Lembaran kerja Perubatan-pembedahan: GI, perioperatif & onkologi dengan jawapan
Lembaran kerja Perubatan-pembedahan: GI, perioperatif & onkologi percuma untuk dicetak: 8 soalan dari mudah hingga tahap peperiksaan, dengan skema jawapan. Cetak atau simpan sebagai PDF.
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Nama: ____________________ Tarikh: ____________
1.Mudah
Cecair manakah yang biasanya digunakan untuk resusitasi lecuran awal pada orang dewasa?
ALarutan glukosa 50% IV
BMinuman kola berkarbonat secara oral
CHartmann (Ringer laktat)
DAir steril untuk suntikan, diberikan secara IV
2.Mudah
Mengapakah jaundis berkembang dalam penyakit hati?
ABilirubin terkumpul kerana hati tidak dapat membersihkannya
BHati menghasilkan terlalu banyak sel darah merah sekali gus
CBuah pinggang menghasilkan terlalu banyak urea untuk badan
DPigmen kuning daripada makanan disimpan dalam kulit
3.Mudah
What is a spinal anaesthetic?
AA sedative tablet taken the night before
BA general anaesthetic gas breathed through a mask
CLocal anaesthetic injected into the CSF in the lower back
DLocal anaesthetic cream rubbed on the skin
4.Sederhana
Before an anti-TNF biologic such as infliximab is started for Crohn's disease, which screening is essential?
AA bone density scan
BScreening for tuberculosis
CA test of colour vision
DA test for coeliac disease
5.Sederhana
Which factor can precipitate hepatic encephalopathy in a patient with cirrhosis?
AConstipation
BA high fluid intake
CA low-salt diet
DRegular gentle walking
6.Sederhana
Which advice is appropriate for a patient with a very low platelet count?
AUse a razor blade for shaving every day
BUse a soft toothbrush and an electric razor
CTake aspirin regularly for headaches
DFloss hard every day to prevent gum disease
7.Sukar
A patient with small cell lung cancer is confused and drowsy. Sodium is 118 mmol/L and the urine is highly concentrated. Which complication is likely?
ADiabetes insipidus
BSIADH
CHypercalcaemia of malignancy
DTumour lysis syndrome
8.Sukar
Two days after a PEG insertion, a patient reports pain on feeding, and feed is leaking around the site. What should the nurse do?
AContinue feeding and apply a thicker dressing
BGive the next medicines through the tube as usual
CStop the feed at once and seek urgent medical advice
DIncrease the feed rate to improve nutrition
Kunci jawapan
1. C · Hartmann (Ringer laktat)
2. A · Bilirubin terkumpul kerana hati tidak dapat membersihkannya
3. C · Local anaesthetic injected into the CSF in the lower back
4. B · Screening for tuberculosis
5. A · Constipation
6. B · Use a soft toothbrush and an electric razor
7. B · SIADH
8. C · Stop the feed at once and seek urgent medical advice
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