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

What is an ERCP?

1. AAn endoscopic test to view and treat the bile and pancreatic ducts
2. BA blood test that measures pancreatic enzymes
3. CAn open operation to remove the gallbladder
4. DA CT scan of the abdomen without contrast

Which is an example of a non-drug method of pain relief?

1. AA morphine injection into the thigh
2. BA lidocaine patch
3. CRelaxation and distraction
4. DAn ibuprofen tablet with food

Where is biliary colic typically felt?

1. AIn the right upper abdomen, often after a fatty meal
2. BIn the lower back, after lifting something heavy
3. CIn the groin, after standing for a long time
4. DIn the left lower abdomen, after passing stool

Aspirate from a nasogastric tube has a pH of 7. What should the nurse do?

1. ADo not use it; re-test later or arrange an X-ray as per policy
2. BFlush with 50 mL of air and start the feed
3. CStart the feed slowly and watch the patient closely for coughing
4. DGive the medicines but not the feed

Why is the "whoosh" test no longer used to check nasogastric tube position?

1. AIt needs an X-ray machine at the bedside
2. BAir can be heard even when the tube is in the lung
3. CThe test is far too painful for most patients to tolerate
4. DThe air always makes the tube block

How should a patient use an incentive spirometer after surgery?

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

A patient has had a large terminal ileum resection for Crohn's disease. Which long-term problems should the nurse anticipate?

1. AVitamin B₁₂ deficiency and bile-acid diarrhoea
2. BExcess vitamin D and calcium kidney stones in the first year
3. CIron overload and constipation
4. DInsulin deficiency and high blood glucose from loss of the islets

A colleague suggests giving a saline injection to see whether a patient's pain is "real". What is the best response?

1. ADeceptive placebos are unethical and do not show pain is "fake"
2. BIt is acceptable if a senior nurse gives the saline
3. CIt is a good idea, as long as the patient is not told about it afterwards
4. DIt should be done only for patients with chronic pain