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

What is an escharotomy?

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

Why is a feeding tube flushed with water before and after giving medicines?

1. ATo warm the tube so it is more comfortable
2. BTo clean the stomach before the next meal
3. CTo check that the patient is not thirsty
4. DTo keep it clear and stop drugs mixing with feed

What is a PEG tube?

1. AA drain placed in the chest to remove air
2. BA feeding tube placed through the abdominal wall into the stomach
3. CA catheter placed in a large vein for medicines
4. DA thin tube passed through the nose and down into the small bowel area

Tanda mana yang menunjukkan pankreatitis akut berat dengan perdarahan ke dalam jaringan?

1. APerubahan warna kuning pada kuku jari
2. BMemar di sekitar umbilikus atau pinggang
3. CPembengkakan bibir, lidah, dan wajah
4. DRuam ungu di telapak tangan dan kaki

Which liver function test pattern suggests bile duct obstruction?

1. AHigh bilirubin with a markedly raised ALP and GGT
2. BNormal bilirubin with a low ALP and low GGT
3. CA low albumin with all other results normal
4. DVery high ALT with a normal bilirubin only

Seorang pasien dengan ileostomi baru memiliki keluaran sangat tinggi. Apa risiko utamanya?

1. AKelebihan cairan dan pembengkakan pergelangan kaki
2. BKonstipasi dan impaksi feses di usus di atas stoma
3. CKalsium tinggi dan batu ginjal dalam beberapa hari
4. DDehidrasi dan kehilangan natrium, kalium, dan magnesium

A patient with bone metastases is starting regular zoledronic acid. Which advice is important?

1. AAvoid all physical activity for six months
2. BHave a dental check and report jaw pain or loose teeth
3. CStop drinking all fluids on the day of each infusion
4. DTake extra calcium only on the day of infusion

Which group of signs suggests that a patient is entering the last days of life?

1. AReduced intake, mottled skin and changes in breathing
2. BClearer thinking and increased movement
3. CRising appetite, more energy and normal skin colour and warmth
4. DHigh blood pressure and very fast weight gain