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

What is adjuvant chemotherapy?

1. ATreatment given before a biopsy is taken
2. BTreatment given only to patients who refuse surgery or radiotherapy
3. CTreatment given only to relieve symptoms
4. DTreatment after surgery to reduce the risk of recurrence

What is a hiatus hernia?

1. AA bulge of bowel through an old surgical scar
2. BPart of the stomach pushing up through the diaphragm
3. CPart of the bowel pushing through the groin into the scrotum
4. DBowel bulging through a weak point in the muscle at the umbilicus

Why is a temporary loop ileostomy often formed after a low bowel resection?

1. ATo remove the whole colon permanently in a single operation
2. BTo drain urine from the kidneys
3. CTo divert stool while the join further down heals
4. DTo let the patient eat without chewing

A patient with a new colostomy asks what to eat at home. Which advice is most appropriate?

1. AEat only liquids until the stoma is removed
2. BDrink as little fluid as possible to reduce output
3. CEat a normal, balanced diet and introduce foods gradually
4. DAvoid all fruit and vegetables for the rest of their life

Which description fits a category (stage) 4 pressure ulcer?

1. AIntact skin with redness that does not blanch
2. BFull-thickness loss with exposed bone, tendon or muscle
3. CA blister filled with clear fluid over the heel or sacrum
4. DA shallow wound into the dermis only

How should a patient use an incentive spirometer after surgery?

1. AUse it once a day, just before going to sleep at night
2. BBreathe quickly in and out ten times in a row
3. CBreathe in slowly and deeply, then hold briefly
4. DBlow out as hard and as fast as possible

Seorang pasien memiliki luka bakar derajat penuh sirkumferensial pada lengan atas. Pengkajian mana yang paling penting selama beberapa jam berikutnya?

1. AUkuran pupil dan reaksi terhadap cahaya
2. BKetajaman penglihatan kedua mata setiap hari
3. CSirkulasi dan sensasi tangan
4. DBunyi usus dan lingkar perut

A 76-year-old with a past peptic ulcer needs long-term anti-inflammatory treatment for arthritis. Which plan best reduces GI bleeding risk?

1. ACombine two different NSAIDs at lower doses
2. BConsider an alternative; if an NSAID is needed, add a PPI
3. CTake the NSAID with a glass of milk instead of food
4. DUse the highest NSAID dose to shorten the course