Lembaran kerja Perubatan-pembedahan: GI, perioperatif & onkologi dengan jawapan

What does standard H. pylori eradication therapy usually combine?

1. ATwo NSAIDs and a stimulant laxative for one month
2. BAn antacid and a single antifungal drug
3. CA steroid and an antiviral drug
4. DA proton pump inhibitor and two antibiotics

Siasatan manakah yang biasanya digunakan untuk mencari dan merawat punca pendarahan GI atas?

1. AX-ray abdomen biasa
2. BEndoskopi GI atas
3. CKajian barium telan
4. DKolonoskopi usus

What does the ASA physical status classification describe?

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

Which advice may help reduce the risk of a parastomal hernia after stoma surgery?

1. AStrain hard on the toilet each day to strengthen the abdominal muscles
2. BDo intensive sit-ups from the first week
3. CAvoid heavy lifting early on and use support garments as advised
4. DKeep the stoma bag as full as possible

Which is a recognised cause of anaphylaxis during surgery?

1. AChlorhexidine skin preparation
2. BThe patient's own blood from cell salvage
3. CSterile normal saline
4. DA warmed blanket

Which statement about pain relief in acute pancreatitis is correct?

1. APain relief should be withheld until the diagnosis is certain
2. BOpioids can be used, and good analgesia is a priority
3. COpioids must never be used in pancreatitis
4. DOnly paracetamol may be given

After two days of large volumes of IV 5% glucose, a postoperative patient becomes confused with a headache. Sodium is 124 mmol/L. What is the likely cause?

1. AHyponatraemia from hypotonic fluids
2. BHypoglycaemia from the glucose
3. CHypernatraemia from too much salt
4. DNormal confusion after any anaesthetic

Seorang berumur 74 tahun dengan penyakit buah pinggang kronik mengalami kesakitan teruk selepas pembedahan. Isu opioid manakah yang paling penting?

1. AFungsi buah pinggang tidak memberi kesan terhadap cara opioid dikendalikan
2. BMorfin ialah opioid paling selamat dalam kegagalan buah pinggang, jadi dos boleh dinaikkan dengan bebas
3. COpioid tidak boleh sekali-kali digunakan pada warga emas, apa pun kesakitannya
4. DMetabolit morfin terkumpul, jadi dos yang lebih rendah atau opioid lain mungkin diperlukan