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

Which signs suggest peritonitis?

1. ALoud bowel sounds with a hungry feeling
2. BA small, painless lump near the umbilicus
3. CA soft abdomen with no pain on pressing
4. DGuarding, rebound tenderness and a rigid abdomen

Which statement about hepatitis C is correct?

1. AIt is spread mainly through blood, and there is no vaccine
2. BIt is spread mainly by food, and a vaccine is given to babies
3. CIt can be treated only with a liver transplant
4. DIt always clears by itself within two weeks

Apakah maksud PCA dalam pengurusan kesakitan?

1. APenilaian selepas penjagaan (post-care assessment)
2. BKawalan kesakitan oleh pembantu (pain control by an assistant)
3. CAnestesia berterusan yang dipreskripsikan (prescribed continuous anaesthesia)
4. DAnalgesia terkawal pesakit (patient-controlled analgesia)

Which intervention most reduces pressure ulcer risk in an immobile patient?

1. AKeeping the head of the bed raised at 90° all day
2. BUsing a doughnut-shaped ring cushion
3. CRegular repositioning and a pressure-redistributing mattress
4. DMassaging red areas firmly at each turn to bring back the circulation

How are skin staples usually removed from a healed incision?

1. AThe staples are left in permanently under the skin
2. BAll staples at once by pulling each one straight up from the skin
3. CAlternate staples first, then the rest if the wound holds
4. DOnly the staples at each end, leaving the others for good

Masalah elektrolit manakah yang boleh berlaku dalam pankreatitis akut yang teruk?

1. AHipokalsemia
2. BHiperkalsemia
3. CHiperkalemia
4. DHipernatremia

A patient with haematemesis becomes drowsy and starts to vomit blood again. What is the immediate priority?

1. ASend a stool sample for faecal occult blood testing
2. BComplete the admission paperwork and medication history
3. CGive a large glass of iced water to slow the bleeding
4. DTurn the patient onto their side to protect the airway

Seorang pesakit dengan lecuran 35% TBSA memasuki fasa hipermetabolik. Pelan pemakanan manakah yang paling sesuai?

1. APemakanan enteral awal, tinggi tenaga dan protein
2. BBerpuasa selama dua minggu untuk merehatkan usus sepenuhnya
3. CDiet rendah protein untuk melindungi buah pinggang daripada kerosakan
4. DCecair jernih sahaja sehingga luka lecuran sembuh