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

Which signs suggest a surgical site infection?

1. AA dry wound edge with a thin scab
2. BIncreasing pain, redness, swelling, heat and pus
3. CMild bruising around the wound that is fading a little each day
4. DMild itching as the wound heals

What does "coffee-ground" vomit usually indicate?

1. ABlood that has been partly digested by stomach acid
2. BA side effect of drinking strong coffee
3. CUndigested food from several days ago
4. DBile coming back from an obstructed small bowel

What is pulmonary aspiration?

1. ABreathing too fast after surgery
2. BInhaling stomach contents or other material into the lungs
3. CA collapsed lung after a chest drain
4. DRemoving fluid from the chest with a needle through the ribs

Which initial treatment is usual for symptomatic hypercalcaemia of malignancy?

1. AA high-calcium diet with extra milk
2. BOral calcium tablets and vitamin D
3. CIV fluids followed by an IV bisphosphonate
4. DFluid restriction and a thiazide diuretic

How are skin staples usually removed from a healed incision?

1. AAlternate staples first, then the rest if the wound holds
2. BAll staples at once by pulling each one straight up from the skin
3. COnly the staples at each end, leaving the others for good
4. DThe staples are left in permanently under the skin

Which check is routinely made for a patient with a burn wound?

1. AVisual acuity in both eyes
2. BMeasles vaccination status
3. CBlood group of the next of kin
4. DTetanus immunisation status

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. AArterial insufficiency
2. BLymphoedema
3. CNeuropathic itching
4. DVenous insufficiency

Shortly after a spinal anaesthetic, a patient says their arms feel weak and it is hard to breathe, and the BP is falling. What is most likely?

1. AA high spinal block
2. BA normal spinal effect
3. CA post-dural puncture headache
4. DAn anxiety attack