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

What is an incisional hernia?

1. AA bulge of stomach through the diaphragm
2. BA bulge through a weakened surgical scar
3. CA swelling in the groin present from birth
4. DA pouch in the wall of the colon

Which exercises are usually taught to patients before major surgery?

1. ALong-distance running every day
2. BHolding the breath for as long as possible
3. CHeavy weightlifting to build strength
4. DDeep breathing, coughing and leg exercises

Where should a diathermy return electrode (plate) be placed?

1. AOver a bony area such as the hip bone
2. BOver a metal joint replacement
3. COn skin covered with spirit-based prep that is still wet
4. DOn clean, dry skin over a well-perfused muscle

Which lifestyle change most improves the course of Crohn's disease?

1. AStopping smoking
2. BDrinking more coffee
3. CEating more red meat
4. DAvoiding all exercise

Which is a recognised cause of anaphylaxis during surgery?

1. AChlorhexidine skin preparation
2. BA warmed blanket
3. CThe patient's own blood from cell salvage
4. DSterile normal saline

How are skin staples usually removed from a healed incision?

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

Seorang pasien yang menerima filgrastim (G-CSF) setelah kemoterapi bertanya efek samping apa yang diharapkan. Efek samping mana yang paling umum?

1. AKerontokan rambut total dalam beberapa hari setelah suntikan pertama
2. BGangguan pendengaran permanen
3. CPenurunan cepat jumlah sel darah putih
4. DNyeri tulang yang pegal, karena sumsum tulang dirangsang

Sepuluh hari setelah kemoterapi, seorang pasien bersuhu 37,6 °C tetapi merasa menggigil dan tidak sehat, dengan nadi 112/menit dan TD 95/60 mmHg. Tindakan yang benar apa?

1. AMenenangkan pasien, karena suhu masih di bawah 38 °C
2. BMenunggu jumlah neutrofil sebelum memutuskan pengobatan apa pun
3. CTangani sebagai kemungkinan sepsis neutropenik: antibiotik IV dalam satu jam
4. DMemberikan parasetamol dan memeriksa suhu lagi dalam empat jam