepressants, and seizures
4. DSevere stomach ulcers in all patients

A patient on enteral feeding develops diarrhoea. What should the nurse review first?

1. AThe patient's eye drops and skin creams
2. BThe medicine chart, including laxatives and antibiotics
3. CThe patient's mobility aids and walking distance
4. DThe colour of the feeding bag label

A surgical patient's MUST score is 3 and the wound is healing slowly. What is the most appropriate action?

1. ARepeat the score in three months' time
2. BRestrict protein to help the kidneys
3. CRefer to the dietitian, start a nutrition plan and monitor intake
4. DEncourage fasting to reduce wound exudate and the size of the dressing

An 80-year-old has a fluid balance 3 L positive two days after surgery. They are now breathless, with crackles at both lung bases and swollen ankles. What should the nurse do?

1. AEncourage the patient to drink more fluids
2. BStop the IV fluids, sit the patient up and escalate
3. CLie the patient flat with the legs raised
4. DIncrease the IV fluid rate to improve kidney flow