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

What is the typical main symptom of gastro-oesophageal reflux disease (GORD)?

1. ACramping pain low in the left side of the abdomen
2. BSharp pain in the right shoulder after meals
3. CBurning pain behind the breastbone (heartburn)
4. DPainless yellowing of the skin and eyes

What is a common reason for giving a premedication before surgery?

1. ATo treat the surgical wound in advance
2. BTo reduce anxiety
3. CTo replace the general anaesthetic
4. DTo make the patient hungry after surgery

Which diet is usually advised to help prevent symptoms of diverticular disease?

1. AA diet based mainly on red meat
2. BA diet with no fruit or vegetables
3. CA low-fibre diet with very little fluid
4. DA high-fibre diet with plenty of fluids

A patient with obstructive sleep apnoea is admitted for surgery. Which instruction is most appropriate?

1. AAvoid sleeping at all on the night after surgery
2. BBring their CPAP machine to use after surgery
3. CLie flat on their back for the first night
4. DStop all pain relief for the first three days

What is achalasia?

1. AFailure of the lower oesophageal sphincter to relax on swallowing
2. BA tear at the junction of the oesophagus and the stomach
3. CWeakness of the lower oesophageal sphincter that allows reflux
4. DInflammation of the oesophagus caused by a fungal infection

Which rule about the sterile field is correct?

1. AA sterile pack stays sterile even when it is wet
2. BSterile items can be passed across a non-sterile area freely
3. CIf sterility is in doubt, the item is treated as contaminated
4. DThe area below a gowned person's waist is sterile

Seorang pasien ensefalopati hepatik gelisah pada malam hari. Benzodiazepin disarankan untuk tidur. Apa yang harus dilakukan perawat?

1. AMemberikannya dengan dosis dua kali lipat untuk memastikan tidur
2. BMempertanyakannya, karena sedatif dapat memperburuk ensefalopati
3. CMemberikannya, karena hati tidak memengaruhi sedatif
4. DMemberikannya dan menghentikan laktulosa untuk menghindari diare

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

1. AUpper GI bleeding
2. BCrohn's disease of the ileum
3. CColorectal cancer
4. DAnal fissure