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

What is dumping syndrome after gastric surgery?

1. AReflux of bowel contents back into the oesophagus
2. BRapid passage of food from the stomach into the small bowel
3. CLeakage of bile from the liver into the abdominal cavity
4. DSlow emptying of the stomach causing food to stay for days

Apa yang dimaksud dengan pemulihan yang ditingkatkan setelah operasi (ERAS)?

1. AJalur perawatan yang membantu pasien pulih lebih cepat setelah operasi
2. BAturan bahwa pasien harus tirah baring selama tiga hari
3. CMetode pemberian semua obat melalui vena
4. DTeknik bedah yang menghindari kebutuhan anestesi sama sekali

Apa yang dimaksud dengan hematokezia?

1. ABatuk dahak merah terang bercampur darah
2. BDarah merah segar yang keluar dari rektum
3. CMuntah darah merah segar
4. DFeses hitam, lengket seperti ter, dan berbau busuk

Why is a gastrostomy tube with an internal bumper usually advanced and rotated regularly once the tract has healed?

1. ATo check that the patient is still hungry
2. BTo make the tube longer as the patient grows or gains weight
3. CTo remove any feed left in the stomach
4. DTo stop the inner bumper becoming buried in the stomach wall

Which patient is at highest risk of refeeding syndrome?

1. AAn underweight patient who has eaten very little for 10 days
2. BA healthy adult after an overnight fast for minor surgery
3. CA patient with a normal BMI eating three meals a day
4. DA patient who missed one lunch because of a scan

Why is IV hydration given with cisplatin?

1. ATo make the drug less effective
2. BTo raise the blood pressure during treatment
3. CTo protect the kidneys from damage
4. DTo prevent hair loss

A patient has a category (stage) 2 pressure ulcer on the sacrum. Which plan is most appropriate?

1. ASit the patient upright in a chair for most of the day
2. BMassage around the wound every hour to stimulate blood flow to the skin
3. CLeave it uncovered and dry it with a hair dryer
4. DOffload the area, manage moisture, support nutrition and dress it

A patient with a toe ulcer says the leg pain is worse at night and eases when they hang the leg over the side of the bed. What does this suggest?

1. ALymphoedema
2. BVenous insufficiency
3. CArterial insufficiency
4. DNeuropathic itching