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

Di mana nyeri pankreatitis akut biasanya dirasakan?

1. ADi epigastrium, sering menjalar ke punggung
2. BDi punggung bawah, mereda saat berbaring datar
3. CDi perut kanan bawah, dekat pinggul
4. DDi ujung bahu kiri, memburuk saat napas dalam

Mana yang merupakan salah satu penyebab tersering sirosis hati?

1. ADiet tinggi buah dan serat
2. BAnemia defisiensi besi
3. CSatu kali keracunan makanan
4. DPenggunaan alkohol berat jangka panjang

Where is biliary colic typically felt?

1. AIn the groin, after standing for a long time
2. BIn the lower back, after lifting something heavy
3. CIn the right upper abdomen, often after a fatty meal
4. DIn the left lower abdomen, after passing stool

Which drug class is used to reduce the risk of a first variceal bleed in cirrhosis?

1. ANon-selective beta-blockers
2. BProton pump inhibitors
3. CThiazide diuretics
4. DCalcium supplements

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

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

Which presentation fits acute diverticulitis?

1. ARight upper abdominal pain after fatty meals
2. BPainless jaundice with a palpable gallbladder
3. CCentral chest pain spreading to the left arm
4. DLeft lower abdominal pain, fever and a raised CRP

Using the adult rule of nines, what is the total burn area of the whole right arm plus the whole front of the trunk (both with partial-thickness burns)?

1. A27%
2. B36%
3. C45%
4. D18%

During preoperative assessment, a patient says their brother had a "very high fever" during an anaesthetic. What is the most important action?

1. ARecord it as a family allergy to paracetamol
2. BInform the anaesthetist, as malignant hyperthermia may run in the family
3. CGive paracetamol before surgery to prevent fever
4. DReassure the patient that fevers after anaesthesia are always harmless