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

Which feature is typical of Crohn's disease?

1. AIt affects only the liver and bile ducts
2. BIt can affect any part of the gut, with normal bowel in between
3. CIt affects only the rectum and colon, in one continuous stretch
4. DIt affects only the stomach lining and causes ulcers there

Manakah satu daripada punca sirosis hati yang paling lazim?

1. APenggunaan alkohol berat jangka panjang
2. BAnemia kekurangan zat besi
3. CDiet tinggi buah-buahan dan serat
4. DSatu episod keracunan makanan

What is Barrett's oesophagus?

1. AA tear in the oesophagus caused by forceful vomiting
2. BA pouch in the upper oesophagus that traps food
3. CA change of the lower oesophageal lining to a stomach-like type
4. DDilated veins in the lower oesophagus caused by portal hypertension

When is cold therapy most useful for pain?

1. ADirectly on skin with poor circulation
2. BFor long-term muscle stiffness, applied continuously for several hours
3. CSoon after an acute soft tissue injury, to reduce swelling
4. DOver numb areas where sensation is lost

Mengapakah urea mungkin meningkat jauh lebih banyak daripada kreatinin pada pesakit pendarahan GI atas?

1. APendarahan sentiasa merosakkan tubul buah pinggang secara langsung
2. BUrea dihasilkan oleh lapisan perut yang berdarah
3. CDarah yang dihadam ialah beban protein yang meningkatkan urea
4. DKreatinin hilang daripada badan dalam muntah

Which pain pattern classically suggests a duodenal rather than a gastric ulcer?

1. APain 2–3 hours after meals and at night, eased by eating
2. BPain only on deep breathing that eases when sitting forwards
3. CPain straight after eating that is worsened by food
4. DPain in the right lower abdomen with fever and vomiting

A 76-year-old with a past peptic ulcer needs long-term anti-inflammatory treatment for arthritis. Which plan best reduces GI bleeding risk?

1. ACombine two different NSAIDs at lower doses
2. BConsider an alternative; if an NSAID is needed, add a PPI
3. CUse the highest NSAID dose to shorten the course
4. DTake the NSAID with a glass of milk instead of food

Peraturan keselamatan manakah yang terpakai kepada vinkristin?

1. AIa boleh diberikan melalui mana-mana laluan yang diutamakan oleh pempreskripsi
2. BTidak sekali-kali intratekal; dibekalkan dalam beg mini untuk kegunaan IV sahaja
3. CIa biasanya diberikan secara intratekal bersama ubat tulang belakang lain
4. DIa paling baik diberikan sebagai tolakan IV pantas ke dalam vena kecil