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

What is cancer cachexia?

1. AWeight gain caused by steroid treatment
2. BA fever that occurs after every chemotherapy cycle and lasts several days
3. CA skin rash from radiotherapy
4. DSevere loss of weight and muscle that diet alone does not reverse

What is dumping syndrome after gastric surgery?

1. ALeakage of bile from the liver into the abdominal cavity
2. BReflux of bowel contents back into the oesophagus
3. CSlow emptying of the stomach causing food to stay for days
4. DRapid passage of food from the stomach into the small bowel

What is brachytherapy?

1. ASurgery to remove a tumour through a small incision
2. BChemotherapy given slowly into a vein over several hours each day
3. CRadiotherapy from a sealed source placed in or next to the tumour
4. DRadiotherapy given by a machine from outside the body

Which statement about pain relief in acute pancreatitis is correct?

1. AOnly paracetamol may be given
2. BOpioids must never be used in pancreatitis
3. COpioids can be used, and good analgesia is a priority
4. DPain relief should be withheld until the diagnosis is certain

How is the height of an epidural sensory block usually checked?

1. ATesting sensation to cold with ice or a cold spray
2. BMeasuring the patient's blood glucose level
3. CChecking the colour of the patient's urine
4. DTapping the knee with a reflex hammer and recording the score

Apa perbedaan klinis utama antara obstruksi usus halus dan usus besar?

1. AUsus halus: hanya distensi nyata; usus besar: tanpa nyeri, tanpa muntah, dan tanpa distensi sama sekali
2. BUsus halus: tidak ada muntah sama sekali; usus besar: muntah deras dini tanpa distensi
3. CUsus halus: muntah dini, distensi lebih sedikit; usus besar: muntah lebih lambat, distensi nyata
4. DTidak ada perbedaan klinis; hanya CT scan yang dapat membedakannya

Seorang pasien menjalani terapi luka tekanan negatif (NPWT). Pompa berbunyi alarm dan balutan kehilangan segelnya. Tindakan mana yang paling tepat?

1. AMenaikkan hisapan ke pengaturan maksimum untuk menarik segel kembali
2. BMembiarkan foam di dalam luka tanpa hisapan selama beberapa hari sampai ditinjau
3. CMengisi luka dengan kasa kering di atas foam dan merekatkannya dengan ketat
4. DMemulihkan segel; bila gagal tepat waktu, ganti dengan balutan lembap

A patient asks whether to take their usual bisoprolol on the morning of surgery. What is the usual guidance?

1. ATake a double dose to protect the heart
2. BUsually continue it with a sip of water, unless told otherwise
3. CStop it one week before any operation
4. DTake it only after the operation is finished