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

Which drug group is commonly used to prevent venous thromboembolism after surgery?

1. ALoop diuretics
2. BLow molecular weight heparins
3. CNon-steroidal anti-inflammatory drugs
4. DProton pump inhibitors

Which symptom in an adult over 50 is a red flag for colorectal cancer?

1. AMild bloating before a period
2. BOne episode of loose stools after a takeaway meal
3. COccasional wind and rumbling after eating a meal of beans
4. DA lasting change in bowel habit with rectal bleeding

What is the typical main symptom of gastro-oesophageal reflux disease (GORD)?

1. ASharp pain in the right shoulder after meals
2. BCramping pain low in the left side of the abdomen
3. CPainless yellowing of the skin and eyes
4. DBurning pain behind the breastbone (heartburn)

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

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

Which statement about pain in older adults is correct?

1. APain is a normal part of ageing and does not need any treatment at all
2. BOpioids must never be used in people over 70
3. CThey may under-report pain, so active assessment is needed
4. DOlder adults feel less pain because nerves wear out

Which statement about fatigue during radiotherapy is correct?

1. AIt is caused by the patient becoming radioactive
2. BIt often builds during the course and can last for weeks
3. CIt means the radiotherapy has failed
4. DIt occurs only after the first session and then disappears completely

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

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

An older patient with atrial fibrillation has sudden severe abdominal pain, but the abdomen is soft with little tenderness. Lactate is raised. What should the nurse suspect?

1. AAcute mesenteric ischaemia
2. BSimple constipation
3. CMuscle strain from coughing
4. DIrritable bowel syndrome