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

What is an escharotomy?

1. ADraining a blister with a needle
2. BRemoval of the whole limb after a deep, extensive burn
3. CPlacing a skin graft on a burn
4. DA cut through burned, tight skin to relieve pressure

Apa penyebab paling umum obstruksi usus halus pada orang dewasa di negara berpenghasilan tinggi?

1. APerlengketan (adhesi) akibat operasi sebelumnya
2. BKanker kolorektal
3. CBatu empedu yang tersangkut di leher kandung empedu
4. DBenda asing yang tertelan

What is a hiatus hernia?

1. ABowel bulging through a weak point in the muscle at the umbilicus
2. BA bulge of bowel through an old surgical scar
3. CPart of the bowel pushing through the groin into the scrotum
4. DPart of the stomach pushing up through the diaphragm

Which diet is usually recommended for a patient with cirrhosis and hepatic encephalopathy?

1. AOnly clear fluids for several weeks
2. BA very low-protein diet for the rest of their life to lower ammonia
3. CNormal protein and enough calories, with a late-evening snack
4. DNo food at all until the confusion settles

Which rule about the sterile field is correct?

1. AThe area below a gowned person's waist is sterile
2. BA sterile pack stays sterile even when it is wet
3. CSterile items can be passed across a non-sterile area freely
4. DIf sterility is in doubt, the item is treated as contaminated

Why are many patients screened for MRSA before planned surgery?

1. ASo that carriers can be decolonised to reduce infection
2. BTo decide which anaesthetic drug to use
3. CTo check whether the patient has had a flu vaccine
4. DSo that surgery can be cancelled for all positive patients

A nurse finds a dislodged sealed radiation source in the bed of a patient receiving brachytherapy. What should the nurse do?

1. ALeave it in the bed until the end of the shift
2. BThrow it in the clinical waste bag
3. CUse long-handled forceps to put it in the lead container; report it
4. DPick it up with gloved hands and put it in the nearest sharps bin quickly

In recovery, an awake and anxious patient cannot lift their head, and their breaths are shallow and weak. What is the most likely cause?

1. AResidual neuromuscular blockade
2. BOpioid overdose with pinpoint pupils
3. CA simple panic attack
4. DNormal tiredness after surgery