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

Which symptom in an adult over 50 is a red flag for colorectal cancer?

1. AA lasting change in bowel habit with rectal bleeding
2. BOccasional wind and rumbling after eating a meal of beans
3. CMild bloating before a period
4. DOne episode of loose stools after a takeaway meal

What does the ASA physical status classification describe?

1. AThe type of anaesthetic drug the surgeon prefers
2. BThe exact length of the planned operation
3. CThe patient's general health before anaesthesia
4. DThe patient's pain score after surgery

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

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

Which liver function test pattern suggests bile duct obstruction?

1. AA low albumin with all other results normal
2. BHigh bilirubin with a markedly raised ALP and GGT
3. CVery high ALT with a normal bilirubin only
4. DNormal bilirubin with a low ALP and low GGT

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

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

Which monitoring is especially important for a patient receiving parenteral nutrition?

1. APupil size and limb strength
2. BBowel sounds and stool colour only
3. CPeak flow and visual acuity
4. DBlood glucose and signs of line infection

A patient asks whether to take their usual bisoprolol on the morning of surgery. What is the usual guidance?

1. AStop it one week before any operation
2. BTake a double dose to protect the heart
3. CUsually continue it with a sip of water, unless told otherwise
4. DTake it only after the operation is finished

A 62-year-old with known reflux reports burning central chest pain with sweating and breathlessness that began while walking. What should the nurse do first?

1. ABook a routine endoscopy for later in the week
2. BRecord a 12-lead ECG and escalate as possible cardiac pain
3. CAdvise the patient to avoid spicy food at future meals
4. DGive an antacid and reassess the pain in an hour