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

Which bedside test is commonly used to check for postoperative urinary retention?

1. AA chest X-ray
2. BA 12-lead ECG
3. CA bladder ultrasound scan
4. DA blood glucose test

What is the first phase of wound healing?

1. AEpithelialisation
2. BHaemostasis
3. CMaturation
4. DProliferation

What is a spinal anaesthetic?

1. ALocal anaesthetic injected into the CSF in the lower back
2. BA sedative tablet taken the night before
3. CA general anaesthetic gas breathed through a mask
4. DLocal anaesthetic cream rubbed on the skin

A patient with a new colostomy asks what to eat at home. Which advice is most appropriate?

1. AEat a normal, balanced diet and introduce foods gradually
2. BAvoid all fruit and vegetables for the rest of their life
3. CDrink as little fluid as possible to reduce output
4. DEat only liquids until the stoma is removed

In the SBAR communication tool, what belongs under "A"?

1. AA list of the patient's allergies only
2. BThe address and phone number of the patient's next of kin
3. CThe patient's admission date only
4. DThe nurse's assessment of what the problem is

How is an uncomplicated sigmoid volvulus often first treated?

1. ADecompression with a flexible sigmoidoscope and flatus tube
2. BHigh-dose laxatives taken by mouth
3. CA barium meal given by mouth to untwist the bowel slowly
4. DEating a large high-fibre meal

Seorang pasien menjalani terapi luka tekanan negatif (NPWT). Pompa berbunyi alarm dan balutan kehilangan segelnya. Tindakan mana yang paling tepat?

1. AMenaikkan hisapan ke pengaturan maksimum untuk menarik segel kembali
2. BMembiarkan foam di dalam luka tanpa hisapan selama beberapa hari sampai ditinjau
3. CMengisi luka dengan kasa kering di atas foam dan merekatkannya dengan ketat
4. DMemulihkan segel; bila gagal tepat waktu, ganti dengan balutan lembap

Seorang pasien yang menggunakan opioid jangka panjang untuk nyeri kronis dirawat untuk operasi. Pernyataan mana yang benar?

1. AOpioid biasa dilanjutkan, ditambah analgesia ekstra, karena toleransi
2. BMereka hanya boleh menerima parasetamol setelah operasi selesai
3. CSemua opioid harus dihentikan saat masuk untuk mencegah adiksi
4. DMereka membutuhkan dosis opioid pascaoperasi yang lebih rendah daripada pasien naif opioid