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

How is parenteral nutrition given?

1. AInto the muscle of the thigh
2. BThrough a nasogastric tube into the stomach
3. CBy mouth as a thick supplement drink
4. DInto a vein, usually through a central line

Which measure helps prevent burn scar contractures?

1. AApplying ice packs to the scar every day
2. BAvoiding all movement until the wound has healed
3. CKeeping the joint bent in the most comfortable position
4. DPositioning, splinting and regular stretching exercises

Which drug reverses the effects of opioids?

1. AVitamin K
2. BFlumazenil
3. CProtamine
4. DNaloxone

Apa prioritas pertama saat pasien tiba di ruang pemulihan setelah anestesi umum?

1. ARiwayat obat
2. BSegelas air
3. CJalan napas dan pernapasan
4. DBalutan luka dan drain

Pendekatan transfusi sel darah merah mana pada pasien stabil dengan perdarahan saluran cerna yang sesuai dengan bukti terkini?

1. AMentransfusi dua unit secara rutin sebelum setiap endoskopi
2. BAmbang restriktif, sering sekitar 70 g/L, pada sebagian besar pasien stabil
3. CMentransfusi semua orang agar hemoglobin selalu di atas 150 g/L
4. DTidak pernah mentransfusi, berapa pun hemoglobin atau gejalanya

A routine wound swab grows bacteria, but the wound shows no signs of infection. What does this usually mean?

1. AThe swab result means the wound is infected
2. BThe wound is colonised; antibiotics are not usually needed
3. CThe patient needs IV antibiotics straight away, whatever the wound looks like
4. DThe wound must be closed with sutures again

A nurse teaches a patient with chronic pancreatitis. Which statement shows a need for further teaching?

1. A"I'll take my enzyme capsules at bedtime."
2. B"Oily, floating stools may mean my dose needs changing."
3. C"I'll report increased thirst or passing urine more often."
4. D"I should not drink any alcohol."

A 60 kg adult with 25% TBSA burns arrives 2 hours after the injury, having had no IV fluids. Using the Parkland formula, what hourly rate is needed for the rest of the first 8 hours?

1. A375 mL/h
2. B500 mL/h
3. C250 mL/h
4. D1000 mL/h