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

Which signs suggest peritonitis?

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

What does black tissue in a wound bed usually indicate?

1. ANew epithelial cells
2. BNecrotic (dead) tissue
3. CNormal blood clot from a fresh cut
4. DHealthy granulation tissue

Why is nail varnish or a gel nail often removed from at least one finger before surgery?

1. ASo pulse oximetry readings and nail colour can be assessed accurately
2. BBecause it is a checklist rule with no clinical reason
3. CBecause the varnish can make the anaesthetic gas less effective
4. DBecause varnish raises the patient's blood pressure

Why is IV hydration given with cisplatin?

1. ATo protect the kidneys from damage
2. BTo make the drug less effective
3. CTo prevent hair loss
4. DTo raise the blood pressure during treatment

During the first infusion of a monoclonal antibody such as rituximab, which problem is most important to watch for?

1. ASudden hair loss during the infusion
2. BAn infusion reaction, such as fever, rigors or breathlessness
3. CSevere constipation within the first hour of starting the infusion
4. DA rise in platelet count above normal

Which measure helps reduce the risk of delirium in an older surgical patient?

1. AMoving them to a new bed space each night to reduce boredom
2. BKeeping the room dark during the day
3. CMaking sure they have their glasses and hearing aids
4. DGiving a sleeping tablet every night

Two hours after a meal, a patient who had a gastrectomy becomes shaky, sweaty and confused. What is the most likely cause and first action?

1. AAn anastomotic leak; insert a nasogastric tube at once
2. BLate dumping with low blood glucose; check capillary glucose
3. CVitamin B₁₂ deficiency; give an injection now
4. DEarly dumping from fluid shifts; give a large drink of water

Seorang pesakit yang menerima filgrastim (G-CSF) selepas kemoterapi bertanya kesan sampingan apa yang patut dijangka. Kesan sampingan manakah yang paling lazim?

1. AKehilangan pendengaran yang kekal
2. BPenurunan pantas kiraan sel darah putih
3. CKeguguran rambut sepenuhnya dalam beberapa hari selepas suntikan pertama
4. DSakit tulang yang menyengat, kerana sumsum tulang dirangsang