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

What is a Hartmann's procedure?

1. ARemoval of the gallbladder through several small abdominal incisions
2. BJoining the stomach directly to the small bowel
3. CRemoval of part of the colon with an end colostomy and rectal stump
4. DPlacing a stent in the bile duct

Why is adrenaline sometimes added to a local anaesthetic?

1. AIt makes the patient fall asleep more quickly
2. BIt narrows vessels, so the block lasts longer and bleeding is less
3. CIt turns the local anaesthetic into a general anaesthetic
4. DIt stops the local anaesthetic causing any allergy

What does the ASA physical status classification describe?

1. AThe exact length of the planned operation
2. BThe patient's pain score after surgery
3. CThe type of anaesthetic drug the surgeon prefers
4. DThe patient's general health before anaesthesia

Mengapa penting bila pasien yang menggunakan opioid menjadi lebih tersedasi?

1. ASedasi berarti nyeri kini terkontrol penuh dan aman
2. BSedasi yang meningkat biasanya mendahului depresi napas
3. CSedasi adalah efek yang tidak berbahaya dan diharapkan dari semua opioid
4. DSedasi berarti kini dibutuhkan dosis yang lebih tinggi

Which is a recognised side effect of ondansetron?

1. ASevere hypoglycaemia
2. BHair loss
3. CConstipation
4. DHearing loss

Before an anti-TNF biologic such as infliximab is started for Crohn's disease, which screening is essential?

1. AA bone density scan
2. BA test for coeliac disease
3. CScreening for tuberculosis
4. DA test of colour vision

A patient arrives in the anaesthetic room without an identity band. What should the nurse do?

1. AUse the spare identity band from the front of the patient's notes folder
2. BProceed and add a band once in recovery
3. CProceed because the patient can say their name
4. DStop and confirm identity, then apply a band

On day 3 after admission, a patient with alcohol dependence becomes confused, with hallucinations, sweating, tremor, fever and tachycardia. What is the most likely cause?

1. AHepatitis A caught on the ward
2. BNormal anxiety about being in hospital
3. CDelirium tremens from alcohol withdrawal
4. DAn allergic reaction to hospital food