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

Which finding describes a category 1 pressure ulcer?

1. AAn open wound with visible bone at the base
2. BA wound covered with thick black eschar
3. CIntact skin with redness that does not blanch
4. DA shallow open wound with a red-pink base and no slough

Which feature is typical of an arterial leg ulcer?

1. AA painless wound on the shin with normal pulses
2. BA painful, punched-out wound on a cold, pale foot
3. CA blister on the heel with plenty of hair growth
4. DA shallow, wet wound around the ankle with warm, swollen skin

What is abdominal paracentesis?

1. AA camera test of the lining of the large bowel
2. BRemoval of the gallbladder through several small abdominal incisions
3. CInjection of dye into a vein in the arm
4. DDraining fluid from the abdominal cavity with a needle or drain

Why is a urinary catheter usually inserted in a patient with a major burn?

1. AHourly urine output guides fluid resuscitation
2. BIt is needed to give medicines into the bladder
3. CBurns always cause the bladder to rupture
4. DThe catheter prevents wound infection

Which wound drain observation should be reported immediately?

1. AA little dried blood around the drain site
2. BSmall amounts of pink serous fluid
3. CA sudden large volume of fresh red blood
4. DDrainage slowly falling each day

Why does a patient need lifelong vitamin B₁₂ injections after total gastrectomy?

1. AThe liver can no longer store any vitamins
2. BVitamin B₁₂ is lost in the urine after the surgery
3. CIntrinsic factor from the stomach is no longer made
4. DThe small bowel stops absorbing all nutrients

A patient has sharp, tearing pain on passing stool, "like passing glass", with a streak of fresh blood. Which condition is most likely?

1. AAnal fissure
2. BColorectal cancer
3. CCrohn's disease of the ileum
4. DUpper GI bleeding

A patient arrives in recovery with a temperature of 35,2 °C and is shivering. What is the most appropriate action?

1. AGive cold IV fluids to settle the shivering
2. BSend the patient to the ward to warm up there under extra blankets
3. CStart active warming and monitor the temperature
4. DRemove all blankets to let the body adjust