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

What is a PEG tube?

1. AA drain placed in the chest to remove air
2. BA thin tube passed through the nose and down into the small bowel area
3. CA feeding tube placed through the abdominal wall into the stomach
4. DA catheter placed in a large vein for medicines

How does the pain of acute appendicitis typically progress?

1. AIt starts in the left lower abdomen, then spreads to the back
2. BIt stays in the upper abdomen and eases after meals
3. CIt starts around the umbilicus, then moves to the right lower abdomen
4. DIt starts in the right shoulder, then moves to the chest

What is dyspepsia?

1. APain in the rectum on opening the bowels
2. BVomiting of blood after a large meal
3. CDifficulty swallowing solid food and tablets
4. DUpper abdominal discomfort, often called indigestion

Which complication is more typical of Crohn's disease than of ulcerative colitis?

1. ADisease that is cured by removing the colon
2. BBleeding only from the rectum
3. CInflammation limited to the rectal lining
4. DFistulas between the bowel and other organs

Which patient is at highest risk of refeeding syndrome?

1. AA healthy adult after an overnight fast for minor surgery
2. BA patient who missed one lunch because of a scan
3. CAn underweight patient who has eaten very little for 10 days
4. DA patient with a normal BMI eating three meals a day

Which finding means a patient is usually ready to leave recovery for the ward?

1. AStill drowsy and needing a jaw thrust to breathe
2. BPain score 9/10 and vomiting repeatedly
3. CAwake, with a clear airway, stable observations and controlled pain
4. DSystolic BP falling steadily over the last hour, with a rising pulse rate

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

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

In recovery, an awake and anxious patient cannot lift their head, and their breaths are shallow and weak. What is the most likely cause?

1. ANormal tiredness after surgery
2. BOpioid overdose with pinpoint pupils
3. CA simple panic attack
4. DResidual neuromuscular blockade