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

Pemeriksaan darah mana yang umum digunakan untuk mendiagnosis pankreatitis akut?

1. ABilirubin lebih dari tiga kali batas atas normal
2. BTroponin di atas persentil ke-99
3. CLipase atau amilase lebih dari 3 kali normal
4. DKadar hormon perangsang tiroid

Apa yang dimaksud dengan "nadir" pada kemoterapi?

1. AHari pertama siklus kemoterapi baru
2. BHari terakhir kursus radioterapi
3. CSaat jumlah sel darah terendah setelah satu siklus
4. DSaat jumlah sel darah tertinggi setelah satu siklus

What is the main purpose of a surgical wound drain?

1. ATo remove fluid or blood that collects at the operation site
2. BTo measure the patient's temperature
3. CTo feed the patient after surgery
4. DTo give IV fluids and antibiotics straight into the wound bed

Mengapa luka bakar superfisial (hanya kemerahan, seperti terbakar matahari) tidak dihitung saat menghitung luas luka bakar untuk resusitasi cairan?

1. ASelalu terlalu kecil untuk diukur secara akurat pada bagan
2. BSelalu sembuh sepenuhnya dalam satu hari
3. CSawar kulit utuh, sehingga sedikit cairan hilang
4. DMenyebabkan kehilangan cairan lebih banyak daripada kedalaman lain mana pun

Why is pethidine (meperidine) generally avoided for regular pain relief?

1. AA metabolite can build up and cause seizures
2. BIt can only be given by mouth
3. CIt has no pain-relieving effect at all in adults
4. DIt always causes severe diarrhoea

Why is the Lund and Browder chart preferred to the rule of nines for children?

1. AIt is used only for burns of the hands
2. BIt counts superficial burns as well
3. CIt is faster to use than any other method of estimation
4. DIt adjusts for body proportions that change with age

Which medicine commonly needs enteral feeds paused before and after each dose because the feed reduces its absorption?

1. ALactulose
2. BParacetamol
3. COmeprazole liquid
4. DPhenytoin

A patient has a category (stage) 2 pressure ulcer on the sacrum. Which plan is most appropriate?

1. AMassage around the wound every hour to stimulate blood flow to the skin
2. BLeave it uncovered and dry it with a hair dryer
3. CSit the patient upright in a chair for most of the day
4. DOffload the area, manage moisture, support nutrition and dress it