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

Di manakah kesakitan pankreatitis akut lazimnya dirasai?

1. ADi hujung bahu kiri, bertambah teruk semasa pernafasan dalam
2. BDi abdomen kanan bawah, berhampiran pinggul
3. CDi epigastrium, selalunya menjalar ke belakang
4. DDi bahagian bawah belakang, berkurang apabila berbaring mendatar

What does a faecal immunochemical test (FIT) detect?

1. ABacteria that cause food poisoning
2. BParasites and their eggs in the stool
3. CHidden human blood in the stool
4. DFat in the stool from poor absorption

Dua faktor manakah yang paling lazim menyebabkan ulser peptik?

1. AJangkitan Helicobacter pylori dan NSAID
2. BMerokok dan terlalu banyak kopi pekat
3. CMakanan pedas dan tekanan psikologi atau kerja jangka panjang
4. DMeminum susu dan memakan buah sitrus

Why are many patients screened for MRSA before planned surgery?

1. ASo that carriers can be decolonised to reduce infection
2. BTo decide which anaesthetic drug to use
3. CTo check whether the patient has had a flu vaccine
4. DSo that surgery can be cancelled for all positive patients

Which technique is correct when giving a prefilled low molecular weight heparin injection?

1. ALeave the air bubble in and inject into a skin fold
2. BExpel the air bubble first and inject into the deltoid muscle
3. CInject into a vein in the back of the hand
4. DRub the site firmly afterwards to help absorption

A patient takes co-codamol at home (a combination tablet sold under different names in different countries). Why should the nurse check this before giving regular paracetamol (acetaminophen)?

1. AParacetamol and codeine cause a severe allergic reaction when combined
2. BIt already contains paracetamol, so overdose could occur
3. CCo-codamol must be stopped a week before any paracetamol
4. DCo-codamol stops paracetamol from working

A sacral wound has heavy exudate, and the surrounding skin is white, soft and wrinkled. What should the nurse do?

1. ALeave the same dressing in place for a week so the wound is not disturbed
2. BProtect the skin edges and use a more absorbent dressing
3. CUse a dressing that adds even more moisture
4. DApply a tight plastic film directly over the wound

A patient who takes NSAIDs suddenly develops severe epigastric pain, a rigid abdomen and shoulder-tip pain. Which finding would most support the likely diagnosis?

1. AFluid levels in the bladder on an ultrasound scan
2. BA raised serum lipase three times the upper limit
3. CFree air under the diaphragm on an erect chest X-ray
4. DTall, peaked T waves on a 12-lead ECG