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

Where is biliary colic typically felt?

1. AIn the right upper abdomen, often after a fatty meal
2. BIn the lower back, after lifting something heavy
3. CIn the left lower abdomen, after passing stool
4. DIn the groin, after standing for a long time

What should patients usually be told about hair loss from chemotherapy?

1. AIt is usually temporary, and hair grows back afterwards
2. BIt is always permanent with every drug
3. CIt means the treatment is not working
4. DIt happens with every type of cancer treatment, including surgery

Which drug group is commonly used to prevent venous thromboembolism after surgery?

1. ANon-steroidal anti-inflammatory drugs
2. BProton pump inhibitors
3. CLoop diuretics
4. DLow molecular weight heparins

Apakah perbezaan klinikal utama antara sekatan usus kecil dan usus besar?

1. AUsus kecil: kembung ketara sahaja; usus besar: tiada sakit, tiada muntah dan tiada kembung langsung
2. BUsus kecil: muntah awal, kurang kembung; usus besar: muntah lewat, kembung ketara
3. CTiada perbezaan klinikal; hanya imbasan CT yang dapat membezakannya
4. DUsus kecil: tiada muntah langsung; usus besar: muntah awal yang banyak tanpa kembung

Which advice helps a patient with haemorrhoids?

1. ATake a codeine-based painkiller every day
2. BEat less fibre so that stools are smaller
3. CSit on the toilet for long periods to empty fully
4. DEat more fibre, drink enough fluid and avoid straining

Which presentation fits acute diverticulitis?

1. APainless jaundice with a palpable gallbladder
2. BCentral chest pain spreading to the left arm
3. CRight upper abdominal pain after fatty meals
4. DLeft lower abdominal pain, fever and a raised CRP

Hours after an oesophageal dilatation, a patient has chest pain, fever and crackling swelling under the skin of the neck. What should the nurse suspect?

1. AAn allergic reaction to the sedative
2. BNormal discomfort after the procedure
3. CSimple reflux after the dilatation
4. DOesophageal perforation

Seorang pesakit yang dipasang stent koronari dua bulan lalu, mengambil aspirin dan klopidogrel, hadir dengan melena dan kini stabil. Apakah pendekatan yang paling sesuai terhadap ubat antiplatelet?

1. AMeneruskan kedua-dua ubat tanpa perubahan dan tidak menyebut pendarahan kepada pasukan
2. BMenghentikan kedua-dua ubat secara kekal, kerana sebarang pendarahan bermakna ia tidak lagi selamat
3. CMelaporkan pendarahan; pasukan memutuskan dengan input kardiologi, menimbang pendarahan berbanding trombosis stent
4. DMenggandakan kedua-dua dos, kerana pendarahan bermakna stent berisiko lebih besar untuk berbekuan