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

What is Barrett's oesophagus?

1. ADilated veins in the lower oesophagus caused by portal hypertension
2. BA pouch in the upper oesophagus that traps food
3. CA tear in the oesophagus caused by forceful vomiting
4. DA change of the lower oesophageal lining to a stomach-like type

Which diet is usually advised to help prevent symptoms of diverticular disease?

1. AA low-fibre diet with very little fluid
2. BA diet based mainly on red meat
3. CA high-fibre diet with plenty of fluids
4. DA diet with no fruit or vegetables

What is an anastomosis in bowel surgery?

1. AA tube placed in the bowel for feeding
2. BA drain placed beside the bowel
3. CAn opening of the bowel onto the skin
4. DA surgical join between two ends of bowel

Which factor can precipitate hepatic encephalopathy in a patient with cirrhosis?

1. AA high fluid intake
2. BConstipation
3. CA low-salt diet
4. DRegular gentle walking

Why are antibody levels checked after a healthcare worker receives the hepatitis B vaccine?

1. ATo decide whether they need a liver biopsy
2. BTo confirm that the vaccine produced immunity
3. CTo measure liver damage caused by the vaccine
4. DTo check whether they caught hepatitis B from the vaccine

Which finding suggests a deep tissue pressure injury?

1. AA small scratch on the skin with a little fresh red blood
2. BPale pink skin that blanches quickly when pressed
3. CDry, flaky skin on both shins
4. DIntact skin that is purple or maroon over a bony area

A patient with gastric outlet obstruction has vomited repeatedly for several days. Which blood picture is most likely?

1. ANormal electrolytes with respiratory alkalosis
2. BHigh calcium, high sodium and respiratory acidosis
3. CHigh chloride, high potassium and metabolic acidosis
4. DLow chloride, low potassium and metabolic alkalosis

Six hours after surgery, a patient has not passed urine, has lower abdominal discomfort and a bladder scan shows 750 mL. What should the nurse do?

1. ACatheterise as per protocol or prescription
2. BRestrict fluids until the urge returns
3. CWait another twelve hours before acting
4. DGive a diuretic to increase urine flow