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

What is an escharotomy?

1. ARemoval of the whole limb after a deep, extensive burn
2. BA cut through burned, tight skin to relieve pressure
3. CDraining a blister with a needle
4. DPlacing a skin graft on a burn

Which sign suggests acute cholecystitis?

1. AA flapping tremor of the hands when the arms are held out
2. BPain in the left lower abdomen when the right side is pressed
3. CBruising around the umbilicus and over both flanks of the abdomen
4. DPain that stops a deep breath when the right upper abdomen is pressed

Why are pressure areas padded when a patient is positioned for surgery?

1. ATo warm the patient during the procedure
2. BTo make the operating table look tidy
3. CTo prevent pressure injury and nerve damage
4. DTo keep the patient from moving during the operation

Patients on immune checkpoint inhibitors may develop immune-related side effects. Which symptom should they report promptly?

1. ANew diarrhoea or abdominal pain
2. BA small bruise after a knock
3. CSlight hair thinning over months
4. DMild tiredness after a busy day

Which measure helps reduce the risk of delirium in an older surgical patient?

1. AMoving them to a new bed space each night to reduce boredom
2. BMaking sure they have their glasses and hearing aids
3. CKeeping the room dark during the day
4. DGiving a sleeping tablet every night

Seorang pasien dengan ileostomi baru memiliki keluaran sangat tinggi. Apa risiko utamanya?

1. AKalsium tinggi dan batu ginjal dalam beberapa hari
2. BKelebihan cairan dan pembengkakan pergelangan kaki
3. CKonstipasi dan impaksi feses di usus di atas stoma
4. DDehidrasi dan kehilangan natrium, kalium, dan magnesium

Seorang pasien sirosis dengan asites mengalami demam baru, nyeri tekan abdomen, dan kebingungan yang memburuk. Komplikasi mana yang harus dicurigai?

1. APeritonitis bakterial spontan
2. BPerkembangan normal asites
3. CPankreatitis akut
4. DKonstipasi sederhana

Four patients are on a gastroenterology ward. Which should the nurse see first?

1. AA patient with cirrhosis who is newly confused and drowsy
2. BA patient with stable ulcerative colitis asking about diet
3. CA patient with an ileostomy waiting to change the pouch
4. DA patient with GORD who wants an antacid